Mental Health Services at Selected Private Schools

Science.gov (United States)

Van Hoof, Thomas J.; Sherwin, Tierney E.; Baggish, Rosemary C.; Tacy, Peter B.; Meehan, Thomas P.

2004-01-01

Private schools educate a significant percentage of US children and adolescents. Private schools, particularly where students reside during the academic year, assume responsibility for the health and well-being of their students. Children and adolescents experience mental health problems at a predictable rate, and private schools need a mechanism…

Comparison of private versus academic practice for general surgeons: a guide for medical students and residents.

Science.gov (United States)

Schroen, Anneke T; Brownstein, Michelle R; Sheldon, George F

2003-12-01

Medical students and residents often make specialty and practice choices with limited exposure to aspects of professional and personal life in general surgery. The purpose of this study was to portray practice composition, career choices, professional experiences, job satisfaction, and personal life characteristics specific to practicing general surgeons in the United States. A 131-question survey was mailed to all female members (n = 1,076) and a random 2:1 sample of male members (n = 2,152) of the American College of Surgeons in three mailings between September 1998 and March 1999. Respondents who were not actively practicing general surgery in the United States and both trainees and surgeons who did not fit the definition of private or academic practice were excluded. Detailed questions regarding practice attributes, surgical training, professional choices, harassment, malpractice, career satisfaction, and personal life characteristics were included. Separate five-point Likert scales were designed to measure influences on career choices and satisfaction with professional and personal matters. Univariate analyses were used to analyze responses by surgeon age, gender, and practice type. A response rate of 57% resulted in 1,532 eligible responses. Significant differences between private and academic practice were noted in case composition, practice structure, and income potential; no major differences were seen in malpractice experience. Propensity for marriage and parenthood differed significantly between men and women surgeons. Overall career satisfaction was very high regardless of practice type. Some differences by surgeon gender in perceptions of equal career advancement opportunities and of professional isolation were noted. This study offers a comprehensive view of general surgery to enable more informed decisions among medical students and residents regarding specialty choice or practice opportunities.

Factors that Determine Academic Versus Private Practice Career Interest in Radiation Oncology Residents in the United States: Results of a Nationwide Survey

International Nuclear Information System (INIS)

Chang, Daniel T.; Shaffer, Jenny L.; Haffty, Bruce G.; Wilson, Lynn D.

2013-01-01

Purpose: To determine what factors US radiation oncology residents consider when choosing academic or nonacademic careers. Methods and Materials: A 20-question online survey was developed and sent to all US radiation oncology residents to assess factors that influence their career interest. Residents were asked to rate their interest in academics (A) versus private practice (PP) on a 0 (strong interest in A) to 100 (strong interest in PP) scale. Responses were classified as A (0-30), undecided (40-60), and PP (70-100). Residents were also asked to rank 10 factors that most strongly influenced their career interest. Results: Three hundred thirty-one responses were collected, of which 264 were complete and form the basis for this analysis. Factors that correlated with interest in A included having a PhD (P=.018), postgraduate year level (P=.0006), research elective time (P=.0003), obtaining grant funding during residency (P=.012), and number of publications before residency (P=.0001), but not number of abstracts accepted in the past year (P=.65) or publications during residency (P=.67). The 3 most influential factors for residents interested in A were: (1) baseline interest before residency; (2) academic role models; and (3) research opportunities during residency. The 3 most influential factors for residents interested in PP were: (1) baseline interest before residency; (2) academic role models; and (3) academic pressure and obligations. Conclusions: Interest in A correlated with postgraduate year level, degree, and research time during residency. Publications before but not during residency correlated with academic interest, and baseline interest was the most influential factor. These data can be used by residency program directors to better understand what influences residents' career interest

Domestic heat pumps in the UK. User behaviour, satisfaction and performance

Energy Technology Data Exchange (ETDEWEB)

Caird, S.; Roy, R.; Potter, S. [Design Innovation Group, Dept. Design, Development, Environment and Materials, Faculty of Mathematics, Computing and Technology, The Open University, Milton Keynes, MK7 6AA (United Kingdom)

2012-08-15

Consumer adoption of microgeneration technologies is part of the UK strategy to reduce carbon emissions from buildings. Domestic heat pumps are viewed as a potentially important carbon saving technology, given the ongoing decarbonisation of the electricity supply system. To address the lack of independent evaluation of heat pump performance, the Energy Saving Trust undertook the UK's first large-scale heat pump field trial, which monitored 83 systems in real installations. As part of the trial, the Open University studied the consumers' experience of using a domestic heat pump. An in-depth user survey investigated the characteristics, behaviour, and satisfactions of private householders and social housing residents using ground source and air source heat pumps for space and/or water heating, and examined the influence of user-related factors on measured heat pump system efficiency. The surveys found that most users were satisfied with the reliability, heating, hot water, warmth and comfort provided by their system. Analysis of user characteristics showed that higher system efficiencies were associated with greater user understanding of their heat pump system, and more continuous heat pump operation, although larger samples are needed for robust statistical confirmation. The analysis also found that the more efficient systems in the sample were more frequently located in the private dwellings than at the social housing sites and this difference was significant. This is explained by the interaction between differences in the systems, dwellings and users at the private and social housing sites. The implications for heat pump research, practice and policy are discussed.

Awareness of and Attitudes towards Heat Waves within the Context of Climate Change among a Cohort of Residents in Adelaide, Australia

OpenAIRE

Akompab, Derick; Bi, Peng; Williams, Susan; Grant, Janet; Walker, Iain; Augoustinos, Martha

2012-01-01

Heat waves are a public health concern in Australia and unprecedented heat waves have been recorded in Adelaide over recent years. The aim of this study was to examine the perception and attitudes towards heat waves in the context of climate change among a group of residents in Adelaide, an Australian city with a temperate climate. A cross-sectional study was conducted in the summer of 2012 among a sample of 267 residents. The results of the survey found that television (89.9%), radio (71.2%)...

A happy marriage. In his private home, heating systems expert Ulrich Krausscombines photovoltaic power generation and geothermal heat; Eine glueckliche Verbindung. Heizungsfachmann Ulrich Krauss kombiniert in seinem Haus Photovoltaik und Erdwaerme

Energy Technology Data Exchange (ETDEWEB)

Simons, Kristina; Krause, Matthias B.

2010-11-15

The contribution presents a private home with photovoltaic cells installed on the garage roof and with geothermal heating. In spite of unfavourable boundary conditions, the solar modules produce more electric power than the geothermal heat pump consumes. (orig.)

Floor heating maximizes residents` comfort

Energy Technology Data Exchange (ETDEWEB)

Tirkkanen, P.; Wikstroem, T.

1996-11-01

Storing heat in floors by using economical night-time electricity does not increase the specific consumption of heating. According to studies done by IVO, the optimum housing comfort is achieved if the room is heated mainly by means of floor heating that is evened out by window or ceiling heating, or by a combination of all three forms of heating. (orig.)

The prevalence of depressive symptoms among elderly Chinese private nursing home residents in Hong Kong.

Science.gov (United States)

Chow, Eddie Siu Lun; Kong, Bernard Ming Hei; Wong, Mike Tak Po; Draper, Brian; Lin, Ka Leung; Ho, Shuk Kuen Sabrina; Wong, Chun Por

2004-08-01

Privately-owned Nursing homes (PNH) in Hong Kong present a unique setting of institutional care where elderly with the whole spectrum of health status live together. This cross-sectional descriptive study aimed to determine the prevalence of significant depressive symptoms in a group of Cantonese-speaking Chinese private nursing home elderly living in Hong Kong, and to identify associated psychosocial and health factors. METHODOLOGICAL RESULTS: Two hundred and forty five residents fulfilled the inclusion criteria. Using the Chinese version of the Geriatric Depression Scale--Short Form (GDS-SF), we detected significant depressive symptoms in 29% of subjects. Univariate analysis revealed some associated socio-economic risk factors including current non-Comprehensive Social Security Assistance (CSSA) recipients, education levels and low abilities for social activities. Low vision, swallowing difficulties and low levels of basic activities of daily living (BADL) as reflected by the total Modified Barthel Index of less than 61 were important health predictors. Depression was also associated with features of self-perception of financial inadequacy, life dissatisfaction, poor self-perceived health, poor attitudes towards living arrangement and suicidal thoughts. Stepwise logistic regression identified swallowing problems, current non-CSSA recipient and low BADL ability as independent risk factors. The high prevalence of depressive symptoms in the nursing home elderly requires the attention of Government authorities, health care and social service providers.

Wastewater as a Heat Source for Individual Residence Heating: A Techno-economic Feasibility Study in the Brussels Capital Region

Directory of Open Access Journals (Sweden)

Jan Spriet

2017-09-01

Full Text Available A large part of the thermal energy in buildings is lost through the drain and ends up as warm wastewater in the sewer system. The installation of heat exchangers in the sewer system enables a rise of the source temperature of heat pumps, increasing their coefficient of performance. To investigate the potential of such a technique in the Brussels Capital Region, a test facility named MYRTES has been installed in the sewer network, the starting point of this facility being to have one heat recovery system per residence. To estimate the heat recovery rate, potentially available in the Brussels Capital Region, the data from this test facility have been used as inputs and validation for a predictive model, considering both the heat recovery and its financial and environmental implications. Simulations show a minimum heating power of the heat pump of 6.3 kW, at a hot water temperature of 45 °C. A maximum of 35% of the buildings in the Brussels Capital Region are eligible for the use of such a system. At current tariffs, the levelized cost of energy for these systems, is lower than for traditional air heat pumps, but is higher than for gas boiler systems. The total equivalent warming impact, however, is estimated to be around 49% lower than for gas boiler systems and around 13% lower than for air heat pumps. In conclusion, heating through these types of systems is more expensive than gas boiler systems, but with increased consumption the competitiveness of these systems improves.

Importance of First and Second Authorship in Assessing Citation-Based Scholarly Activity of US Radiation Oncology Residents and Subsequent Choice of Academic Versus Private Practice Career.

Science.gov (United States)

McClelland, Shearwood; Mitin, Timur; Jagsi, Reshma; Thomas, Charles R; Jaboin, Jerry J

2018-06-20

The Hirsch index (h-index) has been shown to correlate with radiation oncology residents' having a first job in academics versus private practice, but it is limited by its inability to distinguish between the differing significance of coauthor roles in articles. A list of 2016 radiation oncology resident graduates and their postresidency career choices was compiled. The Scopus bibliometric citation database was then searched to collect h-index data for articles limited to first author only (h f ) and first or second-author only (h s ) for each resident. Mean h f was 2.06 for all resident graduates, and mean h s was 2.77. Residents with PhDs had significantly higher h f (3.11 versus 1.76, P gender. Only 10% of graduates without any first- and/or second-author articles cited at least once secured academic jobs. These findings indicate that stratifying publications by first or second authorship when developing benchmarks for evaluating resident productivity and postresidency career type may be useful. Copyright © 2018 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Radioactive contamination in a private residence

International Nuclear Information System (INIS)

Marsh, W.B.E.

1986-01-01

A brief report is given of the contamination of a private house and garden belonging to a deceased medical physicist who had been employed by a large teaching hospital and major research organization and who had his own home laboratory. Gamma dose rates about 1.5 μSvh -1 in the laboratory, 1-2 μSvh -1 in the lounge, 0.4-0.8 μSvh -1 on items of furniture and a fireplace, 0.1 mSvh -1 in the garden shed and 0.15 to 2.0 μSvh -1 in the garden were measured. The decontamination measures performed by the NRPB to clear the area are described. (U.K.)

The Marketing of Residence Halls: A Question of Positioning.

Science.gov (United States)

Parker, R. Stephen; And Others

1996-01-01

A survey of 343 college residence hall directors revealed percentages of private and public institutions offering different amenities, main selling points in promotional brochures, and the most common resident complaints. Results were compared with those of a resident survey concerning the importance of various housing attributes. Implications for…

The effect of mature elephant bull introductions on ranging patterns of resident bulls: Phinda Private Game Reserve, South Africa

Directory of Open Access Journals (Sweden)

Heleen Druce

2006-12-01

Full Text Available Increasing popularity of wildlife viewing has resulted in a rapid increase in small, enclosed reserves in South Africa. The African elephant is one of the many species that has been reintroduced into these reserves for eco-tourism. These elephant populations were established as young (smaller that 10 years old orphans from prior Kruger National Park culling operations. Consequently, this abnormal sex and age structure of these introduced populations has influenced their behavioural and spatial ecology. In Pilanesberg National Park, this abnormal behaviour was corrected by introducing older bulls and culling certain problem elephants. In July 2003, three older bulls (29–41 years old were introduced into Phinda Private Game Reserve, KwaZulu-Natal, South Africa in order to normalise the bull age structure. These introduced bulls were monitored intensively after release, as was the resident bull population, both before and after introduction of the older bulls. The introduced bulls settled into restricted ranges separate from the family groups. All the resident bulls decreased their home ranges at first, with most increasing their home ranges a year later. The resident bulls’ change in ranging patterns was due more to ecological factors than to the influence of the mature bull introduction. This study indicates that the introduction of older male elephants into small populations does not pose major risks or animal welfare concerns.

Contracting with private providers for primary care services: evidence from urban China.

Science.gov (United States)

Wang, Yan; Eggleston, Karen; Yu, Zhenjie; Zhang, Qiong

2013-01-17

Controversy surrounds the role of the private sector in health service delivery, including primary care and population health services. China's recent health reforms call for non-discrimination against private providers and emphasize strengthening primary care, but formal contracting-out initiatives remain few, and the associated empirical evidence is very limited. This paper presents a case study of contracting with private providers for urban primary and preventive health services in Shandong Province, China. The case study draws on three primary sources of data: administrative records; a household survey of over 1600 community residents in Weifang and City Y; and a provider survey of over 1000 staff at community health stations (CHS) in both Weifang and City Y. We supplement the quantitative data with one-on-one, in-depth interviews with key informants, including local officials in charge of public health and government finance.We find significant differences in patient mix: Residents in the communities served by private community health stations are of lower socioeconomic status (more likely to be uninsured and to report poor health), compared to residents in communities served by a government-owned CHS. Analysis of a household survey of 1013 residents shows that they are more willing to do a routine health exam at their neighborhood CHS if they are of low socioeconomic status (as measured either by education or income). Government and private community health stations in Weifang did not statistically differ in their performance on contracted dimensions, after controlling for size and other CHS characteristics. In contrast, the comparison City Y had lower performance and a large gap between public and private providers. We discuss why these patterns arose and what policymakers and residents considered to be the main issues and concerns regarding primary care services.

Contracting with private providers for primary care services: evidence from urban China

Science.gov (United States)

2013-01-01

Controversy surrounds the role of the private sector in health service delivery, including primary care and population health services. China’s recent health reforms call for non-discrimination against private providers and emphasize strengthening primary care, but formal contracting-out initiatives remain few, and the associated empirical evidence is very limited. This paper presents a case study of contracting with private providers for urban primary and preventive health services in Shandong Province, China. The case study draws on three primary sources of data: administrative records; a household survey of over 1600 community residents in Weifang and City Y; and a provider survey of over 1000 staff at community health stations (CHS) in both Weifang and City Y. We supplement the quantitative data with one-on-one, in-depth interviews with key informants, including local officials in charge of public health and government finance. We find significant differences in patient mix: Residents in the communities served by private community health stations are of lower socioeconomic status (more likely to be uninsured and to report poor health), compared to residents in communities served by a government-owned CHS. Analysis of a household survey of 1013 residents shows that they are more willing to do a routine health exam at their neighborhood CHS if they are of low socioeconomic status (as measured either by education or income). Government and private community health stations in Weifang did not statistically differ in their performance on contracted dimensions, after controlling for size and other CHS characteristics. In contrast, the comparison City Y had lower performance and a large gap between public and private providers. We discuss why these patterns arose and what policymakers and residents considered to be the main issues and concerns regarding primary care services. PMID:23327666

Maternity leave policies in academic and private radiology practices

International Nuclear Information System (INIS)

Spirt, B.A.; Rauth, V.; Price, A.P.F.; Pagani, A.H.

1988-01-01

In 1987, the American Association of Women Radiologists surveyed both academic and private radiology departments regarding pregnancy and maternity leave policies. One hundred academic institutions (70% response), 30 radiotherapy departments (38% response), and 31 private practices responded. Details were obtained regarding maternity leave policy for residents and attending physicians; availability of paternity leave; policies regarding on-call time, fluoroscopy time and intracavitary/interstitial applications during pregnancy; and problems that occurred during resident or attending physician pregnancies. There was a wide range of responses regarding paid leave time, availability of additional time, and the use of vacation time during maternity leave

Heat savings and heat generation technologies: Modelling of residential investment behaviour with local health costs

International Nuclear Information System (INIS)

Zvingilaite, Erika; Klinge Jacobsen, Henrik

2015-01-01

The trade-off between investing in energy savings and investing in individual heating technologies with high investment and low variable costs in single family houses is modelled for a number of building and consumer categories in Denmark. For each group the private economic cost of providing heating comfort is minimised. The private solution may deviate from the socio-economical optimal solution and we suggest changes to policy to incentivise the individuals to make choices more in line with the socio-economic optimal mix of energy savings and technologies. The households can combine their primary heating source with secondary heating e.g. a woodstove. This choice results in increased indoor air pollution with fine particles causing health effects. We integrate health cost due to use of woodstoves into household optimisation of heating expenditures. The results show that due to a combination of low costs of primary fuel and low environmental performance of woodstoves today, included health costs lead to decreased use of secondary heating. Overall the interdependence of heat generation technology- and heat saving-choice is significant. The total optimal level of heat savings for private consumers decrease by 66% when all have the option to shift to the technology with lowest variable costs. - Highlights: • Heat saving investment and heat technology choice are interdependent. • Health damage costs should be included in private heating choice optimisation. • Flexibility in heating technology choice reduce the optimal level of saving investments. • Models of private and socioeconomic optimal heating produce different technology mix. • Rebound effects are moderate but varies greatly among consumer categories

Assessment of residency program outcomes via alumni surveys.

Science.gov (United States)

Lüer, Sonja; Aebi, Christoph

2017-01-01

One trend in medical education is outcomes-oriented training. Outcomes usually refer to individuals' acquisition of competencies, for example, during training in residency programs. However, little is known about outcomes of these programs. In order to fill this gap, human resource (HR) data were analyzed and alumni of a pediatric residency program were surveyed at the Department of Pediatrics, Bern University Hospital, Switzerland. Residency program outcomes (demographics, career choices, part-time or full-time work status, competencies, feedback) were assessed through in-house HR databases, publicly available data on the Internet (physician directory and practice homepages), and 2 alumni surveys (S1, S2). In all, 109 alumni met the inclusion criteria. Retention rate at the hospital was low (14%). Forty-six alumni (42%) in private practice were eligible for alumni surveys. Response rates were 87% (S1) and 61% (S2). Time intervals between 2 career decisions (selecting specialty of pediatrics vs selecting setting of private practice) varied widely (late-training decision to enter private practice). Mean employment level in private practice was 60% (range 20%-100%). Most valued rotation was emergency medicine; most desired competencies in future colleagues were the ability to work in a team, proficiency in pediatrics, and working economically. A broadened view on outcomes - beyond individuals' competency acquisition - provides informative insights into a training program, can allow for informed program updates, and guide future program development.

Awareness of and Attitudes towards Heat Waves within the Context of Climate Change among a Cohort of Residents in Adelaide, Australia

Directory of Open Access Journals (Sweden)

Iain A. Walker

2012-12-01

Full Text Available Heat waves are a public health concern in Australia and unprecedented heat waves have been recorded in Adelaide over recent years. The aim of this study was to examine the perception and attitudes towards heat waves in the context of climate change among a group of residents in Adelaide, an Australian city with a temperate climate. A cross-sectional study was conducted in the summer of 2012 among a sample of 267 residents. The results of the survey found that television (89.9%, radio (71.2%, newspapers (45.3% were the main sources from which respondents received information about heat waves. The majority of the respondents (73.0% followed news about heat waves very or somewhat closely. About 26.6% of the respondents were extremely or very concerned about the effects of heat waves on them personally. The main issues that were of personal concern for respondents during a heat wave were their personal comfort (60.7%, their garden (48.7%, and sleeping well (47.6%. Overall, respondents were more concerned about the impacts of heat waves to the society than on themselves. There was a significant association between gender (χ² = 21.2, df = 3, p = 0.000, gross annual household income (p = 0.03 and concern for the societal effects of heat waves. Less than half (43.2% of the respondents believed that heat waves will extremely or very likely increase in Adelaide according to climate projections. Nearly half (49.3% believed that the effects of heat waves were already being felt in Adelaide. These findings may inform the reframing and communication strategies for heat waves in Adelaide in the context of climate change.

Privatization and environmental pollution in an international mixed Cournot model

Science.gov (United States)

Ferreira, Fernanda A.

2016-06-01

In this paper, we consider a competition between a domestic public firm and a foreign private firm, supposing that the production processes generates environmental pollution. Introducing the residents' environmental preference into the public firm's objective function, we analyse its economic impacts. We also analyse the economic impacts of the privatization.

Assessment of residency program outcomes via alumni surveys

Directory of Open Access Journals (Sweden)

Lüer S

2017-04-01

Full Text Available Sonja Lüer, Christoph Aebi Department of Pediatrics, Bern University Hospital, Inselspital, University of Bern, Bern, Switzerland Background: One trend in medical education is outcomes-oriented training. Outcomes usually refer to individuals’ acquisition of competencies, for example, during training in residency programs. However, little is known about outcomes of these programs. In order to fill this gap, human resource (HR data were analyzed and alumni of a pediatric residency program were surveyed at the Department of Pediatrics, Bern University Hospital, Switzerland.Methods: Residency program outcomes (demographics, career choices, part-time or full-time work status, competencies, feedback were assessed through in-house HR databases, publicly available data on the Internet (physician directory and practice homepages, and 2 alumni surveys (S1, S2. Results: In all, 109 alumni met the inclusion criteria. Retention rate at the hospital was low (14%. Forty-six alumni (42% in private practice were eligible for alumni surveys. Response rates were 87% (S1 and 61% (S2. Time intervals between 2 career decisions (selecting specialty of pediatrics vs selecting setting of private practice varied widely (late-training decision to enter private practice. Mean employment level in private practice was 60% (range 20%–100%. Most valued rotation was emergency medicine; most desired competencies in future colleagues were the ability to work in a team, proficiency in pediatrics, and working economically.Conclusion: A broadened view on outcomes – beyond individuals’ competency acquisition – provides informative insights into a training program, can allow for informed program updates, and guide future program development. Keywords: medical education, career choice, pediatrics, private practice

Análise de um sistema de aquecimento de água para residências rurais, utilizando energia solar A water heating system analysis for rural residences, using solar energy

Directory of Open Access Journals (Sweden)

Luiz H. Basso

2010-02-01

Full Text Available A conscientização da importância do meio ambiente tem incentivado o estudo de novas fontes energéticas renováveis e menos poluentes. Dentre essas fontes, a energia solar destaca-se por ser perene e limpa. A utilização da energia solar em sistemas de aquecimento de água residencial rural pode colaborar com a economia de energia elétrica, base da matriz energética brasileira. Conhecer os fatores que influenciam na operação de um sistema de aquecimento de água por energia solar é importante na determinação de sua viabilidade técnica, visando a sua difusão em residências rurais. Para tanto, construiu-se um protótipo, no câmpus da Faculdade Assis Gurgacz, em Cascavel - PR, com características similares a um equipamento utilizado em residências para dois habitantes, para funcionar com circulação natural ou termossifão e sem auxílio de sistema de aquecimento complementar. O equipamento mostrou-se viável tecnicamente, alcançando a temperatura mínima para banho de 35 °C, sempre que a radiação solar foi superior a 3.500 Wh m-2, o que aconteceu para a maioria dos dias estudados.The awareness of the importance of the environment has stimulated the study of new renewed energy sources and less pollutant. Amongst these sources, solar energy stands alone for being perennial and clean. The use of solar energy in systems of agricultural residential water heating, can complement the economy of electric energy, base of the Brazilian energy matrix. Knowing the factors that influence the operation of a system of water heating by solar energy is important in determining their technical viabilities targeting their distribution in agricultural residences. To evaluate equipment of water heating for solar energy, a prototype was constructed in the campus of Assis Gurgacz College, in Cascavel,State of Paraná, Brazil, with similar characteristics to equipment used in residences for two inhabitants, to function with natural circulation or

Prospects for jointly using solar and wind energy for heat supply and hot water supply to private houses under the conditions of Baku

International Nuclear Information System (INIS)

Salamov, O. M.; Aliev, F. F.

2013-01-01

This paper analyzes the discovery of the potential for jointly using solar and wind energy for heat supply (HS) and hot water supply (HWS) to a one-family private house located in the Apsheron Peninsula. (authors)

Effects of duration of stay in temperate area on thermoregulatory responses to passive heat exposure in tropical south-east Asian males residing in Japan

Directory of Open Access Journals (Sweden)

Wijayanto Titis

2012-09-01

Full Text Available Abstract Background In this study, we investigated the effects of duration of stay in a temperate area on the thermoregulatory responses to passive heat exposure of residents from tropical areas, particularly to clarify whether they would lose their heat tolerance during passive heat exposure through residence in a temperate country, Japan. Methods We enrolled 12 males (mean ± SE age 25.7 ± 1.3 years from south-east Asian countries who had resided in Japan for a mean of 24.5 ± 5.04 months, and 12 Japanese males (age 24.1 ± 0.9 years. Passive heat exposure was induced through leg immersion in hot water (42°C for 60 minutes under conditions of 28°C air temperature and 50% relative humidity. Results Compared with the Japanese group, the tropical group displayed a higher pre-exposure rectal temperature (P P = 0.03. Additionally, the tropical group showed a tendency towards a lower total sweat rate (P = 0.06 and lower local sweat rate on the forehead (P = 0.07. The tropical group also had a significantly longer sweating onset time on the upper back (P = 0.04 compared with the Japanese groups. The tropical group who stayed in Japan for > 23 months sweated earlier on the forehead and upper back than those who stayed in Japan P P = 0.03 for the forehead and upper back, respectively. There was a positive correlation between duration of stay in Japan and total sweat rate (r = 0.58, P r = −0.73, P = 0.01 and on the upper back (r = −0.66, P = 0.02. Other physiological indices measured in this study did not show any difference between the subjects in the tropical group who had lived in Japan for a shorter time and those who had lived there for a longer time. Conclusions We conclude that the nature of heat acclimatization of the sweating responses to passive heat exposure that are acquired from long-term heat acclimatization is decayed by a stay in a temperate area, as shown

Case-mix and quality indicators in Chinese elder care homes: are there differences between government-owned and private-sector facilities?

Science.gov (United States)

Liu, Chang; Feng, Zhanlian; Mor, Vincent

2014-02-01

To assess the association between ownership of Chinese elder care facilities and their performance quality and to compare the case-mix profile of residents and facility characteristics in government-owned and private-sector homes. Cross-sectional study. Census of elder care homes surveyed in Nanjing (2009) and Tianjin (2010). Elder care facilities located in urban Nanjing (n = 140, 95% of all) and urban Tianjin (n = 157, 97% of all). A summary case-mix index based on activity of daily living (ADL) limitations and cognitive impairment was created to measure levels of care needs of residents in each facility. Structure, process, and outcome measures were selected to assess facility-level quality of care. A structural quality measure, understaffing relative to resident levels of care needs, which indicates potentially inadequate staffing given resident case-mix, was also developed. Government-owned homes had significantly higher occupancy rates, presumably reflecting popular demand for publicly subsidized beds, but served residents who, on average, have fewer ADL and cognitive functioning limitations than those in private-sector facilities. Across a range of structure, process, and outcome measures of quality, there is no clear evidence suggesting advantages or disadvantages of either ownership type, although when staffing-to-resident ratio is gauged relative to resident case-mix, private-sector facilities were more likely to be understaffed than government-owned facilities. In Nanjing and Tianjin, private-sector homes were more likely to be understaffed, although their residents were sicker and frailer on average than those in government facilities. It is likely that the case-mix differences are the result of selective admission policies that favor healthier residents in government facilities than in private-sector homes. © 2014, Copyright the Authors Journal compilation © 2014, The American Geriatrics Society.

Perancangan Small Private Space Pada Interior Public Space Di Perpustakaan Universitas Kristen Petra Surabaya

OpenAIRE

Lucky Basuki, Holiman Chandra Yusita Kusumarini

2013-01-01

Lifestyle of modern people use some time to move out of residence (public space) makes the most of the private activities can not be fulfilled. It is an idea and the idea of creating a space that can meet the needs of the private in public spaces with small dimensions. Private space in the design of the library is housed in Petra Christian University Surabaya as space scope of small private space (minimal private space dimension). The creation of small private space in the interior of the lib...

Fellowship and career path preferences in residents of otolaryngology-head and neck surgery.

Science.gov (United States)

Golub, Justin S; Ossoff, Robert H; Johns, Michael M

2011-04-01

Assess fellowship and academic/private practice career track preferences in residents of otolaryngology-head and neck surgery. Cross-sectional survey. A total of 1,364 U.S. otolaryngology residents were surveyed. Questions addressed demographics, work hours and sleep, fellowship preference, and career track preference (academic/private practice). Trends in fellowship and career track preference were analyzed by year of clinical otolaryngology training. Data were additionally analyzed after stratification by sex. The response rate was 50%. The desire to complete a fellowship declined from 62% (year 2) to 58% (year 5), whereas the desire to not complete a fellowship increased from 31% (year 2) to 41% (year 5). Fellowship interest increased for rhinology and head and neck surgery by training year, whereas interest declined for neurotology and facial plastics. Expectation of an academic path increased from 29% (year 2) to 38% (year 5), whereas expectation of private practice declined slightly from 59% (year 2) to 57% (year 5). Women were initially more interested in both completing a fellowship (69% women, 60% men) and academics (40% women, 27% men). At the end of training, these sex differences were eliminated or reversed (59% men, 54% women for fellowship; 39% men, 35% women for academics). Residents interested in pursuing fellowship or academics reported working 2 hr/week more than those interested in no fellowship or private practice, respectively (P career track preferences suggest trends that may be useful to residency/fellowship program directors and residents making career choices. Inequalities producing differences according to sex should be addressed. Copyright © 2011 The American Laryngological, Rhinological, and Otological Society, Inc.

Features of residency training and psychological distress among ...

African Journals Online (AJOL)

4 Department of Peridontal and Community Dentistry, University of Ibadan, Nigeria. 5 Department of ... had <5 hours of research or private study per week. ..... in the USA issued a directive limiting resident doctors' working hours. Following this ...

Smart grid business case for private homes

DEFF Research Database (Denmark)

Villefrance, Rasmus; Brandt, Jonas; Eriksen, Poul Svante

2013-01-01

We describe and consider how the potential of energy savings may drive the penetration of smart grid technology into private homes. We assess the sociological processes which lead to energy savings when the residents have access to smart grid technology. We propose a way to establish a cash flow...... from consumers via electrical distribution companies to smart grid technology providers on the Danish market. Finally, we assess the impact of such a business development on the society, as well as relating the penetration of smart grid technology in private homes to the societal goal of 100% renewable...

A passive heat tracer experiment to determine the seasonal variation in residence times in a managed aquifer recharge system with DTS

NARCIS (Netherlands)

des Tombe, B.F.; Bakker, M.; Schaars, F; van der Made, KJ; Calje, R; Borst, L.

2016-01-01

Targeted provisional session N°8.01 The seasonal variation in residence times is determined in a managed aquifer recharge system using a passive heat tracer test. The managed aquifer recharge system consists of a sequence of alternating elongated recharge basins and rows of recovery wells. The

Budget savings through the responsible use of energy in Navy privatized housing communities

OpenAIRE

Sachinski, Jeffrey M.; Cook, Rudolph W.; Matteson, Beth M.

2014-01-01

Approved for public release; distribution is unlimited In 1996, Congress authorized the Military Housing Privatization Initiative, which led to the increase in basic allowance for housing (BAH) for active duty members to achieve zero out of pocket housing expenses while living in military privatized housing. Privatized housing residents are not fully incentivized to conserve energy. Average energy costs, taken over like sized groups, are used as a baseline to justify the amount paid to the...

A water heating system analysis for rural residences, using solar energy; Analise de um sistema de aquecimento de agua para residencias rurais, utilizando energia solar

Energy Technology Data Exchange (ETDEWEB)

Basso, Luiz H.; Souza, Samuel N.M. de; Siqueira, Jair A.C.; Nogueira, Carlos E.C.; Santos, Reginaldo F. [Universidade Estadual do Oeste do Parana (UNIOESTE), Cascavel, PR (Brazil). Programa de Pos-Graduacao em Engenharia Agricola], emails: melegsouza@yahoo.com, ssouza@unioeste.br, jairsiqueira@unioeste.br, cecn1@yahoo.com.br, rfsantos@unioeste.br

2010-01-15

The awareness of the importance of the environment has stimulated the study of new renewed energy sources and less pollutant. Amongst these sources, solar energy stands alone for being perennial and clean. The use of solar energy in systems of agricultural residential water heating, can complement the economy of electric energy, base of the Brazilian energy matrix. Knowing the factors that influence the operation of a system of water heating by solar energy is important in determining their technical viabilities targeting their distribution in agricultural residences. To evaluate equipment of water heating for solar energy, a prototype was constructed in the campus of Assis Gurgacz College, in Cascavel,State of Parana, Brazil, with similar characteristics to equipment used in residences for two inhabitants, to function with natural circulation or thermo siphon and without help of a complementary heating system. The equipment revealed technical viability, reaching the minimum temperature for shower, of 35 deg C, whenever the solar radiation was above the 3,500 Wh m{sup -2}, for the majority of the studied days. (author)

The Economics of Private Practice versus Academia in Surgery.

Science.gov (United States)

Baimas-George, Maria; Fleischer, Brian; Korndorffer, James R; Slakey, Douglas; DuCoin, Christopher

2018-04-16

Residents often make career decisions regarding future practice without adequate knowledge to the realities of professional life. Currently there is a paucity of data regarding economic differences between practice models. This study seeks to illuminate the financial differences of surgical subspecialties between academic and private practice. Data were collected from the Association of American Medical College (AAMC) and the Medical Group Management Association's (MGMA) 2015 reports of average annual salaries. Salaries were analyzed for general surgery and 7 subspecialties. Fixed time of practice was set at 30 years. Assumptions included 5 years as assistant professor, 10 years as associate professor, and 15 years as full professor. Formula used: (average yearly salary) × [years of practice (30 yrs - fellowship/research yrs)] + ($50,000 × yrs of fellowship/research) = total adjusted lifetime revenue. As a full professor, academic surgeons in all subspecialties make significantly less than their private practice counterparts. The largest discrepancy is in vascular and cardiothoracic surgery, with full professors earning 16% and 14% less than private practitioners. Plastic surgery and general surgery are the only 2 disciplines that have similar lifetime revenues to private practitioners, earning 2% and 6% less than their counterparts' lifetime revenue. Academic surgeons in all surgical subspecialties examined earn less lifetime revenue compared to those in private practice. This difference in earnings decreases but remains substantial as an academic surgeon advances. With limited exposure to the diversity of professional arenas, residents must be aware of this discrepancy. Copyright © 2018 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

Devolatilization kinetics of woody biomass at short residence times and high heating rates and peak temperatures

DEFF Research Database (Denmark)

Johansen, Joakim M.; Gadsbøll, Rasmus; Thomsen, Jesper

2016-01-01

This work combines experimental and computational fluid dynamics (CFD) results to derive global kinetics for biomass (pine wood) devolatilization during heating rates on the order of 105Ks-1, bulk flow peak temperatures between 1405 and 1667K, and particle residence times below 0.1s. Experiments......Jmol-1. The accuracy of the derived global kinetics was supported by comparing predictions to experimental results from a 15kW furnace. The work emphasizes the importance of characterizing the temperature history of the biomass particles when deriving pyrolysis kinetics. The present results indicate...

Solar Heating and Cooling of Buildings: Activities of the Private Sector of the Building Community and Its Perceived Needs Relative to Increased Activity.

Science.gov (United States)

National Academy of Sciences - National Research Council, Washington, DC. Committee on Solar Energy in the Heating and Cooling of Buildings.

This report is essentially a collection of information gathered from a broad cross-section of the building community that provides a description of the state of affairs existing mid-1974 through mid-1975 in the private sector of the building community with regard to solar heating and cooling of buildings. The report additionally contains…

The politics of student housing: Student activism and representation in the determination of the user-price of a public–private partnership residence on a public university campus in South Africa

Directory of Open Access Journals (Sweden)

Taabo Mugume

2015-10-01

Full Text Available South African universities have been facing a critical shortage in the provision of studenthousing for several years now, and the establishment of public–private partnerships(PPPs is seen as part of the solution to address the shortage (Rensburg, 2011. Thisarticle investigates the effectiveness of the Students’ Representative Council (SRC ofthe University of the Western Cape (UWC in representing student interests during itsnegotiations with university management to reduce the user-price per student for the newKovacs Residence, a PPP student housing complex on the UWC campus. It thus highlightssome of the complexities involved in public–private collaborations on student housingprovision, including the tension between profitability, affordability and equity in the face oforganised student power.The article shows that, considering the various initiatives taken by the SRC to engageuniversity management, and the resulting reduction of the user-price per annum, students’interests were effectively represented by the SRC, even if this view does not correspondwith the perceptions of students. Our analysis uncovers many deficiencies in studentrepresentation processes both within student structures and university management. It issupported by data from in-depth interviews and a focus group discussion. Interviews wereconducted with SRC members and university management, and a focus group discussionwas facilitated with students in residences.

Comprehensive Health Care Economics Curriculum and Training in Radiology Residency.

Science.gov (United States)

Keiper, Mark; Donovan, Timothy; DeVries, Matthew

2018-06-01

To investigate the ability to successfully develop and institute a comprehensive health care economics skills curriculum in radiology residency training utilizing didactic lectures, case scenario exercises, and residency miniretreats. A comprehensive health care economics skills curriculum was developed to significantly expand upon the basic ACGME radiology residency milestone System-Based Practice, SBP2: Health Care Economics requirements and include additional education in business and contract negotiation, radiology sales and marketing, and governmental and private payers' influence in the practice of radiology. A health care economics curriculum for radiology residents incorporating three phases of education was developed and implemented. Phase 1 of the curriculum constituted basic education through didactic lectures covering System-Based Practice, SBP2: Health Care Economics requirements. Phase 2 constituted further, more advanced didactic lectures on radiology sales and marketing techniques as well as government and private insurers' role in the business of radiology. Phase 3 applied knowledge attained from the initial two phases to real-life case scenario exercises and radiology department business miniretreats with the remainder of the radiology department. A health care economics skills curriculum in radiology residency is attainable and essential in the education of future radiology residents in the ever-changing climate of health care economics. Institution of more comprehensive programs will likely maximize the long-term success of radiology as a specialty by identifying and educating future leaders in the field of radiology. Copyright © 2018 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Can Future Academic Surgeons be Identified in the Residency Ranking Process?

Science.gov (United States)

Beninato, Toni; Kleiman, David A; Zarnegar, Rasa; Fahey, Thomas J

2016-01-01

The goal of surgical residency training programs is to train competent surgeons. Academic surgical training programs also have as a mission training future academicians-surgical scientists, teachers, and leaders. However, selection of surgical residents is dependent on a relatively unscientific process. Here we sought to determine how well the residency selection process is able to identify future academicians in surgery. Rank lists from an academic surgical residency program from 1992 to 1997 were examined. All ranked candidates׳ career paths after residency were reviewed to determine whether they stayed in academics, were university affiliated, or in private practice. The study was performed at New York Presbyterian Hospital-Weill Cornell Medical College, New York, NY. A total of 663 applicants for general surgery residency participated in this study. In total 6 rank lists were evaluated, which included 663 candidates. Overall 76% remained in a general surgery subspecialty. Of those who remained in general surgery, 49% were in private practice, 20% were university affiliated, and 31% had academic careers. Approximately 47% of candidates that were ranked in the top 20 had ≥20 publications, with decreasing percentages as rank number increased. There was a strong correlation between the candidates׳ rank position and pursuing an academic career (p career. The residency selection process can identify candidates likely to be future academicians. Copyright © 2016 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

Passive Solar Heating Residences.

Science.gov (United States)

1979-07-01

sunshine is the percentage of time during the average year that the sun is bright enough to cast a shadow Pcross a surface, divided by the number of hours...The Markle House in Vermont has 1,100 square feet of living area with a heat loss cf 17,500 BTU/hr. Particular attention was paid to reducing the...Determ.ine enierg;y savings of fossil fuel and electrical poweCr. 2. Determi.:ne the ftriction of the building’s hot)’ waiter , heting and/ur cooling load

Three story residence with solar heat--Manchester, New Hampshire

Science.gov (United States)

1981-01-01

When heat lost through ducts is counted for accurate performance assessment, solar energy supplied 56 percent of building's space heating load. Average outdoor temperature was 53 degrees F; average indoor temperature was 69 degrees F. System operating modes included heating from solar collectors, storing heat, heating from storage, auxiliary heating with oil fired furnace, summer venting, and hot water preheating.

Program Characteristics Influencing Allopathic Students' Residency Selection.

Science.gov (United States)

Stillman, Michael D; Miller, Karen Hughes; Ziegler, Craig H; Upadhyay, Ashish; Mitchell, Charlene K

2016-04-01

Medical students must consider many overt variables when entering the National Resident Matching Program. However, changes with the single graduate medical education accreditation system have caused a gap in knowledge about more subtle considerations, including what, if any, influence the presence of osteopathic physician (ie, DO) and international medical graduate (IMG) house officers has on allopathic students' residency program preferences. Program directors and selection committee members may assume students' implicit bias without substantiating evidence. To reexamine which program characteristics affect US-trained allopathic medical students' residency selection, and to determine whether the presence of DO and IMG house officers affects the program choices of allopathic medical students. Fourth-year medical students from 4 allopathic medical schools completed an online survey. The Pearson χ(2) statistic was used to compare demographic and program-specific traits that influence ranking decisions and to determine whether school type (private vs public), valuing a residency program's prestige, or interest in a competitive specialty dictated results. Qualitative data were analyzed using the Pandit variation of the Glaser and Strauss constant comparison. Surveys were completed by 323 of 577 students (56%). Students from private vs public institutions were more likely to value a program's prestige (160 [93%] vs 99 [72%]; P<.001) and research opportunities (114 [66%] vs 57 [42%]; P<.001), and they were less likely to consider their prospects of being accepted (98 [57%] vs 111 [81%]; P<.001). A total of 33 (10%) and 52 (16%) students reported that the presence of DO or IMG trainees, respectively, would influence their final residency selection, and these percentages were largely unchanged among students interested in programs' prestige or in entering a competitive specialty. Open-ended comments were generally optimistic about diversification of the physician

Health-care-seeking patterns in the emerging private sector in Burkina Faso: a population-based study of urban adult residents in Ouagadougou.

Directory of Open Access Journals (Sweden)

Idrissa Beogo

Full Text Available The private medical care sector is expanding in urban cities in Sub-Saharan Africa (SSA. However, people's health-care-seeking behaviors in this new landscape remain poorly understood; furthermore, distinguishing between public and private providers and among various types of private providers is critical in this investigation. This study assessed, by type, the healthcare providers urban residents in Burkina Faso visit, and their choice determinants.We conducted a population-based survey of a representative sample of 1,600 households in Ouagadougou from July to November 2011, consisting of 5,820 adults. We assessed the types of providers people typically sought for severe and non-severe conditions. We applied generalized estimating equations in this study.Among those surveyed, 97.7% and 53.1% indicated that they seek a formal provider for treating severe and non-severe conditions, respectively. Among the formal provider seekers, 20.5% and 17.0% chose for-profit (FP providers for treating severe and non-severe conditions, respectively. Insurance coverage was held by 2.0% of those surveyed. Possessing insurance was the strongest predictor for seeking FP, for both severe (odds ratio [OR]  = 1.15, 95% confidence interval [CI] = 1.04-1.28, and non-severe conditions (OR = 1.22, 95% CI = 1.07-1.39. Other predictors included being a formal jobholder and holding a higher level education. By contrast, we observed no significant difference in predisposing, enabling, or need characteristics between not-for-profit (NFP provider seekers and public provider seekers. Proximity was the primary reason for choosing a provider.The results suggested that FP providers play a crucial role in the urban healthcare market in SSA. Socioeconomic status and insurance status are significant predictors of provider choice. The findings can serve as a crucial reference for policymakers in response to the emergence of FP providers in SSA.

Satisfaction and gender issues in otolaryngology residency.

Science.gov (United States)

Wynn, Rhoda; Rosenfeld, Richard M; Lucente, Frank E

2005-06-01

To evaluate the otolaryngology residency experience with attention to operative experience, career guidance, and gender. Otolaryngology residents were anonymously surveyed by mail about their residency experience. The 22-item survey was scored on a 5-point ordinal Likert scale. Responses were analyzed with respect to gender and postgraduate year (PGY) level. Complete surveys were returned by 261 otolaryngology residents (24% female). PGY level correlated with confidence that surgical skills were appropriate (P = 0.003), establishment of solid career network (P = 0.003), and confidence that surgical abilities are adequate for practice (P = 0.028). Female residents reported less confidence that surgical skills were appropriate (P = 0.050) and that surgical abilities were adequate for postresidency practice (P = 0.035). Women were encouraged to enter private practice more often (P = 0.012), were less likely to have a solid career network ( P = 0.025), and were less confident about being able to run their own practice (P = 0.036) Significant differences exist for several questions regarding surgical confidence and career issues, even after correction for PGY level.

Prediction of residence time distributions in food processing machinery

DEFF Research Database (Denmark)

Karlson, Torben; Friis, Alan; Szabo, Peter

1996-01-01

The velocity field in a co-rotating disc scraped surface heat exchanger (CDHE) is calculated using a finite element method. The residence time distribution for the CDHE is then obtained by tracing particles introduced in the inlet.......The velocity field in a co-rotating disc scraped surface heat exchanger (CDHE) is calculated using a finite element method. The residence time distribution for the CDHE is then obtained by tracing particles introduced in the inlet....

Are the French neurology residents satisfied with their training?

Science.gov (United States)

Codron, P; Roux, T; Le Guennec, L; Zuber, M

2015-11-01

There have been dramatic changes in neurology over the past decade; these advances require a constant adaptation of residents' theoretical and practical training. The French Association of Neurology Residents and the College of Neurology Teachers conducted a national survey to assess the French neurology residents' satisfaction about their training. A 16-item questionnaire was sent via e-mail to French neurology residents completing training in 2014. Data were collected and processed anonymously. Of eligible respondents, 126 returned the survey, representing approximately 40% of all the French neurology residents. Most residents (78%) rated their clinical training favorably. Seventy-two percent reported good to excellent quality teaching of neurology courses from their faculty. However, many residents (40%) felt insufficient their doctoral thesis supervision. All residents intended to enter fellowship training after their residency, and most of them (68%) planned to practice in a medical center. French neurology residents seemed satisfied with the structure and quality of their training program. However, efforts are required to improve management of the doctoral thesis and make private practice more attractive and accessible during the residency. In the future, similar surveys should be scheduled to regularly assess neurology residents' satisfaction and the impact of the forthcoming national and European reforms. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

An Evaluation of Public and Private Sector Housing Alternatives for Military Families

Science.gov (United States)

2002-03-01

consumed, the military member must provide out-of- pocket money for the difference. As a critical ingredient in privatized projects, BAH provides the...resid ing in base housing do not have to pay any out-of- pocket money from their base pay, the objective score for on base housing affordability is...utility costs, the military member must provide out of pocket money for the difference. The expense for utilities in privatized housing is minimal to

The Cost of Employment Discrimination against Transgender Residents of Florida

OpenAIRE

Brown, Taylor NT; Herman, Jody L

2015-01-01

The State of Florida spends more than a half million dollars each year as the result of employment discrimination against transgender residents. Currently, 10 counties and 14 cities in Florida have ordinances prohibiting discrimination based on gender identity in public and private sector employment, but nearly 22,000 transgender adult residents are not covered by these laws. Employment discrimination against transgender adults in Florida costs the state an estimated $570,000 annually in stat...

Use of wind energy for heating private residences / Mariliis Vahtra

Index Scriptorium Estoniae

Vahtra, Mariliis

2009-01-01

Autor leiab, et Eestis tuleks hakata tootma järjest rohkem tuuleenergiat, kuna vastavalt Euroopa Parlamendi direktiivile peaksid alates 2018. aastast ehitatavad hooned iseenda jaoks kohapeal energiat tootma. Tuulegeneraatoritest ja tuuleenergiast Eestis ning mujal maailmas. Graafik, diagramm

Private lands habitat programs benefit California's native birds

Directory of Open Access Journals (Sweden)

Ryan T. DiGaudio

2015-10-01

Full Text Available To address the loss of wetlands and riparian forests in California, private lands habitat programs are available through U.S. federal and state government agencies to help growers, ranchers and other private landowners create and enhance wildlife habitat. The programs provide financial and technical assistance for implementing conservation practices. To evaluate the benefits of these programs for wildlife, we examined bird use of private wetlands, postharvest flooded croplands and riparian forests enrolled in habitat programs in the Central Valley and North Coast regions of California. We found that private Central Valley wetlands supported 181 bird species during the breeding season. During fall migration, postharvest flooded croplands supported wetland-dependent species and a higher density of shorebirds than did semipermanent wetlands. At the riparian sites, bird species richness increased after restoration. These results demonstrated that the programs provided habitat for the species they were designed to protect; a variety of resident and migratory bird species used the habitats, and many special status species were recorded at the sites.

Research on seasonal indoor thermal environment and residents' control behavior of cooling and heating systems in Korea

Energy Technology Data Exchange (ETDEWEB)

Bae, Chihye; Chun, Chungyoon [Department of Housing and Interior Design, College of Human Ecology, Graduate School, Yonsei University, Seoul (Korea)

2009-11-15

Indoor thermal environments and residents' control behavior of cooling and heating systems were investigated in Seoul, Korea and compared with the results of previous studies. Twenty-four houses in summer, six houses in autumn and 36 houses in winter were used in this study. The measurement of temperature, humidity and air conditioner usage behavior was carried out. The clo-value, thermal comfort, sensation and basic data of the houses were also investigated. The indoor thermal environment in the summer had a high temperature and a high humidity ratio compare to standard comfort zone. Most of the indoor thermal environments at the time of starting the air conditioner in the summer were out of the comfort zone. Some of the data recorded while the air conditioner was stopped were in the comfort zone, but in many cases the temperature was relatively higher than comfort zone. Most indoor climate distributions in the winter were in the comfort zone and the indoor climate in autumn coincided well with the criteria of the comfort zone. Compared with results of previous studies in these 25 years, indoor ambient average temperature in winter has increased and the comfort temperature has increased in the heating period and decreased in the cooling period. This result indicates that the development of an HVAC system has created an expectation of comfort for residents and has shifted their thermal comfort zone warmer in winter and cooler in summer. (author)

Public-private sector partnership in household waste management as perceived by residents in south-west Nigeria.

Science.gov (United States)

Ezebilo, Eugene E; Animasaun, Emmanuel D

2012-08-01

In most developing countries public-private sector partnership is becoming increasingly applied in household waste management service delivery especially in urban areas to reduce cost and improve effectiveness. This paper reports a study of householders' perceptions of public-private sector partnership in provision of household waste management services in Ilorin, south-west Nigeria. A multistage random sampling technique was used to select 224 households for the study. The data generated from the survey were analysed using a binary logit model. The results show that most of the respondents were of the opinion that the public-private partnership has not been able to improve household waste management services. Time taken to visit solid waste collection point, income and marital status negatively influenced their perceptions, while activities of sanitary inspectors, occupation and gender had positive influence. The public-private partnership will be more effective and sustainable if the public sector could pay more attention to performance monitoring and accountability.

Solar project description for Zien Mechanical Contractors-I single family residence, Milwaukee, Wisconsin

Science.gov (United States)

Beers, D.

1980-02-01

The Zien Mechanical site is a single family residence located in Milwaukee, Wisconsin. The home has two separate solar energy systems: an air system for space heating and cooling; a liquid system to preheat the potable hot water. The space heating and cooling system design and operation modes are described. The space heating system is designed to apply approximately 44 percent of the space heating requirements for the 1388 square foot residence. Engineering drawings are provided and the performance evaluation instrumentation is described.

Heat savings and heat generation technologies: Modelling of residential investment behaviour with local health costs

DEFF Research Database (Denmark)

Zvingilaite, Erika; Klinge Jacobsen, Henrik

2015-01-01

The trade-off between investing in energy savings and investing in individual heating technologies with high investment and low variable costs in single family houses is modelled for a number of building and consumer categories in Denmark. For each group the private economic cost of providing hea...... for private consumers decrease by 66% when all have the option to shift to the technology with lowest variable costs. © 2014 Elsevier Ltd. All Rights reserved......The trade-off between investing in energy savings and investing in individual heating technologies with high investment and low variable costs in single family houses is modelled for a number of building and consumer categories in Denmark. For each group the private economic cost of providing...

Socioeconomic differences in the association between sickness absence and mortality: The prospective DREAM study of Danish private sector employees

DEFF Research Database (Denmark)

Lund, Thomas; Kivimäki, Mika; Christensen, Karl Bang

2008-01-01

OBJECTIVES: To examine duration of sickness absence as a risk marker for future mortality by socioeconomic position among all private sector employees in Denmark 1998-2004. Design, SETTING AND PARTICIPANTS: This prospective cohort study studied all residents in Denmark employed in the private sec...

Occurrence of Legionella in hot water systems of single-family residences in suburbs of two German cities with special reference to solar and district heating.

Science.gov (United States)

Mathys, Werner; Stanke, Juliane; Harmuth, Margarita; Junge-Mathys, Elisabeth

2008-03-01

A total of 452 samples from hot water systems of randomly selected single family residences in the suburbs of two German cities were analysed for the occurrence of Legionella. Technical data were documented using a standardized questionnaire to evaluate possible factors promoting the growth of the bacterium in these small plumbing systems. All houses were supplied with treated groundwater from public water works. Drinking water quality was within the limits specified in the German regulations for drinking water and the water was not chlorinated. The results showed that plumbing systems in private houses that provided hot water from instantaneous water heaters were free of Legionella compared with a prevalence of 12% in houses with storage tanks and recirculating hot water where maximum counts of Legionella reached 100,000 CFU/100ml. The presence of L. pneumophila accounted for 93.9% of all Legionella positive specimens of which 71.8% belonged to serogroup 1. The volume of the storage tank, interrupting circulation for several hours daily and intermittently raising hot water temperatures to >60 degrees C had no influence on Legionella counts. Plumbing systems with copper pipes were more frequently contaminated than those made of synthetic materials or galvanized steel. An inhibitory effect due to copper was not present. Newly constructed systems (water preparation had a marked influence. More than 50% of all houses using district heating systems were colonized by Legionella. Their significantly lower hot water temperature is thought to be the key factor leading to intensified growth of Legionella. Although hot water systems using solar energy to supplement conventional hot water supplies operate at temperatures 3 degrees C lower than conventional systems, this technique does not seem to promote proliferation of the bacterium. Our data show convincingly that the temperature of the hot water is probably the most important or perhaps the only determinant factor for

Raising funds for fusion concepts in the private sector

International Nuclear Information System (INIS)

Burnett, S.C.

1983-01-01

One potential advantage of compact fusion devices is the reduced time span from concept to commercialization. This, in turn, may make it possible to support such efforts with funds from the private sector. Other factors that are important for attracting funds include a unique (or clever) approach and a strong technical staff. The history of the GA Technology's ohmically heated toroidal experiment is briefly reviewed as an example of a privately funded project

Personal inhalation exposure to polycyclic aromatic hydrocarbons in urban and rural residents in a typical northern city in China.

Science.gov (United States)

Duan, X; Wang, B; Zhao, X; Shen, G; Xia, Z; Huang, N; Jiang, Q; Lu, B; Xu, D; Fang, J; Tao, S

2014-10-01

Personal inhalation exposure samples were collected and analyzed for polycyclic aromatic hydrocarbons (PAHs) for 126 selected volunteers during heating and non-heating seasons in a typical northern Chinese city, Taiyuan. Measured personal PAH exposure levels for the urban residents in the heating and non-heating seasons were 690 (540-1051) and 404 (266-544) ng/m(3) , respectively, while, for the rural residents, they were 770 (504-1071) and 312 (201-412) ng/m(3) , respectively. Thus, rural residents are exposed to lower PAH contamination in comparison with the urban residents in the non-heating seasons. In the heating season, personal PAH inhalation exposure levels were comparable between the urban and rural residents, in part owing to the large rate of residential solid fuel consumption in the rural area for household cooking and heating. The estimated incremental lifetime cancer risks (ILCR) due to PAH exposure in Taiyuan were 3.36 × 10(-5) and 2.39 × 10(-5) for the rural and urban residents, respectively, significantly higher than the literature-reported national average level, suggesting an urgent need of PAH pollution control to protect human health. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Heating entrepreneur activity in 2003

International Nuclear Information System (INIS)

Nikkola, A.; Solmio, H.

2004-01-01

According to TTS Institute information, at the end of 2003 there were heating entrepreneurs responsible for fuel management and heat production in at least 212 heating plants in Finland. The number of operative plants increased by 36 from the previous year. At the end of 2003, the total boiler capacity for solid fuel in the plants managed by the heating entrepreneurs exceeded 100 megawatts. The average boiler capacity of the plants was 0.5 megawatts. Heating entrepreneur-ship was most common in west Finland, where 40 percent of the plants are located. There were some 94 heating plants managed by cooperatives or limited companies. Single entrepre neurs or entrepreneur networks consisting of several entrepreneurs were responsible for heat production in 117 plants. Heating entrepreneurs used approximately 290,000 loose cubic metres of forest chips, which is about seven percent of the volume used for heating and power plant energy production in 2003. In addition, the heating entrepreneurs used a total of 40,000 loose cubic metres of other wood fuel and an estimated 20,000 loose cubic metres of sod and milled peat. Municipalities are still the most important customer group for heating entrepreneurs. However, thenumber of private customers is growing. Industrial company, other private company or properly was the main customer already for every fourth plant established during 2003. (orig.)

Two-story residence with solar heating--Newman, Georgia

Science.gov (United States)

1981-01-01

Report evaluates performance of warm-air collector system for 11 month period and provides operation and maintenance information. System consists of 14 warm air collectors, rock-storage bin, air handler, heat exchangers, hot-water preheat tank, associated controls, plumbing, and air ducting. Average building temperature was maintained at 72 F (22 C); solar equipment provided 47 percent of space-heating requirement.

Results of the 2013-2015 Association of Residents in Radiation Oncology Survey of Chief Residents in the United States

Energy Technology Data Exchange (ETDEWEB)

Nabavizadeh, Nima, E-mail: nabaviza@ohsu.edu [Department of Radiation Medicine, Oregon Health and Science University, Portland, Oregon (United States); Burt, Lindsay M. [Department of Radiation Oncology, University of Utah, Salt Lake City, Utah (United States); Mancini, Brandon R. [Department of Therapeutic Radiology, Yale University, New Haven, Connecticut (United States); Morris, Zachary S. [Department of Human Oncology, University of Wisconsin, Madison, Wisconsin (United States); Walker, Amanda J. [Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University, Baltimore, Maryland (United States); Miller, Seth M. [Department of Radiation Oncology, University of North Carolina Chapel Hill, Chapel Hill, North Carolina (United States); Bhavsar, Shripal [Department of Radiation Oncology, Integris Cancer Institute, Oklahoma City, Oklahoma (United States); Mohindra, Pranshu [Department of Radiation Oncology, University of Maryland, Baltimore, Maryland (United States); Kim, Miranda B. [Harvard Radiation Oncology Program, Boston, Massachusetts (United States); Kharofa, Jordan [Department of Radiation Oncology, University of Cincinnati, Cincinnati, Ohio (United States)

2016-02-01

Purpose: The purpose of this project was to survey radiation oncology chief residents to define their residency experience and readiness for independent practice. Methods and Materials: During the academic years 2013 to 2014 and 2014 to 2015, the Association of Residents in Radiation Oncology (ARRO) conducted an electronic survey of post-graduate year-5 radiation oncology residents in the United States during the final 3 months of training. Descriptive statistics are reported. Results: Sixty-six chief residents completed the survey in 2013 to 2014 (53% response rate), and 69 completed the survey in 2014 to 2015 (64% response rate). Forty to 85% percent of residents reported inadequate exposure to high-dose rate and low-dose rate brachytherapy. Nearly all residents in both years (>90%) reported adequate clinical experience for the following disease sites: breast, central nervous system, gastrointestinal, genitourinary, head and neck, and lung. However, as few as 56% reported adequate experience in lymphoma or pediatric malignancies. More than 90% of residents had participated in retrospective research projects, with 20% conducting resident-led prospective clinical trials and 50% conducting basic science or translational projects. Most chief residents reported working 60 or fewer hours per week in the clinical/hospital setting and performing fewer than 15 hours per week tasks that were considered to have little or no educational value. There was more than 80% compliance with Accreditation Council for Graduate Medical Education (ACGME) work hour limits. Fifty-five percent of graduating residents intended to join an established private practice group, compared to 25% who headed for academia. Residents perceive the job market to be more competitive than previous years. Conclusions: This first update of the ARRO chief resident survey since the 2007 to 2008 academic year documents US radiation oncology residents' experiences and conditions over a 2-year period

Results of the 2013-2015 Association of Residents in Radiation Oncology Survey of Chief Residents in the United States.

Science.gov (United States)

Nabavizadeh, Nima; Burt, Lindsay M; Mancini, Brandon R; Morris, Zachary S; Walker, Amanda J; Miller, Seth M; Bhavsar, Shripal; Mohindra, Pranshu; Kim, Miranda B; Kharofa, Jordan

2016-02-01

The purpose of this project was to survey radiation oncology chief residents to define their residency experience and readiness for independent practice. During the academic years 2013 to 2014 and 2014 to 2015, the Association of Residents in Radiation Oncology (ARRO) conducted an electronic survey of post-graduate year-5 radiation oncology residents in the United States during the final 3 months of training. Descriptive statistics are reported. Sixty-six chief residents completed the survey in 2013 to 2014 (53% response rate), and 69 completed the survey in 2014 to 2015 (64% response rate). Forty to 85% percent of residents reported inadequate exposure to high-dose rate and low-dose rate brachytherapy. Nearly all residents in both years (>90%) reported adequate clinical experience for the following disease sites: breast, central nervous system, gastrointestinal, genitourinary, head and neck, and lung. However, as few as 56% reported adequate experience in lymphoma or pediatric malignancies. More than 90% of residents had participated in retrospective research projects, with 20% conducting resident-led prospective clinical trials and 50% conducting basic science or translational projects. Most chief residents reported working 60 or fewer hours per week in the clinical/hospital setting and performing fewer than 15 hours per week tasks that were considered to have little or no educational value. There was more than 80% compliance with Accreditation Council for Graduate Medical Education (ACGME) work hour limits. Fifty-five percent of graduating residents intended to join an established private practice group, compared to 25% who headed for academia. Residents perceive the job market to be more competitive than previous years. This first update of the ARRO chief resident survey since the 2007 to 2008 academic year documents US radiation oncology residents' experiences and conditions over a 2-year period. This analysis may serve as a valuable tool for those seeking to

Results of the 2013-2015 Association of Residents in Radiation Oncology Survey of Chief Residents in the United States

International Nuclear Information System (INIS)

Nabavizadeh, Nima; Burt, Lindsay M.; Mancini, Brandon R.; Morris, Zachary S.; Walker, Amanda J.; Miller, Seth M.; Bhavsar, Shripal; Mohindra, Pranshu; Kim, Miranda B.; Kharofa, Jordan

2016-01-01

Purpose: The purpose of this project was to survey radiation oncology chief residents to define their residency experience and readiness for independent practice. Methods and Materials: During the academic years 2013 to 2014 and 2014 to 2015, the Association of Residents in Radiation Oncology (ARRO) conducted an electronic survey of post-graduate year-5 radiation oncology residents in the United States during the final 3 months of training. Descriptive statistics are reported. Results: Sixty-six chief residents completed the survey in 2013 to 2014 (53% response rate), and 69 completed the survey in 2014 to 2015 (64% response rate). Forty to 85% percent of residents reported inadequate exposure to high-dose rate and low-dose rate brachytherapy. Nearly all residents in both years (>90%) reported adequate clinical experience for the following disease sites: breast, central nervous system, gastrointestinal, genitourinary, head and neck, and lung. However, as few as 56% reported adequate experience in lymphoma or pediatric malignancies. More than 90% of residents had participated in retrospective research projects, with 20% conducting resident-led prospective clinical trials and 50% conducting basic science or translational projects. Most chief residents reported working 60 or fewer hours per week in the clinical/hospital setting and performing fewer than 15 hours per week tasks that were considered to have little or no educational value. There was more than 80% compliance with Accreditation Council for Graduate Medical Education (ACGME) work hour limits. Fifty-five percent of graduating residents intended to join an established private practice group, compared to 25% who headed for academia. Residents perceive the job market to be more competitive than previous years. Conclusions: This first update of the ARRO chief resident survey since the 2007 to 2008 academic year documents US radiation oncology residents' experiences and conditions over a 2-year period. This

Elder abuse and neglect in institutional settings: the resident's perspective.

Science.gov (United States)

Charpentier, Michèle; Soulières, Maryse

2013-01-01

This article strives to share research findings concerning the rights and empowerment of the elderly living in various long-term care (LTC) or residential care facilities (public and private sectors) in Quebec, Canada. Inspired by the theories of constructivism, the research aims to understand the residents' perception of abuse, as well as the strategies they are developing to exercise their rights and liberties. Data from semistructured interviews with 20 residents, mostly very old women aged 80 to 98, are presented. Results show that residents' perception of abuse: (1) is conditioned by sensationalistic media coverage; (2) is limited to physical mistreatment; and (3) tends to legitimize day-to-day infringements of their rights, as these "minor" violations seem inoffensive when compared to the "real" acts of violence reported in the media. Tensions that can build up among residents, sometimes resulting in intimidation or even bullying, were addressed.

Environment-friendly heat supply with natural refrigerants. Large heat pumps use industrial waste heat and waste water; Umweltschonende Waermeversorgung mit natuerlichen Kaeltemitteln. Grosswaermepumpen nutzen industrielle Abwaerme und Abwaesser

Energy Technology Data Exchange (ETDEWEB)

Anon.

2011-01-15

Everywhere, where industrial processes occur or coldness is produced, simultaneously heat is produced. While many private houses use geothermal energy or ambient air for the production of heat, waste water and waste heat prove to be optimal energy sources for the industrial need due to higher output temperatures. By means of large heat pumps the residual heat is used for heating or the supply of hot water for example in local heat supply grids and makes an important contribution to climate protection.

Household utilization and expenditure on private and public health services in Vietnam.

Science.gov (United States)

Ha, Nguyen Thi Hong; Berman, Peter; Larsen, Ulla

2002-03-01

The private provision of health services in Vietnam was legalized in 1989 as one of the country's means to mobilize resources and improve efficiency in the health system. Ten years after its legalization, the private sector has widely expanded its activities and become an important provider of health services for the Vietnamese people. However, little is known about its contribution to the overall objectives of the health system in Vietnam. This paper assesses the role of the private health care provider by examining utilization patterns and financial burden for households of private, as compared with public, services. We found that the private sector provided 60% of all outpatient contacts in Vietnam. There was no difference by education, sex or place of residence in the use of private ambulatory health care. Although there was evidence suggesting that rich people use private care more than the poor, this finding was not consistent across all income groups. The private sector served young children in particular. Also, people in households with several sick members at the same time relied more on private than public care, while those with severe illnesses tended to use less private care than public. The financial burden for households from private health care services was roughly a half of that imposed by the public providers. Expenditure on drugs accounted for a substantial percentage of household expenditure in general and health care expenditure in particular. These findings call for a prompt recognition of the private sector as a key player in Vietnam's health system. Health system policies should mobilize positive private sector contributions to health system goals where possible and reduce the negative effects of private provision development.

Private sector participation in domestic waste management in informal settlements in Lagos, Nigeria.

Science.gov (United States)

Opoko, Akunnaya P; Oluwatayo, Adedapo A

2016-12-01

Lagos is one of the fastest growing cities in Africa, which is grappling with the challenges of poorly managed urbanisation. With an estimated population of about 17.5 million, solid waste management is one of the most pressing environmental challenges currently faced in the city. It is estimated that more than 9071847.4kg of urban waste is generated every day in the city. The city lacks the capacity to deal with such magnitude of waste. Consequently, the city has involved the private sector (private sector participation) in its waste management drive. This article examines the effectiveness of this public-private sector collaboration model in waste management in informal settlements in Lagos using empirical data. Major findings of the article include the irregularity of waste collection owing to a poor road network, an inadequate transport infrastructure and the desire to maximise profit, as well as poor waste handling and disposal methods by the private sector participation operators who are not chosen based on competence and capacity to perform. Another major finding is the lack of cooperation from residents evidenced in non-payment of bills and poor packaging of wastes, resulting in wastes being littered. The article concludes on the need to restructure the scheme through proper sensitisation of residents, selection of operators with demonstrable delivery capacity and provision of a well-maintained road network to facilitate access of operators to settlements. © The Author(s) 2016.

Business models of heat entrepreneurship in Finland

International Nuclear Information System (INIS)

Okkonen, Lasse; Suhonen, Niko

2010-01-01

This paper presents the business models of small-scale heat energy production in Finland. Firstly, the development of heat entrepreneurship in the country is presented, including the remarkable growth of small and medium size enterprises (SMEs) in the last 15 years. Secondly, the concept of business model (business architecture of product/service flows and earning logics) is modified to the framework of wood heat production. The business model concept, and its sub-concepts, is applied in a brief review of current heat energy businesses in Finland. We arrive at a business model of heat entrepreneurships that are public companies/utilities, public-private partnerships, private companies and cooperatives, Energy Saving Company (ESCO), network model of large enterprise and franchising. Descriptive cases of these models are presented. Finally, the paper concludes with a discussion on the applicability of the business models in different operational environments and geographical contexts.

Business models of heat entrepreneurship in Finland

Energy Technology Data Exchange (ETDEWEB)

Okkonen, Lasse [North Karelia University of Applied Sciences, Yliopistokatu 6, FI-80100 Joensuu (Finland); Suhonen, Niko [University of Eastern Finland, Department of Law, P.O. Box 111, FI-80101 Joensuu (Finland)

2010-07-15

This paper presents the business models of small-scale heat energy production in Finland. Firstly, the development of heat entrepreneurship in the country is presented, including the remarkable growth of small and medium size enterprises (SMEs) in the last 15 years. Secondly, the concept of business model (business architecture of product/service flows and earning logics) is modified to the framework of wood heat production. The business model concept, and its sub-concepts, is applied in a brief review of current heat energy businesses in Finland. We arrive at a business model of heat entrepreneurships that are public companies/utilities, public-private partnerships, private companies and cooperatives, Energy Saving Company (ESCO), network model of large enterprise and franchising. Descriptive cases of these models are presented. Finally, the paper concludes with a discussion on the applicability of the business models in different operational environments and geographical contexts. (author)

[Fifty years of residency in Psychiatry at the University of Montreal: relevance and necessity of the Residents' Association].

Science.gov (United States)

Thibault, Alexis

2015-01-01

In the context of the fiftieth anniversary celebrations of the Département de psychiatrie de l'Université de Montréal, the present article offers to retrace the history of the Psychiatry Resident's Association (ARPUM). Since the Association's activities and demands reflected the concerns of the time, a depiction of the Residency Program and exploration of the historical and administrative context, in each key period, is also undertaken. Multiple psychiatrists from every decade, who were once active members of the Association, were interviewed and asked to describe the Residency Program at their time, with its positive and negative aspects, based on their own personal experience as a resident, but also as a member of the organization. The interviewees were also invited to share their recollections of the various Association's demands, representations, activities and functioning, depending on the issues and periods. Various private and public archives were also used, in order to contextualize the residents' experiences and the Association's work. A brief exploration of the historical and political context that led to the creation of the organization is explained. Training and working conditions of residents at that time are reported, enabling the understanding of the first demands when the group was born. Historical jumps are then proposed, from decades to decades, in order to depict key issues, whether they were academic, clinical or organizational, through which the Association worked, over the evolution of the Residency Program. The internal functioning and its occasional problems throughout the years are also described, as is the role in organizing social and educational events. The Residency Program is in constant mutation, and the Association has played its part in shaping the psychiatric training at the Université de Montréal. Multiple positive and tangible impacts were and are still made possible from the collaborative work between the Département de

The Applicability of Tax Treaties in Respect of Income Distributed by Luxembourgian SIF and SICAR Private Equity Funds and the Tax Consequences for Finnish Investors

OpenAIRE

Järvinen, Oscar

2015-01-01

In a globalized market for private equity investments, the risk for international double taxation has made the applicability of tax treaties all the more important. The study is concerned with private equity fund structures, where a Luxembourgian SIF or SICAR is used as fund vehicle, where the investor is resident in Finland and where the target company is resident in a third state. In such triangular investment structures the determination of the applicable tax treaty may not always be clear...

[Needs assessment of a core curriculum for residency training].

Science.gov (United States)

Kwon, Hyo-Jin; Lee, Young-Mee; Chang, Hyung-Joo; Kim, Ae-Ri

2015-09-01

The core curriculum in graduate medical education (GME) is an educational program that covers the minimum body of knowledge and skills that is required of all residents, regardless of their specialty. This study examined the opinions of stakeholders in GME regarding the core curriculum. A questionnaire was administered at three tertiary hospitals that were affiliated with one university; 192 residents and 61 faculty members and attending physicians participated in the survey. The questionnaire comprised six items on physician competency and the needs for a core curriculum. Questions on subjects or topics and adequate training years for each topics were asked only to residents. Most residents (78.6%) and faculty members (86.9%) chose "medical expertise" as the "doctor's role in the 21st century." In contrast, communicator, manager, and collaborator were recognized by less than 30% of all participants. Most residents (74.1%) responded that a core curriculum is "necessary but not feasible," whereas 68.3% of faculty members answered that it is "absolutely needed." Regarding subjects that should be included in the core curriculum, residents and faculty members had disparate preferences- residents preferred more "management of a private clinic" and "financial management," whereas faculty members desired "medical ethics" and "communication skills." Residents and faculty members agree that residents should develop a wide range of competencies in their training. However, the perception of the feasibility and opinions on the contents of the core curriculum differed between groups. Further studies with larger samples should be conducted to define the roles and professional competencies of physicians and the needs for a core curriculum in GME.

Integration of large-scale heat pumps in the district heating systems of Greater Copenhagen

DEFF Research Database (Denmark)

Bach, Bjarne; Werling, Jesper; Ommen, Torben Schmidt

2016-01-01

This study analyses the technical and private economic aspects of integrating a large capacity of electric driven HP (heat pumps) in the Greater Copenhagen DH (district heating) system, which is an example of a state-of-the-art large district heating system with many consumers and suppliers....... The analysis was based on using the energy model Balmorel to determine the optimum dispatch of HPs in the system. The potential heat sources in Copenhagen for use in HPs were determined based on data related to temperatures, flows, and hydrography at different locations, while respecting technical constraints...

Wildfire Risk Management on a Landscape with Public and Private Ownership: Who Pays for Protection?

Science.gov (United States)

Busby, Gwenlyn; Albers, Heidi J.

2010-02-01

Wildfire, like many natural hazards, affects large landscapes with many landowners and the risk individual owners face depends on both individual and collective protective actions. In this study, we develop a spatially explicit game theoretic model to examine the strategic interaction between landowners’ hazard mitigation decisions on a landscape with public and private ownership. We find that in areas where ownership is mixed, the private landowner performs too little fuel treatment as they “free ride”—capture benefits without incurring the costs—on public protection, while areas with public land only are under-protected. Our central result is that this pattern of fuel treatment comes at a cost to society because public resources focus in areas with mixed ownership, where local residents capture the benefits, and are not available for publicly managed land areas that create benefits for society at large. We also find that policies that encourage public expenditures in areas with mixed ownership, such as the Healthy Forest Restoration Act of 2003 and public liability for private values, subsidize the residents who choose to locate in the high-risk areas at the cost of lost natural resource benefits for others.

Private capital investments in health care provision through mergers and acquisitions: from long-term to acute care.

Science.gov (United States)

Angeli, Federica; Maarse, Hans

2016-10-01

This work aims to test whether different segments of healthcare provision differentially attract private capital and thus offer heterogeneous opportunities for private investors' diversification strategies. Thomson Reuter's SDC Platinum database provided data on 2563 merger and acquisition (M&A) deals targeting healthcare providers in Western Europe between 1990 and 2010. Longitudinal trends of industrial and geographical characteristics of M&As' targets and acquirers are examined. Our analyses highlight: (i) a relative decrease of long-term care facilities as targets of M&As, replaced by an increasing prominence of general hospitals, (ii) a shrinking share of long-term care facilities as targets of financial service organizations' acquisitions, in favor of general hospitals, and (iii) an absolute and relative decrease of long-term care facilities' role as target of cross-border M&As. We explain the decreasing interest of private investors towards long-term care facilities along three lines of reasoning, which take into account the saturation of the long-term care market and the liberalization of acute care provision across Western European countries, regulatory interventions aimed at reducing private ownership to ensure resident outcomes and new cultural developments in favor of small-sized facilities, which strengthen the fragmentation of the sector. These findings advance the literature investigating the effect of private ownership on health outcomes in long-term facilities. Market, policy and cultural forces have emerged over two decades to jointly regulate the presence of privately owned, large-sized long-term care providers, seemingly contributing to safeguard residents' well-being. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

Workplace bullying of general surgery residents by nurses.

Science.gov (United States)

Schlitzkus, Lisa L; Vogt, Kelly N; Sullivan, Maura E; Schenarts, Kimberly D

2014-01-01

Workplace bullying is at the forefront of social behavior research, garnering significant media attention. Most of the medical research has addressed bullying of nurses by physicians and demonstrates that patient care and outcomes may suffer. The intent of this study was to determine if general surgery residents are bullied by nurses. A survey instrument previously validated (Negative Acts Questionnaire-Revised) to evaluate for workplace bullying was modified to reflect the resident-nurse relationship. After institutional review board approval, the piloted online survey was sent to general surgery program directors to forward to general surgery residents. Demographic data are presented as percentages, and for negative acts, percentages of daily, weekly, and monthly frequencies are combined. Allopathic general surgery residencies in the United States. General surgery residents. The response rate was 22.1% (n = 452). Most respondents were men (55%) and had a mean age of 29 years (standard deviation = 7). Although 27.0% of the respondents were interns, the remaining classes were equally represented (12%-18% of responses/class). The respondents were primarily from medium-sized residency programs (45%), in the Midwest (28%), training in university programs (72%), and rotating primarily in a combined private and county hospital that serves both insured and indigent patients (59%). The residents had experienced each of the 22 negative acts (11.5%-82.5%). Work-related bullying occurs more than person-related bullying and physical intimidation. Ignoring of recommendations or orders by nurses occurs on a daily, weekly, or monthly basis for 30.2% of residents (work-related bullying). The most frequent person-related bullying act is ignoring the resident when they approach or reacting in a hostile manner (18.0%), followed by ignoring or excluding the resident (17.1%). Workplace bullying of general surgery residents by nurses is prominent. Future research is needed to determine

Preliminary design package for prototype solar heating system

Energy Technology Data Exchange (ETDEWEB)

1978-12-01

A summary is given of the preliminary analysis and design activity on solar heating systems. The analysis was made without site specific ata other than weather; therefore, the results indicate performance expected under these special conditions. Major items in this report include systeem candidates, design approaches, trade studies and other special data required to evaluate the preliminary analysis and design. The program calls for the development and delivery of eight prototype solar heating and coolin systems for installation and operational test. Two-heating and six heating and cooling units will be delivered for Single Family Residences (SFR), Multi-Family Residences (MFR) and commercial applications.

Nr 150 - Private bill introducing a progressive energy tariff

International Nuclear Information System (INIS)

Brottes, Francois; Le Roux, Bruno

2012-01-01

This document presents a private bill which, by introducing a progressive energy tariff, aims at speeding up energy transition (by inciting households to reduce their consumption, notably by insulating their housing), and at addressing the ineluctable issue of energy price increase. This private bill notably applies a bonus-malus concept by defining an energy consumption threshold which is to be determined by means of several parameters related to climate, housing occupancy, heating mode. This raises several issues concerning for example housing insulation of rented housing. All these aspects lead to a rather complex process to define and implement such a progressive pricing approach

[Preference Changes Regarding Future Work Area and Intended Position Among German Residents after Four Years of Residency].

Science.gov (United States)

Ziegler, Stine; van den Bussche, Hendrik; Römer, Farina; Krause-Solberg, Lea; Scherer, Martin

2017-06-01

Introduction  We investigated the preferences of medical residents in Germany with regard to future working place (hospital or private practice) and position (employment/self-employment in private practice; resp. specialist/senior or chief physician in the hospital). This is analysed in a gender comparative perspective, including the influence of parenthood. Methods  Annual postal surveys among graduates of seven medical faculties in Germany from their last year ("Practical Year") until after four years of postgraduate training. The return rate at baseline was 48 % and the four surveys after reached rates from 85 % up. In all samples about two thirds were women, which corresponds to the actual gender differentiation in under- and postgraduate training. Descriptive statistics and regression analyses were performed. Results  Compared to private practice the hospital is clearly preferred, although the attraction of hospital jobs decreased over the years. The decision for or against the hospital is connected to the discipline. Working in private practice is seen as possibility for part time work. Men prefer self-employment whereas women prefer to work under an employment contract. In the hospital, male doctors prefer to work in leading positions. Those positions are associated with full-time work. Leadership training especially takes place in university hospitals. Discussion  Three trends are recognized: Reluctance against leading positions, growing interest for part time work and rising popularity of work as an employee in private practice. Those trends can be understood as a rejection of traditional professional role models. The realization of these preferences is easily feasible because of the current labour market situation. Therefore, emerging problems have to be faced in another way. A change of gender-typical role models was rarely detected. © Georg Thieme Verlag KG Stuttgart · New York.

Golden Years or Retirement Fears? Private Pension Inequality Among Canada's Immigrants.

Science.gov (United States)

Curtis, Josh; Lightman, Naomi

2017-06-01

Currently, many immigrants are disqualified from Canada's public pension scheme because of residency requirements. In addition, decades of low income and labour market exclusion prohibit many Canadian immigrants from building adequate private pension savings throughout their working life. Together, these factors present serious concerns for immigrant seniors' economic well-being. Using Canadian census data spanning a twenty-year period (1991-2011), we find that income from personal savings plans and investments has declined sharply for both native-born and immigrant Canadians, with recent immigrant cohorts faring worst. However, since 1991, native-born and immigrant men living in Canada for 40-plus years had major gains in private employer pensions (Registered Pension Plans; [RPPs]). Yet RPP income for all other immigrant cohorts remained stable or declined during these decades. Thus, the data demonstrate a worrisome growing private savings gap between native-born men and all others in Canada, with newer immigrants and women faring worst.

Determinants of Health Insurance Coverage among People Aged 45 and over in China: Who Buys Public, Private and Multiple Insurance

Science.gov (United States)

Jin, Yinzi; Hou, Zhiyuan; Zhang, Donglan

2016-01-01

Background China is reforming and restructuring its health insurance system to achieve the goal of universal coverage. This study aims to understand the determinants of public, private and multiple insurance coverage among people of retirement-age in China. Methods We used data from the China Health and Retirement Longitudinal Survey 2011 and 2013, a nationally representative survey of Chinese people aged 45 and over. Multinomial logit regression was performed to identify the determinants of public, private and multiple health insurance coverage. We also conducted logit regression to examine the association between public insurance coverage and demand for private insurance. Results In 2013, 94.5% of this population had at least one type of public insurance, and 12.2% purchased private insurance. In general, we found that rural residents were less likely to be uninsured (Relative Risk Ratio (RRR) = 0.40, 95% Confidence Interval (CI): 0.34–0.47) and were less likely to buy private insurance (RRR = 0.22, 95% CI: 0.16–0.31). But rural-to-urban migrants were more likely to be uninsured (RRR = 1.39, 95% CI: 1.24–1.57). Public health insurance coverage may crowd out private insurance market (Odds Ratio = 0.55, 95% CI: 0.48–0.63), particularly among enrollees of Urban Resident Basic Medical Insurance. There exists a huge socioeconomic disparity in both public and private insurance coverage. Conclusion The migrants, the poor and the vulnerable remained in the edge of the system. The growing private insurance market did not provide sufficient financial protection and did not cover the people with the greatest need. To achieve universal coverage and reduce socioeconomic disparity, China should integrate the urban and rural public insurance schemes across regions and remove the barriers for the middle-income and low-income to access private insurance. PMID:27564320

Women's use of private and government health facilities for childbirth in Nairobi's informal settlements.

Science.gov (United States)

Bazant, Eva S; Koenig, Michael A; Fotso, Jean-Christophe; Mills, Samuel

2009-03-01

The private sector's role in increasing the use of maternal health care for the poor in developing countries has received increasing attention, yet few data exist for urban slums. Using household-survey data from 1,926 mothers in two informal settlements in Nairobi, Kenya, collected in 2006, we describe and examine the factors associated with women's use of private and government health facilities for childbirth. More women gave birth at private facilities located in the settlements than at government facilities, and one-third of the women gave birth at home or with the assistance of a traditional birth attendant. In multivariate models, women's education, ethnic group, and household wealth were associated with institutional deliveries, especially in government hospitals. Residents in the more disadvantaged settlement were more likely than those in the better-off settlement to give birth in private facilities. In urban areas, maternal health services in both the government and private sectors should be strengthened, and efforts made to reach out to women who give birth at home.

Precision Radiology Residency Training: Special Distinction Tracks for Noninterpretative Professional Development.

Science.gov (United States)

Snyder, Elizabeth; Solnes, Lilja; Horton, Karen M; Johnson, Pamela T

2018-06-01

The role of a radiologist has expanded beyond the tripartite mission of patient care, education, and research to include cross-specialty consultation for patient management, innovative solutions to improve health-care quality and safety, device design, and policy advocacy. As such, radiology residency programs should incorporate formalized training to prepare residents for these various professional roles. Since the 2015-2016 academic year, five training tracks focused on noninterpretative skills have been integrated into our residency training program: Clinician Educator, Quality Improvement, Entrepreneurship/Innovation, Health Policy Advocacy, and High-Value Care. Each track is longitudinal, with a set of requirements throughout the residents' training necessary to achieve certification at graduation. To date nine residents have participated in the programs, including two who received distinction in two separate tracks. Residents in each of the tracks have implemented successful initiatives related to the focus area. As such, these tracks enrich training by ensuring that residents make meaningful contributions to the department and institution during their training and disseminate successful initiatives through presentation at national meetings and publications. The duration of a radiology residency and resources available in an academic center provide opportunities for residency program directors to advance residents' skills in important noninterpretative components of radiology practice. Regardless of whether residents pursue academic medicine or private practice, these skills are necessary for graduates to become valuable members of a radiology practice and serve as national leaders in the field of radiology. Copyright © 2018 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.

THE ROLE OF MODERN WORLD CURRENCIES IN PRIVATE SECTOR

Directory of Open Access Journals (Sweden)

Inna Kudryashova

2018-01-01

Full Text Available The authors compare the factors determining the scale of international world currencies transactions as saving means and means of payment. The change in the role of the US dollar, euro, pound sterling, Japanese Yen and Chinese Yuan in the private sector over the past few decades are also juxtaposed with the previous factors. The conclusion is made about an incomplete correlation of modern conditions determining the international demand for a common European and Chinese national currency, and the demand for the volumes of their use in the world. On the basis of the comparative analysis of the volumes of world currencies transactions in different spheres, the authors demonstrate the top priority of the means of payment function in the process of calling forth the demand for these means on the part of non-residents using them as payment and saving means. It is proved that the main reasons of maintaining the dominant role of the US dollar as a world currency in the private sector are the leading position of the American economy concerning its contribution into the creation of the world product, support of a relatively high level of the development of the national financial market of the USA, long-term period of the American currency being world unit of account, low operation costs concerning the operations with them and also the inertia character of private actors of the world economy. It is shown that in a short-term period in case of a further growth of the economic power of the euro zone and China, provision of a complete convertibility of the Yuan and removal of the restrictions for non-residents in the Chinese financial market and also in case of maintaining a stable economic situation in the USA, the function of the world money will be carried out mainly by the American dollar.

Enel expects privatization to be completed

International Nuclear Information System (INIS)

Anon

2006-01-01

The collapse of the coalition will probably mean that the sale of state-owned stakes in two distribution companies and all the heating plants will not be completed and nor will privatisation at Zapadoslovenska energetika. Most important for the energy sector is uncertainty regarding the major privatization project of this government - finding a new owner of 66% of Slovenske elektrarne shares. The state expects to receive about 32 billion Slovak crowns (842.105 million EUR) from Enel for this stake. 'The cabinet has approved the privatization under certain conditions and those have to be met now,' answered the leader of the KDH deputy's club, Pavol Minarik, to the question whether the cabinet would still be able to muster sufficient votes in parliament to pass the Act on the national nuclear account. All other so-called delaying conditions are in the competence of the cabinet or the Ministry of Economy of the Slovak Republic and the opposition, which opposes privatization, cannot influence them. The act will address the financing of debts related to the liquidation of the V1 and A1 nuclear power plants. (authors)

Scenarios for sustainable heat supply and heat savings in municipalities - the case of Helsingør, Denmark

DEFF Research Database (Denmark)

Ben Amer-Allam, Sara; Münster, Marie; Petrovic, Stefan

2017-01-01

Local climate action is not only a domain of large cities, but also smaller urban areas that increasingly address climate change mitigation in their policy. The Danish municipality of Helsingør can achieve a substantial CO2 emissions reduction by transforming its heat supply and deploying heat...... savings. In this paper, we model the heating system of Helsingør, assess it from a simple socio- and private-economic perspective, develop future scenarios, and conduct an iterative process to derive a cost-optimal mix between district heating, individual heating and heat savings. The results show...... of heating and/or cooling supply for different demand configurations, geographical region and scale....

Undergraduate radiology education in private and public teaching hospitals in Karachi, Pakistan: teaching duties, methodologies, and rewards

Science.gov (United States)

Nadeem, Naila; Khawaja, Ranish Deedar Ali; Beg, Madiha; Naeem, Muhammad; Majid, Zain

2013-01-01

Background In an integrated method of education, medical students are introduced to radiology in their preclinical years. However, no study has been conducted in Pakistan to demonstrate an academic framework of medical radiology education at an undergraduate level. Therefore, we aimed to document and compare the current level of teaching duties, teaching methodologies, and teaching rewards among radiologists and residents in private and public teaching hospitals in Karachi, Pakistan. Methods A survey was conducted among 121 radiologists and residents in two private and two public teaching hospitals in Karachi, Pakistan. Radiologists who were nationally registered with the Pakistan Medical and Dental Council either part-time or full-time were included. Radiology residents and fellows who were nationally registered with the Pakistan Medical and Dental Council were also included. Self-administered questionnaires addressing teaching duties, methods, and rewards were collected from 95 participants. Results The overall response rate was 78.51% (95/121). All of the radiologists were involved in teaching residents and medical students, but only 36% reported formal training in teaching skills. Although most of the respondents (76%) agreed that medical students appeared enthusiastic about learning radiology, the time spent on teaching medical students was less than five hours per week annually (82%). Only 37% of the respondents preferred dedicated clerkships over distributed clerkships (41%). The most common preferred teaching methodology overall was one-on-one interaction. Tutorials, teaching rounds, and problem-based learning sessions were less favored by radiologists than by residents. Teaching via radiology films (86%) was the most frequent mode of instruction. Salary (59%) was the most commonly cited teaching reward. The majority of respondents (88%) were not satisfied with their current level of teaching rewards. Conclusion All radiologists and residents working in an

Practice management education during surgical residency.

Science.gov (United States)

Jones, Kory; Lebron, Ricardo A; Mangram, Alicia; Dunn, Ernest

2008-12-01

. These needs will be present whether pursuing a career in academic medicine or the private sector. A program that focuses on the business aspect of surgery enables the residents to better navigate the future while helping to fulfill the systems-based practice competency.

[Career plans of French residents in Psychiatry: results of a National Survey].

Science.gov (United States)

Berger-Vergiat, A; Chauvelin, L; Van Effenterre, A

2015-02-01

For many years, the numerus clausus limiting the number of medical students has increased in France. The government wants to reform the residency process to homogenize medical studies. However, the suggested residency program changes would imply changes in the length of residency, in the mobility of residents after residency, their access to unconventional sectors, and more generally, the responsibility of the resident and his/her status in the hospital. In this context, we have investigated the future plans of all psychiatry residents in France. To study the desires of psychiatry residents in France, regarding their training, their short and long-term career plans, and to analyze the evolution of those desires over the last 40 years. A survey was carried out among residents in psychiatry from November 2011 to January 2012. An anonymous questionnaire including four parts (resident's description, residency training and trainees choice, orientation immediately after residency, professional orientation in 5-10 years) was sent by the French Federative Association of Psychiatrists Trainees (AFFEP) to all French psychiatrist trainees, through their local trainee associations (n=26) and through an on line questionnaire. The questionnaire was answered by 853 of the 1615 psychiatry residents (53%), of which 71% were women. At the end of the residency, 76% of residents reported that they would like to pursue a post-residency position (chief resident, senior physician assistant university hospitals); 22% reported wanting to work in another city. Between 5 to 10 years after completion of the residency, 71% reported wanting to work in a hospital, and 40% preferred to have their own private practice. Almost a third of the trainees wished to work in the child and adolescent psychiatry field, for some of them in an exclusive way, for others, combined with a practice in adult psychiatry. Copyright © 2013 L’Encéphale, Paris. Published by Elsevier Masson SAS. All rights reserved.

Investigating the scope of resident patient care handoffs within neurosurgery.

Science.gov (United States)

Babu, Maya A; Nahed, Brian V; Heary, Robert F

2012-01-01

Handoffs are defined as verbal and written communications during patient care transitions. With the passage of recent ACMGE work hour rules further limiting the hours interns can spend in the hospital, many fear that more handoffs will occur, putting patient safety at risk. The issue of handoffs has not been studied in the neurosurgical literature. A validated, 20-question online-survey was sent to neurosurgical residents in all 98 accredited U.S. neurosurgery programs. Survey results were analyzed using tabulations. 449 surveys were completed yielding a 56% response rate. 63% of neurosurgical residents surveyed had not received formal instruction in what constitutes an effective handoff; 24% believe there is high to moderate variability among their co-residents in terms of the quality of the handoff provided; 55% experience three or more interruptions during handoffs on average. 90% of neurosurgical residents surveyed say that handoff most often occurs in a quiet, private area and 56% report a high level of comfort for knowing the potential acute, critical issues affecting a patient when receiving a handoff. There needs to be more focused education devoted to learning effective patient-care handoffs in neurosurgical training programs. Increasingly, handing off a patient adequately and safely is becoming a required skill of residency.

Investigating the scope of resident patient care handoffs within neurosurgery.

Directory of Open Access Journals (Sweden)

Maya A Babu

Full Text Available INTRODUCTION: Handoffs are defined as verbal and written communications during patient care transitions. With the passage of recent ACMGE work hour rules further limiting the hours interns can spend in the hospital, many fear that more handoffs will occur, putting patient safety at risk. The issue of handoffs has not been studied in the neurosurgical literature. METHODS: A validated, 20-question online-survey was sent to neurosurgical residents in all 98 accredited U.S. neurosurgery programs. Survey results were analyzed using tabulations. RESULTS: 449 surveys were completed yielding a 56% response rate. 63% of neurosurgical residents surveyed had not received formal instruction in what constitutes an effective handoff; 24% believe there is high to moderate variability among their co-residents in terms of the quality of the handoff provided; 55% experience three or more interruptions during handoffs on average. 90% of neurosurgical residents surveyed say that handoff most often occurs in a quiet, private area and 56% report a high level of comfort for knowing the potential acute, critical issues affecting a patient when receiving a handoff. CONCLUSIONS: There needs to be more focused education devoted to learning effective patient-care handoffs in neurosurgical training programs. Increasingly, handing off a patient adequately and safely is becoming a required skill of residency.

Does a hostel's managing agency determine the access to psychiatric services of its residents?

Science.gov (United States)

Lucas, B; Audini, B; Chisholm, D; Knapp, M; Lelliott, P

1998-10-01

This study examines the effect of managing agency (local authority, private or voluntary) on the use of other health and social care services by residents in mental health hostels and group homes with different levels of staffing in England and Wales. The sample comprised 1323 residents in 275 facilities in eight districts. The measures of service use were number of days in hospital and number of other service contacts. There were highly significant differences between facilities with similar levels of staffing managed by different agencies. Residents in the voluntary sector used fewer community services overall; residents in low-staffed local authority facilities used more services than those in similar facilities managed by other agencies. These differences were not easily explained by differences in the social or clinical characteristics of residents. This suggests that there may be organisational factors, e.g. hostel staff, knowledge of services, which influence access to and use of community services.

Labour, Legality and Shifts in the Public/Private Divide

OpenAIRE

van Walsum, S.K.

2013-01-01

This article discusses the changing role that work performed in private homes has played, and continues to play, in migration law in the Netherlands and at the EU level. It explores to what degree work performed in the home is defined as (exploitative) contractual labour or as inherent to family life, and what this means for claims to residence rights as a precursor to citizenship. It does this by reviewing case law of the European Court of Justice (CJEU) and of the European Court of Human Ri...

Sudbury District Energy - a public/private partnership model

International Nuclear Information System (INIS)

Prudhomme, H.

1999-01-01

The issue of public/private partnership as it relates to the Sudbury District Energy Project was discussed. When completed, it will be the first cogeneration-based district heating and cooling project involving private sector/public sector partnership in Canada. The equal partners include Toromont Energy and Sudbury Hydro. Sudbury Hydro is a community owned energy and communications utility. It was the first electric utility in Ontario to retail natural gas in the new competitive market place. The Sudbury District Energy Project began in 1996, when the utility began the development of a community district energy system in partnership with the City of Sudbury. At the time, the downtown district heating/cooling system supplied cold and hot water to Sudbury's Wellness Centre. In 1998, Toromont Energy accepted a 50/50 partnership arrangement between themselves and the public sector partners to form the Sudbury District Energy Corporation. Sudbury Hydro will benefit from the project because it will reduce their peak loads and it will also be an alternate source of revenue. It is expected that the project will displace 39,600 tons of carbon dioxide, a greenhouse gas which contributes to global warming

What Happens to a Nursing Home Chain When Private Equity Takes Over? A Longitudinal Case Study

NARCIS (Netherlands)

Bos, A.; Harrington, Charlene

2017-01-01

We analyzed what happens to a nursing home chain when private equity takes over, with regard to strategy, financial performance, and resident well-being. We conducted a longitudinal (2000-2012) case study of a large nursing home chain that triangulated qualitative and quantitative data from 5

Primary care careers among recent graduates of research-intensive private and public medical schools.

Science.gov (United States)

Choi, Phillip A; Xu, Shuai; Ayanian, John Z

2013-06-01

Despite a growing need for primary care physicians in the United States, the proportion of medical school graduates pursuing primary care careers has declined over the past decade. To assess the association of medical school research funding with graduates matching in family medicine residencies and practicing primary care. Observational study of United States medical schools. One hundred twenty-one allopathic medical schools. The primary outcomes included the proportion of each school's graduates from 1999 to 2001 who were primary care physicians in 2008, and the proportion of each school's graduates who entered family medicine residencies during 2007 through 2009. The 25 medical schools with the highest levels of research funding from the National Institutes of Health in 2010 were designated as "research-intensive." Among research-intensive medical schools, the 16 private medical schools produced significantly fewer practicing primary care physicians (median 24.1% vs. 33.4%, p schools. In contrast, the nine research-intensive public medical schools produced comparable proportions of graduates pursuing primary care careers (median 36.1% vs. 36.3%, p = 0.87) and matching in family medicine residencies (median 7.4% vs. 10.0%, p = 0.37) relative to the other 66 public medical schools. To meet the health care needs of the US population, research-intensive private medical schools should play a more active role in promoting primary care careers for their students and graduates.

Reforms are needed to increase public funding and curb demand for private care in Israel's health system.

Science.gov (United States)

Chernichovsky, Dov

2013-04-01

Historically, the Israeli health care system has been considered a high-performance system, providing universal, affordable, high-quality care to all residents. However, a decline in the ratio of physicians to population that reached a modern low in 2006, an approximate ten-percentage-point decline in the share of publicly financed health care between 1995 and 2009, and legislative mandates that favored private insurance have altered Israel's health care system for the worse. Many Israelis now purchase private health insurance to supplement the state-sponsored universal care coverage, and they end up spending more out of pocket even for services covered by the entitlement. Additionally, many publicly paid physicians moonlight at private facilities to earn more money. In this article I recommend that Israel increase public funding for health care and adopt reforms to address the rising demand for privately funded care and the problem of publicly paid physicians who moonlight at private facilities.

Process heat recovery: hot prospects

Energy Technology Data Exchange (ETDEWEB)

1982-03-01

By updating established technologies to recover heat at higher temperatures and under more corrosive conditions, British industry could recover six to eight million tons of coal equivalent that it currently wastes. Organic liquids in organic Rankine cycle (ORC) engines and simpler designs than steam turbines can increase efficiency. They also eliminate the need for vacuum pumps and permit the use of air cooling. Cooperative government-private industry research programs are exploring the use of ORC engines. Other heat-recovery projects include a Scottish paper mill, a metal decorating and printing plant, a falling-cloud heat exchanger, and heat-pipe development. 4 figures, 1 table. (DCK)

Residents' views about family medicine specialty education in Turkey

Directory of Open Access Journals (Sweden)

Uzuner Arzu

2010-04-01

Full Text Available Abstract Background Residents are one of the key stakeholders of specialty training. The Turkish Board of Family Medicine wanted to pursue a realistic and structured approach in the design of the specialty training programme. This approach required the development of a needs-based core curriculum built on evidence obtained from residents about their needs for specialty training and their needs in the current infrastructure. The aim of this study was to obtain evidence on residents' opinions and views about Family Medicine specialty training. Methods This is a descriptive, cross-sectional study. The board prepared a questionnaire to investigate residents' views about some aspects of the education programme such as duration and content, to assess the residents' learning needs as well as their need for a training infrastructure. The questionnaire was distributed to the Family Medicine Departments (n = 27 and to the coordinators of Family Medicine residency programmes in state hospitals (n = 11 by e-mail and by personal contact. Results A total of 191 questionnaires were returned. The female/male ratio was 58.6%/41.4%. Nine state hospitals and 10 university departments participated in the study. The response rate was 29%. Forty-five percent of the participants proposed over three years for the residency duration with either extensions of the standard rotation periods in pediatrics and internal medicine or reductions in general surgery. Residents expressed the need for extra rotations (dermatology 61.8%; otolaryngology 58.6%; radiology 52.4%. Fifty-nine percent of the residents deemed a rotation in a private primary care centre necessary, 62.8% in a state primary care centre with a proposed median duration of three months. Forty-seven percent of the participants advocated subspecialties for Family Medicine, especially geriatrics. The residents were open to new educational methods such as debates, training with models, workshops and e

National Survey of Burnout among US General Surgery Residents

Science.gov (United States)

Elmore, Leisha C; Jeffe, Donna B; Jin, Linda; Awad, Michael M; Turnbull, Isaiah R

2017-01-01

Background Burnout is a complex syndrome of emotional distress that can disproportionately affect individuals who work in healthcare professions. Study Design For a national survey of burnout in US general surgery residents, we asked all Accreditation Council for Graduate Medical Education-accredited general surgery program directors to email their general surgery residents an invitation to complete an anonymous, online survey. Burnout was assessed with the Maslach Burnout Inventory; total scores for Emotional Exhaustion (EE), Depersonalization (DP), and Personal Accomplishment (PA) subscales were calculated. Burnout was defined as having a score in the highest tertile for EE or DP or lowest tertile for PA. Chi-square tests and one-way analyses of variance were used to test associations between burnout tertiles for each subscale and various resident and training-program characteristics as appropriate. Results From April–December, 2014, 665 residents actively engaged in clinical training had data for analysis; 69% met the criterion for burnout on at least one subscale. Higher burnout on each subscale was reported by residents planning private practice compared with academic careers. A greater proportion of women than men reported burnout on EE and PA. Higher burnout on EE and DP was associated with greater work hours per week. Having a structured mentoring program was associated with lower burnout on each subscale. Conclusions The high rates of burnout among general surgery residents are concerning given the potential impact of burnout on the quality of patient care. Efforts to identify at-risk populations and to design targeted interventions to mitigate burnout in surgical trainees are warranted. PMID:27238875

How private are Europe's private forests?

DEFF Research Database (Denmark)

Nichiforel, Liviu; Keary, Kevin; Deuffic, Philippe

2018-01-01

Private forests are widespread in Europe providing a range of ecosystem services of significant value to society, and there are calls for novel policies to enhance their provision and to face the challenges of environmental changes. Such policies need to acknowledge the importance of private...... across jurisdictions, we constructed an original Property Rights Index for Forestry encompassing five rights domains (access, withdrawal, management, exclusion and alienation). We documented substantial variation of the private forest owners' rights, and notably to i) make decisions in operational...... management and the formulation of management goals, ii) withdraw timber resources from their forest, and iii) exclude others from the use of forest resources. We identified broad relations between the scope for decision making of private forest owners and jurisdictions' former socio-political background...

Private Schools

Data.gov (United States)

Department of Homeland Security — This Private Schools feature dataset is composed of all Private elementary and secondary education features in the United States as defined by the Private School...

Will we be heating with green electricity tomorrow? The large potential of load-variable private customer tariffs; Heizen wir kuenftig mit Oekostrom? Das grosse Potenzial lastvariabler Privatkundentarife

Energy Technology Data Exchange (ETDEWEB)

Zierdt, Tobias; Lang, Dirk [RWE Effizienz GmbH, Dortmund (Germany)

2012-09-15

Momentous changes loom ahead for Germany's energy supply system as a result of the energy turnaround. One central question is how load peaks from renewable energy plants can be conveniently accommodated on the demand side. Two research projects are currently being carried out to examine the acceptance of time-variable and load-variable tariffs for private households. First results show that using green electricity for heat generation is significantly more attractive for both customers and energy suppliers than using it to cover day-to-day electricity demand at a later time.

Private prisons

Directory of Open Access Journals (Sweden)

Dimovski Darko

2014-01-01

Full Text Available The author, based on the circumstances that contributed to the creation of private prisons, has explained the historical development of private prisons in the United States and Great Britain. After that, the author has analyzed the strengths and weaknesses of the prison run by private companies. Namely, the author has, stating the benefits of private prisons (reduced overcrowding penitencijarnih institution, cheaper accommodation cost per prisoner, provide better services, the possibility of applying a new philosophy in the manner of execution of sentence, with modern Penitentiary program, with the aim of re-socialization and the reduction of recidivism and weaknesses of the private prisons (the question of legitimac, a chronic lack of space in the Penitentiary system is not solved, business-oriented policies of private prisons, less salaries, poor performance of the security service, worst food, weak enforcement of parole, lack of appropriate penitentiary program, wanted to draw attention to the professional public about controversy of the introduction private companies in the management structure of penitentiary institutions . As the Republic of Serbia is, constantly in the last twenty years, faced with the increasing number of inmates, as well as the chronic shortage of money, which affects on the situation in industrial areas of prisons, there are options to give licenses to private companies to manage prisons. Therefore, the author has paid special attention to potential problems of introducing private prisons in the penitentiary system in Serbia.

Indoor air pollution by different heating systems: coal burning, open fireplace and central heating.

Science.gov (United States)

Moriske, H J; Drews, M; Ebert, G; Menk, G; Scheller, C; Schöndube, M; Konieczny, L

1996-11-01

Investigations of indoor air pollution by different heating systems in private homes are described. Sixteen homes, 7 with coal burning, 1 with open fireplace (wood burning) and 8 with central heating have been investigated. We measured the concentrations of carbon monoxide, carbon dioxide and sedimented dust in indoor air, of total suspended particulates, heavy metals and of polycyclic aromatic hydrocarbons in indoor and outdoor air. Measurements were taken during winter (heating period) and during summer (non-heating period). Generally, we found higher indoor air pollution in homes with coal burning and open fireplace than in homes with central heating. Especially, the concentrations of carbon monoxide, sedimented dust and of some heavy metals were higher. In one case, we found also high indoor air pollution in a home with central heating. This apartment is on the ground floor of a block of flats, and the central heating system in the basement showed a malfunctioning of the exhaust system.

Long-term outcomes of performing a postdoctoral research fellowship during general surgery residency.

Science.gov (United States)

Robertson, Charles M; Klingensmith, Mary E; Coopersmith, Craig M

2007-04-01

To determine whether dedicated research time during surgical residency leads to funding following postgraduate training. Unlike other medical specialties, a significant number of general surgery residents spend 1 to 3 years in dedicated laboratory research during their training. The impact this has on obtaining peer reviewed research funding after residency is unknown. Survey of all graduates of an academic general surgery resident program from 1990 to 2005 (n = 105). Seventy-five (71%) of survey recipients responded, of which 66 performed protected research during residency. Fifty-one currently perform research (mean effort, 26%; range, 2%-75%). Twenty-three respondents who performed research during residency (35%) subsequently received independent faculty funding. Thirteen respondents (20%) obtained NIH grants following residency training. The number of papers authored during resident research was associated with obtaining subsequent faculty grant support (9.3 vs. 5.2, P = 0.02). Faculty funding was associated with obtaining independent research support during residency (42% vs. 17%, P = 0.04). NIH-funded respondents spent more combined years in research before and during residency (3.7 vs. 2.8, P = 0.02). Academic surgeons rated research fellowships more relevant to their current job than private practitioners (4.3 vs. 3.4 by Likert scale, P < 0.05). Both groups considered research a worthwhile use of their time during residency (4.5 vs. 4.1, P = not significant). A large number of surgical trainees who perform a research fellowship in the middle of residency subsequently become funded investigators in this single-center survey. The likelihood of obtaining funding after residency is related to productivity and obtaining grant support during residency as well as cumulative years of research prior to obtaining a faculty position.

Surgical resident perceptions of trauma surgery as a specialty.

Science.gov (United States)

Hadzikadic, Lejla; Burke, Peter A; Esposito, Thomas J; Agarwal, Suresh

2010-05-01

Presenting the opinions of surgical residents about the appeal of trauma surgery as a specialty may influence current reform. Survey study. Academic research. General surgery residents (postgraduate years 1-5 and recent graduates) registered with the American College of Surgeons. A 22-item survey. Career plans and perceptions about trauma surgery as a specialty. Of 6006 mailed surveys, we had a 20.1% response rate. Midlevel residents comprised most of the respondents, and most were undecided about their career choice or planned to enter general surgical private practice. The typical residency programs represented were academic (81.7%), urban (90.6%), and level I trauma centers (78.7%), and included more than 6 months of trauma experience (77.6%). Most respondents (70.6%) thought that trauma surgery was unappealing. The most important deterrents to entering the field were lifestyle, poor reimbursement, and limited operating room exposure, while increased surgical critical care was not seen as a restriction. When questioned about the future of trauma surgery, they believed that trauma surgeons should perform elective (86.8%) and nontrauma emergency (91.5%) cases and would benefit from active association with an outpatient clinic (76.0%). Intellectual challenge and exciting nature of the field were listed as the most appealing aspects, and ideal practice characteristics included guaranteed salary and time away from work. As demand for trauma surgeons increases, resident interest has dwindled. As a specialty, trauma surgery must undergo changes that reflect the needs of the incoming generation. We present a sampling of current surgical resident opinion and offer these data to assist the changing discipline and the evolving field of acute care surgery.

Solar process heat is becoming sexy

Energy Technology Data Exchange (ETDEWEB)

Morhart, Alexander

2011-07-01

Linear concentrating solar collectors for solar medium-temperature process heat: an exotic niche market has turned into a wide range of offers for commercial and private customers - and there is no end in sight to the technical developments. (orig.)

Medical Physics Residency Consortium: collaborative endeavors to meet the ABR 2014 certification requirements

Science.gov (United States)

Parker, Brent C.; Duhon, John; Yang, Claus C.; Wu, H. Terry; Hogstrom, Kenneth R.

2014-01-01

In 2009, Mary Bird Perkins Cancer Center (MBPCC) established a Radiation Oncology Physics Residency Program to provide opportunities for medical physics residency training to MS and PhD graduates of the CAMPEP‐accredited Louisiana State University (LSU)‐MBPCC Medical Physics Graduate Program. The LSU‐MBPCC Program graduates approximately six students yearly, which equates to a need for up to twelve residency positions in a two‐year program. To address this need for residency positions, MBPCC has expanded its Program by developing a Consortium consisting of partnerships with medical physics groups located at other nearby clinical institutions. The consortium model offers the residents exposure to a broader range of procedures, technology, and faculty than available at the individual institutions. The Consortium institutions have shown a great deal of support from their medical physics groups and administrations in developing these partnerships. Details of these partnerships are specified within affiliation agreements between MBPCC and each participating institution. All partner sites began resident training in 2011. The Consortium is a network of for‐profit, nonprofit, academic, community, and private entities. We feel that these types of collaborative endeavors will be required nationally to reach the number of residency positions needed to meet the 2014 ABR certification requirements and to maintain graduate medical physics training programs. PACS numbers: 01.40.Fk, 01.40.gb PMID:24710434

Public Supervision over Private Relationships : Towards European Supervision Private Law?

NARCIS (Netherlands)

Cherednychenko, O.O.

2014-01-01

The rise of public supervision over private relationships in many areas of private law has led to the development of what, in the author’s view, could be called ‘European supervision private law’. This emerging body of law forms part of European regulatory private law and is made up of

Radon mitigation choices in the United States - a comparison of private and public sector developments

International Nuclear Information System (INIS)

Leovic, K.W.; Sanchez, D.C.; Craig, A.B.

1988-01-01

The paper compares private and public sector developments relating to radon mitigation in the US. In response to elevated levels of radon in many houses throughout the U.S., the Federal and State governments and the private sector have undertaken many varied mitigation and public information efforts resulting in a range of radon reduction installations in the U.S. Government sponsored research and development of radon mitigation techniques in single-family detached houses is compared with radon mitigation approaches undertaken by the private sector. An attempt is also made to compare premitigation diagnostics, the performance of mitigation installations, and the cost of the installations. The information collected indicates that sub-slab ventilation is the most common technique in both public and private sector radon mitigation; however, air-to-air heat exchangers and sealing are employed more frequently in the private sector than in government sponsored mitigation. (author)

Private and Non-Private Disc Herniation Patients: Do they Differ?

Science.gov (United States)

Gregebo, Birgitta; Dai, Deliang; Schillberg, Birgitta; Baehr, Martin; Nyström, Bo; Taube, Adam

2014-01-01

In the 2006 yearly report from the Swedish National Register for Lumbar Spine Surgery it was claimed that international studies show obvious differences between private and non-private patients with regard to results from back surgery. Therefore our aim was to reveal such possible differences by comparing the two categories of patients at a private clinic. The material comprises 1184 patients operated on for lumbar disc herniation during the period of 1987 to 2007. Basic pre-operative data were obtained from the medical records and follow-up was performed by a questionnaire around 5 years post-operatively. Small but statistically significant differences between private and non-private patients were seen pre-operatively regarding the proportions of a/ men and women in the samples, b/ those with physically demanding jobs, c/ those on sick leave and d/ those with lumbar pain. Over the years the admitted private patients had a decreasing mean duration of symptoms which was not seen in the non-private patients. No apparent differences (n.s.) were seen between the two categories of patients pre-operatively regarding age, presence and level of leg pain or the proportion who smoked. Post-operative improvement in leg and lumbar pain was very similar in private and non-private patients as was satisfaction with the results and the proportion of patients returning to work. Despite small pre-operative differences concerning some variables and a significant difference in symptom duration between private and non-private disc herniation patients, the final clinical results were very similar.

Assessment of patient safety culture in private and public hospitals in Peru.

Science.gov (United States)

Arrieta, Alejandro; Suárez, Gabriela; Hakim, Galed

2018-04-01

To assess the patient safety culture in Peruvian hospitals from the perspective of healthcare professionals, and to test for differences between the private and public healthcare sectors. Patient safety is defined as the avoidance and prevention of patient injuries or adverse events resulting from the processes of healthcare delivery. A non-random cross-sectional study conducted online. An online survey was administered from July to August 2016, in Peru. This study reports results from Lima and Callao, which are the capital and the port region of Peru. A total of 1679 healthcare professionals completed the survey. Participants were physicians, medical residents and nurses working in healthcare facilities from the private sector and public sector. Assessment of the degree of patient safety and 12 dimensions of patient safety culture in hospital units as perceived by healthcare professionals. Only 18% of healthcare professionals assess the degree of patient safety in their unit of work as excellent or very good. Significant differences are observed between the patient safety grades in the private sector (37%) compared to the public sub-sectors (13-15%). Moreover, in all patient safety culture dimensions, healthcare professionals from the private sector give more favorable responses for patient safety, than those from the public sub-systems. The most significant difference in support comes from patient safety administrators through communication and information about errors. Overall, the degree of patient safety in Peru is low, with significant gaps that exist between the private and the public sectors.

Perceptions of community health center impact on private primary care physician practice.

Science.gov (United States)

Duffrin, Christopher; Jackson, Natalie; Whetstone, Lauren; Cummings, Doyle; Watson, Ricky; Wu, Qiang

2014-01-01

Community health centers (CHCs) were created in the mid-1960s to expand access to care in impoverished and underserved areas. The number of CHC sites has more than tripled in eastern North Carolina from 28 primary care centers in 2000 to 89 in 2010. This study determined the perceptions of physicians on the impact of CHC expansion on the local practice environment. Descriptive statistics and correlations were used to compare responses regarding perceptions and differences between practice characteristics as well as physician ratios by year. Both CHC and private practice physician addresses were mapped using ArcGIS. Surveys were sent to 1422 (461 returns/32.5% response rate) primary care physicians residing in 43 predominantly rural eastern North Carolina counties. A large percentage of the respondents (82.7%) affirmed that they felt neutral or did not view CHCs to be competitors, whereas a minority (17%) did view them to be difficult to compete against. Forty-two percent of private practice respondents disagreed that CHCs offer a wider range of services despite significantly more CHC physicians than private practice respondents indicating that their facility provided basic services. The CHCs were perceived to offer a wider range of services, employ more staff, and have more practice locations than private practices. However, private practice physicians did not perceive CHCs to have a competitive advantage or to unfairly impact their practices, possibly due to inconsistent population growth in relation to the physician retention during the last 10 years.

Creation of an emergency surgery service concentrates resident training in general surgical procedures.

Science.gov (United States)

Ahmed, Hesham M; Gale, Stephen C; Tinti, Meredith S; Shiroff, Adam M; Macias, Aitor C; Rhodes, Stancie C; Defreese, Marissa A; Gracias, Vicente H

2012-09-01

Emergency general surgery (EGS) is increasingly being provided by academic trauma surgeons in an acute care surgery model. Our tertiary care hospital recently changed from a model where all staff surgeons (private, subspecialty academic, and trauma academic) were assigned EGS call to one in which an emergency surgery service (ESS), staffed by academic trauma faculty, cares for all EGS patients. In the previous model, many surgeries were "not covered" by residents because of work-hour restrictions, conflicting needs, or private surgeon preference. The ESS was separate from the trauma service. We hypothesize that by creating a separate ESS, residents can accumulate needed and concentrated operative experience in a well-supervised academic environment. A prospectively accrued EGS database was retrospectively queried for the 18-month period: July 2010 to June 2011. The Accreditation Council for Graduate Medical Education (ACGME) databases were queried for operative numbers for our residency program and for national resident data for 2 years before and after creating the ESS. The ACGME operative requirements were tabulated from online sources. ACGME requirements were compared with surgical cases performed. During the 18-month period, 816 ESS operations were performed. Of these, 307 (38%) were laparoscopy. Laparoscopic cholecystectomy and appendectomy were most common (138 and 145, respectively) plus 24 additional laparoscopic surgeries. Each resident performed, on average, 34 basic laparoscopic cases during their 2-month rotation, which is 56% of their ACGME basic laparoscopic requirement. A diverse mixture of 70 other general surgical operations was recorded for the remaining 509 surgical cases, including reoperative surgery, complex laparoscopy, multispecialty procedures, and seldom-performed operations such as surgery for perforated ulcer disease. Before the ESS, the classes of 2008 and 2009 reported that only 48% and 50% of cases were performed at the main academic

Prediction of heat treatment in food processing machinery

DEFF Research Database (Denmark)

Karlson, Torben; Friis, Alan; Szabo, Peter

1997-01-01

The velocity and temperature fields of a shear thinning fluid in a co-rotating disc scraped surface heat exchanger (CDHE) are calculated using the finite element method. By tracking and timingparticles through the heat exchanger residence time and thermal time distributions are computed. The resi...

Radioactivity and chromosome aberrations of residents of Misasa Spa

International Nuclear Information System (INIS)

Morinaga, Hiroshi; Mifune, Masaaki; Furuno, Katsushi

1985-01-01

Misasa Spa is one of the most highly radioactive hot springs in Japan, the waters of which contain mainly 222 Rn (437 ± 132 Bq/liter). Radon contents of indoor air of private houses and health resort hotels (built of wood) at Misasa Spa range from 18.5 to 55.5 mBq/liter and 22.2 to 129.5 mBq/liter, respectively. Radon contents in the air of facilities using spring waters at Misasa Branch Hospital of Okayama University were measured to be; bathroom 807 ± 78 mBq/liter; Hubbardtank bathroom 5306 ± 2568 mBq/liter; the drinking hall 1491 ± 178 mBq/liter. The environmental and dose rate inside private house's has been measured to be 14.0 ± 1.8 μR/h. Chromosome aberrations (dicentrics) in the peripheral blood lymphocytes of residents of Misasa Spa were investigated in 14 persons; the mean value of aberration frequencies were 0.21 %. (Kubozono, M.)

BUYING BEHAVIOUR RELATED TO HEATING SYSTEMS IN GERMANY

OpenAIRE

Decker, Thomas; Zapilko, Marina; Menrad, Klaus

2010-01-01

The decision for buying a heating system is a long-term one, as many different aspects have an influence on this choice which were analysed in a Germany-wide, written survey. The respondents (only owners of a private house) had to answer questions about their attitude towards e.g. economics, convenience or ecological aspects related to heating systems and the respective combustibles. Using a multinomial logistic regression model the choice of the heating system is mainly explained by ecologic...

Private power in China

International Nuclear Information System (INIS)

Daniel, Martin

1999-10-01

Contains Executive Summary and Chapters on: Introduction; Political and economic background; Energy supply; The Chinese electricity sector; Private power in China; Issues for private investors; Fuel choice in private projects; Private investors in China; Listed Chinese generators; Private power prospects; Implemented private generation projects; Planned private Generation Projects; Plants owned by listed Chinese generators. (Author)

Results of the 2004 Association of Residents in Radiation Oncology (ARRO) Survey

International Nuclear Information System (INIS)

Patel, Shilpen; Jagsi, Reshma; Wilson, John; Frank, Steven; Thakkar, Vipul V.; Hansen, Eric K.

2006-01-01

Purpose: The aim of this study was to document adequacy of training, career plans after residency, use of the in-service examination, and motivation for choice of radiation oncology as a specialty. Methods and Materials: In 2004, the Association of Residents in Radiation Oncology (ARRO) conducted a nationwide survey of all radiation oncology residents in the United States. Results: The survey was returned by 297 residents (response rate, 54%). Of the respondents, 29% were female and 71% male. The most popular career choice was joining an established private practice (38%), followed by a permanent academic career (29%). Residents for whom a permanent academic career was not their first choice were asked whether improvements in certain areas would have led them to be more likely to pursue an academic career. The most commonly chosen factors that would have had a strong or moderate influence included higher salary (81%), choice of geographic location (76%), faculty encouragement (68%), and less time commitment (68%). Of respondents in the first 3 years of training, 78% believed that they had received adequate training to proceed to the next level of training. Of those in their fourth year of training, 75% believed that they had received adequate training to enter practice. Conclusions: Multiple factors affect the educational environment of physicians in training. Data describing concerns unique to resident physicians in radiation oncology are limited. The current survey was designed to explore a variety of issues confronting radiation oncology residents. Training programs and the Residency Review Committee should consider these results when developing new policies to improve the educational experiences of residents in radiation oncology

北京某农村住宅空气源热泵辅助太阳能供暖系统的运行性能%Operation performance of air-source heat pump assisted solar heating system in Beijing rural residence

Institute of Scientific and Technical Information of China (English)

李楠; 田昕; 王皆腾; 徐俊芳

2017-01-01

A rural residence adopts air-source heat pump assisted solar heating system.Tests the heating capacity,energy consumption and other performance parameters of the system in the heating season of 2014 to 2015.The results show that the indoor mean daily temperature is 19.6 ℃,the average COP of air-source heat pump is 4.29,mean daily comprehensive energy efficaiency ratio of heating system is about 3.52,and the mean daily solar energy contribution rate is 4.87％.The heat pump unit of the heating system has good operating performance in winter,but the solar energy contribution rate is low,the whole heating system still needs further optimization.%某农村住宅安装了空气源热泵辅助太阳能供暖系统.针对2014-2015年度供暖季系统的制热量、耗电量等性能参数进行了测试.结果表明,室内日平均温度为19.6℃,热泵机组日平均COP为4.29,供暖系统日均综合能效比为3.52,日均太阳能贡献率为4.87％.该供暖系统的热泵机组具有较好的运行性能,但太阳能贡献率偏低,整个供暖系统仍有进一步优化的空间.

Privatization and Education

Science.gov (United States)

Dash, Neena

2009-01-01

This paper highlights emerging trends, programmes and policies in privatization of education in Western countries. These trends are educational vouchers, choice of private schools, private school liberalization, private contracting of specific services, tuition tax credits and deductions for parents ,subsidies and assistance grants to private…

Privat boligudlejning

DEFF Research Database (Denmark)

Andersen, Hans Skifter

2008-01-01

for private udlejningsboligers pris, økonomi og kvalitet. Det økonomiske afkast af investering i private udlejningsejendomme har været højt i de sidste 10 år, men fortrinsvist pga. værdistigninger. For tiden er disse gået i stå, hvilket gør den økonomiske fremtid for den private udlejningssektor mindre...

Radon mitigation choices in the United States: A comparison of private- and public-sector developments

International Nuclear Information System (INIS)

Witter, K.A.; Sanchez, D.C.; Craig, A.B.

1988-01-01

This paper compares private- and public-sector developments relating to radon mitigation in the U.S. In response to elevated radon levels in many U.S. houses, the Federal and State governments and the private sector have undertaken many varied mitigation and public-information efforts resulting in a range of radon reduction installations in the U.S. Government-sponsored research and development of radon-mitigation techniques in single-family detached houses is compared with radon mitigation approaches undertaken by the private sector. An attempt is also made to compare premitigation diagnostics, the application of mitigation techniques to various substructure types, the performance of mitigation installations, and the cost of the installations. The information collected indicates that subslab ventilation is the most common technique in both public- and private-sector radon mitigation; however, air-to-air heat exchangers and sealing are employed more frequently in the private sector than in government-sponsored mitigation

Radon-mitigation choices in the United States: a comparison of private- and public-sector developments

International Nuclear Information System (INIS)

Witter, K.A.; Sanchez, D.C.; Craig, A.B.

1988-01-01

This paper compares private- and public-sector developments relating to radon mitigation in the U.S. In response to elevated radon levels in many U.S. houses, the Federal and State governments and the private sector have undertaken many varied mitigation and public-information efforts resulting in a range of radon-reduction installations in the U.S. Government-sponsored research and development of radon-mitigation techniques in single-family detached houses is compared with radon mitigation approaches undertaken by the private sector. An attempt is also made to compare premitigation diagnostics, the application of mitigation techniques to various substructure types, the performance of mitigation installations, and the cost of the installations. The information collected indicates that subslab ventilation is the most common technique in both public and private sector radon mitigation; however, air-to-air heat exchangers and sealing are employed more frequently in the private sector than in government-sponsored mitigation

Playing Hot and Cold: How Can Russian Heat Policy Find Its Way Toward Energy Efficiency?

Energy Technology Data Exchange (ETDEWEB)

Roshchanka, Volha; Evans, Meredydd

2012-09-15

The Russian district heating has a large energy-saving potential, and, therefore, need for investments. The scale of needed investments is significant: the government estimates that 70 percent of the district heating infrastructure needs replacement or maintenance, a reflection of decades of under investment. Government budgets will be unable to cover them, and iInvolvingement ofthe private industry will be critical to attracting the necessary investementis necessary. For private parties to invest in district heating facilities across Russia, and not only in pockets of already successful enterprises, regulators have to develop a comprehensive policy that works district heating systems under various conditionscost-reflective tariffs, metering, incentives for efficiency and social support for the neediest (instead of subsidies for all).

Going private: the Latin American energy market heats up

International Nuclear Information System (INIS)

Anon.

1997-01-01

The rising use of gas as a power generation fuel in nine Latin American countries was discussed. Demand for power in Argentina, Chile, Bolivia, Brazil, Colombia, Peru, Venezuela, Mexico, and Ecuador is expected to more than double by 2015, rising from a 1995 level of 568 terawatt-hours to 1,207 terawatt-hours. Gas demand in the area is expected to increase threefold during the same period, as low-cost, clean-burning natural gas turbines become the desirable means of generation. Recently, every country in Latin America has seen an increase in development which is expected to continue as governments transfer assets from public to private ownership and as demand continues to outpace resources of existing utilities. Mexico is expected to be the largest consumer and producer of natural gas if deregulation of the natural gas market continues successfully. Argentina will also play a major role in meeting the increased demand for natural gas

Heat networks in France in 2014. Heat networks: which price for the consumer?

International Nuclear Information System (INIS)

Reynaud, Didier; Gong, Zheng; Moreau, Sylvain; Bottin, Anne; Reperant, Patricia

2016-04-01

A first document publishes and comments various statistics regarding heat networks in France in 2014: distribution in terms of quantity of supplied heat, main urban units, distribution in terms of urban unit size and in terms of community type (land, isolated town, outskirts, centre town). It also indicates the types, percentages and evolution of energies consumed in these heat networks, the shares of fossil and renewable energies, and the distribution of networks in terms of energy type. Some regional data are briefly commented (energy shares in each region, number of primary housing connected to an urban heating network). This publication also indicates methodological aspects and the definitions of the main components and characteristics of a heat network. Notably based on some of these data, the second document comments the price of heat supplied in these heat networks in 2014 as these prices are not regulated and depend on agreements between clients and providers. These prices are analysed in terms of linear thermal density, of heat quantity supplied by delivery point, of sector (industry, housing, office building), of rate of renewable energy, and of operator status (public service delegation or private ownership)

Installation guidelines for Solar Heating System, single-family residence at New Castle, Pennsylvania

Energy Technology Data Exchange (ETDEWEB)

1980-01-01

The Solar Heating System installer guidelines are provided for each subsystem and includes testing and filling the system. This single-family residential heating system is a solar-assisted, hydronic-to-warm-air system with solar-assisted domestic water heating. It is composed of the following major components: liquid cooled flat plate collectors; water storage tank; passive solar-fired domestic water preheater; electric hot water heater; heat pump with electric backup; solar hot water coil unit; tube-and-shell heat exchanger, three pumps, and associated pipes and valving in an energy transport module; control system; and air-cooled heat purge unit. Information is also provided on the operating procedures, controls, caution requirements, and routine and schedule maintenance. Information consists of written procedures, schematics, detail drawings, pictures and manufacturer's component data.

Private Water Projects

OpenAIRE

Izaguirre, Ada Karina; Hunt, Catherine

2005-01-01

Drawing on the World Bank's Private Participation in Infrastructure Project Database, this Note reviews developments in the water and sewerage sector of developing countries in 2004 and changes in private participation in the sector since 2001. Data for 2004 show that total investment in water and sewerage projects with private participation amounted to nearly US$2 billion. Recent private ...

Solar heating for a village; Ein Dorf heizt solar

Energy Technology Data Exchange (ETDEWEB)

Roepcke, Ina

2013-07-05

In Buesingen (administrative district of Konstanz) a solar thermal system with 1091 sqm collector area is put into operation. Together with two wood chip boilers they supply more than 100 private and municipal buildings with regenerative heat. [German] In Buesingen im Landkreis Konstanz ist eine solarthermische Anlage mit 1091 qm Kollektorflaeche in Betrieb gegangen. Zusammen mit zwei Hackschnitzelkesseln versorgt sie ueber 100 private und kommunale Gebaeude mit regenerativer Waerme.

The correlation of urban heat island in tropical middle-class housing

Science.gov (United States)

Wazir, Zuber Angkasa

2017-11-01

A very limited number of green and sustainable construction studies have explored factors related to Urban Heat Island (UHI) in tropical middle-class housing. This paper aimed to investigate the correlation of Urban Heat Island in tropical middle-class housing in three urban housing for middle-class residents of Palembang, which were Taman Sari Kenten, TOP Jakabaring, and Talang Kelapa. Samples consisted of 125 Taman Sari Kenten housing, 27 Talang Kelapa housing, and 12 TOP Jakabaring housing. Independent variables were the resident density, socioeconomic status, house location, roof type, green area ratio, weather, time, air conditioner, pro-environment institution, and NEP scale. The Analytic method included correlation and regression. We identified that all housing had different UHI profiles where Taman Sari Kenten had the highest UHI (4.17 K), followed by Talang Kelapa (2.66 K) and TOP Jakabaring (0.66 K) against temperature in measuring station nearby, owned by BMKG (National Meteorological Station). UHI correlated with the resident density, roof type, green area ratio, weather, time, and air conditioner. The results should add to the design of ideal housing in the tropical climate for middle-class residents, focusing on its ability to mitigate Urban Heat Island.

Bounds on the sample complexity for private learning and private data release

Energy Technology Data Exchange (ETDEWEB)

Kasiviswanathan, Shiva [Los Alamos National Laboratory; Beime, Amos [BEN-GURION UNIV.; Nissim, Kobbi [BEN-GURION UNIV.

2009-01-01

Learning is a task that generalizes many of the analyses that are applied to collections of data, and in particular, collections of sensitive individual information. Hence, it is natural to ask what can be learned while preserving individual privacy. [Kasiviswanathan, Lee, Nissim, Raskhodnikova, and Smith; FOCS 2008] initiated such a discussion. They formalized the notion of private learning, as a combination of PAC learning and differential privacy, and investigated what concept classes can be learned privately. Somewhat surprisingly, they showed that, ignoring time complexity, every PAC learning task could be performed privately with polynomially many samples, and in many natural cases this could even be done in polynomial time. While these results seem to equate non-private and private learning, there is still a significant gap: the sample complexity of (non-private) PAC learning is crisply characterized in terms of the VC-dimension of the concept class, whereas this relationship is lost in the constructions of private learners, which exhibit, generally, a higher sample complexity. Looking into this gap, we examine several private learning tasks and give tight bounds on their sample complexity. In particular, we show strong separations between sample complexities of proper and improper private learners (such separation does not exist for non-private learners), and between sample complexities of efficient and inefficient proper private learners. Our results show that VC-dimension is not the right measure for characterizing the sample complexity of proper private learning. We also examine the task of private data release (as initiated by [Blum, Ligett, and Roth; STOC 2008]), and give new lower bounds on the sample complexity. Our results show that the logarithmic dependence on size of the instance space is essential for private data release.

Private Labels

OpenAIRE

Kolmačková, Zuzana

2013-01-01

This Bachelor Thesis titled Private labels deals with distribution strategy based on the introduction of private labels especially in retail chains. At the beginning it is focused on the general concept of private label offered by retailers, where is mentioned basic characteristics, history and structuring of distribution brands. Subsequently this thesis informs readers about the introduction of new special distribution brands, which focus primarily on the new consumption habits of customers....

Water quality and management of private drinking water wells in Pennsylvania.

Science.gov (United States)

Swistock, Bryan R; Clemens, Stephanie; Sharpe, William E; Rummel, Shawn

2013-01-01

Pennsylvania has over three million rural residents using private water wells for drinking water supplies but is one of the few states that lack statewide water well construction or management standards. The study described in this article aimed to determine the prevalence and causes of common health-based pollutants in water wells and evaluate the need for regulatory management along with voluntary educational programs. Water samples were collected throughout Pennsylvania by Master Well Owner Network volunteers trained by Penn State Extension. Approximately 40% of the 701 water wells sampled failed at least one health-based drinking water standard. The prevalence of most water quality problems was similar to past studies although both lead and nitrate-N were reduced over the last 20 years. The authors' study suggests that statewide water well construction standards along with routine water testing and educational programs to assist water well owners would result in improved drinking water quality for private well owners in Pennsylvania.

THE ATTITUDES AND PURCHASE INTENTIONS TOWARDS PRIVATE LABEL PRODUCTS, IN THE CONTEXT OF ECONOMIC CRISIS: A STUDY OF THESSALONIAN CONSUMERS

Directory of Open Access Journals (Sweden)

Samit CELA

2016-09-01

Full Text Available The purpose of this study is to identify, in the context of the economic crisis, the Greek consumers’ attitudes and purchase intentions towards private label brands, particularly towards food private label products. It uses an adapted conceptual framework and tests several hypotheses. Measures were adopted from previous literature. Self-administered questionnaires were developed and distributed to approximately 120 respondents who are residents of Thessaloniki. Six of the seven hypotheses are supported empirically, out of which two are validated partially. Thus, perceived quality, perceived risk, perceived benefits (i.e., price and packaging, trust, perceived economic situation and income level influence purchase intention towards private label products. Based on the findings, several recommendations to the retailers and recommendations for further research are provided.

Comparative performance of public and private sector delivery of BCG vaccination: evidence from Sub-Saharan Africa.

Science.gov (United States)

Wagner, Zachary; Szilagyi, Peter G; Sood, Neeraj

2014-07-31

The private sector is an important source of health care in the developing world. However, there is limited evidence on how private providers compare to public providers, particularly for preventive services such as immunizations. We used data from Sub-Saharan Africa (SSA) to assess public-private differences in Bacillus Calmette-Guérin (BCG) vaccine delivery. We used demographic and health surveys from 102,629 children aged 0-59 months from 29 countries across SSA to measure differences in BCG status for children born at private versus public health facilities (BCG is recommended at birth). We used a probit model to estimate public-private differences in BCG delivery, while controlling for key confounders. Next, we estimated how differences in BCG status evolved over time for children born at private versus public facilities. Finally, we estimated heterogeneity in public-private differences based on wealth and rural-urban residency. We found that children born at a private facility were 7.1 percentage points less likely to receive BCG vaccine in the same month as birth than children born at a public facility (95% CI 6.3-8.0; pprivate providers (as opposed to NGOs) where the BCG provision rate was 10.0 percentage points less than public providers (95% CI 9.0-11.2; pprivate for-profit facilities remained less likely to be vaccinated up to 59 months after birth. Finally, public-private differences were more pronounced for poorer children and children in rural areas. The for-profit private sector performed substantially worse than the public sector in providing BCG vaccine to newborns, resulting in a longer duration of vulnerability to tuberculosis. This disparity was greater for poorer children and children in rural areas. Copyright © 2014 Elsevier Ltd. All rights reserved.

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

business practices can be improved in district heating?; - Benefits and objectives of competition and privatization. A large number of DH systems in Romania face serious financial, marketing or technical problems. Uncompetitive tariffs and inadequate cost recovery have significantly damaged DH systems. This has a deeply negative impact on municipal budgets and on the viability of DH systems. 20% from the consumers disconnected from the DH systems for various reasons. The national reference tariff do not take into consideration the real economic performances of the DH systems. The lack of consumption control and consumption-based billing drive towards increasing the DH systems crisis. The consumers have to pay the technical, commercial and economic loses of the existing DH systems, so their supportability has continuously decreased. The Government offered every year important subsidies for DH companies, as well as social helps for the heating of the low income families. The real problem is to not spend the public founds covering the losses of some not viable DH systems, managed by state own companies/authorities instead of use this money to help the low income family to pay their contribution for the rehabilitation/construction of an efficient heating system. Gas versus district heating tariffs represents a key factor for everyone's decision to prefer district heating or local heating. The Government has the responsibility to inform the population regarding the future evolution on long term power, heat and gas tariffs in order to help the population to decide what is the most sustainable heating system. Systematic restructuring and investment in efficient technologies are essential for the actual DH systems. This could be made only by a legal/institutional reform which will create the environment for a commercial operations .There is necessary to create the framework for private sector participation stimulation. Only by improving the ownership/management structures could

76 FR 71329 - Request for Information Regarding Private Education Loans and Private Educational Lenders

Science.gov (United States)

2011-11-17

... Regarding Private Education Loans and Private Educational Lenders AGENCY: Bureau of Consumer Financial... Justice and the Federal Trade Commission, to prepare a Report on Private Education Loans and Private... Justice and the Federal Trade Commission, to prepare a Report on Private Education Loans and Private...

Geothermal heating saves energy

International Nuclear Information System (INIS)

Romsaas, Tor

2003-01-01

The article reviews briefly a pioneer project for a construction area of 200000 m''2 with residences, business complexes, a hotel and conference centre and a commercial college in Oslo. The energy conservation potential is estimated to be about 60-70 % compared to direct heating with oil, gas or electricity as sources. There will also be substantial reduction in environmentally damaging emissions. The proposed energy central combines geothermal energy sources with heat pump technology, utilises water as energy carrier and uses terrestrial wells for energy storage. A cost approximation is presented

Dynamic Performance of a Residential Air-to-Air Heat Pump.

Science.gov (United States)

Kelly, George E.; Bean, John

This publication is a study of the dynamic performance of a 5-ton air-to-air heat pump in a residence in Washington, D.C. The effect of part-load operation on the heat pump's cooling and heating coefficients of performance was determined. Discrepancies between measured performance and manufacturer-supplied performance data were found when the unit…

Measured Performance of a Low Temperature Air Source Heat Pump

Energy Technology Data Exchange (ETDEWEB)

R.K. Johnson

2013-09-01

A 4-ton Low Temperature Heat Pump (LTHP) manufactured by Hallowell International was installed in a residence near New Haven, Connecticut and monitored over two winters of operation. After attending to some significant service issues, the heat pump operated as designed. This report should be considered a review of the dual compressor “boosted heat pump” technology. The Low Temperature Heat Pump system operates with four increasing levels of capacity (heat output) as the outdoor temperature drops.

Hospital admissions for traumatic brain injury of Austrian residents vs. of visitors to Austria.

Science.gov (United States)

Mauritz, Walter; Brazinova, Alexandra; Majdan, Marek; Leitgeb, Johannes

2014-01-01

The goal was to compare epidemiology of hospital admissions for traumatic brain injury (TBI) in Austrian residents vs. visitors to Austria. Data on all hospital admissions due to TBI (ICD-10 codes S06.0-S06.9; years 2009-2011) was provided by the Austrian Statistical Office. Data on Austrian population and on tourism (visitor numbers, nights spent) was retrieved from www.statistik.at . Age, sex, mechanism of injury, season and mortality was analysed for Austrian residents vs. visitors. Visitors contributed 3.9% to the total population and 9.2% of all TBI cases. Incidence of hospital admissions was 292/100,000/year in Austrian residents and was 727/100,000/year in visitors. Male:female ratio was 1.39:1 in Austrian residents and 1.55:1 in visitors. Austrian cases were older than visitors' cases (mean age 41 vs. 28 years). Austrian cases were distributed evenly over the seasons, while 75% of the visitors' cases happened during winter and spring. The most frequently observed causes of TBI in Austrian residents were private accidents, while sports caused almost half of the visitors' cases. Hospital mortality was lower in visitors than in Austrian residents (0.8 vs. 2.1%). Sports-related TBI of visitors causes a significant workload for Austrian hospitals. Better prevention is warranted.

Crystallite size variation of TiO_2 samples depending time heat treatment

International Nuclear Information System (INIS)

Galante, A.G.M.; Paula, F.R. de; Montanhera, M.A.; Pereira, E.A.; Spada, E.R.

2016-01-01

Titanium dioxide (TiO_2) is an oxide semiconductor that may be found in mixed phase or in distinct phases: brookite, anatase and rutile. In this work was carried out the study of the residence time influence at a given temperature in the TiO_2 powder physical properties. After the powder synthesis, the samples were divided and heat treated at 650 °C with a ramp up to 3 °C/min and a residence time ranging from 0 to 20 hours and subsequently characterized by x-ray diffraction. Analyzing the obtained diffraction patterns, it was observed that, from 5-hour residence time, began the two-distinct phase coexistence: anatase and rutile. It also calculated the average crystallite size of each sample. The results showed an increase in average crystallite size with increasing residence time of the heat treatment. (author)

Mini-Split Heat Pumps Multifamily Retrofit Feasibility Study

Energy Technology Data Exchange (ETDEWEB)

Dentz, Jordan [ARIES Collaborative, New York, NY (United States); Podorson, David [ARIES Collaborative, New York, NY (United States); Varshney, Kapil [ARIES Collaborative, New York, NY (United States)

2014-05-01

Mini-split heat pumps can provide space heating and cooling in many climates and are relatively affordable. These and other features make them potentially suitable for retrofitting into multifamily buildings in cold climates to replace electric resistance heating or other outmoded heating systems. This report investigates the suitability of mini-split heat pumps for multifamily retrofits. Various technical and regulatory barriers are discussed and modeling was performed to compare long-term costs of substituting mini-splits for a variety of other heating and cooling options. A number of utility programs have retrofit mini-splits in both single family and multifamily residences. Two such multifamily programs are discussed in detail.

Private Equity Waves

NARCIS (Netherlands)

J.T.J. Smit (Han); W.A. van den Berg (Ward)

2006-01-01

textabstractThis study presents a dynamic model for the private equity market in which information revelation and uncertainty rationally explain the cyclical pattern of investment flows into private equity. The net benefit of private equity over public equity is i) uncertain and ii) agents have

The Effect of Thermal Mass on Annual Heat Load and Thermal Comfort in Cold Climate Construction

DEFF Research Database (Denmark)

Stevens, Vanessa; Kotol, Martin; Grunau, Bruno

2016-01-01

been shown to reduce the annual heating demand. However, few studies exist regarding the effects of thermal mass in cold climates. The purpose of this research is to determine the effect of high thermal mass on the annual heat demand and thermal comfort in a typical Alaskan residence using energy......Thermal mass in building construction refers to a building material's ability to absorb and release heat based on changing environmental conditions. In building design, materials with high thermal mass used in climates with a diurnal temperature swing around the interior set-point temperature have...... modeling software. The model simulations show that increased thermal mass can decrease the risk of summer overheating in Alaskan residences. They also show that increased thermal mass does not significantly decrease the annual heat load in residences located in cold climates. These results indicate...

Retaining Access to Key Tourist Assets for Local Residents: A Case of Mount Kinabalu

Directory of Open Access Journals (Sweden)

Bidder Christy

2014-01-01

Full Text Available Tourism development can occur to the detriment of real or perceived access to major tourist destinations by local residents. They can find access changed due to privatization of assets or imposition of restrictions on the permissible uses. Drawing upon this subset of tourism impact on the host community, this study analyzes the access by local residents to Mount Kinabalu in Sabah, Malaysian Borneo. Specifically, it examines the retention of access to the mountain for local Sabahans. Interviews with park management were conducted and questionnaires were distributed to local residents. The results show that the number of Sabahan climbers has always been significantly lower than other Malaysian and foreign climbers, despite the introduction of the Sabahan rate. Additionally, the actual number of Sabahan climbers is lower than the allocated quota potential. The paper proposes several recommendations that the park management can consider to ensure local Sabahans will have a fair and equal access to Mount Kinabalu.

Exploring the concurrent validity of the nationwide assessment of permanent nursing home residence in Denmark

DEFF Research Database (Denmark)

Bebe, Anna; Nielsen, Anni Brit Sternhagen; Willadsen, Tora Grauers

2017-01-01

, and the other based on an algorithm created by StatD. The aim of the present study was to validate StatD's nursing home register using dedicated administrative municipality records on individual nursing home residents as gold standard. METHODS: In total, ten Danish municipalities were selected. Within each...... in a nursing home or in a private home. Method 2 is based on an algorithm created by Stat D for the municipalities where Method 1 is not applicable. Our gold standard was the information from the local administrative system in all ten selected municipalities. Each municipality provided a list with all...... directly from the municipalities, which was used as our gold Standard 3821 individuals were identified as nursing home residents. The StatD register identified 6,141 individuals as residents. Additionally, 556 of the individuals identified by the municipalities were not identified in the StatD register...

Why do some women refuse to allow male residents to perform pelvic exams?

Science.gov (United States)

Rifkin, Julie I; Shapiro, Howard; Regensteiner, Judith G; Stotler, Jeanne K; Schmidt, Betty

2002-10-01

Many women who receive medical care in residency training clinics refuse to allow male residents to perform their pelvic exams. This study was conducted to identify which women were most likely to refuse and to learn their reasons for refusing. From January to March 1997, a questionnaire was given to all women entering a Tri-County Health office and a Planned Parenthood clinic, both in the Denver, Colorado, metropolitan area, who consented to participate in the study. Data from the questionnaire were analyzed using a statistical software package. A total of 1,437 women entered the clinics during the study period. Of these patients, 1,078 consented to complete the questionnaire. Seven of these 1,078 women did not complete the questionnaire. Women who did not know the training level of the resident performing the pelvic exam were more likely to refuse than were women who knew the training level of the resident (p =.001), but many women preferred a female physician regardless of the physician's training level. Fifty-eight percent said they would allow a male resident to observe a female attending physician perform the exam, compared with 36% who said they would allow a male resident to observe if the attending physician was a man. Common statements from those who would refuse were: "I am just more comfortable with a female," "Women do not want men to examine their private body parts," and "Women explain things better." A woman's knowledge of the resident's training level correlates with her willingness to have a pelvic exam performed by a male resident. Women who said they would refuse a pelvic exam performed by a male resident gave specific reasons for their decision.

Effect of repetitive feedback on residents' communication skills improvement.

Directory of Open Access Journals (Sweden)

Ali Labaf

2014-07-01

Full Text Available To evaluate the effect of frequent feedback on residents' communication skills as measured by a standardized checklist. Five medical students were recruited in order to assess twelve emergency medicine residents' communication skills during a one-year period. Students employed a modified checklist based on Calgary-Cambridge observation guide. The checklist was designed by faculty members of Tehran University of Medical Science, used for assessment of students' communication skills. 24 items from 71 items of observational guide were selected, considering study setting and objects. Every two months an expert faculty, based on descriptive results of observation, gave structured feedback to each resident during a 15-minute private session. Total mean score for baseline observation standing at 20.58 was increased significantly to 28.75 after feedbacks. Results markedly improved on "gathering information" (T1=5.5, T6=8.33, P=0.001, "building relationship" (T1=1.5, T6=4.25, P<0.001 and "closing the session" (T1=0.75, T6=2.5, P=0.001 and it mildly dropped on "understanding patients view" (T1=3, T6=2.33, P=0.007 and "providing structure" (T1=4.17, T6=4.00, P=0.034. Changes in result of "initiating the session" and "explanation and planning" dimensions are not statically significant (P=0.159, P=0.415 respectively. Frequent feedback provided by faculty member can improve residents' communication skills. Feedback can affect communication skills educational programs, and it can be more effective if it is combined with other educational methods.

Effect of repetitive feedback on residents' communication skills improvement.

Science.gov (United States)

Labaf, Ali; Jamali, Kazem; Jalili, Mohammad; Baradaran, Hamid R; Eizadi, Parisa

2014-01-01

To evaluate the effect of frequent feedback on residents' communication skills as measured by a standardized checklist. Five medical students were recruited in order to assess twelve emergency medicine residents' communication skills during a one-year period. Students employed a modified checklist based on Calgary-Cambridge observation guide. The checklist was designed by faculty members of Tehran University of Medical Science, used for assessment of students' communication skills. 24 items from 71 items of observational guide were selected, considering study setting and objects. Every two months an expert faculty, based on descriptive results of observation, gave structured feedback to each resident during a 15-minute private session. Total mean score for baseline observation standing at 20.58 was increased significantly to 28.75 after feedbacks. Results markedly improved on "gathering information" (T1=5.5, T6=8.33, P=0.001), "building relationship" (T1=1.5, T6=4.25, P<0.001) and "closing the session" (T1=0.75, T6=2.5, P=0.001) and it mildly dropped on "understanding patients view" (T1=3, T6=2.33, P=0.007) and "providing structure" (T1=4.17, T6=4.00, P=0.034). Changes in result of "initiating the session" and "explanation and planning" dimensions are not statically significant (P=0.159, P=0.415 respectively). Frequent feedback provided by faculty member can improve residents' communication skills. Feedback can affect communication skills educational programs, and it can be more effective if it is combined with other educational methods.

Explaining Direct Care Resource Use of Nursing Home Residents: Findings from Time Studies in Four States

Science.gov (United States)

Arling, Greg; Kane, Robert L; Mueller, Christine; Lewis, Teresa

2007-01-01

Objective To explain variation in direct care resource use (RU) of nursing home residents based on the Resource Utilization Groups III (RUG-III) classification system and other resident- and unit-level explanatory variables. Data Sources/Study Setting Primary data were collected on 5,314 nursing home residents in 156 nursing units in 105 facilities from four states (CO, IN, MN, MS) from 1998 to 2004. Study Design Nurses and other direct care staff recorded resident-specific and other time caring for all residents on sampled nursing units. Care time was linked to resident data from the Minimum Data Set assessment instrument. Major variables were: RUG-III group (34-group), other health and functional conditions, licensed and other professional minutes per day, unlicensed minutes per day, and direct care RU (wage-weighted minutes). Resident- and unit-level relationships were examined through hierarchical linear modeling. Data Collection/Extraction Methods Time study data were recorded with hand-held computers, verified for accuracy by project staff at the data collection sites and then merged into resident and unit-level data sets. Principal Findings Resident care time and RU varied between and within nursing units. RUG-III group was related to RU; variables such as length of stay and unit percentage of high acuity residents also were significantly related. Case-mix indices (CMIs) constructed from study data displayed much less variation across RUG-III groups than CMIs from earlier time studies. Conclusions Results from earlier time studies may not be representative of care patterns of Medicaid and private pay residents. New RUG-III CMIs should be developed to better reflect the relative costs of caring for these residents. PMID:17362220

Privatization in economic theory

Directory of Open Access Journals (Sweden)

Drakić Maja

2007-01-01

Full Text Available In reality privatization has never occurred according to the handbook rules of ordinary market transactions. Not even in advanced market economies can privatization transactions be described by the Walrasian or Arrowian, or Leontiefian equilibrium models, or by the equilibrium models of the game theory. In these economies transactions of privatization take place in a fairly organic way – which means that those are driven by the dominance of private property rights and in a market economy. But despite this fact Western privatization also some peculiar features as compared to ordinary company takeovers, since the state as the seller may pursue non – economic goals. Changes in the dominant form of property change positions and status of many individuals and groups in the society. That’s why privatization can even less be explained by ordinary market mechanisms in transition countries where privatizing state-owned property have happened in a mass scale and where markets and private property rights weren't established at the time process of privatization began. In this paper I’ll discuss and analyze the phenomenon of privatization in context of different economic theories arguing that empirical results go in favor of the public choice theory (Buchanan, 1978, theory of "economic constitution" (Brennan and Buchanan 1985, (Buchanan and Tullock, 1989, and theory of "collective action" (Olson, 1982. These theories argues that transition from one economic system into another, for example transition from collectivistic, socialistic system into capitalism and free market economy with dominant private property, will not happen through isolated changes of only few economic institutions, no matter how deep that changes would be. In other words privatization can not give results if it's not followed by comprehensive change of economic system because privatized companied wouldn't be able to operate in old environment.

Effect of Residence Time on Hydrothermal Carbonization of Corn Cob Residual

Directory of Open Access Journals (Sweden)

Lei Zhang

2015-05-01

Full Text Available Hydrothermal carbonization is a promising technique for conversion of industrial waste into valuable products. Producing hydrochar from corn cob residual (CCR in a cost-effective way is key, from an economic standpoint. For this purpose, the effect of residence time in the range of 0.5 to 6 h was studied under the optimal temperature of 250 °C. Results showed that the higher heating value (HHV of hydrochar increased approximately 40% in comparison to that of the raw material; however, prolonging the residence time beyond 0.5 h had a negligible effect on the HHV increase. Chemical compositions and H/C and O/C ratios of hydrochars revealed a minimal effect of longer residence time. Furthermore, thermogravimetric and derivative thermogravimetric analysis (TG/DTG, Fourier transform infrared spectroscopy (FTIR, and X-ray diffraction (XRD analysis of hydrochars also verified that the pyrolysis behavior and chemical structure of hydrochars with various residence times were similar.

D-Zero HVAC Heat Pump Controls

International Nuclear Information System (INIS)

Markley, Dan

2004-01-01

This engineering note documents the integration of Dzero Heat Pump 1 through Heat Pump 15 into the cryo/gas process control system commonly referred to as the cryo control system. Heat pumps 1 through 15 control the ambient air temperature on the 3rd, 5th, and 6th floor office areas at Dzero. The entire Johnson HVAC control system was replaced with a Siemens control system in 1999 leaving behind the 15 heat pumps with stand-alone Johnson controllers. Now, these 15 heat pump Johnson controllers are being replaced with small stand alone Beckhoff BC9000 controllers. The Beckhoff BC9000 controllers are network able into the existing Intellution control system. The Beckhoff BC9000 controllers use the cryo private Ethernet network and an OPC driver to get data into the Intellution SCADA node databases. The BC9000 is also programmed over this same Ethernet network.

Resident fatigue in otolaryngology residents: a Web based survey.

Science.gov (United States)

Nida, Andrew M; Googe, Benjamin J; Lewis, Andrea F; May, Warren L

2016-01-01

Resident fatigue has become a point of emphasis in medical education and its effects on otolaryngology residents and their patients require further study. The purpose of our study was to evaluate the prevalence and nature of fatigue in otolaryngology residents, evaluate various quality of life measures, and investigate associations of increased fatigue with resident safety. Anonymous survey. Internet based. United States allopathic otolaryngology residents. None. The survey topics included demographics, residency structure, sleep habits and perceived stress. Responses were correlated with a concurrent Epworth Sleep Scale questionnaire to evaluate effects of fatigue on resident training and quality of life. 190 residents responded to the survey with 178 completing the Epworth Sleep Scale questionnaire. Results revealed a mean Epworth Sleep Scale score of 9.9±5.1 with a median of 10.0 indicating a significant number of otolaryngology residents are excessively sleepy. Statistically significant correlations between Epworth Sleep Scale and sex, region, hours of sleep, and work hours were found. Residents taking in-house call had significantly fewer hours of sleep compared to home call (p=0.01). Residents on "head and neck" (typically consisting of a large proportion of head and neck oncologic surgery) rotations tended to have higher Epworth Sleep Scale and had significantly fewer hours of sleep (p=.003) and greater work hours (potolaryngology residents are excessively sleepy. Our data suggest that the effects of fatigue play a role in resident well-being and resident safety. Copyright © 2016 Elsevier Inc. All rights reserved.

Privatization Framework: Political Economy Perspective

OpenAIRE

Bastian, Indra

2009-01-01

Privatization has been recognized as a worldwide phenomenon. In this pa-per, a political economy approach is developed to analyze privatization. The ap-proach assumes that political economy and privatization overlap in people’s need. So, the framework of political economy in privatization is based on the ‘need’ phi-losophy. Government and private sectors are contrasted in this respect, leading to a conclusion on privatization as a method to manage the economy. Keywords: privatization, politic...

Private Roads

NARCIS (Netherlands)

Verhoef, Erik T.

2007-01-01

This paper studies the efficiency impacts of private toll roads in initially untolled networks. The analysis allows for capacity and toll choice by private operators, and endogenizes entry and therewith the degree of competition, distinguishing and allowing for both parallel and serial competition.

Intelligent Heat System - High-Energy Efficient Wood Stoves with Low Emissions. Field Tests

DEFF Research Database (Denmark)

Illerup, Jytte Boll; Nickelsen, Joachim; Hansen, Brian Brun

2014-01-01

Wood stoves have the potential of providing CO2-neutral energy without transmission loss—but with the significant drawbacks of high emissions of pollutants and particulate matter at low altitude close to private homes, and with an uneven heat release profile which produces non-optimal heating...

Demand side management in South Africa at industrial residence water heating systems using in line water heating methodology

International Nuclear Information System (INIS)

Rankin, R.; Rousseau, P.G.

2008-01-01

The South African electrical utility, ESKOM, currently focuses its demand side management (DSM) initiatives on controlling electrical load between 18:00 and 20:00 each day, which is the utility's peak demand period. Funding is provided to energy service companies (ESCo's) to implement projects that can achieve load shifting out of this period. This paper describes how an improved in line water heating concept developed in previous studies was implemented into several real life industrial sanitary water heating systems to obtain the DSM load shift required by ESKOM. Measurements from a selection of these plants are provided to illustrate the significant load reductions that are being achieved during 18:00-20:00. The measured results also show that the peak load reduction is achieved without adversely affecting the availability of sufficient hot water to the persons using the showering and washing facilities served by the water heating system. A very good correlation also exists between these measured results and simulations that were done beforehand to predict the DSM potential of the project. The in line water heater concept provides an improved solution for DSM at sanitary water heating systems due to the stratified manner in which hot water is supplied to the tanks. This provides an improved hot water supply to users when compared to conventional in tank heating systems, even with load shifting being done. It also improves the storage efficiency of a plant, thereby allowing the available storage capacity of a plant to be utilized to its full extent for load shifting purposes

Institutional and financial guide to geothermal district heating. Serial No. 2

Energy Technology Data Exchange (ETDEWEB)

1982-03-01

General planning considerations which affect nearly every community are reviewed, and alternative operating structures which are available to communities are reviewed, including local governments, nonprofit cooperatives, private enterprises, and joint ventures. The financing options available to publicly-owned and privately-owned district heating systems are then summarized. The geothermal production and distribution activities most appropriate to each type of operating structure are reviewed, along with typical equity and debt funding sources. The tax advantages for private developers are described, as are the issures of customer contracts and service prices, and customer retrofit financing. The treatment is limited to an introductory overview. (LEW)

Learning strategies used by cardiology residents: assessment of learning styles and their correlations.

Science.gov (United States)

de Lima, Alberto Alves; Bettati, María Ines; Baratta, Sergio; Falconi, Mariano; Sokn, Fernando; Galli, Amanda; Barrero, Carlos; Cagide, Arturo; Iglesias, Ricardo

2006-11-01

To identify the learning styles of a group of cardiology residents (R) undergoing a training program at the University of Buenos Aires and to identify correlations of these styles. Statistical data were obtained through a 120-question survey developed by Vermunt and colleagues, which identified four different learning styles: construction-directed; reproduction-directed; application-directed; and undirected. Four variables were identified [gender, previous experience as a teaching assistant (TA) in medical school, university final average (FA) and the public or private institution/centre of origin] in order to analyse level of correlation with learning styles (LS). Between April 2001 and April 2002, 149 residents (R) completed the survey. Average age was 29 (+/-2.7) years old; with 63% being men. The predominant LS were oriented toward knowledge application. In terms of variables, no differences regarding gender were detected; the R with TA showed undirected LS characteristics; those with a low FA registered a tendency towards reproduction-directed LS; and those residents at public/state medical centres indicated construction-directed LS tendencies. An application-directed learning style predominates in this group of residents. Information regarding learning styles can provide foundations upon which arguments can be made for changes in education that are traditionally not evidence-based.

Prevalence and cost of full-time research fellowships during general surgery residency: a national survey.

Science.gov (United States)

Robertson, Charles M; Klingensmith, Mary E; Coopersmith, Craig M

2009-01-01

To quantify the prevalence, outcomes, and cost of surgical resident research. General surgery is unique among graduate medical education programs because a large percentage of residents interrupt their clinical training to spend 1 to 3 years performing full-time research. No comprehensive data exists on the scope of this practice. Survey sent to all 239 program directors of general surgery residencies participating in the National Resident Matching Program. Response rate was 200 of 239 (84%). A total of 381 of 1052 trainees (36%) interrupt residency to pursue full-time research. The mean research fellowship length is 1.7 years, with 72% of trainees performing basic science research. A significant association was found between fellowship length and postresidency activity, with a 14.7% increase in clinical fellowship training and a 15.2% decrease in private practice positions for each year of full-time research (P < 0.0001). Program directors at 31% of programs reported increased clinical duties for research fellows as a result of Accreditation Council for Graduate Medical Education work hour regulations for clinical residents, whereas a further 10% of programs are currently considering such changes. It costs $41.5 million to pay the 634 trainees who perform research fellowships each year, the majority of which is paid for by departmental funds (40%) and institutional training grants (24%). Interrupting residency to perform a research fellowship is a common and costly practice among general surgery residents. Although performing a research fellowship is associated with clinical fellowship training after residency, it is unclear to what extent this practice leads to the development of surgical investigators after postgraduate training.

Interests and Advantages of the Private Sector in the State-Private Partnership

OpenAIRE

Brailovskiy Ilya A.

2013-01-01

The article is devoted to analysis of interests that stimulate a private partner to joint activity with the state and advantages they obtain from realisation of projects of the state-private partnership (SPP). It marks out main features and fields of application of the state-private partnership. It underlines that an important prerequisite for motivation of the private sector to enter into partnership relations with the state is observance of clear law competent formal rules in the institutio...

[Private health insurance in Brazil: approaches to public/private patterns in healthcare].

Science.gov (United States)

Sestelo, José Antonio de Freitas; Souza, Luis Eugenio Portela Fernandes de; Bahia, Lígia

2013-05-01

This article draws on a previous review of 270 articles on private health plans published from 2000 to 2010 and selects 17 that specifically address the issue of the relationship between the public and private healthcare sectors. Content analysis considered the studies' concepts and terms, related theoretical elements, and predominant lines of argument. A reading of the argumentative strategies detected the existence of a critical view of the modus operandi in the public/private relationship based on Social Medicine and the theoretical tenets of the Brazilian Health Reform Movement. The study also identified contributions based on neoliberal business approaches that focus strictly on economic issues to discuss private health insurance. Understanding the public/private link in healthcare obviously requires the development of a solid empirical base, analyzed with adequate theoretical assumptions due to the inherent degree of complexity in the public/private healthcare interface.

Devolatilization characteristics of biomass at flash heating rate

Energy Technology Data Exchange (ETDEWEB)

Xiu Shuangning; Li Zhihe; Li Baoming; Yi Weiming; Bai Xueyuan [China Agricultural University, Beijing (China). College of Water Conservancy and Civil Engineering

2006-03-15

The devolatilization characteristics of biomass (wheat straw, coconut shell, rice husk and cotton stalk) during flash pyrolysis has been investigated on a plasma heated laminar entrained flow reactor (PHLEFR) with average heating rates of 10{sup 4} K/s. These experiments were conducted with steady temperatures between 750 and 900 K, and the particle residence time varied from about 0.115 to 0.240 s. The ash tracer method was introduced to calculate the yield of volatile products at a set temperature and the residence time. This experimental study showed that the yield of volatile products depends both on the final pyrolysis temperature and the residence time. From the results, a comparative analysis was done for the biomasses, and a one-step global model was used to simulate the flash pyrolytic process and predict the yield of volatile products during pyrolysis. The corresponding kinetic parameters of the biomasses were also analyzed and determined. These results were essential for designing a suitable pyrolysis reactor. 24 refs., 5 figs., 5 tabs.

Birth order and private voluntary immunization--a study of 110,902 children.

Science.gov (United States)

Gavrielov-Yusim, Natalie; Battat, Erez; Neumann, Lily; Friger, Michael; Balicer, Ran D

2012-01-05

Introduction of new private, voluntary immunizations often results in low vaccine uptake among certain sub-groups within the population. Revealing factors associated with underimmunization is crucial in vaccine endorsement and distribution. Our goal was to investigate the effect of child's birth order on private voluntary varicella vaccination. A nested case-control study was conducted on a cohort of 110,902 Israeli children under the age of 5 years. We compared social and demographic factors of immunized and unimmunized participants. Logistic regression models were built to examine the association between birth order and vaccination, controlling for child's age, gender, country of birth, ethnicity, parents' country of birth, area of residence, and socioeconomic status (SES). Ethnicity had the highest association with varicella immunization status. The odds of vaccination in the general Jewish and Ultra-Orthodox Jewish populations were 25.55- (95%CI:20.13;32.42) and 15.04- (95%CI:10.18;22.22) times the odds in Arab population, respectively. Child's birth order was inversely related to vaccination status and presented a nonlinear exposure-response relationship. This relationship was maintained in different ethnicity and SES groups. Child's birth order was associated with vaccination differently in large (> 3 siblings) and small to average-sized sibships (≤ 3 siblings). Other parameters associated with vaccination were child's and parents' country of origin, area of residence and SES. Birth order is an independent risk factor for underimmunization, associated with child's vaccination status beyond economic, social, and demographic parental characteristics. Copyright © 2011 Elsevier Ltd. All rights reserved.

Prevalence and Cost of Full-Time Research Fellowships During General Surgery Residency – A National Survey

Science.gov (United States)

Robertson, Charles M.; Klingensmith, Mary E.; Coopersmith, Craig M.

2009-01-01

Structured Abstract Objective To quantify the prevalence, outcomes, and cost of surgical resident research. Summary Background Data General surgery is unique among graduate medical education programs because a large percentage of residents interrupt their clinical training to spend 1-3 years performing full-time research. No comprehensive data exists on the scope of this practice. Methods Survey sent to all 239 program directors of general surgery residencies participating in the National Resident Matching Program. Results Response rate was 200/239 (84%). A total of 381 out of 1052 trainees (36%) interrupt residency to pursue full-time research. The mean research fellowship length is 1.7 years, with 72% of trainees performing basic science research. A significant association was found between fellowship length and post-residency activity, with a 14.7% increase in clinical fellowship training and a 15.2% decrease in private practice positions for each year of full-time research (p<0.0001). Program directors at 31% of programs reported increased clinical duties for research fellows as a result of ACGME work hour regulations for clinical residents, while a further 10% of programs are currently considering such changes. It costs $41.5 million to pay the 634 trainees who perform research fellowships each year, the majority of which is paid for by departmental funds (40%) and institutional training grants (24%). Conclusions Interrupting residency to perform a research fellowship is a common and costly practice among general surgery residents. While performing a research fellowship is associated with clinical fellowship training after residency, it is unclear to what extent this practice leads to the development of surgical investigators after post-graduate training. PMID:19106692

Impact of Residency Training Redesign on Residents' Clinical Knowledge.

Science.gov (United States)

Waller, Elaine; Eiff, M Patrice; Dexter, Eve; Rinaldo, Jason C B; Marino, Miguel; Garvin, Roger; Douglass, Alan B; Phillips, Robert; Green, Larry A; Carney, Patricia A

2017-10-01

The In-training Examination (ITE) is a frequently used method to evaluate family medicine residents' clinical knowledge. We compared family medicine ITE scores among residents who trained in the 14 programs that participated in the Preparing the Personal Physician for Practice (P4) Project to national averages over time, and according to educational innovations. The ITE scores of 802 consenting P4 residents who trained in 2007 through 2011 were obtained from the American Board of Family Medicine. The primary analysis involved comparing scores within each academic year (2007 through 2011), according to program year (PGY) for P4 residents to all residents nationally. A secondary analysis compared ITE scores among residents in programs that experimented with length of training and compared scores among residents in programs that offered individualized education options with those that did not. Release of ITE scores was consented to by 95.5% of residents for this study. Scores of P4 residents were higher compared to national scores in each year. For example, in 2011, the mean P4 score for PGY1 was 401.2, compared to the national average of 386. For PGY2, the mean P4 score was 443.1, compared to the national average of 427, and for PGY3, the mean P4 score was 477.0, compared to the national PGY3 score of 456. Scores of residents in programs that experimented with length of training were similar to those in programs that did not. Scores were also similar between residents in programs with and without individualized education options. Family medicine residency programs undergoing substantial educational changes, including experiments in length of training and individualized education, did not appear to experience a negative effect on resident's clinical knowledge, as measured by ITE scores. Further research is needed to study the effect of a wide range of residency training innovations on ITE scores over time.

Setting up virtual private network

International Nuclear Information System (INIS)

Huang Hongmei; Zhang Chengjun

2003-01-01

Setting up virtual private network for business enterprise provides a low cost network foundation, increases enterprise's network function and enlarges its private scope. The text introduces virtual private network's principal, privileges and protocols that use in virtual private network. At last, this paper introduces several setting up virtual private network's technologies which based on LAN

Setting up virtual private network

International Nuclear Information System (INIS)

Huang Hongmei; Zhang Chengjun

2003-01-01

Setting up virtual private network for business enterprise provides a low cost network foundation, increases enterprise network function and enlarges its private scope. This text introduces virtual private network principal, privileges and protocols applied in virtual private network. At last, this paper introduces several setting up virtual private network technologies which is based on LAN

An Analysis of Publication Productivity During Residency for 1506 Neurosurgical Residents and 117 Residency Departments in North America.

Science.gov (United States)

Khan, Nickalus R; Saad, Hassan; Oravec, Chesney S; Norrdahl, Sebastian P; Fraser, Brittany; Wallace, David; Lillard, Jock C; Motiwala, Mustafa; Nguyen, Vincent N; Lee, Siang Liao; Jones, Anna V; Ajmera, Sonia; Kalakoti, Piyush; Dave, Pooja; Moore, Kenneth A; Akinduro, Olutomi; Nyenwe, Emmanuel; Vaughn, Brandy; Michael, L Madison; Klimo, Paul

2018-05-30

Bibliometrics is defined as the study of statistical and mathematical methods used to quantitatively analyze scientific literature. The application of bibliometrics in neurosurgery continues to evolve. To calculate a number of publication productivity measures for almost all neurosurgical residents and departments within North America. These measures were correlated with survey results on the educational environment within residency programs. During May to June 2017, data were collected from departmental websites and Scopus to compose a bibliometric database of neurosurgical residents and residency programs. Data related to authorship value and study content were collected on all articles published by residents. A survey of residency program research and educational environment was administered to program directors and coordinators; results were compared with resident academic productivity. The median number of publications in residency was 3; median h-index and Resident index were 1 and 0.17 during residency, respectively. There was a statistically significant difference in academic productivity among male neurosurgical residents compared with females. The majority of articles published were tier 1 clinical articles. Residency program research support was significantly associated with increased resident productivity (P productivity. This study represents the most comprehensive bibliometric assessment of neurosurgical resident academic productivity during training to date. New benchmarks for individual and department academic productivity are provided. A supportive research environment for neurosurgical residents is associated with increased academic productivity, but a scholarly activity requirement was, surprisingly, not shown to have a positive effect.

Heating, ventilating, and air-conditioning applications

International Nuclear Information System (INIS)

Anon.

1991-01-01

This book covers: Comfort air conditioning and heating of residences: Space HVAC systems; Industrial and special air conditioning and ventilation for nuclear facilities, and for mines; Energy sources, such as Geothermal energy, solar utilization, and energy resources; Building operation and maintenance; energy management, and Thermal storage

Combined heat and power in the City

Energy Technology Data Exchange (ETDEWEB)

Crafter, A. [Corporation of London (United Kingdom). Dept. of Technical Services

2002-03-01

This article reports on the development of a large-scale combined heat and power community energy scheme within the City of London. Supported by the Corporation of London and using its own buildings to provide the heating and cooling loads, the scheme has established a power plant close to Smithfield Meat Market and supplies district heating and chilled water for air conditioning to its own properties and some private customers in the nearby districts. Details are given of the power plant which is sited in a conservation area with limited access, the use of absorption chillers to produce the chilled water, the estimated amount of carbon dioxide emissions saved, and the financial benefits of the scheme.

Private development-based forest conservation in Patagonia: comparing mental models and revealing cultural truths

Directory of Open Access Journals (Sweden)

Christopher Serenari

2015-09-01

Full Text Available Private protected area (PPA conservation agents (CA engaging in development-based conservation in southern Chile have generated conflict with locals. Poor fit of dominant development-based conservation ideology in rural areas is commonly to blame. We developed and administered a cultural consensus survey near the Valdivian Coastal Reserve (RCV and Huilo Huilo Reserve (HH to examine fit of CA cultural truths with local residents. Cultural consensus analysis (CCA of 23 propositions reflecting CA cultural truths confirmed: (1 a single CA culture exists, and (2 RCV communities were more aligned with this culture than HH communities. Inadequate communication, inequitable decision making, divergent opinions about livelihood impacts and trajectories, and PPA purpose may explain differences between CAs and communities. Meanwhile, variability in response between and within communities may reflect differing environmental histories. Private protected area administrations might use CCA to confront cultural differences and thereby improve their community interactions.

Employment and satisfaction trends among general surgery residents from a community hospital.

Science.gov (United States)

Cyr-Taro, Amy E; Kotwall, Cyrus A; Menon, Rema P; Hamann, M Sue; Nakayama, Don K

2008-01-01

Physician satisfaction is an important and timely issue in health care. A paucity of literature addresses this question among general surgeons. To review employment patterns and job satisfaction among general surgery residents from a single university-affiliated institution. All general surgery residents graduating from 1986 to 2006, inclusive, were mailed an Institutional Review Board-approved survey, which was then returned anonymously. Information on demographics, fellowship training, practice characteristics, job satisfaction and change, and perceived shortcomings in residency training was collected. A total of 31 of 34 surveys were returned (91%). Most of those surveyed were male (94%) and Caucasian (87%). Sixty-one percent of residents applied for a fellowship, and all but 1 were successful in obtaining their chosen fellowship. The most frequent fellowship chosen was plastic surgery, followed by minimally invasive surgery. Seventy-one percent of residents who applied for fellowship felt that the program improved their competitiveness for a fellowship. Most of the sample is in private practice, and of those, 44% are in groups with more than 4 partners. Ninety percent work less than 80 hours per week. Only 27% practice in small towns (population job. Twenty-three percent agreed that they had difficulty finding their first job, and 30% had fewer job offers than expected. Thirty-five percent of the graduates have changed jobs: 29% of the residents have changed jobs once, and 6% have changed jobs at least twice since completing training. Reasons for leaving a job included colleague issues (82%), financial issues (82%), inadequate referrals (64%), excessive trauma (64%), and marriage or family reasons (55% and 55%, respectively). One half to three fourths of the graduates wished they had more teaching on postresidency business and financial issues, review of contracts, and suggestions for a timeline for finding a job. Although general surgical residencies prepare

Near-term viability of solar heat applications for the federal sector

Science.gov (United States)

Williams, T. A.

1991-12-01

Solar thermal technologies are capable of providing heat across a wide range of temperatures, making them potentially attractive for meeting energy requirements for industrial process heat applications and institutional heating. The energy savings that could be realized by solar thermal heat are quite large, potentially several quads annually. Although technologies for delivering heat at temperatures above 100 C currently exist within industry, only a fairly small number of commercial systems have been installed to date. The objective of this paper is to investigate and discuss the prospects for near term solar heat sales to federal facilities as a mechanism for providing an early market niche to the aid the widespread development and implementation of the technology. The specific technical focus is on mid-temperature (100 to 350 C) heat demands that could be met with parabolic trough systems. Federal facilities have several features relative to private industry that may make them attractive for solar heat applications relative to other sectors. Key features are specific policy mandates for conserving energy, a long term planning horizon with well defined decision criteria, and prescribed economic return criteria for conservation and solar investments that are generally less stringent than the investment criteria used by private industry. Federal facilities also have specific difficulties in the sale of solar heat technologies that are different from those of other sectors, and strategies to mitigate these difficulties will be important. For the baseline scenario developed in this paper, the solar heat application was economically competitive with heat provided by natural gas. The system levelized energy cost was $5.9/MBtu for the solar heat case, compared to $6.8/MBtu for the life cycle fuel cost of a natural gas case. A third-party ownership would also be attractive to federal users, since it would guarantee energy savings and would not need initial federal funds.

Incorporating resident research into the dermatology residency program

Science.gov (United States)

Wagner, Richard F; Raimer, Sharon S; Kelly, Brent C

2013-01-01

Programmatic changes for the dermatology residency program at The University of Texas Medical Branch were first introduced in 2005, with the faculty goal incorporating formal dermatology research projects into the 3-year postgraduate training period. This curriculum initially developed as a recommendation for voluntary scholarly project activity by residents, but it evolved into a program requirement for all residents in 2009. Departmental support for this activity includes assignment of a faculty mentor with similar interest about the research topic, financial support from the department for needed supplies, materials, and statistical consultation with the Office of Biostatistics for study design and data analysis, a 2-week elective that provides protected time from clinical activities for the purpose of preparing research for publication and submission to a peer-reviewed medical journal, and a departmental award in recognition for the best resident scholarly project each year. Since the inception of this program, five classes have graduated a total of 16 residents. Ten residents submitted their research studies for peer review and published their scholarly projects in seven dermatology journals through the current academic year. These articles included three prospective investigations, three surveys, one article related to dermatology education, one retrospective chart review, one case series, and one article about dermatopathology. An additional article from a 2012 graduate about dermatology education has also been submitted to a journal. This new program for residents was adapted from our historically successful Dermatology Honors Research Program for medical students at The University of Texas Medical Branch. Our experience with this academic initiative to promote dermatology research by residents is outlined. It is recommended that additional residency programs should consider adopting similar research programs to enrich resident education. PMID:23901305

Incorporating resident research into the dermatology residency program.

Science.gov (United States)

Wagner, Richard F; Raimer, Sharon S; Kelly, Brent C

2013-01-01

Programmatic changes for the dermatology residency program at The University of Texas Medical Branch were first introduced in 2005, with the faculty goal incorporating formal dermatology research projects into the 3-year postgraduate training period. This curriculum initially developed as a recommendation for voluntary scholarly project activity by residents, but it evolved into a program requirement for all residents in 2009. Departmental support for this activity includes assignment of a faculty mentor with similar interest about the research topic, financial support from the department for needed supplies, materials, and statistical consultation with the Office of Biostatistics for study design and data analysis, a 2-week elective that provides protected time from clinical activities for the purpose of preparing research for publication and submission to a peer-reviewed medical journal, and a departmental award in recognition for the best resident scholarly project each year. Since the inception of this program, five classes have graduated a total of 16 residents. Ten residents submitted their research studies for peer review and published their scholarly projects in seven dermatology journals through the current academic year. These articles included three prospective investigations, three surveys, one article related to dermatology education, one retrospective chart review, one case series, and one article about dermatopathology. An additional article from a 2012 graduate about dermatology education has also been submitted to a journal. This new program for residents was adapted from our historically successful Dermatology Honors Research Program for medical students at The University of Texas Medical Branch. Our experience with this academic initiative to promote dermatology research by residents is outlined. It is recommended that additional residency programs should consider adopting similar research programs to enrich resident education.

Heat supply planning for the ecological housing community Munksøgård

DEFF Research Database (Denmark)

Karlsson, Kenneth Bernard; Petrovic, Stefan; Næraa, Rikke

2016-01-01

paper compares results from techno-economic energy system analysis, simple private-economic analysis and assessment of externalities related to the heat supply and discusses the differences in conclusions - is the economic optimal solution different from a system or private-economic point of view......? The techno-economic energy system analysis is done using TIMES-DTU model, which optimizes over all sectors in Denmark and all periods until 2050. The result from this model gives the least expensive solution from the overall system point of view. A spreadsheet model has been developed to do the private-economic...

Heat supply planning for the ecological housing community Munksøgård

DEFF Research Database (Denmark)

Karlsson, Kenneth Bernard; Petrovic, Stefan; Næraa, Rikke

2015-01-01

paper compares results from techno-economic energy system analysis, simple private-economic analysis and assessment of externalities related to the heat supply and discusses the differences in conclusions - is the economic optimal solution different from a system or private-economic point of view......? The techno-economic energy system analysis is done using TIMES-DTU model, which optimizes over all sectors in Denmark and all periods until 2050. The result from this model gives the least expensive solution from the overall system point of view. A spreadsheet model has been developed to do the private-economic...

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...

Policies and initiatives for carbon neutrality in nordic heating and transport systems

DEFF Research Database (Denmark)

Muller, Jakob Glarbo; Wu, Qiuwei; Ostergaard, Jacob

2012-01-01

Policies and initiatives promoting carbon neutrality in the Nordic heating and transport systems are presented. The focus within heating systems is the propagation of heat pumps while the focus within transport systems is initiatives regarding electric vehicles (EVs). It is found that conversion...... to heat pumps in the Nordic region rely on both private economic and national economic incentives. Initiatives toward carbon neutrality in the transport system are mostly concentrated on research, development and demonstration for deployment of a large number of EVs. All Nordic countries have plans...... for the future heating and transport systems with the ambition of realizing carbon neutrality....

Applying Expectancy Theory to residency training: proposing opportunities to understand resident motivation and enhance residency training.

Science.gov (United States)

Shweiki, Ehyal; Martin, Niels D; Beekley, Alec C; Jenoff, Jay S; Koenig, George J; Kaulback, Kris R; Lindenbaum, Gary A; Patel, Pankaj H; Rosen, Matthew M; Weinstein, Michael S; Zubair, Muhammad H; Cohen, Murray J

2015-01-01

Medical resident education in the United States has been a matter of national priority for decades, exemplified initially through the Liaison Committee for Graduate Medical Education and then superseded by the Accreditation Council for Graduate Medical Education. A recent Special Report in the New England Journal of Medicine, however, has described resident educational programs to date as prescriptive, noting an absence of innovation in education. Current aims of contemporary medical resident education are thus being directed at ensuring quality in learning as well as in patient care. Achievement and work-motivation theories attempt to explain people's choice, performance, and persistence in tasks. Expectancy Theory as one such theory was reviewed in detail, appearing particularly applicable to surgical residency training. Correlations between Expectancy Theory as a work-motivation theory and residency education were explored. Understanding achievement and work-motivation theories affords an opportunity to gain insight into resident motivation in training. The application of Expectancy Theory in particular provides an innovative perspective into residency education. Afforded are opportunities to promote the development of programmatic methods facilitating surgical resident motivation in education.

[Residency in plastic surgery: comparison between the French and the Canadian Royal College programs].

Science.gov (United States)

Sinna, R; Harris, P G; Danino, A M

2010-02-01

Learning plastic surgery in Montreal is different from learning plastic surgery in a French university. In Canada, all residency programs are accredited by a national structure: the Royal College of Physicians and Surgeons. We tried to highlight the differences that exist between the French and a North American academic system. With the different rules and law that governs academic education in both countries, we analyzed the following elements: the residency selection, the program of plastic surgery (content and organisation), the system of evaluation and the diplomas. The training of a Canadian plastic surgeon is very controlled. The recommendations of the Royal College guarantee to the resident who enters a program to have the means to acquire a complete training in quantity and in quality. On the four studied items, none is completely similar between both countries. Each having advantages and inconveniences as, for example, the selection of residency by interview or by the classifying national exam. Actually, few French plastic surgery programs could satisfy the requirements of the Royal College on several points, however without failing the training of French plastic surgeons. Nevertheless, we could be inspired by several elements (rotation in private practice,grouping together several academic hospitals. . .) to improve our system of training.

76 FR 30052 - Proposed Establishment of the Coombsville Viticultural Area (2010R-009P)

Science.gov (United States)

2011-05-24

... Register, Nov. 27, 2008). That report further noted: ``Coombsville is still wild country. The birds are... winery (ibid.). The historic winery still exists and is now used as a private residence, the petition... Coombsville region growing season include the amount of solar radiation and daytime heating. The solar...

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

Science.gov (United States)

Purohit, B C

2001-03-01

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

A forecast of ophthalmology practice trends in saudi arabia: a survey of junior residents.

Science.gov (United States)

Alwadani, Fahad; Alrushood, Aziz; Altokhy, Hisham; Alasbali, Tariq

2010-10-01

The aim of this study is to identify the trends in practice pattern among current ophthalmology residents in Saudi Arabia. Ophthalmology residents in Saudi Arabia responded anonymously to a written survey between November 2007 and February 2008. The survey contained questions on demographic information, medical education, residency training, career goals and factors influencing their career choice. The data were categorized by gender. The influence of gender on outcome was assessed in a univariate fashion using the Chi-square or Fisher exact test when appropriate. A P-value of 0.05 or less was considered statistically significant for all analyses. A total of 68 out of 85 residents (80%) responded to the survey. Over one-half of the residents preferred to pursue a fellowship within Saudi Arabia (53%), while others (25%) planned to train in North America. The majority of respondents wished to practice in an urban setting (63%). Anterior segment was the most desired subspecialty, while general ophthalmology and glaucoma were not a popular choice. Most residents were interested in refractive surgery (77%) and research (75%). The main factor influencing the decision to pursue ophthalmology was the ability to combine medicine and surgery (97%), while a positive elective experience was also an important factor, particularly for female respondents (91% vs. 57%; P < 0.001). Concerted efforts are required to encourage adoption to ophthalmic practice in public institutions rather than in private practice. In addition training in underrepresented subspecilaties should be encouraged to ensure adequate ophthalmic care for all citizens of Saudi Arabia.

Privatization an a national business

Directory of Open Access Journals (Sweden)

Andrzej Tokarski

2009-12-01

Full Text Available Privatization is a very complicated process that builds a market economy. It entails numerous problems, the overcoming of which depends on the pace and scale of privatization in a particular country. The privatization process of the Polish economy is assessed differently, and still raises a lot of controversy and debate, not only for the economy, but also politics. This is particularly the privatization of state assets. Privatization was one of the foundations for political transformation in Poland and other Central- and Eastern European countries. Some say that was a great success, while for others it was a field for plunder and affairs. Who is right? Is privatization a success or a failure? This paper aims to present the arguments posed by both supporters and opponents of the privatization in Poland.

Private Tutoring: Evidence from India

OpenAIRE

Azam, Mehtabul

2015-01-01

Drawing on the nationally representative "Participation and Expenditure in Education" surveys, we document the incidence and cost of private tutoring at different stages of schooling over the last two decades in India. As private tutoring involve two decisions: a) whether to take private tuition or not, and b) how much to spend on private tutoring conditional on positive decision in (a), we analyze the determinants of the two decisions separately using a Hurdle model. We find that private tut...

Do public nursing home care providers deliver higher quality than private providers? Evidence from Sweden.

Science.gov (United States)

Winblad, Ulrika; Blomqvist, Paula; Karlsson, Andreas

2017-07-14

Swedish nursing home care has undergone a transformation, where the previous virtual public monopoly on providing such services has been replaced by a system of mixed provision. This has led to a rapidly growing share of private actors, the majority of which are large, for-profit firms. In the wake of this development, concerns have been voiced regarding the implications for care quality. In this article, we investigate the relationship between ownership and care quality in nursing homes for the elderly by comparing quality levels between public, for-profit, and non-profit nursing home care providers. We also look at a special category of for-profit providers; private equity companies. The source of data is a national survey conducted by the Swedish National Board of Health and Welfare in 2011 at 2710 nursing homes. Data from 14 quality indicators are analyzed, including structure and process measures such as staff levels, staff competence, resident participation, and screening for pressure ulcers, nutrition status, and risk of falling. The main statistical method employed is multiple OLS regression analysis. We differentiate in the analysis between structural and processual quality measures. The results indicate that public nursing homes have higher quality than privately operated homes with regard to two structural quality measures: staffing levels and individual accommodation. Privately operated nursing homes, on the other hand, tend to score higher on process-based quality indicators such as medication review and screening for falls and malnutrition. No significant differences were found between different ownership categories of privately operated nursing homes. Ownership does appear to be related to quality outcomes in Swedish nursing home care, but the results are mixed and inconclusive. That staffing levels, which has been regarded as a key quality indicator in previous research, are higher in publicly operated homes than private is consistent with earlier

Effect of Residence Time of Graphitisation on Thermal Conductivity of Molded Graphite

Directory of Open Access Journals (Sweden)

Pedy Artsanti

2010-06-01

Full Text Available The effect of residence time of graphitisation on thermal conductivity of molded graphite has been examined. The examination has been conducted by varying residence time of graphitisation of molded carbon with petroleum coke as raw material and coal tar pitch. Graphitisation has been conducted by heating molded graphite at 2500 °C in argon atmosphere with residention time of 10, 30 and 90 minutes. Graphitisation degree, density, shrinking mass and porosity of molded graphite were examined and so was its thermal conductivity. The result showed that the decrease of porosity and the increase of graphitisation degree due to the increasing of residention time of graphitisation will increase the thermal conductivity of graphite. Molded graphite graphitisized with residence time for 90 minutes residention time gave thermal conductivity of 2.134 Watt/mK and graphitization degree 0.718.

SWOT analysis & privatization in Croatia

Directory of Open Access Journals (Sweden)

Družić Ivo

2006-01-01

Full Text Available Legal framework for privatization in Croatia was based on two key laws: the Transformation Act of 1991, and the Privatization Act of 1993, amended in 1996. Early start of privatization process in 1990s in Croatia was marked by the transformation of socially-owned companies into stock holding companies or limited liability companies. The first step (1991-1993 of this process of almost 2700 companies which entered privatization was their evaluation and transformation into private ownership entities. The second step (1994- 1997 consisted of privatization of CPF portfolio. The portfolios change constantly, not only as a result of privatization but also because companies themselves change, as does their position in the market. The third step (1998 in the privatization process was voucher privatization. Privatization of large infrastructure and utility companies designated as public enterprises began in 1999 (Croatian Telecom and INA in 2002 (public enterprises are privatized on the basis of separate laws. Attempts to discuss privatization in Croatia in terms of SWOT analysis have been motivated by the stark difference among Croatian professional economists in an appraisal of Croatia's performance during the transition process in general and of the privatization process in particular. Therefore we considered the elements of SWOT analysis to be an acceptable way to delve into the confusing world of bickering arguments on the state and perspective of the Croatia's privatization process. In this paper we have tried to provide an impartial approach by employing two criteria i.e. strength and weaknesses in judging the events and results of the privatization process in Croatia. Strength of the overall privatization process can be mostly ascribed to the institutional swiftness on micro as well as on macro level. On the micro level 80% of the companies were formally privatized in the first two years despite unfavorable external conditions comprising the

Early resident-to-resident physics education in diagnostic radiology.

Science.gov (United States)

Kansagra, Akash P

2014-01-01

The revised ABR board certification process has updated the method by which diagnostic radiology residents are evaluated for competency in clinical radiologic physics. In this work, the author reports the successful design and implementation of a resident-taught physics course consisting of 5 weekly, hour-long lectures intended for incoming first-year radiology residents in their first month of training. To the author's knowledge, this is the first description of a course designed to provide a very early framework for ongoing physics education throughout residency without increasing the didactic burden on faculty members. Twenty-six first-year residents spanning 2 academic years took the course and reported subjective improvement in their knowledge (90%) and interest (75%) in imaging physics and a high level of satisfaction with the use of senior residents as physics educators. Based on the success of this course and the minimal resources required for implementation, this work may serve as a blueprint for other radiology residency programs seeking to develop revised physics curricula. Copyright © 2014 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Results of the 2013 Association of Residents in Radiation Oncology career planning survey of practicing physicians in the United States.

Science.gov (United States)

Mattes, Malcolm D; Golden, Daniel W; Mohindra, Pranshu; Kharofa, Jordan

2014-08-01

The goal of this study was to develop insights about the job application process for graduating radiation oncology residents from the perspective of those involved in hiring. In May and June 2013, a nationwide electronic survey was sent to 1,671 practicing radiation oncologists in academic and private practice settings. Descriptive statistics are reported. In addition, subgroup analysis was performed. Surveys were completed by 206 physicians. Ninety-six percent were willing to hire individuals directly from residency. Participants believed that the first half of the fourth postgraduate year is the most appropriate time for residents to begin networking and the beginning of the fifth postgraduate year is the most appropriate time to begin contacting practices in pursuit of employment. Seventy percent began interviewing 4 to 9 months before the job start date, and 84% interviewed ≤6 candidates per available position. The 5 most important factors to participants when evaluating prospective candidates were (from most to least important) work ethic, personality, interview impression, experience in intensity-modulated radiation therapy, and flexibility. Factors that participants believed should be most important to candidates when evaluating practices included a collegial environment; emphasis on best patient care; quality of equipment, physics, dosimetry, and quality assurance; quality of the support staff and facility; and a multidisciplinary approach to patient care. Those in academics rated research-related factors higher than those in private practice, who rated business-related factors higher. The perspectives of practicing physicians on the job application process are documented to provide a comprehensive resource for current and future residents and employers. Copyright © 2014 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Use of social media by residency program directors for resident selection.

Science.gov (United States)

Cain, Jeff; Scott, Doneka R; Smith, Kelly

2010-10-01

Pharmacy residency program directors' attitudes and opinions regarding the use of social media in residency recruitment and selection were studied. A 24-item questionnaire was developed, pilot tested, revised, and sent to 996 residency program directors via SurveyMonkey.com. Demographic, social media usage, and opinions on social media data were collected and analyzed. A total of 454 residency program directors completed the study (response rate, 46.4%). The majority of respondents were women (58.8%), were members of Generation X (75.4%), and worked in a hospital or health system (80%). Most respondents (73%) rated themselves as either nonusers or novice users of social media. Twenty percent indicated that they had viewed a pharmacy residency applicant's social media information. More than half (52%) had encountered e-professionalism issues, including questionable photos and posts revealing unprofessional attitudes, and 89% strongly agreed or agreed that information voluntarily published online was fair game for judgments on character, attitudes, and professionalism. Only 4% of respondents had reviewed applicants' profiles for residency selection decisions. Of those respondents, 52% indicated that the content had no effect on resident selection. Over half of residency program directors were unsure whether they will use social media information for future residency selection decisions. Residency program directors from different generations had different views regarding social media information and its use in residency applicant selections. Residency program directors anticipated using social media information to aid in future decisions for resident selection and hiring.

Economic impact of off-line PC viewer for private folder management

Science.gov (United States)

Song, Koun-Sik; Shin, Myung J.; Lee, Joo Hee; Auh, Yong H.

1999-07-01

We developed a PC-based clinical workstation and implemented at Asan Medical Center in Seoul, Korea, Hardwares used were Pentium-II, 8M video memory, 64-128 MB RAM, 19 inch color monitor, and 10/100Mbps network adaptor. One of the unique features of this workstation is management tool for folders reside both in PACS short-term storage unit and local hard disk. Users can copy the entire study or part of the study to local hard disk, removable storages, or CD recorder. Even the images in private folders in PACS short-term storage can be copied to local storage devices. All images are saved as DICOM 3.0 file format with 2:1 lossless compression. We compared the prices of copy films and storage medias considering the possible savings of expensive PACS short- term storage and network traffic. Price savings of copy film is most remarkable in MR exam. Price savings arising from minimal use of short-term unit was 50,000 dollars. It as hard to calculate the price savings arising from the network usage. Off-line PC viewer is a cost-effective way of handling private folder management under the PACS environment.

Public private partnerships

NARCIS (Netherlands)

Miranda Sarmento, J.J.

2014-01-01

Public-private partnerships (PPPs) are increasing in number worldwide and are used to build and manage large public infrastructure projects. In PPPs, the private sector plays a role in developing and maintaining public infrastructure and services, which is usually a public sector responsibility.

Financial Private Regulation and Enforcement

OpenAIRE

MILLER, Geoffrey

2011-01-01

This paper has been delivered within the context of the research project "Transnational Private Regulatory Regimes: Constitutional foundations and governance design". This paper considers the topic of private regulation and enforcement for internationally active financial services firms. The paper documents the following types of regulation and enforcement that involve significant private input: house rules, contracts, internal compliance, management-based regulation, private standard-sett...

Comparison of Emergency Medicine Malpractice Cases Involving Residents to Non-Resident Cases.

Science.gov (United States)

Gurley, Kiersten L; Grossman, Shamai A; Janes, Margaret; Yu-Moe, C Winnie; Song, Ellen; Tibbles, Carrie D; Shapiro, Nathan I; Rosen, Carlo L

2018-04-17

Data are lacking on how emergency medicine (EM) malpractice cases with resident involvement differs from cases that do not name a resident. To compare malpractice case characteristics in cases where a resident is involved (resident case) to cases that do not involve a resident (non-resident case) and to determine factors that contribute to malpractice cases utilizing EM as a model for malpractice claims across other medical specialties. We used data from the Controlled Risk Insurance Company (CRICO) Strategies' division Comparative Benchmarking System (CBS) to analyze open and closed EM cases asserted from 2009-2013. The CBS database is a national repository that contains professional liability data on > 400 hospitals and > 165,000 physicians, representing over 30% of all malpractice cases in the U.S (> 350,000 claims). We compared cases naming residents (either alone or in combination with an attending) to those that did not involve a resident (non-resident cohort). We reported the case statistics, allegation categories, severity scores, procedural data, final diagnoses and contributing factors. Fisher's exact test or t-test was used for comparisons (alpha set at 0.05). Eight hundred and forty-five EM cases were identified of which 732 (87%) did not name a resident (non-resident cases), while 113 (13%) included a resident (resident cases) (Figure 1). There were higher total incurred losses for non-resident cases (Table 1). The most frequent allegation categories in both cohorts were "Failure or Delay in Diagnosis/Misdiagnosis" and "Medical Treatment" (non-surgical procedures or treatment regimens i.e. central line placement). Allegation categories of Safety and Security, Patient Monitoring, Hospital Policy and Procedure and Breach of Confidentiality were found in the non-resident cases. Resident cases incurred lower payments on average ($51,163 vs. $156,212 per case). Sixty six percent (75) of resident vs 57% (415) of non-resident cases were high severity claims

Ground-source heat pump systems in Norway

International Nuclear Information System (INIS)

Stene, Joern

2007-01-01

The Norwegian ground source heat pump (GSHP) market is reviewed. Boreholes in bedrock are of growing interest for residential systems and of growing interest for larger systems with thermal recharging or thermal energy storage. Ground water is limited to areas where the water has acceptable purity. Challenges and important boundary conditions include 1) high quality GSHP system requires engineering expertise, 2) new building codes and EU directive 'energy performance of buildings.'(2006), and 3) hydronic floor heating systems in 50 percent of new residences (author) (ml)

Predictors of latent tuberculosis infection treatment completion in the US private sector: an analysis of administrative claims data.

Science.gov (United States)

Stockbridge, Erica L; Miller, Thaddeus L; Carlson, Erin K; Ho, Christine

2018-05-29

Factors that affect latent tuberculosis infection (LTBI) treatment completion in the US have not been well studied beyond public health settings. This gap was highlighted by recent health insurance-related regulatory changes that are likely to increase LTBI treatment by private sector healthcare providers. We analyzed LTBI treatment completion in the private healthcare setting to facilitate planning around this important opportunity for tuberculosis (TB) control in the US. We analyzed a national sample of commercial insurance medical and pharmacy claims data for people ages 0 to 64 years who initiated daily dose isoniazid treatment between July 2011 and March 2014 and who had complete data. All individuals resided in the US. Factors associated with treatment completion were examined using multivariable generalized ordered logit models and bivariate Kruskal-Wallis tests or Spearman correlations. We identified 1072 individuals with complete data who initiated isoniazid LTBI treatment. Treatment completion was significantly associated with less restrictive health insurance, age Private sector healthcare claims data provide insights into LTBI treatment completion patterns and patient/provider behaviors. Such information is critical to understanding the opportunities and limitations of private healthcare in the US to support treatment completion as this sector's role in protecting against and eliminating TB grows.

The Bambuí Health and Aging Study (BHAS: private health plan and medical care utilization by older adults

Directory of Open Access Journals (Sweden)

Lima-Costa Maria Fernanda F.

2002-01-01

Full Text Available The aim of this cross sectional study was to investigate whether holding a private health plan affects the consumption of medical services (hospitalization and visits to a doctor and use of medications by older adults. All residents in Bambuí town (Minas Gerais, Brazil aged > or = 60 years (n = 1,742 were selected. From these, 92.2% were interviewed and 85.9% were examined (blood tests and physical measurements. After adjustments for counfounders, those under exclusive public coverage (n = 1,296, compared with those holding a private health plan (n = 310, presented some evidence of having worse health status, reported less visits to a doctor, and used a small number of prescribed medications. The main explanation for the aged holding a private health plan was economic, not health. Even though those who had only public health coverage complained more in relation to medical care (70.9%, an important proportion of the aged with a private health care plan presented some kind of complaint (45.2%. Another worrying factor was the difficulty to acquire medication because of financial problems (47.2 and 25.2% reported, respectively. Further investigations are needed to verify whether our results can be generalized to other communities of the country.

Successfully Reducing Hospitalizations of Nursing Home Residents: Results of the Missouri Quality Initiative.

Science.gov (United States)

Rantz, Marilyn J; Popejoy, Lori; Vogelsmeier, Amy; Galambos, Colleen; Alexander, Greg; Flesner, Marcia; Crecelius, Charles; Ge, Bin; Petroski, Gregory

2017-11-01

The goals of the Missouri Quality Initiative (MOQI) for long-stay nursing home residents were to reduce the frequency of avoidable hospital admissions and readmissions, improve resident health outcomes, improve the process of transitioning between inpatient hospitals and nursing facilities, and reduce overall healthcare spending without restricting access to care or choice of providers. The MOQI was one of 7 program sites in the United States, with specific interventions unique to each site tested for the Centers for Medicaid and Medicare Services (CMS) Innovations Center. A prospective, single group intervention design, the MOQI included an advanced practice registered nurse (APRN) embedded full-time within each nursing home (NH) to influence resident care outcomes. Data were collected continuously for more than 3 years from an average of 1750 long-stay Medicare, Medicaid, and private pay residents living each day in 16 participating nursing homes in urban, metro, and rural communities within 80 miles of a major Midwestern city in Missouri. Performance feedback reports were provided to each facility summarizing their all-cause hospitalizations and potentially avoidable hospitalizations as well as a support team of social work, health information technology, and INTERACT/Quality Improvement Coaches. The MOQI achieved a 30% reduction in all-cause hospitalizations and statistically significant reductions in 4 single quarters of the 2.75 years of full implementation of the intervention for long-stay nursing home residents. As the population of older people explodes in upcoming decades, it is critical to find good solutions to deal with increasing costs of health care. APRNs, working with multidisciplinary support teams, are a good solution to improving care and reducing costs if all nursing home residents have access to APRNs nationwide. Copyright © 2017 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.

Comparing selection criteria of residency directors and physicians' employers.

Science.gov (United States)

Villanueva, A M; Kaye, D; Abdelhak, S S; Morahan, P S

1995-04-01

In 1993, the Medical College of Pennsylvania (MCP), mindful of the rapidly changing environments of health care delivery, created three surveys to gather information from outside the school that would help the faculty plan how the curriculum and advising system could better prepare students and residents for the demands of twenty-first-century medicine. The first survey focused on the MCP seniors graduating that year and asked about their perceptions of their medical education and their specialty and residency choices. The second survey, directed to 40 medical residency program directors in family medicine, internal medicine, pediatrics, and surgery, sought to identify the characteristics of applicants that these directors valued when selecting entrants to their programs. The third survey, of 30 employers of physicians representing four practice environments (private practice, hospitals/other health systems, academic medical centers, and health maintenance organizations), sought information on hiring and recruitment practices and the skills, competencies, and attitudes these employers valued most when hiring recently graduated physicians. The responses showed several differences and/or misperceptions among the views held by the three groups surveyed and suggest that medical educators have not adapted as rapidly as have employers to changes in the health care environment. Academic health centers must broaden their missions and make changes in their own institutional cultures, both to maintain their own viability and to train physicians who have the balance between scientific and technical competency and essential personal characteristics (such as empathy) that the next century's practice will probably demand.

Residents' experiences of abuse, discrimination and sexual harassment during residency training. McMaster University Residency Training Programs.

Science.gov (United States)

Cook, D J; Liutkus, J F; Risdon, C L; Griffith, L E; Guyatt, G H; Walter, S D

1996-06-01

To assess the prevalence of psychological abuse, physical assault, and discrimination on the basis of gender and sexual orientation, and to examine the prevalence and impact of sexual harassment in residency training programs. Self-administered questionnaire. McMaster University, Hamilton, Ont. Residents in seven residency training programs during the academic year from July 1993 to June 1994. Of 225 residents 186 (82.7%) returned a completed questionnaire, and 50% of the respondents were women. Prevalence of psychological abuse, physical assault and discrimination on the basis of gender and sexual orientation experienced by residents during medical training, prevalence and residents' perceived frequency of sexual harassment. Psychological abuse was reported by 50% of the residents. Some of the respondents reported physical assault, mostly by patients and their family members (14.7% reported assaults by male patients and family members, 9.8% reported assaults by female patients and family members), 5.4% of the female respondents reported assault by male supervising physicians. Discrimination on the basis of gender was reported to be common and was experienced significantly more often by female residents than by male residents (p sexual orientation. Most of the respondents experienced sexual harassment, especially in the form of sexist jokes, flirtation and unwanted compliments on their dress or figure. On average, 40% of the respondents, especially women (p sexual harassment to someone (p sexual harassment were embarassment (reported by 24.0%), anger (by 23.4%) and frustration (20.8%). Psychological abuse, discrimination on the basis of gender and sexual harassment are commonly experienced by residents in training programs. A direct, progressive, multidisciplinary approach is needed to label and address these problems.

From the Private to the Public to the Private?

DEFF Research Database (Denmark)

Kjær, Poul F.

2018-01-01

A central assumption in much contemporary scholarship is that a central shift has taken place over the course of the last four decades: a shift from a world largely centered on public authority to a world that is increasingly dominated by private authority. The central expression of this shift...... is seen to be a concurring move from public to private law and thus from legislation to contract as the central legal instrument structuring economic as well as other social processes. While developments in this direction can certainly be observed, this article provides a more nuanced perspective....... Outlining a long-term historical perspective, this article reconstructs the manifold and volatile dynamic between institutionalized forms of public and private authority. It does soon the basis of the argument that, in the course of this evolutionary process, the very function and meaning of both public...

The Factors Influencing the Sense of Home in Nursing Homes: A Systematic Review from the Perspective of Residents

Directory of Open Access Journals (Sweden)

M. D. Rijnaard

2016-01-01

Full Text Available Purpose. To provide an overview of factors influencing the sense of home of older adults residing in the nursing home. Methods. A systematic review was conducted. Inclusion criteria were (1 original and peer-reviewed research, (2 qualitative, quantitative, or mixed methods research, (3 research about nursing home residents (or similar type of housing, and (4 research on the sense of home, meaning of home, at-homeness, or homelikeness. Results. Seventeen mainly qualitative articles were included. The sense of home of nursing home residents is influenced by 15 factors, divided into three themes: (1 psychological factors (sense of acknowledgement, preservation of one’s habits and values, autonomy and control, and coping; (2 social factors (interaction and relationship with staff, residents, family and friends, and pets and activities; and (3 the built environment (private space and (quasi-public space, personal belongings, technology, look and feel, and the outdoors and location. Conclusions. The sense of home is influenced by numerous factors related to the psychology of the residents and the social and built environmental contexts. Further research is needed to determine if and how the identified factors are interrelated, if perspectives of various stakeholders involved differ, and how the factors can be improved in practice.

Teaching, leadership, scholarly productivity, and level of activity in the chiropractic profession: a study of graduates of the Los Angeles College of Chiropractic radiology residency program.

Science.gov (United States)

Young, Kenneth J; Siordia, Lawrence

2012-12-01

The purpose of this study was to track the graduates of the Los Angeles College of Chiropractic (LACC) radiology residency program, review their scholarly productivity, and report those involved in teaching and leadership positions. Former LACC residents' career information was identified through publicly available electronic documents including Web sites and social media. PubMed and the Index to Chiropractic Literature databases were searched for chiropractic graduate job surveys, and proportional comparisons were made between the career paths of LACC radiology residency graduates and those of non-residency-trained chiropractors. Of 47 former LACC residents, 28 (60%) have or previously had careers in tertiary (chiropractic) education; and 12 (26%) have attained a department chair position or higher at tertiary teaching institutions. Twenty-two (47%) have or previously had private radiology practices, whereas 11 (23%) have or previously had clinical chiropractic practices. Often, residency graduates hold or have held 2 of these positions at once; and one, all 3. Chapters or books were authored by 13 (28%). Radiology residency LACC graduates are professionally active, particularly in education, and demonstrate scholarly productivity.

Anesthesiology resident personality type correlates with faculty assessment of resident performance.

Science.gov (United States)

Schell, Randall M; Dilorenzo, Amy N; Li, Hsin-Fang; Fragneto, Regina Y; Bowe, Edwin A; Hessel, Eugene A

2012-11-01

To study the association between anesthesiology residents' personality preference types, faculty evaluations of residents' performance, and knowledge. Convenience sample and prospective study. Academic department of anesthesiology. Consenting anesthesiology residents (n = 36). All participants completed the Myers Briggs Type Indicator® (MBTI®). All residents' 6-month summation of daily focal evaluations completed by faculty [daily performance score (DPS); 1 = unsatisfactory, 2 = needs improvement, 3 = meets expectations, 4 = exceeds expectations], as well as a global assessment of performance (GAP) score based on placement of each resident into perceived quartile compared with their peers (ie,1 = first, or top, quartile) by senior faculty (n = 7) who also completed the MBTI, were obtained. The resident MBTI personality preferences were compared with the DPS and GAP scores, the United States Medical Licensing Examination (USMLE) I and II scores, and faculty MBTI personality type. There was no association between personality preference type and performance on standardized examinations (USMLE I, II). The mean GAP score was better (higher quartile score) for Extraverts than Introverts (median 2.0 vs 2.6, P = 0.0047) and for Sensing versus Intuition (median 2.0 vs 2.6, P = 0.0206) preference. Faculty evaluator MBTI preference type did not influence the GAP scores they assigned residents. Like GAP, the DPS was better for residents with Sensing versus Intuition preference (median 3.5 vs 3.3, P = 0.0111). No difference in DPS was noted between Extraverts and Introverts. Personality preference type was not associated with resident performance on standardized examinations, but it was associated with faculty evaluations of resident performance. Residents with Sensing personality preference were evaluated more favorably on global and focal faculty evaluations than those residents who chose the Intuition preference. Extraverted residents were evaluated more favorably on

Serial private infrastructures

NARCIS (Netherlands)

van den Berg, V.A.C.

2013-01-01

This paper investigates private supply of two congestible infrastructures that are serial, where the consumer has to use both in order to consume. Four market structures are analysed: a monopoly and 3 duopolies that differ in how firms interact. It is well known that private supply leads too high

Slow heat release - solid fuel stove with acetat-trihydrate heat storage sodium; Slow heat release - Braendeovn med salthydratvarmelager

Energy Technology Data Exchange (ETDEWEB)

Zielke, U.; Bjerrum, M.; Noergaard, T. (Teknologisk Institut, Aarhus (Denmark))

2012-07-01

Of the 700,000 solid fuel stoves in Denmark, 600,000 are installed in permanent residences, and 100,000 are installed in summer cottages. Recent examinations have shown that in the heating season, these stoves contribute with a not negligible share of air pollution in the cities. The reason is often inexpedient firing and an inappropriate performance of the stove. In many cases the thermal output of the stove exceeds the heating demand of a modern residence; and the user typically reduces the stove's combustion air supply with the purpose of lowering the temperature of the accommodation space. The result is a sooting combustion followed by undesired and environmentally damaging emissions. In worst case the user fires throughout the night reducing the air to an absolutely minimum. In these situations the fuel smoulders all night, and the stove emits large amounts of undesirable and unhealthy emissions. By constructing the stove with a heat storage that can accumulate the heat from the stove and emit the heat later (when not firing), the problem with the unhealthy ''night firings'' should be eliminated. The project started with a pre-examination regarding suitable materials for a heat storage and a literature study of the subject. By using an OGC material, in this case sodiumacetat-trihydrat, the weight of the stove, in spite of the heat storage, could be held within reasonable frames, since 130 kg PCM can contain the same heat amount as 1,200 kg stone. The great challenge was to compensate for PCM's poor heat conductivities, to distribute the heat in the whole heat storage, making it melt regularly without generating local boiling. This problem was solved by construction measures. The system with sodiumacetat-trihydrat, which melts by 58 deg. C, came to function satisfactorily. 14 hours after the last firing, the temperature of the heat storage was 30 deg. C. The tests with PCM were followed by an extensive emission measuring program

The private partners of public health: public-private alliances for public good.

Science.gov (United States)

McDonnell, Sharon; Bryant, Carol; Harris, Jeff; Campbell, Marci Kramish; Lobb, Ano; Hannon, Peggy A; Cross, Jeffrey L; Gray, Barbara

2009-04-01

We sought to convey lessons learned by the Centers for Disease Control and Prevention's (CDC's) Prevention Research Centers (PRCs) about the value and challenges of private-sector alliances resulting in innovative health promotion strategies. Several PRCs based in a variety of workplace and community settings contributed. We conducted interviews with principal investigators, a literature review, and a review of case studies of private-sector alliances in a microbusiness model, a macrobusiness model, and as multiparty partnerships supporting public health research, implementation, and human resource services. Private-sector alliances provide many advantages, particularly access to specialized skills generally beyond the expertise of public health entities. These skills include manufacturing, distribution, marketing, business planning, and development. Alliances also allow ready access to employee populations. Public health entities can offer private-sector partners funding opportunities through special grants, data gathering and analysis skills, and enhanced project credibility and trust. Challenges to successful partnerships include time and resource availability and negotiating the cultural divide between public health and the private sector. Critical to success are knowledge of organizational culture, values, mission, currency, and methods of operation; an understanding of and ability to articulate the benefits of the alliance for each partner; and the ability and time to respond to unexpected changes and opportunities. Private-public health alliances are challenging, and developing them takes time and resources, but aspects of these alliances can capitalize on partners' strengths, counteract weaknesses, and build collaborations that produce better outcomes than otherwise possible. Private partners may be necessary for program initiation or success. CDC guidelines and support materials may help nurture these alliances.

The urban heat island and its impact on heat waves and human health in Shanghai.

Science.gov (United States)

Tan, Jianguo; Zheng, Youfei; Tang, Xu; Guo, Changyi; Li, Liping; Song, Guixiang; Zhen, Xinrong; Yuan, Dong; Kalkstein, Adam J; Li, Furong

2010-01-01

With global warming forecast to continue into the foreseeable future, heat waves are very likely to increase in both frequency and intensity. In urban regions, these future heat waves will be exacerbated by the urban heat island effect, and will have the potential to negatively influence the health and welfare of urban residents. In order to investigate the health effects of the urban heat island (UHI) in Shanghai, China, 30 years of meteorological records (1975-2004) were examined for 11 first- and second-order weather stations in and around Shanghai. Additionally, automatic weather observation data recorded in recent years as well as daily all-cause summer mortality counts in 11 urban, suburban, and exurban regions (1998-2004) in Shanghai have been used. The results show that different sites (city center or surroundings) have experienced different degrees of warming as a result of increasing urbanization. In turn, this has resulted in a more extensive urban heat island effect, causing additional hot days and heat waves in urban regions compared to rural locales. An examination of summer mortality rates in and around Shanghai yields heightened heat-related mortality in urban regions, and we conclude that the UHI is directly responsible, acting to worsen the adverse health effects from exposure to extreme thermal conditions.

Gas-heating alternatives to the residential electric heat pump. Gas Appliance Technology Center 1987 program. Topical report for Work Area 1.1, October 1989-March 1990

International Nuclear Information System (INIS)

Haas, C.

1990-05-01

The characteristics of electric heat pumps are described. Options are defined and assessed for utilizing gas heating in conjunction with existing residential electric heat pumps. These options include gas heat introduced into the refrigeration circuit, a flue gas-heated tube bank in the air supply duct, and a hot-water-to-air coil in the supply duct. Economics are presented for conversion of a residence's total space and water heating from electric to gas in New York City and Atlanta. Potential marketing strategies are discussed, and potential gas sales volumes from conversions are estimated. The study concludes that the use of gas water heating coupled with a hydronic coil in the supply ductwork from the air handler is the most advantageous option for the gas industry

The Forest Energy Chain in Tuscany: Economic Feasibility and Environmental Effects of Two Types of Biomass District Heating Plant

Directory of Open Access Journals (Sweden)

Claudio Fagarazzi

2014-09-01

Full Text Available The purpose of this study was to examine two biomass district heating plants operating in Tuscany, with a specific focus on the ex-post evaluation of their economic and financial feasibility and of their environmental benefits. The former biomass district heating plant supplies only public users (Comunità Montana della Lunigiana, CML: administrative body that coordinates the municipalities located in mountain areas, the latter supplies both public and private users (Municipality of San Romano in Garfagnana. Ex-post investment analysis was performed to check both the consistency of results with the forecasts made in the stage of the project design and on the factors, which may have reduced or jeopardized the estimated economic performance of the investment (ex-ante assessment. The results of the study point out appreciable results only in the case of biomass district heating plants involving private users and fuelled by biomasses sourced from third parties. In this case, the factors that most influence ex-post results include the conditions of the woody biomass local market (market prices, the policies of energy selling prices to private users and the temporal dynamics of private users’ connection. To ensure the consistency of ex-post economic outcome with the expected results it is thus important to: (i have good knowledge of the woody local market; (ii define energy selling prices that should be cheap for private users but consistent with energy production costs and (iii constrain private users beforehand to prevent errors in the plant design and in the preliminary estimate of return on investment. Moreover, the results obtained during the monitoring activities could help in providing information on the effectiveness of the supporting measures adopted and also to orient future choices of policy makers and particularly designers, to identify the most efficient configuration of district heating organization for improving energy and

Preliminary business plan: Plzen district heating system upgrade

Energy Technology Data Exchange (ETDEWEB)

NONE

1996-06-01

The district heating system of the City of Plzen, Czech Republic, needs to have physical upgrades to replace aging equipment and to comply with upcoming environmental regulations. Also, its ownership and management are being changed as a result of privatization. As majority owner, the City has the primary goal of ensuring that the heating needs of its customers are met as reliably and cost-effectively as possible. This preliminary business plan is part of the detailed analysis (5 reports in all) done to assist the City in deciding the issues. Preparation included investigation of ownership, management, and technology alternatives; estimation of market value of assets and investment requirements; and forecasting of future cash flow. The district heating system consists of the Central Plzen cogeneration plant, two interconnected heating plants [one supplying both hot water and steam], three satellite heating plants, and cooperative agreements with three industrial facilities generating steam and hot water. Most of the plants are coal-fired, with some peaking units fired by fuel oil.

Wood pellet heating plants. Market survey. 4. upd. ed.; Hackschnitzel-Heizung. Marktuebersicht

Energy Technology Data Exchange (ETDEWEB)

NONE

2012-11-15

Wood pellets from the agriculture and forestry offer an enormous potential for the development of the use of bio energy in the private area as well as in industry and commerce. Within the market survey 'Wood pellet heating systems', the Fachagentur Nachwachsende Rohstoffe e.V. (Guelzow-Pruezen, Federal Republic of Germany) reported on the targets and measures of the Federal Government with respect to the heating with biomass, wood pellets as solid biofuels (standardization of solid biofuels, supply, features, evaluation), wood pellet heating plants, economic considerations, market survey on wood pellet heating plants as well as list of addresses for producers of wood pellet heating plants and suppliers of wood pellets.

Measuring resident well-being: impostorism and burnout syndrome in residency.

Science.gov (United States)

Legassie, Jenny; Zibrowski, Elaine M; Goldszmidt, Mark A

2008-07-01

Assessing resident well-being is becoming increasingly important from a programmatic standpoint. Two measures that have been used to assess this are the Clance Impostor Scale (CIS) and the Maslach Burnout Inventory-Human Services Survey (MBI-HSS). However, little is known about the relationship between the two phenomena. To explore the prevalence and association between impostorism and burnout syndrome in a sample of internal medicine residents. Anonymous, cross-sectional postal survey. Forty-eight internal medicine residents (postgraduate year [PGY] 1-3) at the Schulich School of Medicine & Dentistry (62.3% response rate). Short demographic questionnaire, CIS and MBI-HSS. Impostorism and burnout syndrome were identified in 43.8% and 12.5% of residents, respectively. With the exception of a negative correlation between CIS scores and the MBI's personal accomplishment subscale (r = -.30; 95% CI -.54 to -.02), no other significant relations were identified. Foreign-trained residents were more likely to score as impostors (odds ratio [OR] 10.7; 95% CI 1.2 to 98.2) while senior residents were more likely to experience burnout syndrome (OR 16.5 95% CI 1.6 to 168.5). Both impostorism and burnout syndrome appear to be threats to resident well-being in our program. The lack of relationship between the two would suggest that programs and researchers wishing to address the issue of resident distress should consider using both measures. The finding that foreign-trained residents appear to be more susceptible to impostorism warrants further study.

Description of calls from private well owners to a national well water hotline, 2013

International Nuclear Information System (INIS)

Ridpath, Alison; Taylor, Ethel; Greenstreet, Charlene; Martens, Margaret; Wicke, Heather; Martin, Colleen

2016-01-01

Water Systems Council (WSC) is a national, non-profit organization providing education and resources to private household well owners. Since 2003, WSC has provided wellcare®, a toll-free telephone hotline to answer questions from the public regarding well stewardship. In order to identify knowledge gaps regarding well stewardship among private well owners, we obtained data from WSC and reviewed calls made during 2013 to wellcare®. WSC records data from each wellcare® call—including caller information, primary reason for call, main use of well water, and if they were calling about a cistern, private well, shared well, or spring. We searched for calls with key words indicating specific contaminants of interest and reviewed primary reasons for calls. Calls classified as primarily testing-related were further categorized depending on whether the caller asked about how to test well water or how to interpret testing results. During 2013, wellcare® received 1100 calls from private well owners who were residents of 48 states. Among these calls, 87 (8%) mentioned radon, 83 (8%) coliforms, 51 (5%) chemicals related to fracking, 34 (3%) arsenic, and 32 (3%) nitrates key words. Only 38% of private well owners reported conducting any well maintenance activities, such as inspecting, cleaning, repairing the well, or testing well water, during the previous 12 months. The primary reason for calls were related to well water testing (n = 403), general information relating to wells (n = 249), contaminants (n = 229), and well water treatment (n = 97). Among calls related to testing, 319 had questions about how to test their well water, and 33 had questions about how to interpret testing results. Calls from private well owners to the wellcare® Hotline during 2013 identified key knowledge gaps regarding well stewardship; well owners are generally not testing or maintaining their wells, have questions about well water testing treatment, and concerns about well water contaminants

Description of calls from private well owners to a national well water hotline, 2013

Energy Technology Data Exchange (ETDEWEB)

Ridpath, Alison, E-mail: etf4@cdc.gov [Centers for Disease Control and Prevention, 4770 Buford Hwy, NE, MS-F-60, Chamblee, GA 30341 (United States); Taylor, Ethel [Centers for Disease Control and Prevention, 4770 Buford Hwy, NE, MS-F-60, Chamblee, GA 30341 (United States); Greenstreet, Charlene; Martens, Margaret; Wicke, Heather [Water Systems Council, 1101 30th St NW, Washington, DC 20007 (United States); Martin, Colleen [Centers for Disease Control and Prevention, 4770 Buford Hwy, NE, MS-F-60, Chamblee, GA 30341 (United States)

2016-02-15

Water Systems Council (WSC) is a national, non-profit organization providing education and resources to private household well owners. Since 2003, WSC has provided wellcare®, a toll-free telephone hotline to answer questions from the public regarding well stewardship. In order to identify knowledge gaps regarding well stewardship among private well owners, we obtained data from WSC and reviewed calls made during 2013 to wellcare®. WSC records data from each wellcare® call—including caller information, primary reason for call, main use of well water, and if they were calling about a cistern, private well, shared well, or spring. We searched for calls with key words indicating specific contaminants of interest and reviewed primary reasons for calls. Calls classified as primarily testing-related were further categorized depending on whether the caller asked about how to test well water or how to interpret testing results. During 2013, wellcare® received 1100 calls from private well owners who were residents of 48 states. Among these calls, 87 (8%) mentioned radon, 83 (8%) coliforms, 51 (5%) chemicals related to fracking, 34 (3%) arsenic, and 32 (3%) nitrates key words. Only 38% of private well owners reported conducting any well maintenance activities, such as inspecting, cleaning, repairing the well, or testing well water, during the previous 12 months. The primary reason for calls were related to well water testing (n = 403), general information relating to wells (n = 249), contaminants (n = 229), and well water treatment (n = 97). Among calls related to testing, 319 had questions about how to test their well water, and 33 had questions about how to interpret testing results. Calls from private well owners to the wellcare® Hotline during 2013 identified key knowledge gaps regarding well stewardship; well owners are generally not testing or maintaining their wells, have questions about well water testing treatment, and concerns about well water contaminants

Applying Expectancy Theory to residency training: proposing opportunities to understand resident motivation and enhance residency training

Directory of Open Access Journals (Sweden)

Shweiki E

2015-04-01

Full Text Available Ehyal Shweiki,1 Niels D Martin,2 Alec C Beekley,1 Jay S Jenoff,1 George J Koenig,1 Kris R Kaulback,1 Gary A Lindenbaum,1 Pankaj H Patel,1 Matthew M Rosen,1 Michael S Weinstein,1 Muhammad H Zubair,2 Murray J Cohen1 1Department of Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA; 2Department of Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA Abstract: Medical resident education in the United States has been a matter of national priority for decades, exemplified initially through the Liaison Committee for Graduate Medical Education and then superseded by the Accreditation Council for Graduate Medical Education. A recent Special Report in the New England Journal of Medicine, however, has described resident educational programs to date as prescriptive, noting an absence of innovation in education. Current aims of contemporary medical resident education are thus being directed at ensuring quality in learning as well as in patient care. Achievement and work-motivation theories attempt to explain people's choice, performance, and persistence in tasks. Expectancy Theory as one such theory was reviewed in detail, appearing particularly applicable to surgical residency training. Correlations between Expectancy Theory as a work-motivation theory and residency education were explored. Understanding achievement and work-motivation theories affords an opportunity to gain insight into resident motivation in training. The application of Expectancy Theory in particular provides an innovative perspective into residency education. Afforded are opportunities to promote the development of programmatic methods facilitating surgical resident motivation in education. Keywords: learning, education, achievement

The Face of Private Tutoring in Russia: Evidence from Online Marketing by Private Tutors

Science.gov (United States)

Kozar, Olga

2013-01-01

Private tutoring is a common and worldwide phenomenon. However, there is a dearth of up-to-date research on private tutoring compared with that on institutional one-to-one teaching, which could be explained by challenges associated with data collection. This article proposes using publicly available online advertisements of private tutors as a…

Comfort level of post graduate residents working in different clinical domains in managing common ophthalmic conditions

International Nuclear Information System (INIS)

Jaffar, S.; Tayyab, A.; Shah, S.S.; Naseem, S.; Ghazanfar, H.

2016-01-01

Background: Ophthalmological conditions are frequently encountered in almost all clinical specialties. Assessing the adequacy of ophthalmology teaching in undergraduate medical education is important in order to diagnose and manage different ophthalmological conditions. The objective of this study was to determine the comfort level of post graduate residents working in different clinical domains in managing common ophthalmic conditions. Methods: A cross sectional survey involving 277 post graduate residents was carried out over a period of six months in both private and public tertiary care hospital. A questionnaire containing two sections and 17 variables in total were distributed among Medical Residents of different specialties except ophthalmology residents. Participants of the study were selected through consecutive non probability sampling. Results: Mean hours of classroom based ophthalmology instruction during during undergraduate program was 59.38 hours (55.9) and mean hours of clinical based ophthalmology instruction during undergraduate program was 62.73 hours (60.8) 54 percentage were either not comfortable or somewhat comfortable in managing common ophthalmic condition. Conclusion: Teaching hours in under graduate program meet or exceed requisite criteria. However graduating doctors generally feel that the time spent does not provide them with the comfort and skill level required to care for patients with ocular presentations. (author)

From Social to Private Ownership

DEFF Research Database (Denmark)

Gregoric, Aleksandra; Masten, Arjana Brezigar; Zajc, Katarina

2011-01-01

of the multiple blockholder structures that these firms were assigned at privatization. We observe significant path dependence: patterns of ownership and control are in part determined by the persistence of the initial privatization owners (state funds, privatization investment funds, employees, and managers...

U.S. Dental Specialty Residents' Expectations and Anticipated Benefits of Academic Employment.

Science.gov (United States)

Nazarova, Elena; Martin-Peele, Melanie; Fifield, Judith

2016-10-01

The aims of this study were to assess features of an academic career that dental specialty residents, as a group and by gender, find most attractive and to identify what determines their expectations for responsibilities and professional growth in academic employment. In November 2013, an invitation to participate in the study along with a link to an online survey was sent to the 407 U.S. program directors of six of the dental specialties (endodontics, oral and maxillofacial surgery, pediatric dentistry, periodontics, prosthodontics, and orthodontics), asking them to forward the survey to their residents. A total of 287 residents responded (112 [41.3%] female and 159 [58.7%] male) out of 4,400 enrolled in these specialty training programs (6.5% response rate). The female respondents were significantly more interested in joining academia than were the male respondents (female 48%; male 31.5%; pgenders were attracted to academic dentistry by opportunities for intellectual and professional stimulation, but the lifestyle of academicians was significantly more important for the female respondents. The most important feature of a successful academic career for the female respondents was the ability to have a good balance between career and personal life. While opportunity to conduct research was a positive feature for all residents interested in academia and both male and female respondents agreed strongly on the need for collaboration between faculty members for productive research, male respondents agreed significantly more than female respondents that faculty members should conduct independent research. Faculty members' feedback about academic employment were a significantly positive influence on those planning an academic career compared to those planning to enter private practice. This study found that the female and male residents differed in their expectations of responsibilities and professional growth in academic employment. These results may be useful for

Does Residency Selection Criteria Predict Performance in Orthopaedic Surgery Residency?

Science.gov (United States)

Raman, Tina; Alrabaa, Rami George; Sood, Amit; Maloof, Paul; Benevenia, Joseph; Berberian, Wayne

2016-04-01

More than 1000 candidates applied for orthopaedic residency positions in 2014, and the competition is intense; approximately one-third of the candidates failed to secure a position in the match. However, the criteria used in the selection process often are subjective and studies have differed in terms of which criteria predict either objective measures or subjective ratings of resident performance by faculty. Do preresidency selection factors serve as predictors of success in residency? Specifically, we asked which preresidency selection factors are associated or correlated with (1) objective measures of resident knowledge and performance; and (2) subjective ratings by faculty. Charts of 60 orthopaedic residents from our institution were reviewed. Preresidency selection criteria examined included United States Medical Licensing Examination (USMLE) Step 1 and Step 2 scores, Medical College Admission Test (MCAT) scores, number of clinical clerkship honors, number of letters of recommendation, number of away rotations, Alpha Omega Alpha (AOA) honor medical society membership, fourth-year subinternship at our institution, and number of publications. Resident performance was assessed using objective measures including American Board of Orthopaedic Surgery (ABOS) Part I scores and Orthopaedics In-Training Exam (OITE) scores and subjective ratings by faculty including global evaluation scores and faculty rankings of residents. We tested associations between preresidency criteria and the subsequent objective and subjective metrics using linear correlation analysis and Mann-Whitney tests when appropriate. Objective measures of resident performance namely, ABOS Part I scores, had a moderate linear correlation with the USMLE Step 2 scores (r = 0.55, p communication skills" subsection of the global evaluations. We found that USMLE Step 2, number of honors in medical school clerkships, and AOA membership demonstrated the strongest correlations with resident performance. Our

Alternative energy technologies for private households - diffusion of solar collector systems

Energy Technology Data Exchange (ETDEWEB)

Krusche, H

1979-01-01

The study gives an estimate of the market potential for solar collectors in the Federal Republic of Germany and reports the results of a survey of first generation private users. It shows that these first users of solar collectors have social and personal charactristics similar to innovators in other areas as described in adoption and diffusion research. Compared with the average houseowner, first users of solar collectors tend to be younger, earn more and be better educated; to be professionally involved with building and heating and have some technical training; to be active information seekers and media users; to be socially active and well-integrated; to actively promote further diffusion of solar collectors. The study also shows that solar collectors are used for the purpose of room heating to an unexpectedly high degree; that the level of satisfaction with appliances and service is unexpectedly high and that the social environment of first users shows very little resistance to the introduction of solar collectors. Finally, it is shown that first users are more ecologically conscious than the average houseowner. The majority of first users attributes their decision to adopt solar technology to a lesser degree or at least not more than equally to economic-technical considerations than to ecological considerations. First users are generally fascinated by technically sweet consumption goods and can be characterized as technical optimists in their outlook on the future. Conclusions for social marketing of solar technology for the private household are drawn.

Factors Influencing the Private Involvement in Urban Rail Public-Private Partnership Projects in China

Directory of Open Access Journals (Sweden)

Yongjian Ke

2017-03-01

Full Text Available Private investors have been encouraged to participate in the development and operation of urban rail projects in China through Public-Private Partnerships (PPPs, given the fact that subnational governments are suffering from urgent development demands and severe fiscal pressure. However, there is no formal assessment to determine the private involvement in a PPP project. This problem is particularly critical in the sector of urban rail, in which the huge investment cannot rely on the private sector alone. This study hence aimed to uncover and identify the influencing factors. Multiple research methods, including content analysis, case study and focus group discussion were adopted to achieve the research purpose. Seven types of influencing factors were identified, including project financial model, government fiscal commitment, risk allocation, public accountability, efficiency considerations, policy and regulations, and organisational marketing strategies. The findings add to the current knowledge base by uncovering the drivers behind private involvement in a PPP project. They are also beneficial for industry practitioners as a basis/checklist to determine the private involvement.

Does Society Win or Lose as a Result of Privatization? The Case of Water Sector Privatization in Colombia

OpenAIRE

Mauricio Olivera; Felipe Barrera

2007-01-01

This paper studies the effects of water sector privatization on consumers’ welfare in 46 municipalities in Colombia. First, the privatization process is described. Second, the paper evaluates the impact of privatization on access, price, and quality of water as well as health outcomes using differences-in-differences methodology with variation across time (before and after privatization) and between treatment and control groups (privatized and non-privatized municipalities) and controlling fo...

Needs Assessment for Incoming PGY-1 Residents in Neurosurgical Residency.

Science.gov (United States)

Brandman, David M; Haji, Faizal A; Matte, Marie C; Clarke, David B

2015-01-01

Residents must develop a diverse range of skills in order to practice neurosurgery safely and effectively. The purpose of this study was to identify the foundational skills required for neurosurgical trainees as they transition from medical school to residency. Based on the CanMEDS competency framework, a web-based survey was distributed to all Canadian academic neurosurgical centers, targeting incoming and current PGY-1 neurosurgical residents as well as program directors. Using Likert scale and free-text responses, respondents rated the importance of various cognitive (e.g. management of raised intracranial pressure), technical (e.g. performing a lumbar puncture) and behavioral skills (e.g. obtaining informed consent) required for a PGY-1 neurosurgical resident. Of 52 individuals contacted, 38 responses were received. Of these, 10 were from program directors (71%), 11 from current PGY-1 residents (58%) and 17 from incoming PGY-1 residents (89%). Respondents emphasized operative skills such as proper sterile technique and patient positioning; clinical skills such as lesion localization and interpreting neuro-imaging; management skills for common scenarios such as raised intracranial pressure and status epilepticus; and technical skills such as lumbar puncture and external ventricular drain placement. Free text answers were concordant with the Likert scale results. We surveyed Canadian neurosurgical program directors and PGY-1 residents to identify areas perceived as foundational to neurosurgical residency education and training. This information is valuable for evaluating the appropriateness of a training program's goals and objectives, as well as for generating a national educational curriculum for incoming PGY-1 residents.

Job satisfaction among obstetrician-gynecologists: a comparison between private practice physicians and academic physicians.

Science.gov (United States)

Bell, Darrel J; Bringman, Jay; Bush, Andrew; Phillips, Owen P

2006-11-01

, academic physicians found variety, teaching, and research to be more important (P = .0027, P = .0001, and P = .0001, respectively). In contrast, private practice physicians found autonomy, physician-patient relationship, coworkers, and geographic location to be more important (P = .0005, P = .0001, P = .0035, and P = .0016, respectively). Academic and private practice physicians are equally satisfied with their careers. However, teaching, research and variety contribute more to academic satisfaction, whereas autonomy, physician-patient relationship, and coworkers contribute more to satisfaction for the physician in private practice. This study may be used when counseling residents concerning their career options.

Economy and development of heating station enterprises managed by forest owners

International Nuclear Information System (INIS)

Tuomi, S.

1997-01-01

Private heating enterprises are a new form of heat generation for municipalities in Finland. In this type the entrepreneur acquires the fuel and takes care of the operation and monitoring of the heating station. The recompense is paid on the basis of the heat amount produced to avoid problems related to i.e. the energy content and quality of the fuel. The price of heat is typically bound with that of light fuel oil. Agreements based on the price development of district heat and chips are also used. In 1996 there were 36 such heating enterprises in operation in Finland, their total efficiency being 11.5 MW. The aim of the project is to improve the feasibility of various forms of heating enterprises and to start new heating enterprises. The feasibility is studied both from the viewpoint of the entrepreneur and the municipality. The feasibility is improved by developing production chains of heating enterprises and the operability of the heating stations. Establishment of new heating enterprises is promoted by producing and disseminating information to possible entrepreneurs and municipalities. (orig.)

Economy and development of heating station enterprises managed by forest owners

International Nuclear Information System (INIS)

Tuomi, S.

1998-01-01

Private heating enterprises are a new form of heat generation for municipalities in Finland. In this type the entrepreneur acquires the fuel and takes care of the operation and monitoring of the heating station. The recompense is paid on the basis of the heat amount produced to avoid problems related to i.a. the energy content and quality of the fuel. The price of heat is typically bound with that of light fuel oil. Agreements based on the price development of district heat and chips are also used. In 1997 there were about 50 such heating enterprises in operation in Finland. The aim of the project is to improve the feasibility of various forms of heating enterprises and to start new heating enterprises. The feasibility is studied both from the viewpoint of the entrepreneur and the municipality. The feasibility is improved by developing production chains of heating enterprises and the operability of heating stations. Establishment of new heating enterprises is promoted by producing and disseminating information to possible entrepreneurs and municipalities. (orig.)

Privatization and the globalization of energy markets

Energy Technology Data Exchange (ETDEWEB)

NONE

1996-10-01

This report reviews recent global efforts to privatize energy resources and outlines the opportunities and challenges privatization has presented to U.S. and foreign multinational energy companies. The group of energy companies studied in this report includes the major U.S. petroleum companies and many foreign companies. The foreign companies reviewed include state-run energy enterprises, recently privatized energy enterprises, and foreign multinationals that have been privately held. The privatization of non-petroleum energy industries, such as electricity generation and transmission, natural gas transmission, and coal mining, are also discussed. Overseas investments made by electric companies, natural gas companies, and coal companies are included. The report is organized into six chapters: (1) economics of privatization; (2) petroleum privatization efforts among non-U.S. Organization for Economic Cooperation and Development nations; (3) petroleum privatization efforts in Latin America; (4) privatization in socialist and former socialist regimes; (5) privatization efforts in global electric power generation, transmission, and distribution industries; and (6) privatization and globalization of world coal.

[Anachronic health care models for the elderly: challenges for the private sector].

Science.gov (United States)

Veras, Renato; Parahyba, Maria Isabel

2007-10-01

Brazil's population is aging rapidly. The average life expectancy is increasing such that a large proportion of the current population will reach old age. However, the large Brazilian cities still lack the kind of health services infrastructure needed to meet the demands resulting from present demographic changes. This article examines access to and utilization of health care among the elderly, with particular emphasis on the private sector, drawing on data from the National Household Sample Survey (PNAD, 1998 and 2003). Socio-demographic variables included gender, age, region of residence, and family income. According to the PNAD data presented in the current study, from 1998 to 2003, health conditions improved among Brazilians aged 60 years or older.

Private Sector in Indian Healthcare Delivery: Consumer Perspective and Government Policies to promote private Sector

Directory of Open Access Journals (Sweden)

Utkarsh Shah, Ragini Mohanty

2011-01-01

Full Text Available This research paper attempts to collate literature from various sources, in an attempt to answer three pertinent questions related to healthcare in India. Firstly, what is it meant by ‘private sector’ in healthcare delivery system of India, secondly how has the private sector evolved over the decades and what has been the role of the government in propelling the growth. Finally, the paper tries to highlight some of the factors that have promoted the growth of private sector in India with specific reference to quality of medical care. The paper explicitly indicates that the deficiencies in the public health delivery system of India, was the key to growth of private infrastructure in healthcare.The shift of hospital industry for ‘welfare orientation’ to ‘business orientation’ was marked by the advent of corporate hospitals, supported by various policy level initiatives made by the government. Today, there are over 20 international healthcare brands in India with several corporate hospitals.However, a large section of the ‘private healthcare delivery segment’ is scattered and quality of medical care continues to remain a matter of concern. This paper tracks the various government initiatives to promote private investment in healthcare and attempts to explore the reasons for preference of the private sector. Surprisingly, in contrast to contemporary belief, quality of medical care doesn’t seem to be the leading cause for preference of the private sector. Except for a few select corporate and trust hospitals, quality of medical care in private sector seems to be poor and at times compromised.

Heating entrepreneur activity in 2009; Laempoeyrittaejatoiminta vuonna 2009

Energy Technology Data Exchange (ETDEWEB)

Solmio, H. (TTS Research (Finland)); Alanen, V.-M. (Puuwatti Oy (Finland))

2010-10-22

At the end of 2009 there were heating entrepreneurs responsible for fuel management and heat production in at least 455 heating plants in Finland. The number of operative plants increased by 32 ie. 8 percent from previous year. Heating entrepreneurship was most common in west Finland, where 40 percent of the plants were located. The total boiler capacity for solid fuel in the plants managed by the heating entrepreneurs increased 10 percent. The total capacity was 250 megawatts and average boiler capacity 0.55 megawatts. 29 percent of all heating plants managed by heating entrepreneurs were district heating plants. The rest were single building heating plants. There were some 244 heating plants managed by co-operatives or limited companies. Single entrepreneurs or entrepreneur networks consisting of several entrepreneurs were responsible for heat production in 203 plants. Heating entrepreneurs used approximately 1,000,000 loose cubic metres of forest chips, which is 7,2 percent of the volume used for heating and power plant energy production in 2009. In addition, the heating entrepreneurs used approximately 80,000 loose cubic metres of other wood fuel and an estimated 40,000 loose cubic metres of sod and milled peat. Municipalities were still the most important customer group for heating entrepreneurs. However, the number of private customers is growing. When looking at new heating plants, investment was done by entrepreneur in two of three cases. (orig.)

Solar assisted conditioning of residences with floor heating and ceiling cooling: review and simulation results

OpenAIRE

Egrican, Nilufer; Korkmaz, Adnan

2015-01-01

Solar or solar assisted heating and cooling systems are becoming widespread to reduce CO2 emissions. Efficient radiant space heating and cooling systems can be used to decrease the energy bills and improve occupant thermal comfort in buildings. This study uses the TRNSYS program, for the modeling and simulation of solar assisted radiant heating and cooling of a building with the domestic hot water supply, to examine the effects of various parameters on energy consumption. Calculations are per...

Quality, quantity and distribution of medical education and care: regulation by the private sector or mandate by government?

Science.gov (United States)

Anlyan, W G

1975-05-01

The public, the federal government and most state governments have become increasingly concerned with the lack of access to primary care as well as the specialty and geographic maldistribution problems. Currently, there is a race in progress between the private sector and the federal government to devise solutions to these problems. In the federal sector, varying pieces of legislation are under active consideration to mandate the correction of specialty and geographic maldistribution; proposals include: 1) setting up federal machinery to regulate the numbers and types of residencies; 2) make obligatory the creation of Departments of Family Practice in each medical school; 3) withdraw current education support from medical schools causing tuition levels to increase substantially--federal student loans would then provide the necessary leverage to obligate the borrower to two years of service in an under-served area in exchange for loan forgiveness. In the private sector, for the first time in the history of the United States, the five major organizations involved in medical care have organized to form the Coordinating Council on Medical Education (CCME) and the Liaison Committee on Graduate Medical Education (LCGME). One of the initial major endeavors of the CCME has been to address itself to the problem of specialty maldistribution. The LCGME has been tooling up to become the accrediting group for residency training thus providing an overview of the quality and quantity of specialty training. It will be the intent of this presentation to bring the membership of the Southern Surgical Association an up-to-date report on these parallel efforts. The author's personal hope is that the private sector can move sufficiently rapidly to set up its own regulatory mechanisms and avert another federally controlled bureaucracy that will forever change the character of the medical profession in the United States.

Elective time during dermatology residency: A survey of residents and program directors.

Science.gov (United States)

Uppal, Pushpinder; Shantharam, Rohini; Kaufmann, Tara Lynn

2017-12-15

Elective time during residency training provides residents with exposure to different subspecialties. This opportunity gives residents the chance tonurture growth in particular areas of interest and broaden their knowledge base in certain topics in dermatology by having the chance to work withexperts in the field. The purpose of this study was to assess the views of residency program directors and dermatology residents on the value of elective time through a cross sectional survey. An eight-questionIRB exempt survey was sent out to 113 residency program directors via email through the American Professors of Dermatology (APD) program director listserv. Program directors were asked to forward a separate set of 9 questions to their residents. The majority of programs that responded allowed for some elective time within their schedule, often duringthe PGY 4 (3rd year of dermatology training), but the amount of time allowed widely varied among many residency programs. Overall, residents and program directors agree that elective is important in residencytraining, but no standardization is established across programs.

Economy and development of heating station enterprises managed by forest owners

International Nuclear Information System (INIS)

Tuomi, S.

1998-01-01

Private heating enterprises are a new form of heat generation for municipalities in Finland. In this type the entrepreneur acquires the fuel and takes care of the heating station. The recompense is paid on the basis of the heat amount produced to avoid problems related to i.a. the energy content and the quality of the fuel. The price of heat is typically bound to the price of the light fuel oil. Agreements based on the price development of district heat and chips are also used. In 1997 there were about 50 such enterprises in operation in Finland. The aim of the project is to improve the feasibility of various forms of heating enterprises and to start new heating enterprises. The feasibility is studied both from the viewpoint of the entrepreneur and the municipality. The feasibility is improved by developing production chains of heating enterprises and the operability of heating stations. Establishment of new heating enterprises is promoted by producing and disseminating information to prospective entrepreneurs and municipalities. (orig.) 2 figs., 2 tabs. Bioenergy Research programme

State Government, Its Relationship to Private Schools.

Science.gov (United States)

Cronin, Joseph M.; Kenyon, Regan

1982-01-01

In examining the state's role in private education, this article discusses court cases bearing on state services to private schools, state regulation of different types of private schools, collaborative efforts between public and private schools, and emerging state attitudes toward private education. (Author/WD)

PURCHASING BEHAVIOUR RELATED TO HEATING SYSTEMS IN GERMANY WITH SPECIAL CONSIDERATION OF CONSUMERS' ECOLOGICAL ATTITUDES

OpenAIRE

Decker, Thomas; Zapilko, Marina; Menrad, Klaus

2010-01-01

The decision for buying a heating system is a long-term one, as many different aspects have an influence on this choice which were analyzed in a Germany-wide, written survey. The respondents (only owners of a private house) had to answer questions about their attitude towards e.g. economic, convenience or ecological aspects related to heating systems and the respective combustibles. Using a multinomial logistic regression model the choice of the heating system is mainly explained by ecologica...

Dual-stroke heat pump field performance

Science.gov (United States)

Veyo, S. E.

1984-11-01

Two nearly identical proprototype systems, each employing a unique dual-stroke compressor, were built and tested. One was installed in an occupied residence in Jeannette, Pa. It has provided the heating and cooling required from that time to the present. The system has functioned without failure of any prototypical advanced components, although early field experience did suffer from deficiencies in the software for the breadboard micro processor control system. Analysis of field performance data indicates a heating performance factor (HSPF) of 8.13 Stu/Wa, and a cooling energy efficiency (SEER) of 8.35 Scu/Wh. Data indicate that the beat pump is oversized for the test house since the observed lower balance point is 3 F whereas 17 F La optimum. Oversizing coupled with the use of resistance heat ot maintain delivered air temperature warmer than 90 F results in the consumption of more resistance heat than expected, more unit cycling, and therefore lower than expected energy efficiency. Our analysis indicates that with optimal mixing the dual stroke heat pump will yield as HSFF 30% better than a single capacity heat pump representative of high efficiency units in the market place today for the observed weather profile.

Public and private pregnancy care in Reggio Emilia Province: an observational study on appropriateness of care and delivery outcomes.

Science.gov (United States)

Bonvicini, Laura; Candela, Silvia; Evangelista, Andrea; Bertani, Daniela; Casoli, Morena; Lusvardi, Annarella; Messori, Antonella; Giorgi Rossi, Paolo

2014-02-17

In industrialized countries, improvements have been made in both maternal and newborn health. While attention to antenatal care is increasing, excessive medicalization is also becoming more common.The aim of this study is to compare caesarean section (CS) frequency and ultrasound scan utilization in a public model of care involving both midwives and obstetricians with a private model in which care is provided by obstetricians only. Observational population-based study. Reggio Emilia Province. 5957 women resident in the province who delivered between October 2010 and November 2011. CS frequency and ultrasound scan utilization, stillbirths, and other negative perinatal outcomes. Women in the study were searched in the public family and reproductive health clinic medical records to identify those cared for in the public system. Outcomes of the two antenatal care models were compared through multivariate logistic regression adjusting for maternal characteristics and, for CS only, by stratifying by Robson's Group. Compared to women cared for in private services (N = 3,043), those in public service (N = 2,369) were younger, less educated, more frequently non-Italian, and multiparous. The probability of CS was slightly higher for women cared for by private obstetricians than for those cared for in the public system (31.8% vs. 27.1%; adjusted odds ratio: 1.10; 95% CI: 0.93-1.29): The probability of having more than 3 ultrasound scans was higher in private care (89.6% vs. 49.8%; adjusted odds ratio: 5.11; 95% CI: 4.30-6.08). CS frequency was higher in private care for all Robson's classes except women who underwent CS during spontaneous labour. Among negative perinatal outcomes only a higher risk of pre-term birth was observed for pregnancies cared for in private services. The public model provides less medicalized and more guidelines-oriented care than does the private model, with no increase in negative perinatal outcomes.

Pediatric dermatology training during residency: a survey of the 2014 graduating residents.

Science.gov (United States)

Akhavan, Alaleh; Murphy-Chutorian, Blair; Friedman, Adam

2015-01-01

Knowledge of pediatric dermatology is considered a core competency of dermatology training and should be expected of all practicing dermatologists. While the numbers of both pediatric dermatology fellowships and board certified pediatric dermatologists in the workforce have increased over the years, recent reports suggest that there is a gap in pediatric dermatology education during dermatology residency. The goal of this study is to assess the current state of pediatric education during residency, as well as the clinical experience, satisfaction and expectations of graduating dermatology residents. A 31-question self-report survey was distributed electronically to 294 third-year dermatology residents with questions pertaining to demographics, didactic education, resident experience in pediatric dermatology training, satisfaction with pediatric training and future plans. One hundred and twenty-three residents responded (41.8% response rate) representing approximately 29.1% of the total number of graduating residents. 69 (56.1%) residents reported academic time specifically devoted to pediatric dermatology, the majority (79.7%) of which was led by pediatric dermatologists. 82% of residents reported dedicated pediatric dermatology clinics at their program. 86.8% of respondents felt that their training in pediatric dermatology will allow them to confidently see pediatric dermatology patients in practice. This survey highlights a promising state of pediatric dermatology training among current graduating dermatology residents. The majority of current graduating dermatology residents are satisfied with their pediatric dermatology education, feel confident treating pediatric patients, and plan to see pediatric patients in clinical practice. © 2015 Wiley Periodicals, Inc.

Selection criteria of residents for residency programs in Kuwait.

Science.gov (United States)

Marwan, Yousef; Ayed, Adel

2013-01-19

In Kuwait, 21 residency training programs were offered in the year 2011; however, no data is available regarding the criteria of selecting residents for these programs. This study aims to provide information about the importance of these criteria. A self-administered questionnaire was used to collect data from members (e.g. chairmen, directors, assistants …etc.) of residency programs in Kuwait. A total of 108 members were invited to participate. They were asked to rate the importance level (scale from 1 to 5) of criteria that may affect the acceptance of an applicant to their residency programs. Average scores were calculated for each criterion. Of the 108 members invited to participate, only 12 (11.1%) declined to participate. Interview performance was ranked as the most important criteria for selecting residents (average score: 4.63/5.00), followed by grade point average (average score: 3.78/5.00) and honors during medical school (average score: 3.67/5.00). On the other hand, receiving disciplinary action during medical school and failure in a required clerkship were considered as the most concerning among other criteria used to reject applicants (average scores: 3.83/5.00 and 3.54/5.00 respectively). Minor differences regarding the importance level of each criterion were noted across different programs. This study provided general information about the criteria that are used to accept/reject applicants to residency programs in Kuwait. Future studies should be conducted to investigate each criterion individually, and to assess if these criteria are related to residents' success during their training.

34 CFR 200.10 - Applicability of a State's academic assessments to private schools and private school students.

Science.gov (United States)

2010-07-01

... assessments to private schools and private school students. (a) Nothing in § 200.1 or § 200.2 requires a... 34 Education 1 2010-07-01 2010-07-01 false Applicability of a State's academic assessments to private schools and private school students. 200.10 Section 200.10 Education Regulations of the Offices of...

Factors influencing resident's decision to reside in gated and guarded community

Science.gov (United States)

Shamsudin, Zarina; Shamsudin, Shafiza; Zainal, Rozlin

2017-10-01

Gated communities are residential areas developed with restricted access with strictly controlled entrances and surrounded by a close perimeter of wall or fences. Developers, conscious of the need to fulfill the requirement of living in modern and sophisticated lifestyle and gated properties become the trend and mushroomed over the past decade. Nowadays, it is obvious that gated and guarded communities become almost a dominant feature of Malaysia housing development projects. The focus of this paper is to identify the factors contribute resident's decision to reside in gated and guarded community and to study social interaction among gated communities' residents. 150 questionnaires were distributed to the residents of selected gated and guarded community area in order to achieve the objectives and analyzed by using Statistical Package for Social Science (SPSS) and descriptive analysis. The result was tabulated and presented in charts and graphs for a clear and better understanding. The five main factors contribute to resident decision to reside in gated communities were identified and ranked; there are privacy, security, location, lifestyle and prestige. Besides, the residents are feeling neutral towards the facilities and services provided in their gated and guarded residential area. A comprehensive improvement towards the facilities and services is needed to reach higher satisfaction from the residents.

Research of private label development in Croatia

Directory of Open Access Journals (Sweden)

Sandra Horvat

2009-07-01

Full Text Available Private labels have been present on the market since 19th century but their intensive market growth began in the last thirty years after retailers realized what their potential could be in the fight against ever-growing competition. Their market growth has not been distributed equally thought the world so Europe became the region with the highest private label market share, which exceeds 40% on some markets. Although the private label market share in Croatia is considerably smaller, it has also increased steadily over the last decade since private labels were introduced on the market. This paper presents the findings of a research conducted for the purpose of identifying trends in private label development on the Croatian market. The research was conducted through in-depth interviews with private label managers in retail companies in Croatia, and with the managers responsible for private label production in manufacturing companies. The research identified three expected trends of private label development in Croatia and these are: an increase in private label quality, the maintenance of a price gap between private labels and manufacturers’ brands and a further increase in the private label market share.

Hospital utilization and out of pocket expenditure in public and private sectors under the universal government health insurance scheme in Chhattisgarh State, India: Lessons for universal health coverage.

Science.gov (United States)

Nandi, Sulakshana; Schneider, Helen; Dixit, Priyanka

2017-01-01

Research on impact of publicly financed health insurance has paid relatively little attention to the nature of healthcare provision the schemes engage. India's National Health Insurance Scheme or RSBY was made universal by Chhattisgarh State in 2012. In the State, public and private sectors provide hospital services in a context of extensive gender, social, economic and geographical inequities. This study examined enrolment, utilization (public and private) and out of pocket (OOP) expenditure for the insured and uninsured, in Chhattisgarh. The Chhattisgarh State Central sample (n = 6026 members) of the 2014 National Sample Survey (71st Round) on Health was extracted and analyzed. Variables of enrolment, hospitalization, out of pocket (OOP) expenditure and catastrophic expenditure were descriptively analyzed. Multivariate analyses of factors associated with enrolment, hospitalization (by sector) and OOP expenditure were conducted, taking into account gender, socio-economic status, residence, type of facility and ailment. Insurance coverage was 38.8%. Rates of hospitalization were 33/1000 population among the insured and 29/1000 among the uninsured. Of those insured and hospitalized, 67.2% utilized the public sector. Women, rural residents, Scheduled Tribes and poorer groups were more likely to utilize the public sector for hospitalizations. Although the insured were less likely to incur out of pocket (OOP) expenditure, 95.1% of insured private sector users and 66.0% of insured public sector users, still incurred costs. Median OOP payments in the private sector were eight times those in the public sector. Of households with at least one member hospitalized, 35.5% experienced catastrophic health expenditures (>10% monthly household consumption expenditure). The study finds that despite insurance coverage, the majority still incurred OOP expenditure. The public sector was nevertheless less expensive, and catered to the more vulnerable groups. It suggests the need to

Public and private dental services in NSW: a geographic information system analysis of access to care for 7 million Australians.

Science.gov (United States)

Willie-Stephens, Jenny; Kruger, Estie; Tennant, Marc

2014-06-01

To investigate the distribution of public and private dental practices in NSW in relation to population distribution and socioeconomic status. Dental practices (public and private) were mapped and overlayed with Census data on Collection District population and Socio-Economic Indexes for Areas (SEIFA). Overall, there was an uneven geographic distribution of public and private dental practices across NSW. When the geographic distribution was compared to population socioeconomics it was found that in rural NSW, 12% of the most disadvantaged residents lived further than 50km from a public dental practice, compared to 0% of the least disadvantaged. In Sydney, 9% of the three most disadvantaged groups lived greater than 7.5km from a public dental practice, compared to 21% of the three least disadvantaged groups. The findings of this study can contribute to informing decisions to determine future areas for focus of dental resource development (infrastructure and workforce) and identifying subgroups in the population (who are geographically isolated from accessing care) where public health initiatives focused on amelioration of disease consequences should be a focus.

Ecological solid fuels, effective heating devices for communal management and their testing methods

Energy Technology Data Exchange (ETDEWEB)

Kubica, K.

1995-12-31

The national balance of primary energy consumption is almost 90% based upon coal. Coal is used not only in electricity production, but also in the communal sector - in heating facilities comprising chiefly local boiler houses and private households.

Technology, applications and modelling of ohmic heating: a review.

Science.gov (United States)

Varghese, K Shiby; Pandey, M C; Radhakrishna, K; Bawa, A S

2014-10-01

Ohmic heating or Joule heating has immense potential for achieving rapid and uniform heating in foods, providing microbiologically safe and high quality foods. This review discusses the technology behind ohmic heating, the current applications and thermal modeling of the process. The success of ohmic heating depends on the rate of heat generation in the system, the electrical conductivity of the food, electrical field strength, residence time and the method by which the food flows through the system. Ohmic heating is appropriate for processing of particulate and protein rich foods. A vast amount of work is still necessary to understand food properties in order to refine system design and maximize performance of this technology in the field of packaged foods and space food product development. Various economic studies will also play an important role in understanding the overall cost and viability of commercial application of this technology in food processing. Some of the demerits of the technology are also discussed.

Contribution of domestic heating systems to smart grid control

DEFF Research Database (Denmark)

Tahersima, Fatemeh; Stoustrup, Jakob; Meybodi, Soroush Afkhami

2011-01-01

How and to what extent, domestic heating systems can be helpful in regaining power balance in a smart grid, is the question to be answered in this paper. Our case study is an under-floor heating system supplied with a geothermal heat pump which is driven by electrical power from the grid. The idea...... is to deviate power consumption of the heat pump from its optimal value, in order to compensate power imbalances in the grid. Heating systems could be forced to consume energy, i.e. storing it in heat buffers when there is a power surplus in the grid; and be prevented from using power, in case of power shortage....... We have investigated how much power imbalance could be compensated, provided that a certain, yet user adjustable, level of residents' thermal comfort is satisfied. It is shown that the large heat capacity of the concrete floor alleviates undesired temperature fluctuations. Therefore, incorporating...

Streamlined energy-savings calculations for heat-island reduction strategies

Energy Technology Data Exchange (ETDEWEB)

Akbari, Hashem; Konopacki, Steven J.

2003-03-15

We have developed summary tables (sorted by heating- and cooling-degree-days) to estimate the potential of Heat-Island Reduction (HIR) strategies (i.e., solar-reflective roofs, shade trees, reflective pavements, and urban vegetation) to reduce cooling-energy use in buildings. The tables provide estimates of savings for both direct effect (reducing heat gain through the building shell) and indirect effect (reducing the ambient air temperature). In this analysis, we considered three building types that offer the most savings potential : residences, offices, and retail stores. Each building type was characterized in detail by Pre-1980 (old) or 1980+ (new) construction vintage and with natural gas or electricity as heating fuel. We defined prototypical-building characteristics for each building type and simulated the effects of HIR strategies on building cooling and heating energy use and peak power demand using the DOE-2.1E model and weather data for about 240 locations in the U.S. A statistical analysis of previously completed simulations for five cities was used to estimate the indirect savings. Our simulations included the effect of (1) solar-reflective roofing material on building [direct effect], (2) placement of deciduous shade trees near south and west walls of building [direct effect], and (3) ambient cooling achieved by urban reforestation and reflective building surfaces and pavements [indirect effect]. Upon completion of estimating the direct and indirect energy savings for all the selected locations, we integrated the results in tables arranged by heating- and cooling-degree-days. We considered 15 bins for heating-degree-days, and 11 bins for cooling-degree-days. Energy use and savings are presented per 1000 ft2 of roof area. In residences heated with gas and in climates with greater than 1000 cooling-degree-days, the annual electricity savings in Pre-1980 stock ranged from 650 to 1300 kWh/1000ft2; for 1980+ stock savings ranged 300 to 600 kWh/1000 ft2

Public Sector Unions and Privatization

DEFF Research Database (Denmark)

Foged, Søren Kjær; Aaskoven, Lasse

2016-01-01

Privatization varies considerably among local governments. One of the oft-listed explanations is the ability of public employees to block privatization. However, many studies on the influence of public employees on privatization do not use very precise measures of the influence of public employees...... Danish municipalities in 2012, we are able to measure the strength of the public eldercare union as well as the number of the public eldercare workers relative to the number of local voters. We find that the increased union strength measured in terms of union density at the municipal level leads...... to substantially and significantly less privatization through the voucher market. By comparison, the estimated relationship between the relative number of public workers and privatization does not reach statistical significance. Features of the voucher market and qualitative evidence suggest that the union...

[Job status after the resident training period in Spain. Analysis of a national survey.

Science.gov (United States)

García Sanz, Miguel; Rodríguez Socarrás, Moises; Tortolero Blanco, Leonardo; Pesquera-Ortega, Laura; Colombo, Juan; Gómez Rivas, Juan

2018-01-01

Since the establishment of specialization of medicine through the residency system, Spanish health care has sought to maintain a balance between established needs and trained professionals, with the aim of avoiding the deficit or excess of health specialists with its consequences. The objective of the present review is to know the working conditions of urologist specialists at the end of the residency training period. The results of a survey for urologist who completed their residency contract from 2012 to 2016 are presented, assessing working status, academic and working data during the first months after the completion of specialized training. A total of 42 surveys were collected. All respondents had a working contract within 6 months of completing their training. 71% had a temporary contract, most with duration of less than one year. There are more contract numbers in the public health system, although they increase progressively in the private sector. More than half of the respondents were satisfied with their work situation. The work insertion of the recently specialized urologists is high, reaching 100% within 6 months of finishing their specialization. Labor quality issues are not so positive, observing great working instability associated to a high proportion of temporary contracts lower than 6 months.

Private pensions for Europe

NARCIS (Netherlands)

Bovenberg, L.; van Ewijk, C.

2011-01-01

Private pensions can enhance international and intergenerational risk-sharing and create a deeper European capital market, which allows for better diversification of country-specific risks and facilitates economic growth. Private funding of pensions creates a more integrated European capital market

The resident's view of residency training in Canada.

Science.gov (United States)

Fish, D G

1966-04-09

In the view of residents in their last year of specialty training, the Fellowship is now becoming the operative standard for obtaining hospital privileges in urban centres and they felt that this implied that the two standards, the Certificate and the Fellowship of the Royal College, were not achieving the purpose for which they were designed. Although 80% of the residents intended to write the Fellowship, few viewed a year in a basic science department or in research as of intrinsic value in terms of their future practice.The examinations of the Royal College were the subject of criticism, most residents feeling that the examinations did not test the knowledge and ability gained in training. Most expressed a desire for ongoing evaluation during the training period.Service responsibilities were generally regarded as too heavy.Despite the criticism of both training and examination, most residents felt that their training had provided them with the experience and background they needed to practise as specialists.

Post-evaluation of a ground source heat pump system for residential space heating in Shanghai China

Science.gov (United States)

Lei, Y.; Tan, H. W.; Wang, L. Z.

2017-11-01

Residents of Southern China are increasingly concerned about the space heating in winter. The chief aim of the present work is to find a cost-effective way for residential space heating in Shanghai, one of the biggest city in south China. Economic and energy efficiency of three residential space heating ways, including ground source heat pump (GSHP), air source heat pump (ASHP) and wall-hung gas boiler (WHGB), are assessed based on Long-term measured data. The results show that the heat consumption of the building is 120 kWh/m2/y during the heating season, and the seasonal energy efficiency ratio (SEER) of the GSHP, ASHP and WHGB systems are 3.27, 2.30, 0.88 respectively. Compared to ASHP and WHGB, energy savings of GSHP during the heating season are 6.2 kgce/(m2.y) and 2.2 kgce/(m2.y), and the payback period of GSHP are 13.3 and 7.6 years respectively. The sensitivity analysis of various factors that affect the payback period is carried out, and the results suggest that SEER is the most critical factor affecting the feasibility of ground source heat pump application, followed by building load factor and energy price factor. These findings of the research have led the author to the conclusion that ground source heat pump for residential space heating in Shanghai is a good alternative, which can achieve significant energy saving benefits, and a good system design and operation management are key factors that can shorten the payback period.

Identifying Gaps and Launching Resident Wellness Initiatives: The 2017 Resident Wellness Consensus Summit.

Science.gov (United States)

Zaver, Fareen; Battaglioli, Nicole; Denq, William; Messman, Anne; Chung, Arlene; Lin, Michelle; Liu, Emberlynn L

2018-03-01

Burnout, depression, and suicidality among residents of all specialties have become a critical focus for the medical education community, especially among learners in graduate medical education. In 2017 the Accreditation Council for Graduate Medical Education (ACGME) updated the Common Program Requirements to focus more on resident wellbeing. To address this issue, one working group from the 2017 Resident Wellness Consensus Summit (RWCS) focused on wellness program innovations and initiatives in emergency medicine (EM) residency programs. Over a seven-month period leading up to the RWCS event, the Programmatic Initiatives workgroup convened virtually in the Wellness Think Tank, an online, resident community consisting of 142 residents from 100 EM residencies in North America. A 15-person subgroup (13 residents, two faculty facilitators) met at the RWCS to develop a public, central repository of initiatives for programs, as well as tools to assist programs in identifying gaps in their overarching wellness programs. An online submission form and central database of wellness initiatives were created and accessible to the public. Wellness Think Tank members collected an initial 36 submissions for the database by the time of the RWCS event. Based on general workplace, needs-assessment tools on employee wellbeing and Kern's model for curriculum development, a resident-based needs-assessment survey and an implementation worksheet were created to assist residency programs in wellness program development. The Programmatic Initiatives workgroup from the resident-driven RWCS event created tools to assist EM residency programs in identifying existing initiatives and gaps in their wellness programs to meet the ACGME's expanded focus on resident wellbeing.

Private sector in public health care systems

OpenAIRE

Matějusová, Lenka

2008-01-01

This master thesis is trying to describe the situation of private sector in public health care systems. As a private sector we understand patients, private health insurance companies and private health care providers. The focus is placed on private health care providers, especially in ambulatory treatment. At first there is a definition of health as a main determinant of a health care systems, definition of public and private sectors in health care systems and the difficulties at the market o...

Energetic Efficiency Evaluation by Using GroundWater Heat Pumps

Directory of Open Access Journals (Sweden)

Tokar Adriana

2012-09-01

Full Text Available Romania has significant energy potential from renewable sources, but the potential used is much lower due to technical and functional disadvantages, to economic efficiency, the cost elements and environmental limitations. However, efforts are being made to integrate renewable energy in the national energy system. To promote and encourage private investments for renewable energy utilization, programs have been created in order to access funds needed to implement these technologies. Assessment of such investments was carried out from technical and economical point of view, by analyzing a heat pump using as heat source the solar energy from the ground.

Who, What, Where: an analysis of private sector family planning provision in 57 low- and middle-income countries.

Science.gov (United States)

Campbell, Oona M R; Benova, Lenka; Macleod, David; Goodman, Catherine; Footman, Katharine; Pereira, Audrey L; Lynch, Caroline A

2015-12-01

Family planning service delivery has been neglected; rigorous analyses of the patterns of contraceptive provision are needed to inform strategies to address this neglect. We used 57 nationally representative Demographic and Health Surveys in low- and middle-income countries (2000-2013) in four geographic regions to estimate need for contraceptive services, and examined the sector of provision, by women's socio-economic position. We also assessed method mix and whether women were informed of side effects. Modern contraceptive use among women in need was lowest in sub-Saharan Africa (39%), with other regions ranging from 64% to 72%. The private sector share of the family planning market was 37-39% of users across the regions and 37% overall (median across countries: 41%). Private sector users accessed medical providers (range across regions: 30-60%, overall mean: 54% and median across countries 23%), specialised drug sellers (range across regions: 31-52%, overall mean: 36% and median across countries: 43%) and retailers (range across regions: 3-14%, overall mean: 6% and median across countries: 6%). Private retailers played a more important role in sub-Saharan Africa (14%) than in other regions (3-5%). NGOs and FBOs served a small percentage. Privileged women (richest wealth quintile, urban residents or secondary-/tertiary-level education) used private sector services more than the less privileged. Contraceptive method types with higher requirements (medical skills) for provision were less likely to be acquired from the private sector, while short-acting methods/injectables were more likely. The percentages of women informed of side effects varied by method and provider subtype, but within subtypes were higher among public than private medical providers for four of five methods assessed. Given the importance of private sector providers, we need to understand why women choose their services, what quality services the private sector provides, and how it can be improved

Differences on the effect of heat waves on mortality by sociodemographic and urban landscape characteristics.

Science.gov (United States)

Xu, Yihan; Dadvand, Payam; Barrera-Gómez, Jose; Sartini, Claudio; Marí-Dell'Olmo, Marc; Borrell, Carme; Medina-Ramón, Mercè; Sunyer, Jordi; Basagaña, Xavier

2013-06-01

Mortality increases during heat waves have been reported worldwide. The magnitude of these increases can vary within regions according to sociodemographic and urban landscape characteristics. The objectives of this study were to explore this variation and its determinants, and to identify the most heat-vulnerable areas by mapping heat vulnerability. We conducted a time-stratified case-crossover analysis using daily mortality in the Barcelona metropolitan area during the warm seasons of 1999-2006. Temperature data on the date of death were assigned to each individual, which were assigned to their census tract of residence. Eight census tract-level variables on socioeconomic or built environment characteristics were obtained from the census. Residence surrounding greenness was obtained from satellite data. The relative risk (RR) of mortality after three consecutive hot days (defined as those exceeding the 95th percentile of maximum temperature) was calculated via conditional logistic regression. Effect modification was examined by including interaction terms. Analyses were based on 52 806 deaths. The effect of three consecutive hot days was a 30% increase in all-cause mortality (RR=1.30, 95% CI 1.24 to 1.38). Heterogeneity of this effect was observed across census tracts. The effect of heat on mortality was higher in the census tracts with a large percentage of old buildings (RR=1.21, 95% CI 1.00 to 1.46), manual workers (RR=1.25, 95% CI 0.96 to 1.64) and residents perceiving little surrounding greenness (RR=1.29, 95% CI 1.01 to 1.65). After three consecutive hot days, mortality doubled in the most heat-vulnerable census tracts. Sociodemographic and urban landscape characteristics are associated to mortality risk during heat waves and are useful to build heat vulnerability maps.

Resident and attending physician perception of maladaptive response to stress in residents

Directory of Open Access Journals (Sweden)

Lee Ann Riesenberg

2014-11-01

Full Text Available Background: Residency stress has been shown to interfere with resident well-being and patient safety. We developed a survey research study designed to explore factors that may affect perception of a maladaptive response to stress. Methods: A 16-item survey with 12 Likert-type perception items was designed to determine how often respondents agreed or disagreed with statements regarding the resident on the trigger tape. A total of 438 respondents from multiple institutions completed surveys. Results: Attending physicians were more likely than residents to agree that the resident on the trigger tape was impaired, p<0.0001; needed to seek professional counseling, p=0.0003; should be removed from the service, p=0.002; was not receiving adequate support from the attending physician, p=0.007; and was a risk to patient safety, p=0.02. Attending physicians were also less likely to agree that the resident was a good role model, p=0.001, and that the resident should be able to resolve these issues herself/himself, p<0.0001. Conclusion: Our data suggest that resident physicians may not be able to adequately detect maladaptive responses to stress and that attending physicians may be more adept at recognizing this problem. More innovative faculty and resident development workshops should be created to teach and encourage physicians to better observe and detect residents who are displaying maladaptive responses to stress.

Areva's privatization uncertainties

International Nuclear Information System (INIS)

Jemain, A.

2004-01-01

The French nuclear public group Areva (the fusion of CEA-Industrie, Framatome and Cogema companies) will actively prepare its privatization and stock exchange introduction before the end of the first half of 2005, in order to re-launch its acquisitions and associations policy. However, the advantages of this privatization with a preponderant public share-holding will depend on the intentions of the French government. Short paper. (J.S.)

Learning and education on environmental radioactivity by residents of Rokkasho Site for the spent fuel recycling facilities

International Nuclear Information System (INIS)

Kawauchi, Kiye; Itoh, Natsuko; Ishikawa, Tomiye; Nihonyanagi, Haruko; Aratani, Michi

2005-01-01

The neutron criticality accident at the JCO, a private company for nuclear fuel processing facilities in Tokai has drastically changed minds and attitudes of residents toward environmental radioactivity. The accident happened on September 30, 1999. Before the accident the residents of the Rokkasho Site were not anxious about environmental radioactivity, because they thought the facilities were safe enough concerning containment policy of the radioactivity inside the facilities. Residents, however, had not been taught on a neutron. It is an unfamiliar radiation for them. So, they promptly learnt on neutrons, and some of them began the fixed point measurement of neutrons at the nearest site of the Spent Fuel Recycling Facilities of Rokkasho by the help of Prof. Kazuhisa. Komura, Kanazawa University. Members of the Reading Cicle, Rokkasho Culture Society, mainly women, learnt measurements of environmental radioactivity using simplified counters for alpha-, beta-, and gamma-ray from natural radioactive elements and prepared various kinds of environmental samples. After learning of environmental radioactivity, they began educational activities on the environmental radioactivity for boys and girls in the region. Monitoring of environmental radioactivity is performed by different institutions and with their purposes. Here is reported learning of environmental radioactivity by the residents and education of environmental radioactivity toward the young. Even with the simplest counters, we think that the monitoring of environmental radioactivity by the residents themselves is the royal road to the safety of the regional society. (author)

Identifying Gaps and Launching Resident Wellness Initiatives: The 2017 Resident Wellness Consensus Summit

Directory of Open Access Journals (Sweden)

Nicole Battaglioli

2018-02-01

Full Text Available Introduction: Burnout, depression, and suicidality among residents of all specialties have become a critical focus for the medical education community, especially among learners in graduate medical education. In 2017 the Accreditation Council for Graduate Medical Education (ACGME updated the Common Program Requirements to focus more on resident wellbeing. To address this issue, one working group from the 2017 Resident Wellness Consensus Summit (RWCS focused on wellness program innovations and initiatives in emergency medicine (EM residency programs. Methods: Over a seven-month period leading up to the RWCS event, the Programmatic Initiatives workgroup convened virtually in the Wellness Think Tank, an online, resident community consisting of 142 residents from 100 EM residencies in North America. A 15-person subgroup (13 residents, two faculty facilitators met at the RWCS to develop a public, central repository of initiatives for programs, as well as tools to assist programs in identifying gaps in their overarching wellness programs. Results: An online submission form and central database of wellness initiatives were created and accessible to the public. Wellness Think Tank members collected an initial 36 submissions for the database by the time of the RWCS event. Based on general workplace, needs-assessment tools on employee wellbeing and Kern’s model for curriculum development, a resident-based needs-assessment survey and an implementation worksheet were created to assist residency programs in wellness program development. Conclusion: The Programmatic Initiatives workgroup from the resident-driven RWCS event created tools to assist EM residency programs in identifying existing initiatives and gaps in their wellness programs to meet the ACGME’s expanded focus on resident wellbeing.

Convective heat transfer for a gaseous slip flow in micropipe and parallel-plate microchannel with uniform wall heat flux: effect of axial heat conduction

Science.gov (United States)

Haddout, Y.; Essaghir, E.; Oubarra, A.; Lahjomri, J.

2018-06-01

Thermally developing laminar slip flow through a micropipe and a parallel plate microchannel, with axial heat conduction and uniform wall heat flux, is studied analytically by using a powerful method of self-adjoint formalism. This method results from a decomposition of the elliptic energy equation into a system of two first-order partial differential equations. The advantage of this method over other methods, resides in the fact that the decomposition procedure leads to a selfadjoint problem although the initial problem is apparently not a self-adjoint one. The solution is an extension of prior studies and considers a first order slip model boundary conditions at the fluid-wall interface. The analytical expressions for the developing temperature and local Nusselt number in the thermal entrance region are obtained in the general case. Therefore, the solution obtained could be extended easily to any hydrodynamically developed flow and arbitrary heat flux distribution. The analytical results obtained are compared for select simplified cases with available numerical calculations and they both agree. The results show that the heat transfer characteristics of flow in the thermal entrance region are strongly influenced by the axial heat conduction and rarefaction effects which are respectively characterized by Péclet and Knudsen numbers.

Critical Success Factors for Public Private Partnerships in the UAE Construction Industry- A Comparative Analysis between the UAE and the UK

Directory of Open Access Journals (Sweden)

Khalid Almarri

2017-01-01

Full Text Available Procurement instruments by Public Private Partnerships (PPP have shown their amazing capacity in procuring public works from around the globe. Their success rate has been immense as they are known to bring efficiency, quality, innovation, experience, funds, and most importantly, the art of risk sharing to developed projects. This research aims to pinpoint the critical success factors (CSFs that are needed to implement PPPs in transitional economies. We have taken UAE as a case study and will be comparing its results with that of the UK’s; a developed country. Relevant data was collected through a questionnaire to establish the PPP critical success factors for the each of the two countries. In this questionnaire, data was collected from 30 participants residing in the UAE and 62 participants residing in the UK. A comparative analysis between the results of the UK and UAE showed a great deal of similarity between the two in PPP practice trends in the critical success factors. Both countries ranked the same nine factors as the most significant ones out of the eighteen critical success factors for implementing PPPs. These factors were commitment of public and private parties, appropriate risk allocation, committed and competent public agency, transparent procurement process, strong private consortium, competitive procurement process, political support, detailed cost/benefits assessment, and good governance. Whereas, the major differences were related to local financial market, macro-economic conditions, and favourable legal framework. The findings were validated through a small sample of practitioners using the Partnering Performance Index, and were found to be comprehensive, objective, reliable, practical, replicable, and adaptable.

Malaria risk factors and care-seeking behaviour within the private sector among high-risk populations in Vietnam: a qualitative study.

Science.gov (United States)

Chen, Ingrid; Thanh, Huong Ngo Thi; Lover, Andrew; Thao, Phung Thi; Luu, Tang Viet; Thang, Hoang Nghia; Thang, Ngo Duc; Neukom, Josselyn; Bennett, Adam

2017-10-16

Vietnam has successfully reduced malaria incidence by more than 90% over the past 10 years, and is now preparing for malaria elimination. However, the remaining malaria burden resides in individuals that are hardest to reach, in highly remote areas, where many malaria cases are treated through the informal private sector and are not reported to public health systems. This qualitative study aimed to contextualize and characterize the role of private providers, care-seeking behaviour of individuals at high risk of malaria, as well as risk factors that should be addressed through malaria elimination programmes in Vietnam. Semi-structured qualitative interviews were conducted with 11 key informants in Hanoi, 30 providers, 9 potential patients, and 11 individuals at risk of malaria in Binh Phuoc and Kon Tum provinces. Audio recorded interviews were transcribed and uploaded to Atlas TI™, themes were identified, from which programmatic implications and recommendations were synthesized. Qualitative interviews revealed that efforts for malaria elimination in Vietnam should concentrate on reaching highest-risk populations in remote areas as well their care providers, in particular private pharmacies, private clinics, and grocery stores. Among these private providers, diagnosis is currently based on symptoms, leaving unconfirmed cases that are not reported to public health surveillance systems. Among at-risk individuals, knowledge of malaria was limited, and individuals reported not taking full courses of treatment, a practice that threatens selection for drug resistance. Access to insecticide-treated hammock nets, a potentially important preventive measure for settings with outdoor biting Anopheles vectors, was also limited. Malaria elimination efforts in Vietnam can be accelerated by targeting improved treatment, diagnosis, and reporting practices to private pharmacies, private clinics, and grocery stores. Programmes should also seek to increase awareness and

Case-Logging Practices in Otolaryngology Residency Training: National Survey of Residents and Program Directors.

Science.gov (United States)

Dermody, Sarah M; Gao, William; McGinn, Johnathan D; Malekzadeh, Sonya

2017-06-01

Objective (1) Evaluate the consistency and manner in which otolaryngology residents log surgical cases. (2) Assess the extent of instruction and guidance provided by program directors on case-logging practices. Study Design Cross-sectional national survey. Setting Accreditation Council for Graduate Medical Education otolaryngology residency programs in the United States. Subjects and Methods US otolaryngology residents, postgraduate year 2 through graduating chiefs as of July 2016, were recruited to respond to an anonymous questionnaire designed to characterize surgical case-logging practices. Program directors of US otolaryngology residency programs were recruited to respond to an anonymous questionnaire to elucidate how residents are instructed to log cases. Results A total of 272 residents and 53 program directors completed the survey, yielding response rates of 40.6% and 49.5%, respectively. Perceived accuracy of case logs is low among residents and program directors. Nearly 40% of residents purposely choose not to log certain cases, and 65.1% of residents underreport cases performed. More than 80% of program directors advise residents to log procedures performed outside the operating room, yet only 16% of residents consistently log such cases. Conclusion Variability in surgical case-logging behaviors and differences in provided instruction highlight the need for methods to improve consistency of logging practices. It is imperative to standardize practices across otolaryngology residency programs for case logs to serve as an accurate measure of surgical competency. This study provides a foundation for reform efforts within residency programs and for the Resident Case Log System.

A national analysis of dental waiting lists and point-in-time geographic access to subsidised dental care: can geographic access be improved by offering public dental care through private dental clinics?

Science.gov (United States)

Dudko, Yevgeni; Kruger, Estie; Tennant, Marc

2017-01-01

Australia is one of the least densely populated countries in the world, with a population concentrated on or around coastal areas. Up to 33% of the Australian population are likely to have untreated dental decay, while people with inadequate dentition (fewer than 21 teeth) account for up to 34% of Australian adults. Historically, inadequate access to public dental care has resulted in long waiting lists, received much media coverage and been the subject of a new federal and state initiative. The objective of this research was to gauge the potential for reducing the national dental waiting list through geographical advantage, which could arise from subcontracting the delivery of subsidised dental care to the existing network of private dental clinics across Australia. Eligible population data were collected from the Australian Bureau of Statistics website. Waiting list data from across Australia were collected from publicly available sources and confirmed through direct communication with each individual state or territory dental health body. Quantum geographic information system software was used to map distribution of the eligible population across Australia by statistical area, and to plot locations of government and private dental clinics. Catchment areas of 5 km for metropolitan clinics and 5 km and 50 km for rural clinics were defined. The number of people on the waiting list and those eligible for subsidised dental care covered by each of the catchment areas was calculated. Percentage of the eligible population and those on the waiting list that could benefit from the potential improvement in geographic access was ascertained for metropolitan and rural residents. Fifty three percent of people on the waiting list resided within metropolitan areas. Rural and remote residents made up 47% of the population waiting to receive care. The utilisation of both government and private dental clinics for the delivery of subsidised dental care to the eligible population

Private Sector Savings

Directory of Open Access Journals (Sweden)

Pitonáková Renáta

2018-03-01

Full Text Available The majority of household savings are in the form of bank deposits. It is therefore of interest for credit institutions to tailor their deposit policy for getting finances from non-banking entities and to provide the private sector with the loans that are necessary for investment activities and consumption. This paper deals with the determinants of the saving rate of the private sector of Slovakia. Economic, financial and demographic variables influence savings. Growth of income per capita, private disposable income, elderly dependency ratio, real interest rate and inflation have a positive impact on savings, while increases in public savings indicate a crowding out effect. The inflation rate implies precautionary savings, and dependency ratio savings for bequest. There are also implications for governing institutions deciding on the implementation of appropriate fiscal and monetary operations.

Women and Private Pensions.

Science.gov (United States)

Benson, Helene A.

This speech focuses on women and private pension plans, such as private pension coverage and smaller benefit amounts. Pension issues affecting women as employees include participation in plans, vesting, break-in service, benefit accruals, integration with Social Security, sex-based actuarial tables, portability, inflation, and individual…

More Intense Mega Heat Waves in the Warmer World

Science.gov (United States)

Choi, G.; Robinson, D. A.

2017-12-01

In this study, changes in the occurrences of heat waves on the globe since the mid- 20th century and the synoptic characteristics of mega heat waves at regional scales in the warmer climate are examined. The NCEP-NCAR reanalysis surface data show that there have been no obvious linear changes in the heat wave frequencies at the continental scales since the mid-20th century, but amplified interdecadal variations led to unprecedented intense heat waves in the recent decades at the regional scales. Such mega heat waves have been more frequently observed in the poleward subtropical climate belts as well as in the interior region of continents. According to the analyses of upper tropospheric data, the occurrences of more intense mega heat waves since the late 20th century may be associated with the expansion of subtropical high pressures. These results suggest that populous cities near the subtropical climate zones should provide proactive mega heat wave warning systems for residents due to their vulnerability to the sudden attack of human lives harvest by mega heat waves in the warmer 21st century.

Feasibility of an innovative third-year chief resident system: an internal medicine residency leadership study

Directory of Open Access Journals (Sweden)

Victor O. Kolade

2014-07-01

Full Text Available Introduction: The role of the internal medicine chief resident includes various administrative, academic, social, and educational responsibilities, fulfillment of which prepares residents for further leadership tasks. However, the chief resident position has historically only been held by a few residents. As fourth-year chief residents are becoming less common, we considered a new model for rotating third-year residents as the chief resident. Methods: Online surveys were given to all 29 internal medicine residents in a single university-based program after implementation of a leadership curriculum and specific job description for the third-year chief resident. Chief residents evaluated themselves on various aspects of leadership. Participation was voluntary. Descriptive statistics were generated using SPSS version 21. Results: Thirteen junior (first- or second-year resident responses reported that the chief residents elicited input from others (mean rating 6.8, were committed to the team (6.8, resolved conflict (6.7, ensured efficiency, organization and productivity of the team (6.7, participated actively (7.0, and managed resources (6.6. Responses from senior residents averaged 1 point higher for each item; this pattern repeated itself in teaching evaluations. Chief resident self-evaluators were more comfortable running a morning report (8.4 than with being chief resident (5.8. Conclusion: The feasibility of preparing internal medicine residents for leadership roles through a rotating PGY-3 (postgraduate year chief residency curriculum was explored at a small internal medicine residency, and we suggest extending the study to include other programs.

Investigation of privatization by level crossing approach

Science.gov (United States)

Vahabi, M.; Jafari, G. R.

2009-09-01

Privatization - a political as well as an economic policy - is generally defined as the transfer of a property or the responsibility for it from the public to the private sector. But privatization is not merely the transfer of the ownership and efficiency of the market should be considered. A successful privatization program induces better profitability and efficiency, higher output, more investment, etc. The main method of privatization is through introducing new stocks to the market to motivate competition. However, for a successful privatization the capability of a market for absorbing the new stock should also be considered. Without paying attention to this aspect, privatization through the introduction of new stocks may lead to reduced market efficiency. We study, based on the complexity theory and in particular the concept of Level Crossing, the effect of the stages of the development, activity, risk, and the waiting times for special events on the privatization.

"SOE Reform and Privatization in China---A note on several theoretical and empirical issues"

OpenAIRE

Katsuji Nakagane

2000-01-01

State owned enterprise (SOE) reform is one of the biggest issues for every transition economy. Even the Chinese economy, which is widely known as a successful case for "gradualist" economic transition, has been faced with poor management and low efficiency of many SOEs. As in the case for well-known arguments on transition strategies, i.e. gradualism vs. shock therapy, there has been a heated debate centering on the effectiveness of privatization of state enterprises. Conventional wisdom is t...

Privatization Financing Alternatives: Blending Private Capital and Public Resources for a Successful Project

Energy Technology Data Exchange (ETDEWEB)

BT Oakley; JH Holbrook; L Scully; MR Weimar; PK Kearns; R DiPrinzio

1998-10-19

The U.S. Department of Energy (DOE) launched the Contract Reform Initiative in 1994 in order to improve the effectiveness and effkiency of managing major projects and programs. The intent of this initiative is to help DOE harness both technical and market forces to reduce the overall cost of accomplishing DOE's program goals. The new approach transfers greater risk to private contractors in order to develop incentives that align contractor performance with DOE's objectives. In some cases, this goal can be achieved through public-private partnerships wherein the govermhent and the contractor share risks associated with a project in a way that optimizes its economics. Generally, this requires that project risks are allocated to the party best equipped to manage and/or underwrite them. While the merits of privatization are well documented, the question of how privatized services should be financed is often debated. Given the cost of private sector equity and debt, it is difficult to ignore the lure of the government's "risk free" cost of capital. However, the source of financing for a project is an integral part of its overall risk allocation, and therefore, participation by the government as a financing source could alter the allocation of risks in the project, diminishing the incentive structure. Since the government's participation in the project's financing often can be a requirement for financial feasibility, the dilemma of structuring a role for the government without undermining the success of the project is a common and difficult challenge faced by policymakers around the world. However, before reverting to a traditional procurement approach where the government enters into a cost-plus risk profile, the government should exhaust all options that keep the private entity at risk for important aspects of the project. Government participation in a project can include a broad range of options and can be applied with precision to bridge a

Two-phase Flow Ejector as Water Refrigerant by Using Waste Heat

International Nuclear Information System (INIS)

Yamanaka, H; Nakagawa, M

2013-01-01

Energy saving and the use of clean energy sources have recently become significant issues. It is expected that clean energy sources such as solar panels and fuel cells will be installed in many private dwellings. However, when electrical power is generated, exhaust heat is simultaneously produced. Especially for the summer season, the development of refrigeration systems that can use this waste heat is highly desirable. One approach is an ejector that can reduce the mechanical compression work required in a normal refrigeration cycle. We focus on the use of water as a refrigerant, since this can be safely implemented in private dwellings. Although the energy conversion efficiency is low, it is promising because it can use heat that would otherwise be discarded. However, a steam ejector refrigeration cycle requires a large amount of energy to change saturated water into vapour. Thus, we propose a more efficient two-phase flow ejector cycle. Experiments were carried out in which the quality of the two-phase flow from a tank was varied, and the efficiency of the ejector and nozzle was determined. The results show that a vacuum state can be achieved and suction exerted with a two-phase flow state at the ejector nozzle inlet.

Private support and social securityPrivate support and social security

OpenAIRE

Frans van Dijk

1998-01-01

The issue is addressed whether assistance to persons in need can be left to the `family' and the `community'. In that case people depend on their social networks. The support a person receives through a given network of social ties is examined. However, ties are diverse and subject to change. By means of a model of the dynamics of social ties, the conditions for adequate private support are analyzed. The sustainability of private support over time is examined by incorporating the impact on so...

Public-private partnership in theory

Directory of Open Access Journals (Sweden)

Blaž Vrhnjak

2007-07-01

Full Text Available Background: In political and other debates much of attention is paid to public – private partnerships (PPPs. These partnerships are perceived as a tool of meeting public demand by private supply. In theory there are at least four different forms of contract partnerships according to the amount of risks transferred to the private sector.Conclusions: Public – private partnerships are neither the only neither the preferred way of providing public service. On one hand they tend to lower financial burden of the public sector but on the other hand PPPs require complex ways of management and monitoring. It is highly important to consider specific circumstances of individual projects in question.

Resources to Manage a Private Practice.

Science.gov (United States)

Aigner, John; Cheek, Fredricka; Donati, Georgia; Zuravicky, Dori

1997-01-01

Includes four theme articles: "The Digital Toolkit: Electronic Necessities for Private Practice" (John Aigner); "Organizing a Private Practice: Forms, Fees, and Physical Set-up (Fredricka Cheek); "Career Development Resources: Guidelines for Setting Up a Private Practice Library" (Georgia Donati); and "Books to…

Private school location and neighborhood characteristics

OpenAIRE

Lisa Barrow

2002-01-01

Any voucher program that is going to have a major impact on the public education system is likely to require an expansion of private schools in order to accommodate increased demand; however, very little is known about where private schools open and, therefore, how a major voucher program might affect private school availability in various communities. This article examines the relationship between the location of private schools and local neighborhood characteristics, hoping to shed some lig...

Electricity eliminates rust from district heat pipes. The new deoxidation method works on radiators

Energy Technology Data Exchange (ETDEWEB)

Sonninen, R.; Leisio, C.

1996-11-01

Oxygen dissolving in district heating water through district heat pipes and pipe joints made of plastic corrodes many small and medium-size district heating systems, resulting in heat cuts in the buildings connected to these systems. IN some cases, corrosion products have even circulated back to district heating power plants, thus hampering heat generation in the worst of cases. People residing in blocks of flats where some radiator components are made of plastic also face a similar problem, though on a smaller scale. A small and efficient electrochemical deoxidation cell has now been invented to eliminate this nuisance, which occurs particularly in cold winter weather. (orig.)

Reconsidering Privatization in Cross-Border Engagements: The Sometimes Public Nature of Private Activity

Science.gov (United States)

Lane, Jason E.; Kinser, Kevin

2011-01-01

Privatization trends in higher education have typically been analyzed from the perspective of the institution and its relationship with the sponsoring state. The recent phenomenon of international cross-border higher education, however, represents a more complicated picture of privatization. Geographic separation from the sponsoring state is an…

Current integrated cardiothoracic surgery residents: a Thoracic Surgery Residents Association survey.

Science.gov (United States)

Tchantchaleishvili, Vakhtang; LaPar, Damien J; Stephens, Elizabeth H; Berfield, Kathleen S; Odell, David D; DeNino, Walter F

2015-03-01

After approval by the Thoracic Surgery Residency Review Committee in 2007, 6-year integrated cardiothoracic surgery (I-6) residency programs have gained in popularity. We sought to assess and objectively quantify the level of satisfaction I-6 residents have with their training and to identify areas of improvement for future curriculum development. A completely anonymous, electronic survey was created by the Thoracic Surgery Residents Association that asked the responders to provide demographic information, specialty interest, and lifestyle priorities, and to rate their experience and satisfaction with I-6 residency. The survey was distributed nationwide to all residents in I-6 programs approved by the Accreditation Council for Graduate Medical Education. Of a total of 88 eligible I-6 residents, 49 completed the survey (55.7%). Career choice satisfaction was high (75.5%), as was overall satisfaction with integrated training (83.7%). The majority (77.6%) were interested in cardiac surgery. Overall, the responders reported sufficient time for life outside of the hospital (57.1%), but experienced conflicts between work obligations and personal life at least sometimes (75.5%). Early exposure to cardiothoracic surgery was reported as the dominant advantage of the I-6 model, whereas variable curriculum structure and unclear expectations along with poor integration with general surgery training ranked highest among perceived disadvantages. Current I-6 residents are largely satisfied with the integrated training model and report a reasonable work/life balance. The focused nature of training is the primary perceived advantage of the integrated pathway. Curriculum variability and poor integration with general surgery training are identified by residents as primary areas of concern. Copyright © 2015 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Confidence, knowledge, and skills at the beginning of residency. A survey of pathology residents.

Science.gov (United States)

Hsieh, Cindy M; Nolan, Norris J

2015-01-01

To document the pathology learning experiences of pathology residents prior to residency and to determine how confident they were in their knowledge and technical skills. An online survey was distributed to all pathology residency program directors in the United States, who were requested to forward the survey link to their residents. Data were obtained on pathology electives, grossing experience, and frozen section experience. Likert scale questions assessed confidence level in knowledge and skills. In total, 201 pathology residents responded (8% of residents in the United States). Prior to starting residency, most respondents had exposure to anatomic pathology through elective rotations. Few respondents had work-related experience. Most did not feel confident in their pathology-related knowledge or skills, and many did not understand what pathology resident duties entail. Respondents gained exposure to pathology primarily through elective rotations, and most felt the elective experience prepared them for pathology residency. However, elective time may be enhanced by providing opportunities for students to increase hands-on experience and understanding of resident duties. Copyright© by the American Society for Clinical Pathology.

Private Speech in Ballet

Science.gov (United States)

Johnston, Dale

2006-01-01

Authoritarian teaching practices in ballet inhibit the use of private speech. This paper highlights the critical importance of private speech in the cognitive development of young ballet students, within what is largely a non-verbal art form. It draws upon research by Russian psychologist Lev Vygotsky and contemporary socioculturalists, to…

Feasibility of selected private money

Directory of Open Access Journals (Sweden)

Lukáš Nevěděl

2012-01-01

Full Text Available The goal of the entry: “Feasibility of selected private money” is the assessment of practicability of selected private money types as future currency especially in terms of attributes that the currency should meet to fulfil all claims required by its users. In the first step the features that the widely used currency has to have will be described and it will be analysed which of these features are characteristic for nowadays currencies (Czech crown and Euro too. In the second step private (unnationalized money will be described as well as several concepts derived from it. The paper will concern mainly on Hayek’s concept of private money and on particular variations of Local exchange trading systems. In the next part there will be pointed out good and bad features of these types of money, mainly from the view of characteristics that the proper currency should have. At the end it will be carried out the comparison of bad and good effects resulting from using of particular currencies types and I will decide about the applicability of analysed private money types. The paper uses the standard methods of scientific work. Firstly, the method of description is used to describe the development of private money concepts and characteristic features that the currency should have. Then, a comparative analysis is used to discuss the differences between contemporary currencies and unnationalized currencies as well as between required and real features of particular private money. At the end the method of synthesis, deduction and induction is used.

Contrasting responses of urban and rural surface energy budgets to heat waves explain synergies between urban heat islands and heat waves

International Nuclear Information System (INIS)

Li, Dan; Sun, Ting; Liu, Maofeng; Yang, Long; Wang, Linlin; Gao, Zhiqiu

2015-01-01

Heat waves (HWs) are projected to become more frequent and last longer over most land areas in the late 21st century, which raises serious public health concerns. Urban residents face higher health risks due to synergies between HWs and urban heat islands (UHIs) (i.e., UHIs are higher under HW conditions). However, the responses of urban and rural surface energy budgets to HWs are still largely unknown. This study analyzes observations from two flux towers in Beijing, China and reveals significant differences between the responses of urban and rural (cropland) ecosystems to HWs. It is found that UHIs increase significantly during HWs, especially during the nighttime, implying synergies between HWs and UHIs. Results indicate that the urban site receives more incoming shortwave radiation and longwave radiation due to HWs as compared to the rural site, resulting in a larger radiative energy input into the urban surface energy budget. Changes in turbulent heat fluxes also diverge strongly for the urban site and the rural site: latent heat fluxes increase more significantly at the rural site due to abundant available water, while sensible heat fluxes and possibly heat storage increase more at the urban site. These comparisons suggest that the contrasting responses of urban and rural surface energy budgets to HWs are responsible for the synergies between HWs and UHIs. As a result, urban mitigation and adaption strategies such as the use of green roofs and white roofs are needed in order to mitigate the impact of these synergies. (letter)

Defining the private partners in PPP

International Nuclear Information System (INIS)

Van der Vleuten-Balkema, F.; Stam, N.

2004-01-01

Now that the public private partnerships are seen to be the way forward in solar electrification in developing countries, it is important to question who will be the private partner in the partnership? For decentralized energy technologies such as solar home systems, that are being disseminated to vast numbers of highly dispersed end-users, the private partners of today are the hundreds or thousands of often non specialized local entrepreneurs. The public private partnerships of tomorrow should be reoriented accordingly. (authors)

Of Private, Common, and Public Property and the Rationale for Total Privatization

Directory of Open Access Journals (Sweden)

Hans-Hermann Hoppe

2011-02-01

Full Text Available In this paper, first, I want to clarify the nature and function of private property. Second, I want to clarify the distinction between “common” goods and property and “public” goods and property, and explain the construction error inherent in the institution of public goods and property. Third, I want to explain the rationale and principle of privatization.

Private Sector Credit and Inflation Volatility

Directory of Open Access Journals (Sweden)

Lorna Katusiime

2018-04-01

Full Text Available This paper investigates the effect of inflation volatility on private sector credit growth. The results indicate that private sector credit growth is positively linked to the one period lagged inflation volatility. Given that past monetary policy actions continue to affect the targeted variables due to the substantial lags in the transmission mechanism, the positive response of private sector credit growth to past inflation volatility suggests a credible monetary policy regime in Uganda, which has led to a reduction in the level of macroeconomic uncertainty and the restoration of favorable economic conditions and prospects, thus increasing the demand for credit. Further, the study finds that the lagged private sector credit growth, nominal exchange rate, and inflation have a statistically significant effect on private sector credit growth while financial innovation, interest rates, and GDP growth appear not to be important determinants of private sector credit growth. The robustness of our findings is confirmed by sensitivity checks.

High Concentration of Heat Pumps in Suburban Areas and Reduction of Their Impact on the Electricity Network

NARCIS (Netherlands)

Pruissen, O.P. van; Kamphuis, I.G.

2011-01-01

One of the challenges of the near future for a more renewable Dutch electricity infrastructure is the embedding of high concentrations of heat pumps in currently built domestic residences. In the Dutch situation demand of electricity occurs simultaneously with demand of heat, high electricity peak

Does resident ranking during recruitment accurately predict subsequent performance as a surgical resident?

Science.gov (United States)

Fryer, Jonathan P; Corcoran, Noreen; George, Brian; Wang, Ed; Darosa, Debra

2012-01-01

While the primary goal of ranking applicants for surgical residency training positions is to identify the candidates who will subsequently perform best as surgical residents, the effectiveness of the ranking process has not been adequately studied. We evaluated our general surgery resident recruitment process between 2001 and 2011 inclusive, to determine if our recruitment ranking parameters effectively predicted subsequent resident performance. We identified 3 candidate ranking parameters (United States Medical Licensing Examination [USMLE] Step 1 score, unadjusted ranking score [URS], and final adjusted ranking [FAR]), and 4 resident performance parameters (American Board of Surgery In-Training Examination [ABSITE] score, PGY1 resident evaluation grade [REG], overall REG, and independent faculty rating ranking [IFRR]), and assessed whether the former were predictive of the latter. Analyses utilized Spearman correlation coefficient. We found that the URS, which is based on objective and criterion based parameters, was a better predictor of subsequent performance than the FAR, which is a modification of the URS based on subsequent determinations of the resident selection committee. USMLE score was a reliable predictor of ABSITE scores only. However, when we compared our worst residence performances with the performances of the other residents in this evaluation, the data did not produce convincing evidence that poor resident performances could be reliably predicted by any of the recruitment ranking parameters. Finally, stratifying candidates based on their rank range did not effectively define a ranking cut-off beyond which resident performance would drop off. Based on these findings, we recommend surgery programs may be better served by utilizing a more structured resident ranking process and that subsequent adjustments to the rank list generated by this process should be undertaken with caution. Copyright © 2012 Association of Program Directors in Surgery

Personal Therapy in Psychiatry Residency Training: A National Survey of Canadian Psychiatry Residents.

Science.gov (United States)

Hadjipavlou, George; Halli, Priyanka; Hernandez, Carlos A Sierra; Ogrodniczuk, John S

2016-02-01

The authors collected nationally representative data on Canadian residents' experiences with and perspectives on personal psychotherapy in their psychiatric training. A 43-item questionnaire was distributed electronically to all current psychiatry residents in Canada (N = 839). Four hundred residents from every program across Canada returned the survey (response rate 47.7%). The prevalence of personal therapy at any time was 55.3%, with 42.8% receiving personal therapy during residency. Of residents who undertook personal psychotherapy, 59.3% engaged in weekly therapy, 74.1% received psychodynamic psychotherapy, and 81.5% participated in long-term therapy (>1 year). Personal growth, self-understanding, and professional development were the most common reasons for engaging in personal therapy; however, one-third of residents did so to alleviate symptoms of depression, anxiety, or other mental health concerns. Time was the most important factor impeding residents from personal therapy; only 8.8% found stigma to act as a barrier. The vast majority of residents rated their experience with personal therapy as having a positive or very positive impact on their personal life (84.8%) and overall development as psychiatrists (81.8%). For 64% of respondents, personal therapy had an important or very important role in psychiatry residency training. Residents who received personal therapy rated themselves as better able to understand what happens moment by moment during therapy sessions, detect and deal with patients' emotional reactions, and constructively use their personal reactions to patients. Interest in personal therapy remains strong among psychiatry trainees in Canada. Residents who engaged in psychotherapy endorsed greater confidence in psychotherapy and rated their psychotherapy skills more favorably than those who had never been in the patient role, supporting the view of personal therapy as an important adjunct to psychotherapy training during residency.

Online short-term heat load forecasting for single family houses

DEFF Research Database (Denmark)

Bacher, Peder; Madsen, Henrik; Nielsen, Henrik Aalborg

2013-01-01

. Every hour the hourly heat load for each house the following two days is forecasted. The forecast models are adaptive linear time-series models and the climate inputs used are: ambient temperature, global radiation, and wind speed. A computationally efficient recursive least squares scheme is used......This paper presents a method for forecasting the load for heating in a single-family house. Both space and hot tap water heating are forecasted. The forecasting model is built using data from sixteen houses in Sønderborg, Denmark, combined with local climate measurements and weather forecasts...... variations in the heat load signal (predominant only for some houses), peaks presumably from showers, shifts in resident behavior, and uncertainty of the weather forecasts for longer horizons, especially for the solar radiation....

Private equity and public-to-private transactions

NARCIS (Netherlands)

P.G.J. Roosenboom (Peter)

2013-01-01

textabstractWhat considerations lie behind the decision to mount a management buy-out of a publicly listed firm, and should third party investors be involved? Indeed, does the involvement of private equity investors actually aid company performance after a deal is done?

Well-being in residency training: a survey examining resident physician satisfaction both within and outside of residency training and mental health in Alberta

Directory of Open Access Journals (Sweden)

Patten Scott

2005-06-01

Full Text Available Abstract Background Despite the critical importance of well-being during residency training, only a few Canadian studies have examined stress in residency and none have examined well-being resources. No recent studies have reported any significant concerns with respect to perceived stress levels in residency. We investigated the level of perceived stress, mental health and understanding and need for well-being resources among resident physicians in training programs in Alberta, Canada. Methods A mail questionnaire was distributed to the entire resident membership of PARA during 2003 academic year. PARA represents each of the two medical schools in the province of Alberta. Results In total 415 (51 % residents participated in the study. Thirty-four percent of residents who responded to the survey reported their life as being stressful. Females reported stress more frequently than males (40% vs. 27%, p Residents highly valued their colleagues (67%, program directors (60% and external psychiatrist/psychologist (49% as well-being resources. Over one third of residents wished to have a career counselor (39% and financial counselor (38%. Conclusion Many Albertan residents experience significant stressors and emotional and mental health problems. Some of which differ among genders. This study can serve as a basis for future resource application, research and advocacy for overall improvements to well-being during residency training.

European Private Law - Survey 1998-2000

NARCIS (Netherlands)

Hondius, E.H.

2000-01-01

From its conception, the European Review of Private Law has tried, sometimes in vain, to publish Chronicles (‘Chroniques’) or Surveys of the main areas of private law: Contract, Inheritance, Property, Tort, etc. The idea of these Chronicles or Surveys is that, within a specific area of private

Private vs. Public Higher Education Budgeting

Science.gov (United States)

Beamer, Sarah A.

2011-01-01

Private higher education institutions are those entities owned and operated by the private sector, while public institutions are those established, supported, and controlled by a governmental agency, most often a state. Key differences exist between private and public institutions that affect budgeting in critical ways. Such differences include…

Private Equity and Industry Performance

DEFF Research Database (Denmark)

Bernstein, Shai; Lerner, Josh; Sørensen, Morten

2017-01-01

The growth of the private equity industry has spurred concerns about its impact on the economy. This analysis looks across nations and industries to assess the impact of private equity on industry performance. We find that industries where private equity funds invest grow more quickly in terms...... of total production and employment and appear less exposed to aggregate shocks. Our robustness tests provide some evidence that is consistent with our effects being driven by our preferred channel....

Does Private Tutoring Work? The Effectiveness of Private Tutoring: A Nonparametric Bounds Analysis

Science.gov (United States)

Hof, Stefanie

2014-01-01

Private tutoring has become popular throughout the world. However, evidence for the effect of private tutoring on students' academic outcome is inconclusive; therefore, this paper presents an alternative framework: a nonparametric bounds method. The present examination uses, for the first time, a large representative data-set in a European setting…

Study protocol of a cluster randomized controlled trial evaluating the efficacy of a comprehensive pressure ulcer prevention programme for private for-profit nursing homes.

Science.gov (United States)

Kwong, Enid Wai-yung; Lee, Paul Hong; Yeung, Kwan-mo

2016-01-18

Because the demand for government-subsidized nursing homes in Hong Kong outstrips the supply, the number of for-profit private nursing homes has been increasing rapidly. However, the standard of care in such homes is always criticized. Pressure ulcers are a major long-term care issue that is closely associated with the quality of care delivered in nursing home settings. The aim of this study is to evaluate the effectiveness of a pressure ulcer prevention programme for residents in private for-profit nursing homes. This is a two-arm cluster randomized controlled trial with an estimated sample size of 1088 residents and 74 care staff from eight for-profit private nursing homes. Eligible nursing homes will be those classified as category A2 homes in the Enhanced Bought Place Scheme (EBPS), having a capacity of around 130-150 beds, and no structured PU prevention protocol and/or programmes in place. Care staff will be health workers, personal care workers, and nurses who are front-line staff providing direct care to residents. Eight nursing homes will be randomly assigned to either an experimental or control group. The experimental group will be provided with an intensive training programme and will be involved in the implementation of a 16-week pressure ulcer prevention protocol, while the control group will deliver the usual pressure ulcer prevention care. The study outcomes are the pressure ulcer prevention knowledge and skills of the care staff and the prevalence and incidence of pressure ulcers. Data on the knowledge and skills of care staff, and prevalence of pressure ulcer will be collected at the base line, and then at the 8(th) week and at completion of the implementation of the protocol. The assessment of the incidence of pressures will start from before the commencement of the intensive training course to the end of the implementation of the protocol. In view of the negative impact of pressure ulcers, it is important to have an effective and evidence

The adequacy of antenatal care services among slum residents in Addis Ababa, Ethiopia.

Science.gov (United States)

Bayou, Yibeltal T; Mashalla, Yohana S; Thupayagale-Tshweneagae, Gloria

2016-06-15

There are recent efforts made to eliminate inequalities in the utilisation of basic health care services. More emphasis is given for improvement of health in developing countries including maternal and child health. However, disparities for the fast-growing population of urban poor are masked by the urban averages. The aim of this paper is to report on the findings of antenatal care adequacy among slum residents in Addis Ababa, Ethiopia. This was a quantitative and cross-sectional community based study design which employed a stratified two-stage cluster sampling technique to determine the sample. Data was collected using structured questionnaire administered to 870 women aged 15-49 years. Weighted 'backward selection' logistic regression models were employed to identify predictors of adequacy of antenatal care. Majority of slum residents did not have adequate antenatal care services with only 50.3, 20.2 and 11.0 % of the slum resident women initiated antenatal care early, received adequate antenatal care service contents and had overall adequate antenatal care services respectively. Educational status and place of ANC visits were important determinant factors for adequacy of ANC in the study area. Women with secondary and above educational status were 2.7 times more likely to receive overall adequate care compared to those with no formal education. Similarly, clients of private healthcare facilities were 2.2 times respectively more likely to receive overall adequate antenatal care compared to those clients of public healthcare facilities. In order to improve ANC adequacy in the study area, the policy-making, planning, and implementation processes should address the poor adequacy of ANC among the disadvantaged groups in particular and the slum residents in general.

Private food law : governing food chains through contracts law, self-regulation, private standards, audits and certification schemes

NARCIS (Netherlands)

Meulen, van der B.M.J.

2011-01-01

Since the turn of the Millennium, world-wide initiatives from the private sector have turned the regulatory environment for food businesses upside down. For the first time in legal literature this book analyses private law initiatives relating to the food chain, often referred to as private

45 CFR 605.39 - Private education.

Science.gov (United States)

2010-10-01

... 45 Public Welfare 3 2010-10-01 2010-10-01 false Private education. 605.39 Section 605.39 Public..., Elementary, and Secondary Education § 605.39 Private education. (a) A recipient that provides private elementary or secondary education may not, on the basis of handicap, exclude a qualified handicapped person...

38 CFR 18.439 - Private education.

Science.gov (United States)

2010-07-01

... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Private education. 18.439... Adult Education § 18.439 Private education. (a) A recipient that provides private elementary or secondary education may not on the basis of handicap, exclude a qualified handicapped person if the person...

Washington State Spirits Privatization: How Satisfied were Liquor Purchasers Before and After, and by Type of Retail Store in 2014?

Science.gov (United States)

Greenfield, Thomas K; Williams, Edwina; Kerr, William C; Subbaraman, Meenakshi S; Ye, Yu

2017-11-27

In 2012 Washington State ended a wholesale/retail monopoly on liquor, permitting sale of spirits in stores with > 10,000 square feet. Implementation resulted in average price increases, but also five times the stores selling liquor. As part of a privatization evaluation, we studied pre-post and between-store-type purchase experiences. A 2010 Washington State Liquor Control Board (LCB) survey of liquor purchasers (n = 599), and the 2014 baseline of a repeated telephone survey (1,202 residents; n = 465 purchasers), each included 10 LCB questions on satisfaction with purchase experiences, each attribute with graded response scale A = 4 to D = 1 and F (0 = fail). Analyses used t-tests for satisfaction differences by time and analysis of variance (ANOVA) for 2014 between-store satisfaction-level differences. Five purchase features were rated more favorably after privatization (ps convenience, store hours, and prices (though price rated lowest both times); selection offered, courtesy, and checkout speed were unaltered, and number of staff and staff knowledge declined (both p convenience favored grocery and drug stores, and price satisfaction favored wholesale (Costco) stores, with staff knowledge highest at liquor stores. Satisfaction with liquor purchases increased after privatization for half the consumer experiences. Availability (location convenience and store hours) was important to liquor purchasers. Such results are relevant to sustained support for the policy of privatizing spirits retail monopolies.

Does students' exposure to gender discrimination and sexual harassment in medical school affect specialty choice and residency program selection?

Science.gov (United States)

Stratton, Terry D; McLaughlin, Margaret A; Witte, Florence M; Fosson, Sue E; Nora, Lois Margaret

2005-04-01

To examine the role of gender discrimination and sexual harassment in medical students' choice of specialty and residency program. Anonymous, self-administered questionnaires were distributed in 1997 to fourth-year students enrolled in 14 public and private U.S. medical schools. In addition to reporting the frequency of gender discrimination and sexual harassment encountered during preclinical coursework, core clerkships, elective clerkships, and residency selection, students assessed the impact of these exposures (none, a little, some, quite a bit, the deciding factor) on their specialty choices and rankings of residency programs. A total of 1,314 (69%) useable questionnaires were returned. Large percentages of men (83.2%) and women (92.8%) experienced, observed, or heard about at least one incident of gender discrimination and sexual harassment during medical school, although more women reported such behavior across all training contexts. Compared with men, significantly (p harassment influenced their specialty choices (45.3% versus 16.4%) and residency rankings (25.3% versus 10.9%). Across all specialties, more women than men experienced gender discrimination and sexual harassment during residency selection, with one exception: a larger percentage of men choosing obstetrics and gynecology experienced such behavior. Among women, those choosing general surgery were most likely to experience gender discrimination and sexual harassment during residency selection. Interestingly, correlations between exposure to gender discrimination and sexual harassment and self-assessed impact on career decisions tended to be larger for men, suggesting that although fewer men are generally affected, they may weigh such experiences more heavily in their choice of specialty and residency program. This study suggests that exposure to gender discrimination and sexual harassment during undergraduate education may influence some medical students' choice of specialty and, to a lesser

PRIVATE SECURITY IN SPORT

Directory of Open Access Journals (Sweden)

Dragan Vukasović

2011-09-01

Full Text Available Given the importance of sport for international integration, affirmation, a sense of belonging and other values of general interest, in order to maintain and open new prospects of development, it is necessary to form the private security system along with state security system, with a view to creating conditions for development sports athletes to achieve better results both in domestic and international competitions. Private security is only one element of an integrated security system which, with its efficient organization with the use of adequate means and measures should provide answers to new challenges, risks and threats. Private security in line with the new understanding of the concept of security has an important role in providing athletes.

More "Private" than Private Institutions: Public Institutions of Higher Education and Financial Management

Science.gov (United States)

Adams, Olin L., III; Robichaux, Rebecca R.; Guarino, A. J.

2010-01-01

This research compares the status of managerial accounting practices in public four-year colleges and universities and in private four-year colleges and universities. The investigators surveyed a national sample of chief financial officers (CFOs) at two points in time, 1998-99 and 2003-04. In 1998-99 CFOs representing private institutions reported…

Permanent resident

Directory of Open Access Journals (Sweden)

John F. Fisher

2016-05-01

Full Text Available The training of physicians in the past century was based primarily on responsibility and the chain-of-command. Those with the bulk of that responsibility in the fields of pediatrics and internal medicine were residents. Residents trained the medical students and supervised them carefully in caring for patients. Most attending physicians supervised their teams at arm's length, primarily serving as teachers of the finer points of diagnosis and treatment during set periods of the day or week with a perfunctory signature on write-ups or progress notes. Residents endeavored to protect the attending physician from being heavily involved unless they were unsure about a clinical problem. Before contacting the attending physician, a more senior resident would be called. Responsibility was the ultimate teacher. The introduction of diagnosis-related groups by the federal government dramatically changed the health care delivery system, placing greater emphasis on attending physician visibility in the medical record, ultimately resulting in more attending physician involvement in day-to-day care of patients in academic institutions. Without specified content in attending notes, hospital revenues would decline. Although always in charge technically, attending physicians increasingly have assumed the role once dominated by the resident. Using biographical experiences of more than 40 years, the author acknowledges and praises the educational role of responsibility in his own training and laments its declining role in today's students and house staff.

The privately owned timber resources of western Oregon.

Science.gov (United States)

Donald R. Gedney

1983-01-01

Timber resource statistics from a 1973-76 inventory are presented for private timberland in western Oregon. Inventories usually classify private owners as either forest industry or nonindustrial private. For this report, however, the nonindustrial private classification has been further disaggregated into farmer, individual, and corporate owners. For all private owner...

Private Equity for Retail Investors : How to efficiently involve Finnish retail investors in private equity

OpenAIRE

Moita, Angelo

2017-01-01

Private equity has been the best performing asset class for institutional investors. Meanwhile, retail investors have been left out from the asset class for several reasons, such as legislation and wealth profiling. This study aims at assessing the types of private equity vehicles that could be the most appropriate for Finnish retail investors. The study solely focuses on the investment opportunities, hence it does not cover investment behaviour. Private equity should not be a primary as...

45 CFR 84.39 - Private education.

Science.gov (United States)

2010-10-01

... 45 Public Welfare 1 2010-10-01 2010-10-01 false Private education. 84.39 Section 84.39 Public... Secondary Education § 84.39 Private education. (a) A recipient that provides private elementary or secondary education may not, on the basis of handicap, exclude a qualified handicapped person if the person can, with...

Private sector approaches to workforce enhancement.

Science.gov (United States)

Wendling, Wayne R

2010-06-01

This paper addresses the private practice model of dental care delivery in the US. The great majority of dental care services are delivered through this model and thus changes in the model represent a means to substantially change the supply and availability of dental services. The two main forces that change how private practices function are broad economic factors, which alter the demand for dental care and innovations in practice structure and function which alter the supply and cost of services. Economics has long recognized that although there are private market solutions for many issues, not all problems can be addressed through this model. The private practice of dentistry is a private market solution that works for a substantial share of the market. However, the private market may not work to resolve all issues associated with access and utilization. Solutions for some problems call for creative private - public arrangements - another form of innovation; and market-based solutions may not be feasible for each and every problem. This paper discusses these economic factors and innovation as they relate to the private practice of dentistry, with special emphasis on those elements that have increased the capacity of the dental practice to offer services to those with limited means to access fee-based care. Innovations are frequently described as new care delivery models or new workforce models. However, innovation can occur on an ongoing and regular basis as dental practices examine new ways to combine capital and human resources and to leverage the education and skill of the dentists to a greater number of patients. Innovation occurs within a market context as the current and projected economic returns reward the innovation. Innovation can also occur through private-public arrangements. There are indications of available capacity within the existing delivery system to expand service delivery. The Michigan Medicaid Healthy Kids Dental program is discussed as

The Significance of a Building’s Energy Consumption Profiles for the Optimum Sizing of a Combined Heat and Power (CHP System—A Case Study for a Student Residence Hall

Directory of Open Access Journals (Sweden)

Khuram Pervez Amber

2018-06-01

Full Text Available University buildings, such as student residence halls with year-round consistent energy demands, offer strong opportunities for Combined Heat and Power (CHP systems. The economic and environmental feasibility of a CHP project is strongly linked with its optimum sizing. This study aims to undertake such an assessment for a CHP system for a student residence hall located in London, the United Kingdom (UK. The study also aims to undertake a sensitivity analysis to investigate the effect of different parameters on the project’s economics. Necessary data are collected via interviews with the University’s Energy Manager. Modeling of the CHP system is performed using the London South Bank University (LSBU, London, the UK CHP model. Results demonstrate that optimum sizing of CHP is crucial for achieving higher economic and environmental benefits and strongly depends on the authenticity of the energy consumption data, based on which the CHP is being sized. Use of incorrect energy data could result in an undersized or oversized CHP system, where an oversized system will result in higher negative results compared to an undersized system. Finally, Monto Carlo statistical analysis shows that electricity price is the significant factor that could affect the project’s economics. With an increasing spark gap, the payback period decreases, and vice versa.

Bolivian petroleum privatization taking shape

International Nuclear Information System (INIS)

Anon.

1995-01-01

Bolivia is boldly embracing a free market philosophy that extends to liberalization of the country's petroleum sector. Although petroleum industry privatization is being considered by several South American countries, only Argentina has so far completely opened its oil sector and fully privatized its state oil company. The Bolivian government's own version of privatization, capitalization, is a groundbreaking attempt to attract massive investment from the private sector without leaving the government open to accusations of stripping the country's assets for short term electoral gain. The paper discusses the government's strategy to sell the state owned company either as a single unit or to split it into upstream and downstream units. Questions still to be resolved, international interest in the move, bolivian potential, and the gas supply infrastructure are also discussed

Private sector and stabilisation in Afghanistan

DEFF Research Database (Denmark)

Magaard, Tina

I briefet opsummerer Tina Magaard de vigtigste konklusioner fra konferencen ”Private sector and stabilisation in Afghanistan – a neglected match?”, som blandt andet gav indsigt i udfordringerne og mulighederne for den private sektor i Afghanistan. Ved at kombinere perspektiver fra strategiske...... studier med forretnings- og udviklingsstudier tilbød konferencen en dybere indsigt i udfordringerne og mulighederne for den private sektor i Afghanistan. Samtidig blev der åbnet en række nye perspektiver for interaktionen mellem den private sektor og stabiliseringsoperationer i en post-krigskontekst som...... Afghanistan. Selvom udgangspunktet var Afghanistan, er konferencens konklusioner i høj grad relevante for andre konflikt/post-konfliktområder. Konferencen var organiseret i et samarbejde mellem Centre for Business and Development Studies (Copenhagen Business School), Public-Private Platform (Copenhagen...

Housing as a Social Determinant of Health: Exploring the Relationship between Rent Burden and Risk Behaviors for Single Room Occupancy Building Residents.

Science.gov (United States)

Bowen, Elizabeth A; Mitchell, Christopher G

2016-01-01

A growing body of health determinants research recognizes that housing and health are intimately linked. This study explores the relationship between rent burden (the ratio of rent to income) and health risk behaviors among a sample of single room occupancy (SRO) building residents. Cross-sectional data were gathered from a sample of 162 residents living in privately owned, for-profit SROs in Chicago. Findings indicated that participants who had full rental subsidies and thus were designated in a no-rent-burden category were more likely to engage in risk behaviors including illicit drug use, having multiple sexual partners, and having sex without a condom, in comparison to participants with moderate or high-rent burdens. These findings suggest that interventions to increase housing stability and affordability and bolster reliable income sources (in addition to rental subsidies) may be key in reducing risk behaviors and improving health for vulnerably housed populations such as SRO residents.

Refurbishment and optimisation of the district heating system and the Morettina central heating station in Locarno, Switzerland; Sanierung und Optimierung des Waermeverbundes und der Heizzentrale Morettina in Locarno. Erfolgskontrolle der Betriebsoptimierung

Energy Technology Data Exchange (ETDEWEB)

Lanz, S. [Dr. Eicher und Pauli AG, Berne (Switzerland); Ceschi, P. A. [Calore SA, c/o S.E.S., Locarno (Switzerland)

2004-07-01

This final report for the Swiss Federal Office of Energy (SFOE) discusses the successful operational optimisation of a district heating system in Locarno in southern Switzerland. The system supplies various public and private buildings with heat and cold. This pilot installation features boilers fired with liquefied gas, a combined heat and power unit and a combined heat-pump/refrigeration system. The refurbishment of the installations after three years of operation is described, which included changes to the system's hydraulics and control system as well as improvements to various sub-stations in the heating network. The results of the refurbishment, including better co-ordination of the various aggregates and lower operating temperatures, are discussed. Recommendations are also made on the planning, organisation and operation of future projects of this type.

Rules on the conflict of laws in the matter of succession in Romanian private international law

Directory of Open Access Journals (Sweden)

Daniel BERLINGHER

2014-12-01

Full Text Available Until the entry into force of the new Civil Code (1 October 2011, the law applicable to inheritance made the distinction between the inheritance of movable property (to which the national law of the deceased applied and the inheritance of immovable property (to which lex rei sitae applied. At present, the Civil Code establishes, as a rule of principle, that inheritance is subject to the law of the state on whose territory the deceased had habitual residence at the time of death. Thus, in the new legal regulation, the Romanian legislator considered, on the one hand, the Hague Conventions in this matter, and on the other hand, European Union law. In this article I analyzed the law applicable to inheritance in Romanian private international law, namely the law applicable to wills. Likewise, I conducted a comparative study with the legislation of other states in this matter. As regards the domain of application of the law on inheritance in Romanian private international law, I presented the aspects governed by art. 2636 of the Civil Code.

Career Interests of Canadian Psychiatry Residents: What Makes Residents Choose a Research Career?

Science.gov (United States)

Laliberté, Vincent; Rapoport, Mark J.; Andrew, Melissa; Davidson, Marla

2016-01-01

Objectives: Training future clinician-researchers remains a challenge faced by Canadian psychiatry departments. Our objectives were to determine the prevalence of residents interested in pursuing research and other career options as part of their practice, and to identify the factors associated with interest in research. Method: Data from a national online survey of 207 Canadian psychiatry residents from a total of 853 (24.3% response rate) were examined. The main outcome was interest in research as part of residents’ future psychiatrist practice. Bivariate and multivariate analyses were performed to identify demographic and vocational variables associated with research interest. Results: Interest in research decreases by 76% between the first and fifth year of psychiatry residency (OR 0.76 per year, 95% CI 0.60 to 0.97). Training in a department with a residency research track did not correlate with increased research interest (χ2 = 0.007, df = 1, P = 0.93). Conclusions: Exposing and engaging psychiatry residents in research as early as possible in residency training appears key to promoting future research interest. Psychiatry residency programs and research tracks could consider emphasizing research training initiatives and protected research time early in residency. PMID:27253699

Risk perception of heat waves and its spatial variation in Nanjing, China

Science.gov (United States)

Huang, Lei; Yang, Qianqi; Li, Jie; Chen, Jin; He, Ruoying; Zhang, Can; Chen, Kai; Dong, Steven Guanpeng; Liu, Yang

2018-05-01

The intensity, frequency, and duration of heat waves are expected to increase with climate change. In this study, we found a significant difference of public perceived effects of heat waves and trust in government among urban, suburban, and rural districts. Rural residents had a significant higher effect perception than urbanites and also showed stronger willingness to have medical insurance or regular physical examinations. Meanwhile, suburban residents had the lowest trust perception in government among these three districts, which may be due to suburban districts' unique social structure and complex social issues. Besides, we assessed the relationship between the factor effect and demographic variables. The results showed that urban respondents' effect perception was significantly related to heat wave experiences. Suburban respondents' effect perception was significantly related to age, income, and heat wave experiences. And rural respondents' effect perception was significantly related to income and chronic diseases. Based on our results, much more attention needs to be paid to rural districts. The government should strengthen infrastructure construction such as cooling centers, improve emergency response plans and mechanisms, and increase reserves of emergency supplies in rural districts. Also, targeted risk communication is of the equal importance to aid the policy-makers improving the relationship with the public and regaining the public's trust and support.

Risk perception of heat waves and its spatial variation in Nanjing, China

Science.gov (United States)

Huang, Lei; Yang, Qianqi; Li, Jie; Chen, Jin; He, Ruoying; Zhang, Can; Chen, Kai; Dong, Steven Guanpeng; Liu, Yang

2017-12-01

The intensity, frequency, and duration of heat waves are expected to increase with climate change. In this study, we found a significant difference of public perceived effects of heat waves and trust in government among urban, suburban, and rural districts. Rural residents had a significant higher effect perception than urbanites and also showed stronger willingness to have medical insurance or regular physical examinations. Meanwhile, suburban residents had the lowest trust perception in government among these three districts, which may be due to suburban districts' unique social structure and complex social issues. Besides, we assessed the relationship between the factor effect and demographic variables. The results showed that urban respondents' effect perception was significantly related to heat wave experiences. Suburban respondents' effect perception was significantly related to age, income, and heat wave experiences. And rural respondents' effect perception was significantly related to income and chronic diseases. Based on our results, much more attention needs to be paid to rural districts. The government should strengthen infrastructure construction such as cooling centers, improve emergency response plans and mechanisms, and increase reserves of emergency supplies in rural districts. Also, targeted risk communication is of the equal importance to aid the policy-makers improving the relationship with the public and regaining the public's trust and support.

Results of the 2005-2008 Association of Residents in Radiation Oncology Survey of Chief Residents in the United States: Clinical Training and Resident Working Conditions

International Nuclear Information System (INIS)

Gondi, Vinai; Bernard, Johnny Ray; Jabbari, Siavash; Keam, Jennifer; Amorim Bernstein, Karen L. de; Dad, Luqman K.; Li, Linna; Poppe, Matthew M.; Strauss, Jonathan B.; Chollet, Casey T.

2011-01-01

Purpose: To document clinical training and resident working conditions reported by chief residents during their residency. Methods and Materials: During the academic years 2005 to 2006, 2006 to 2007, and 2007 to 2008, the Association of Residents in Radiation Oncology conducted a nationwide survey of all radiation oncology chief residents in the United States. Chi-square statistics were used to assess changes in clinical training and resident working conditions over time. Results: Surveys were completed by representatives from 55 programs (response rate, 71.4%) in 2005 to 2006, 60 programs (75.9%) in 2006 to 2007, and 74 programs (93.7%) in 2007 to 2008. Nearly all chief residents reported receiving adequate clinical experience in commonly treated disease sites, such as breast and genitourinary malignancies; and commonly performed procedures, such as three-dimensional conformal radiotherapy and intensity-modulated radiotherapy. Clinical experience in extracranial stereotactic radiotherapy increased over time (p < 0.001), whereas clinical experience in endovascular brachytherapy (p <0.001) decreased over time. The distribution of gynecologic and prostate brachytherapy cases remained stable, while clinical case load in breast brachytherapy increased (p = 0.006). A small but significant percentage of residents reported receiving inadequate clinical experience in pediatrics, seeing 10 or fewer pediatric cases during the course of residency. Procedures involving higher capital costs, such as particle beam therapy and intraoperative radiotherapy, and infrequent clinical use, such as head and neck brachytherapy, were limited to a minority of institutions. Most residency programs associated with at least one satellite facility have incorporated resident rotations into their clinical training, and the majority of residents at these programs find them valuable experiences. The majority of residents reported working 60 or fewer hours per week on required clinical duties

Ontario Radiation Oncology Residents' Needs in the First Postgraduate Year-Residents' Perspective Survey

International Nuclear Information System (INIS)

Szumacher, Ewa; Warner, Eiran; Zhang Liying; Kane, Gabrielle; Ackerman, Ida; Nyhof-Young, Joyce; Agboola, Olusegun; Metz, Catherine de; Rodrigues, George; Voruganti, Sachi; Rappolt, Susan

2007-01-01

Purpose: To assess radiation oncology residents' needs and satisfaction in their first postgraduate year (PGY-1) in the province of Ontario. Methods and Materials: Of 62 radiation oncology residents, 58 who had completed their PGY-1 and were either enrolled or had graduated in 2006 were invited to participate in a 31-item survey. The questionnaire explored PGY-1 residents' needs and satisfaction in four domains: clinical workload, faculty/learning environment, stress level, and discrimination/harassment. The Fisher's exact and Wilcoxon nonparametric tests were used to determine relationships between covariate items and summary scores. Results: Of 58 eligible residents, 44 (75%) responded. Eighty-four percent of residents felt that their ward and call duties were appropriate. More than 50% of respondents indicated that they often felt isolated from their radiation oncology program. Only 77% agreed that they received adequate feedback, and 40% received sufficient counseling regarding career planning. More than 93% of respondents thought that faculty members had contributed significantly to their learning experience. Approximately 50% of residents experienced excessive stress and inadequate time for leisure or for reading the medical literature. Less than 10% of residents indicated that they had been harassed or experienced discrimination. Eighty-three percent agreed or strongly agreed that their PGY-1 experience had been outstanding. Conclusions: Most Ontario residents were satisfied with their PGY-1 training program. More counseling by radiation oncology faculty members should be offered to help residents with career planning. The residents might also benefit from more exposure to 'radiation oncology' and an introduction to stress management strategies

Residency Allocation Database

Data.gov (United States)

Department of Veterans Affairs — The Residency Allocation Database is used to determine allocation of funds for residency programs offered by Veterans Affairs Medical Centers (VAMCs). Information...

75 FR 72965 - Federal Travel Regulation; Removal of Privately Owned Vehicle Rates; Privately Owned Automobile...

Science.gov (United States)

2010-11-29

... rate based on the type of POV you actually use (privately owned airplane, privately owned automobile... HOUSEHOLD GOODS AND PROFESSIONAL BOOKS, PAPERS, AND EQUIPMENT (PBP&E) 0 29. The authority citation for 41...

Private Sector in Indian Healthcare Delivery: Consumer Perspective and Government Policies to promote private Sector

OpenAIRE

Utkarsh Shah, Ragini Mohanty

2011-01-01

This research paper attempts to collate literature from various sources, in an attempt to answer three pertinent questions related to healthcare in India. Firstly, what is it meant by ‘private sector’ in healthcare delivery system of India, secondly how has the private sector evolved over the decades and what has been the role of the government in propelling the growth. Finally, the paper tries to highlight some of the factors that have promoted the growth of private sector in India with spec...

Association of General Surgery Resident Remediation and Program Director Attitudes With Resident Attrition.

Science.gov (United States)

Schwed, Alexander C; Lee, Steven L; Salcedo, Edgardo S; Reeves, Mark E; Inaba, Kenji; Sidwell, Richard A; Amersi, Farin; Are, Chandrakanth; Arnell, Tracey D; Damewood, Richard B; Dent, Daniel L; Donahue, Timothy; Gauvin, Jeffrey; Hartranft, Thomas; Jacobsen, Garth R; Jarman, Benjamin T; Melcher, Marc L; Mellinger, John D; Morris, Jon B; Nehler, Mark; Smith, Brian R; Wolfe, Mary; Kaji, Amy H; de Virgilio, Christian

2017-12-01

Previous studies of resident attrition have variably included preliminary residents and likely overestimated categorical resident attrition. Whether program director attitudes affect attrition has been unclear. To determine whether program director attitudes are associated with resident attrition and to measure the categorical resident attrition rate. This multicenter study surveyed 21 US program directors in general surgery about their opinions regarding resident education and attrition. Data on total resident complement, demographic information, and annual attrition were collected from the program directors for the study period of July 1, 2010, to June 30, 2015. The general surgery programs were chosen on the basis of their geographic location, previous collaboration with some coauthors, prior work in surgical education and research, or a program director willing to participate. Only categorical surgical residents were included in the study; thus, program directors were specifically instructed to exclude any preliminary residents in their responses. Five-year attrition rates (2010-2011 to 2014-2015 academic years) as well as first-time pass rates on the General Surgery Qualifying Examination and General Surgery Certifying Examination of the American Board of Surgery (ABS) were collected. High- and low-attrition programs were compared. The 21 programs represented different geographic locations and 12 university-based, 3 university-affiliated, and 6 independent program types. Programs had a median (interquartile range [IQR]) number of 30 (20-48) categorical residents, and few of those residents were women (median [IQR], 12 [5-17]). Overall, 85 of 966 residents (8.8%) left training during the study period: 15 (17.6%) left after postgraduate year 1, 34 (40.0%) after postgraduate year 2, and 36 (42.4%) after postgraduate year 3 or later. Forty-four residents (51.8%) left general surgery for another surgical discipline, 21 (24.7%) transferred to a different surgery

Comparison of microwave and conduction-convection heating autohydrolysis pretreatment for bioethanol production.

Science.gov (United States)

Aguilar-Reynosa, Alejandra; Romaní, Aloia; Rodríguez-Jasso, Rosa M; Aguilar, Cristóbal N; Garrote, Gil; Ruiz, Héctor A

2017-11-01

This work describes the application of two forms of heating for autohydrolysis pretreatment on isothermal regimen: conduction-convection heating and microwave heating processing using corn stover as raw material for bioethanol production. Pretreatments were performed using different operational conditions: residence time (10-50 min) and temperature (160-200°C) for both pretreatments. Subsequently, the susceptibility of pretreated solids was studied using low enzyme loads, and high substrate loads. The highest conversion was 95.1% for microwave pretreated solids. Also solids pretreated by microwave heating processing showed better ethanol conversion in simultaneous saccharification and fermentation process (92% corresponding to 33.8g/L). Therefore, microwave heating processing is a promising technology in the pretreatment of lignocellulosic materials. Copyright © 2017 Elsevier Ltd. All rights reserved.

Climate Responsive Design and the Milam Residence

Directory of Open Access Journals (Sweden)

Mohammad Shahadat

2011-11-01

Full Text Available Energy conservation and efficiency is an essential area of focus in contemporary building design. The perception that the designers of buildings during the Modernist period of architecture ignored these principles is a false one. The present study, an examination of Paul Rudolph’s Milam Residence, a masterpiece of American residential architecture, is part of a larger project endeavoring to create a knowledge base of the environmental performance of iconic modernist homes. A critical examination of the Milam House allows insight into specific design characteristics that impact energy efficiency and conservation. Located in Ponte Vedra Beach, Florida, the Milam Residence was constructed in 1962. It was the last of a series of Florida residences designed by Rudolph, Chairman of the Department of Architecture at Yale University (1958–1965. The structure’s form is strongly related to its location on a subtropical beachfront. This paper presents a detailed analysis of the building’s solar responsiveness. Specifically, we examine design strategies such as orientation and sunscreening and their effect on daylighting, shading, and heat gain. The analysis is based on parametric energy modeling studies using Autodesk’s Ecotect, an environmental analysis tool that allows simulation of building performance. While the initial target of the program was early design, the program allows the input of complex geometries and detailed programming of zones, materials, schedules, etc. The program's excellent analyses of desired parameters are augmented by visualizations that make it especially valuable in communicating results. Our findings suggest that the building, as built and situated on the site, does take advantage of daylighting and solar shading and does so in both expected and unexpected ways.

Resident Characteristics Report

Data.gov (United States)

Department of Housing and Urban Development — The Resident Characteristics Report summarizes general information about households who reside in Public Housing, or who receive Section 8 assistance. The report...

Predicting Resident Performance from Preresidency Factors: A Systematic Review and Applicability to Neurosurgical Training.

Science.gov (United States)

Zuckerman, Scott L; Kelly, Patrick D; Dewan, Michael C; Morone, Peter J; Yengo-Kahn, Aaron M; Magarik, Jordan A; Baticulon, Ronnie E; Zusman, Edie E; Solomon, Gary S; Wellons, John C

2018-02-01

Neurosurgical educators strive to identify the best applicants, yet formal study of resident selection has proved difficult. We conducted a systematic review to answer the following question: What objective and subjective preresidency factors predict resident success? PubMed, ProQuest, Embase, and the CINAHL databases were queried from 1952 to 2015 for literature reporting the impact of preresidency factors (PRFs) on outcomes of residency success (RS), among neurosurgery and all surgical subspecialties. Due to heterogeneity of specialties and outcomes, a qualitative summary and heat map of significant findings were constructed. From 1489 studies, 21 articles met inclusion criteria, which evaluated 1276 resident applicants across five surgical subspecialties. No neurosurgical studies met the inclusion criteria. Common objective PRFs included standardized testing (76%), medical school performance (48%), and Alpha Omega Alpha (43%). Common subjective PRFs included aggregate rank scores (57%), letters of recommendation (38%), research (33%), interviews (19%), and athletic or musical talent (19%). Outcomes of RS included faculty evaluations, in-training/board exams, chief resident status, and research productivity. Among objective factors, standardized test scores correlated well with in-training/board examinations but poorly correlated with faculty evaluations. Among subjective factors, aggregate rank scores, letters of recommendation, and athletic or musical talent demonstrated moderate correlation with faculty evaluations. Standardized testing most strongly correlated with future examination performance but correlated poorly with faculty evaluations. Moderate predictors of faculty evaluations were aggregate rank scores, letters of recommendation, and athletic or musical talent. The ability to predict success of neurosurgical residents using an evidence-based approach is limited, and few factors have correlated with future resident performance. Given the importance of

Private Security Contractors in Darfur

DEFF Research Database (Denmark)

Leander, Anna

2006-01-01

This article argues that the role of Private Security Contractors in Darfur reflects and reinforces neo-liberal governmentality in contemporary security governance. It is an argument (in line with other articles in this special issue) which is more interested in discussing how the privatization....... It underlines that governance is increasingly taking place through a set of (quasi-) markets, it is marked by entrepreneurial values, and a hands off approach to governance. We then discuss the way this overall change is reflected in and reinforced by the role of private security contractors in Darfur. Drawing...... at these processes is necessary to understand the role of private security contractors in Darfur. But more than this, practices in Darfur entrench neo-liberal governmentality in security more generally. The managerial and `de-politicizing' approach to security in Darfur displaces alternative views not only...

[Burnout in nursing residents].

Science.gov (United States)

Franco, Gianfábio Pimentel; de Barros, Alba Lúcia Bottura Leite; Nogueira-Martins, Luiz Antônio; Zeitoun, Sandra Salloum

2011-03-01

Nursing residents may experience physical and emotional exhaustion from the daily life of attending the Program. The aim of this study was to determine the Burnout incidence among Nursing Residents. An investigative, descriptive, analytical, longitudinal-prospective study was conducted with 16 Residents over two years. The Maslach Burnout Inventory was used, translated and validated for Brazil, as well as a sociodemographic/occupational data tool. Of all residents, 17.2% showed high rates in Emotional Exhaustion and Depersonalization; 18.8% showed impaired commitment in Personal Accomplishment, 75% of which belonged to specialty areas, such as Emergency Nursing, Adult and Pediatric Intensive Care. Age and specialty area were positively correlated with Personal Accomplishment. One of the Residents was identified with changes in three subscales of the Maslach Burnout Inventory, thus characterized as a Burnout Syndrome patient. Nursing Residents have profiles of disease. Knowing these factors can minimize health risks of these workers.

Impact of climate change on heat-related mortality in Jiangsu Province, China.

Science.gov (United States)

Chen, Kai; Horton, Radley M; Bader, Daniel A; Lesk, Corey; Jiang, Leiwen; Jones, Bryan; Zhou, Lian; Chen, Xiaodong; Bi, Jun; Kinney, Patrick L

2017-05-01

A warming climate is anticipated to increase the future heat-related total mortality in urban areas. However, little evidence has been reported for cause-specific mortality or nonurban areas. Here we assessed the impact of climate change on heat-related total and cause-specific mortality in both urban and rural counties of Jiangsu Province, China, in the next five decades. To address the potential uncertainty in projecting future heat-related mortality, we applied localized urban- and nonurban-specific exposure response functions, six population projections including a no population change scenario and five Shared Socioeconomic Pathways (SSPs), and 42 temperature projections from 21 global-scale general circulation models and two Representative Concentration Pathways (RCPs). Results showed that projected warmer temperatures in 2016-2040 and 2041-2065 will lead to higher heat-related mortality for total non-accidental, cardiovascular, respiratory, stroke, ischemic heart disease (IHD), and chronic obstructive pulmonary disease (COPD) causes occurring annually during May to September in Jiangsu Province, China. Nonurban residents in Jiangsu will suffer from more excess heat-related cause-specific mortality in 2016-2065 than urban residents. Variations across climate models and RCPs dominated the uncertainty of heat-related mortality estimation whereas population size change only had limited influence. Our findings suggest that targeted climate change mitigation and adaptation measures should be taken in both urban and nonurban areas of Jiangsu Province. Specific public health interventions should be focused on the leading causes of death (stroke, IHD, and COPD), whose health burden will be amplified by a warming climate. Copyright © 2017 Elsevier Ltd. All rights reserved.

Impact of Climate Change on Heat-Related Mortality in Jiangsu Province, China

Science.gov (United States)

Chen, Kai; Horton, Radley M.; Bader, Daniel A.; Lesk, Corey; Jiang, Leiwen; Jones, Bryan; Zhou, Lian; Chen, Xiaodong; Bi, Jun; Kinney, Patrick L.

2017-01-01

A warming climate is anticipated to increase the future heat-related total mortality in urban areas. However, little evidence has been reported for cause-specific mortality or nonurban areas. Here we assessed the impact of climate change on heat-related total and cause-specific mortality in both urban and rural counties of Jiangsu Province, China, in the next five decades. To address the potential uncertainty in projecting future heat-related mortality, we applied localized urban- and nonurban-specific exposure response functions, six population projections including a no population change scenario and five Shared Socioeconomic Pathways (SSPs), and 42 temperature projections from 21 global-scale general circulation models and two Representative Concentration Pathways (RCPs). Results showed that projected warmer temperatures in 2016-2040 and 2041-2065 will lead to higher heat-related mortality for total non-accidental, cardiovascular, respiratory, stroke, ischemic heart disease (IHD), and chronic obstructive pulmonary disease (COPD) causes occurring annually during May to September in Jiangsu Province, China. Nonurban residents in Jiangsu will suffer from more excess heat-related cause-specific mortality in 2016-2065 than urban residents. Variations across climate models and RCPs dominated the uncertainty of heat-related mortality estimation whereas population size change only had limited influence. Our findings suggest that targeted climate change mitigation and adaptation measures should be taken in both urban and nonurban areas of Jiangsu Province. Specific public health interventions should be focused on the leading causes of death (stroke, IHD, and COPD), whose health burden will be amplified by a warming climate.

What is the private sector? Understanding private provision in the health systems of low-income and middle-income countries.

Science.gov (United States)

Mackintosh, Maureen; Channon, Amos; Karan, Anup; Selvaraj, Sakthivel; Cavagnero, Eleonora; Zhao, Hongwen

2016-08-06

Private health care in low-income and middle-income countries is very extensive and very heterogeneous, ranging from itinerant medicine sellers, through millions of independent practitioners-both unlicensed and licensed-to corporate hospital chains and large private insurers. Policies for universal health coverage (UHC) must address this complex private sector. However, no agreed measures exist to assess the scale and scope of the private health sector in these countries, and policy makers tasked with managing and regulating mixed health systems struggle to identify the key features of their private sectors. In this report, we propose a set of metrics, drawn from existing data that can form a starting point for policy makers to identify the structure and dynamics of private provision in their particular mixed health systems; that is, to identify the consequences of specific structures, the drivers of change, and levers available to improve efficiency and outcomes. The central message is that private sectors cannot be understood except within their context of mixed health systems since private and public sectors interact. We develop an illustrative and partial country typology, using the metrics and other country information, to illustrate how the scale and operation of the public sector can shape the private sector's structure and behaviour, and vice versa. Copyright © 2016 Elsevier Ltd. All rights reserved.

Private Military and Security Contractors

DEFF Research Database (Denmark)

In Private Military and Security Contractors: Controlling the Corporate Warrior a multinational team of 16 scholars and a practitioner from political science, sociology, and law address a developing phenomenon: controlling the use of privatized force by states in international politics. Robust...

Reproductive Psychiatry Residency Training: A Survey of Psychiatric Residency Program Directors.

Science.gov (United States)

Osborne, Lauren M; MacLean, Joanna V; Barzilay, Erin Murphy; Meltzer-Brody, Samantha; Miller, Laura; Yang, Sarah Nagle

2018-04-01

The reproductive life cycle has unique influences on the phenotypic expression of mental illness in women. Didactic and clinical training focused on these sex-specific influences should be a vital component of the education of future psychiatrists. The authors sought to determine the current state of and attitudes toward reproductive psychiatry in resident education. The authors administered a web-based survey to psychiatry residency training directors. They assessed the availability of both mandated and optional didactic and clinical training experiences in reproductive psychiatry. Fifty residency program directors answered the survey, for a response rate of 28%. More than half of residency program directors (59%) reported requiring some training in reproductive psychiatry. Both the breadth and depth of topics covered varied greatly among programs. Lack of time (48%) and lack of qualified faculty (26%) were the most frequently cited barriers to more training. Only 40% of residency directors surveyed agreed that all residents should be competent in reproductive psychiatry. These findings suggest that specific training in reproductive psychiatry is inconsistent in US residency programs, and that training that does exist varies considerably in clinical time and content. Given that women comprise more than 50% of all psychiatric patients and most women will menstruate, give birth, and undergo menopause, future psychiatrists would benefit from more systematic instruction in this area. The authors propose the development of a national, standardized reproductive psychiatry curriculum to address this gap and aid in producing psychiatrists competent to treat women at all stages of life.

Association of Cancer Incidence and Duration of Residence in Geothermal Heating Area in Iceland: An Extended Follow-Up.

Directory of Open Access Journals (Sweden)

Adalbjorg Kristbjornsdottir

Full Text Available Residents of geothermal areas have higher incidence of non-Hodgkin's lymphoma, breast cancer, prostate cancer, and kidney cancers than others. These populations are exposed to chronic low-level ground gas emissions and various pollutants from geothermal water. The aim was to assess whether habitation in geothermal areas and utilisation of geothermal water is associated with risk of cancer according to duration of residence.The cohort obtained from the census 1981 was followed to the end of 2013. Personal identifier was used in record linkage with nation-wide emigration, death, and cancer registries. The exposed population, defined by community codes, was located on young bedrock and had utilised geothermal water supply systems since 1972. Two reference populations were located by community codes on older bedrock or had not utilised geothermal water supply systems for as long a period as had the exposed population. Adjusted hazard ratio (HR, 95% confidence intervals (CI non-stratified and stratified on cumulative years of residence were estimated in Cox-model.The HR for all cancer was 1.21 (95% CI 1.12-1.30 as compared with the first reference area. The HR for pancreatic cancer was 1.93 (1.22-3.06, breast cancer, 1.48 (1.23-1.80, prostate cancer 1.47 (1.22-1.77, kidney cancer 1.46 (1.03-2.05, lymphoid and haematopoietic tissue 1.54 (1.21-1.97, non-Hodgkin´s lymphoma 2.08 (1.38-3.15 and basal cell carcinoma of the skin 1.62 (1.35-1.94. Positive dose-response relationship was observed between incidence of cancers and duration of residence, and between incidence of cancer and degree of geothermal/volcanic activity in the comparison areas.The higher cancer incidence in geothermal areas than in reference areas is consistent with previous findings. As the dose-response relationships were positive between incidence of cancers and duration of residence, it is now more urgent than before to investigate the chemical and physical content of the geothermal

Association of Cancer Incidence and Duration of Residence in Geothermal Heating Area in Iceland: An Extended Follow-Up.

Science.gov (United States)

Kristbjornsdottir, Adalbjorg; Aspelund, Thor; Rafnsson, Vilhjalmur

2016-01-01

Residents of geothermal areas have higher incidence of non-Hodgkin's lymphoma, breast cancer, prostate cancer, and kidney cancers than others. These populations are exposed to chronic low-level ground gas emissions and various pollutants from geothermal water. The aim was to assess whether habitation in geothermal areas and utilisation of geothermal water is associated with risk of cancer according to duration of residence. The cohort obtained from the census 1981 was followed to the end of 2013. Personal identifier was used in record linkage with nation-wide emigration, death, and cancer registries. The exposed population, defined by community codes, was located on young bedrock and had utilised geothermal water supply systems since 1972. Two reference populations were located by community codes on older bedrock or had not utilised geothermal water supply systems for as long a period as had the exposed population. Adjusted hazard ratio (HR), 95% confidence intervals (CI) non-stratified and stratified on cumulative years of residence were estimated in Cox-model. The HR for all cancer was 1.21 (95% CI 1.12-1.30) as compared with the first reference area. The HR for pancreatic cancer was 1.93 (1.22-3.06), breast cancer, 1.48 (1.23-1.80), prostate cancer 1.47 (1.22-1.77), kidney cancer 1.46 (1.03-2.05), lymphoid and haematopoietic tissue 1.54 (1.21-1.97), non-Hodgkin´s lymphoma 2.08 (1.38-3.15) and basal cell carcinoma of the skin 1.62 (1.35-1.94). Positive dose-response relationship was observed between incidence of cancers and duration of residence, and between incidence of cancer and degree of geothermal/volcanic activity in the comparison areas. The higher cancer incidence in geothermal areas than in reference areas is consistent with previous findings. As the dose-response relationships were positive between incidence of cancers and duration of residence, it is now more urgent than before to investigate the chemical and physical content of the geothermal water

Public by Day, Private by Night: Examining the Private Lives of Kenya's Public Universities

Science.gov (United States)

Wangenge-Ouma, Gerald

2012-01-01

This article examines the emergence of the public university in Kenya as a key provider of private higher education, characterised mainly by the phenomenon of the "private public university student." It probes the broader socio-economic reforms circumscribing the privatisation of Kenya's public universities and the local and global…

We do not recognise anything 'private': public interest and private law under the socialist legal tradition and beyond

OpenAIRE

Mańko, R.; Sitek, B.; Szczerbowski, J.J.; Bauknecht, A.W.; Szpanowska, M.; Wasyliszyn, K.

2015-01-01

In line with Lenin’s famous quote that Bolsheviks "do not recognise anything private" and that private law must be permeated with public interest, the private (civil) law of the USSR and other countries of the Soviet bloc, including Poland underwent reform aimed at furthering the public interest at the expense of the private one. Specific legal institutions were introduced for this purpose, in the form of legal innovations, loosely, if at all, based on pre-existing Western models. In the Poli...

Hospital utilization and out of pocket expenditure in public and private sectors under the universal government health insurance scheme in Chhattisgarh State, India: Lessons for universal health coverage.

Directory of Open Access Journals (Sweden)

Sulakshana Nandi

Full Text Available Research on impact of publicly financed health insurance has paid relatively little attention to the nature of healthcare provision the schemes engage. India's National Health Insurance Scheme or RSBY was made universal by Chhattisgarh State in 2012. In the State, public and private sectors provide hospital services in a context of extensive gender, social, economic and geographical inequities. This study examined enrolment, utilization (public and private and out of pocket (OOP expenditure for the insured and uninsured, in Chhattisgarh. The Chhattisgarh State Central sample (n = 6026 members of the 2014 National Sample Survey (71st Round on Health was extracted and analyzed. Variables of enrolment, hospitalization, out of pocket (OOP expenditure and catastrophic expenditure were descriptively analyzed. Multivariate analyses of factors associated with enrolment, hospitalization (by sector and OOP expenditure were conducted, taking into account gender, socio-economic status, residence, type of facility and ailment. Insurance coverage was 38.8%. Rates of hospitalization were 33/1000 population among the insured and 29/1000 among the uninsured. Of those insured and hospitalized, 67.2% utilized the public sector. Women, rural residents, Scheduled Tribes and poorer groups were more likely to utilize the public sector for hospitalizations. Although the insured were less likely to incur out of pocket (OOP expenditure, 95.1% of insured private sector users and 66.0% of insured public sector users, still incurred costs. Median OOP payments in the private sector were eight times those in the public sector. Of households with at least one member hospitalized, 35.5% experienced catastrophic health expenditures (>10% monthly household consumption expenditure. The study finds that despite insurance coverage, the majority still incurred OOP expenditure. The public sector was nevertheless less expensive, and catered to the more vulnerable groups. It suggests

Reports on 1979 result of Sunshine Project. R and D on solar cooling/heating and hot-water supply system (R and D on system for existing private house); 1979 nendo taiyo reidanbo oyobi kyuto system no kenkyu kaihatsu seika hokokusho. Kison kojin jutakuyo system no kenkyu kaihatsu

Energy Technology Data Exchange (ETDEWEB)

NONE

1980-05-31

The following technologies were developed for the purpose of putting into practice an innovative system that performs cooling/heating and hot-water supply for an existing private house economically by solar energy: (1) development of equipment constituting solar cooling/heating and hot-water supply system, and (2) development of a system which uses such equipment and which is inexpensive and safe as well as easy for inspection and maintenance. The results of the research were as follows. A latent heat type heat storage tank was developed in a small low-loss type in which ammonium alum was selected for a high temperature heat storage tank and in which NaCH{sub 3}COO(center dot)3H{sub 2}O were selected for a combination latent heat/cold water heat storage tank. A refrigerator was developed driven by a small Rankine cycle engine of a result coefficient of 0.47. A flat plate type heat collecting device was developed in a type having a BrNi selective absorbing film and materials of copper tube, aluminum plate and double glass. A vacuum heat collecting device was developed in a high efficient type with the outside dimension of {phi} (diameter) 70 x 1,270 mm, selective absorbing film BrNi, and a degree of vacuum of 10{sup -3}Torr. A heat receiving/releasing storm shutter was developed in a type using a latent heat storing material of paraffin wax. A heat absorbing/insulating outside wall panel was developed using FRP and aluminum as the materials. The system analysis also achieved success. (NEDO)

Private benefits in corporate control transactions

DEFF Research Database (Denmark)

Poulsen, Thomas

This paper presents an analytical framework from which it can be inferred whether sellers or buyers in corporate control transactions value private benefits highest. I am thus able to suggest an answer to the question: Are blocks of shares traded because the buyer is a more efficient monitor...... with high security benefits, or because the buyer has high private benefits from the control rights that come with the shares? Using voting rights as the vehicle for private benefits, I find that the selling shareholders in block transactions attach more value to private benefits than the buyers. In tender...... offer transactions, the answer is that private benefits are insignificant to both sides of the transaction. As an alternative measure of the transaction premium, I calculate the abnormal return premium. This represents the stock market's valuation of the transaction. I find that the stock market puts...

How Residents Learn From Patient Feedback: A Multi-Institutional Qualitative Study of Pediatrics Residents' Perspectives.

Science.gov (United States)

Bogetz, Alyssa L; Orlov, Nicola; Blankenburg, Rebecca; Bhavaraju, Vasudha; McQueen, Alisa; Rassbach, Caroline

2018-04-01

Residents may view feedback from patients and their families with greater skepticism than feedback from supervisors and peers. While discussing patient and family feedback with faculty may improve residents' acceptance of feedback and learning, specific strategies have not been identified. We explored pediatrics residents' perspectives of patient feedback and identified strategies that promote residents' reflection on and learning from feedback. In this multi-institutional, qualitative study conducted in June and July 2016, we conducted focus groups with a purposive sample of pediatrics residents after their participation in a randomized controlled trial in which they received written patient feedback and either discussed it with faculty or reviewed it independently. Focus group transcripts were audiorecorded, transcribed, and analyzed for themes using the constant comparative approach associated with grounded theory. Thirty-six of 92 (39%) residents participated in 7 focus groups. Four themes emerged: (1) residents valued patient feedback but felt it may lack the specificity they desire; (2) discussing feedback with a trusted faculty member was helpful for self-reflection; (3) residents identified 5 strategies faculty used to facilitate their openness to and acceptance of patient feedback (eg, help resident overcome emotional responses to feedback and situate feedback in the context of lifelong learning); and (4) residents' perceptions of feedback credibility improved when faculty observed patient encounters and solicited feedback on the resident's behalf prior to discussions. Discussing patient feedback with faculty provided important scaffolding to enhance residents' openness to and reflection on patient feedback.

Interactions between urban heat islands and heat waves

Science.gov (United States)

Zhao, Lei; Oppenheimer, Michael; Zhu, Qing; Baldwin, Jane W.; Ebi, Kristie L.; Bou-Zeid, Elie; Guan, Kaiyu; Liu, Xu

2018-03-01

Heat waves (HWs) are among the most damaging climate extremes to human society. Climate models consistently project that HW frequency, severity, and duration will increase markedly over this century. For urban residents, the urban heat island (UHI) effect further exacerbates the heat stress resulting from HWs. Here we use a climate model to investigate the interactions between the UHI and HWs in 50 cities in the United States under current climate and future warming scenarios. We examine UHI2m (defined as urban-rural difference in 2m-height air temperature) and UHIs (defined as urban-rural difference in radiative surface temperature). Our results show significant sensitivity of the interaction between UHI and HWs to local background climate and warming scenarios. Sensitivity also differs between daytime and nighttime. During daytime, cities in the temperate climate region show significant synergistic effects between UHI and HWs in current climate, with an average of 0.4 K higher UHI2m or 2.8 K higher UHIs during HWs than during normal days. These synergistic effects, however, diminish in future warmer climates. In contrast, the daytime synergistic effects for cities in dry regions are insignificant in the current climate, but emerge in future climates. At night, the synergistic effects are similar across climate regions in the current climate, and are stronger in future climate scenarios. We use a biophysical factorization method to disentangle the mechanisms behind the interactions between UHI and HWs that explain the spatial-temporal patterns of the interactions. Results show that the difference in the increase of urban versus rural evaporation and enhanced anthropogenic heat emissions (air conditioning energy use) during HWs are key contributors to the synergistic effects during daytime. The contrast in water availability between urban and rural land plays an important role in determining the contribution of evaporation. At night, the enhanced release of stored

The pregnant female surgical resident

Directory of Open Access Journals (Sweden)

Shifflette V

2018-05-01

Full Text Available Vanessa Shifflette,1 Susannah Hambright,2 Joseph Darryl Amos,1 Ernest Dunn,3 Maria Allo4 1Associates in Surgical Acute Care, Methodist Dallas Medical Center, Dallas, TX, USA; 2Methodist Surgical Associates, Methodist Dallas Medical Center, Dallas, TX, USA; 3Graduate Medical Education - General Surgery, Methodist Dallas Medical Center, Dallas, TX, USA; 4Santa Clara Valley Medical Center, San Jose, CA, USA Background: Surgery continues to be an intense, time-consuming residency. Many medical students decide against surgery as a profession due to the long work hours and family strain. The pregnant female surgical resident has an added stress factor compared to her male counterpart. Methods: We distributed an electronic, online 26-question survey to 32 general surgery programs in the southwestern region of the United States. Each program distributed our survey to the female surgical residents who had been pregnant during residency in the last 5 years. Each program was re-contacted 6 weeks after the initial contact. Most questions were in a 5-point Likert scale format. The responses were collected and analyzed using the Survey Monkey website. Results: An unvalidated survey was sent to 32 general surgery programs and 26 programs responded (81%. Each program was asked for the total number of possible responses from female residents that met our criteria (60 female residents. Seven of the programs (27% stated that they have had zero residents pregnant. We had 22 residents respond (37%. Over half of the residents (55% were pregnant during their 2nd or 3rd year of residency, with only 18% pregnant during a research year. Thirty-one percent had a lower American Board of Surgery In-Training Exam (ABSITE score. Ninety percent of the residents were able to take 4 weeks or more for maternity leave. Most of the residents (95% stated that they would do this again during residency given the opportunity, but many of the residents felt that returning back to work

Privatization of oil companies in Latin America

International Nuclear Information System (INIS)

Forsyth, A.; Mommer, B.; McBeth, B.

1995-01-01

Three linked articles explore the current movement towards privatization in the various countries of South America. While the progress away from state control varies from country to country, the first article argues that the movement will offer economic benefits to the Latin American petroleum industry as a whole, despite the political difficulties which must be overcome. In the second article, public distaste for the nationalization of the Venezuelan oil industry back in 1943, petroleum engineers, economists, private sector representatives and oil industry employees all oppose wholesale privatization, favouring national and private investment within Venezuela. The last author argues for an efficient regulatory framework to oversee privatization schemes. (UK)

Use and utility of Web-based residency program information: a survey of residency applicants.

Science.gov (United States)

Embi, Peter J; Desai, Sima; Cooney, Thomas G

2003-01-01

The Internet has become essential to the residency application process. In recent years, applicants and residency programs have used the Internet-based tools of the National Residency Matching Program (NRMP, the Match) and the Electronic Residency Application Service (ERAS) to process and manage application and Match information. In addition, many residency programs have moved their recruitment information from printed brochures to Web sites. Despite this change, little is known about how applicants use residency program Web sites and what constitutes optimal residency Web site content, information that is critical to developing and maintaining such sites. To study the use and perceived utility of Web-based residency program information by surveying applicants to an internal medicine program. Our sample population was the applicants to the Oregon Health & Science University Internal Medicine Residency Program who were invited for an interview. We solicited participation using the group e-mail feature available through the Electronic Residency Application Service Post-Office application. To minimize the possibility for biased responses, the study was confined to the period between submission of National Residency Matching Program rank-order lists and release of Match results. Applicants could respond using an anonymous Web-based form or by reply to the e-mail solicitation. We tabulated responses, calculated percentages for each, and performed a qualitative analysis of comments. Of the 431 potential participants, 218 responded (51%) during the study period. Ninety-nine percent reported comfort browsing the Web; 52% accessed the Web primarily from home. Sixty-nine percent learned about residency Web sites primarily from residency-specific directories while 19% relied on general directories. Eighty percent found these sites helpful when deciding where to apply, 69% when deciding where to interview, and 36% when deciding how to rank order programs for the Match. Forty

Toward a Resident Personal Finance Curriculum: Quantifying Resident Financial Circumstances, Needs, and Interests.

Science.gov (United States)

McKillip, Ryan; Ernst, Michael; Ahn, James; Tekian, Ara; Shappell, Eric

2018-04-26

Introduction Resident financial health has been linked to wellness and resiliency, yet financial literacy among residents is highly variable. While some medical school curricula include budgeting and student loan education, content on managing finances as a resident is usually lacking. We sought to quantitatively assess residents' financial circumstances, needs, and interests to inform the design of a resident personal finance curriculum. Methods Surveys were sent to residents in eight specialties at an academic medical center. Likert-type responses allowed respondents to rate their level of comfort (1 = Very Uncomfortable, 7 = Very Comfortable) and interest (1 = Very Uninterested, 7 = Very Interested) in various personal finance topics including budgeting, loan repayment, disability insurance, life insurance, home buying, and retirement planning. Details regarding financial circumstances, including assets, liabilities, and insurance, were also collected. Results of questions that utilized a Likert-type scale are reported as median (interquartile range). Results Of 346 residents surveyed, 144 (41.6%) responded. Residents were from Internal Medicine (56, 38.9%), Pediatrics (34, 23.6%), Emergency Medicine (18, 12.5%), and other specialties (36, 25.0%). Ninety-one (63.2%) reported educational loans, with an average balance of $191,730. Credit card balances exceeding $3,000 were reported by 11 (7.6%) respondents. One-hundred-two (70.1%) reported emergency savings, but only 65 (45.1%) reported having a retirement account (average balance $27,608). Respondents rated highest comfort levels with budgeting (5[4-6]), and lowest level of comfort with disability insurance (2[2-4]) and home buying (2[2-5]). Interest in learning each topic was high (6[5-7]), with retirement planning (6[5-7]), investing (6[5-7]), and home buying (6[5-7]) the topics of highest interest. Conclusion These results highlight the deficits in personal finance literacy among residents. Future work should

Perspectives of Residents of Mashhad School of Dentistry about the Curriculum of Residency Program

Directory of Open Access Journals (Sweden)

Javad Sarabadani

2015-09-01

Full Text Available Introduction: This study was carried out to analyze the viewpoint of the residents of school of dentistry about the curriculum presented in the residency program to students of Mashhad School of Dentistry. Methods: To evaluate the perspectives of residents of dental school about the curriculum and regulations of residency program, a questionnaire was designed whose validity and reliability were confirmed by the authorities of School of Dentistry and test-retest reliability, respectively. The questionnaire was distributed among 100 residents and 80 of them completed the questionnaires. The data were analyzed by SPSS software (version 11.5. Results: A total of 43% of residents were informed of the curriculum (e.g. academic leave, transfer, removal of semester, etc.. As for the ability to write research proposal, 42.7% of residents were reported to have a favorable status, i.e. they were able to write more than 80% of their proposal. From among the residents, 30.4% had specialized English language certificate. Most of them (77% were satisfied with the professional staff, faculty members, of the faculty. Many students liked to participate in the teaching method courses of the residency program. Conclusion: Residents maintained that the curriculum in such domains as educational and research issues and special capabilities had some weak points. Thus, appropriate strategies are recommended to be applied to revise the curriculum using the residents’ views on these programs.

Geothermal district heating system feasibility analysis, Thermopolis, Wyoming

Energy Technology Data Exchange (ETDEWEB)

Goering, S.W.; Garing, K.L.; Coury, G.; Mickley, M.C.

1982-04-26

The purpose of this study is to determine the technical and economic feasibility of constructing and operating a district heating system to serve the residential, commercial, and public sectors in Thermopolis. The project geothermal resource assessment, based on reviews of existing information and data, indicated that substantial hot water resources likely exist in the Rose Dome region 10 miles northeast of Thermopolis, and with quantities capable of supporting the proposed geothermal uses. Preliminary engineering designs were developed to serve the space heating and hot water heating demands for buildings in the Thermopolis-East Thermopolis town service area. The heating district design is based on indirect geothermal heat supply and includes production wells, transmission lines, heat exchanger units, and the closed loop distribution and collection system necessary to serve the individual customers. Three options are presented for disposal of the cooled waters-reinjection, river disposal, and agricultural reuse. The preliminary engineering effort indicates the proposed system is technically feasible. The design is sized to serve 1545 residences, 190 businesses, and 24 public buildings. The peak design meets a demand of 128.2 million Btu at production rates of 6400 gpm.

We do not recognise anything 'private': public interest and private law under the socialist legal tradition and beyond

NARCIS (Netherlands)

Mańko, R.; Sitek, B.; Szczerbowski, J.J.; Bauknecht, A.W.; Szpanowska, M.; Wasyliszyn, K.

2015-01-01

In line with Lenin’s famous quote that Bolsheviks "do not recognise anything private" and that private law must be permeated with public interest, the private (civil) law of the USSR and other countries of the Soviet bloc, including Poland underwent reform aimed at furthering the public interest at

What Role for Private Higher Education in Europe?

DEFF Research Database (Denmark)

Teixeira, Pedro N.; Biscaia, Ricardo; Rocha, Vera

2016-01-01

In recent decades, we have seen the emergence of private higher education in many European countries. This has been associated with the waves of significant expansion of the higher education system and with changes in regulation patterns, which have promoted a growing private-like behavior...... of public higher education institutions and the development of private provision in several European countries. The aim of this text is to discuss the relevance of the various dimensions of privatization in European higher education and to explore the relationship between public and private sectors...... in several European countries. This analysis points out some major patterns of the private higher education sector in Europe and reflects about the major issues faced by those systems regarding the potential contribution of private higher education....

An assessment of efficient water heating options for an all-electric single family residence in a mixed-humid climate

Science.gov (United States)

Balke, Elizabeth C.; Healy, William M.; Ullah, Tania

2016-01-01

An evaluation of a variety of efficient water heating strategies for an all-electric single family home located in a mixed-humid climate is conducted using numerical modeling. The strategies considered include various combinations of solar thermal, heat pump, and electric resistance water heaters. The numerical model used in the study is first validated against a year of field data obtained on a dual-tank system with a solar thermal preheat tank feeding a heat pump water heater that serves as a backup. Modeling results show that this configuration is the most efficient of the systems studied over the course of a year, with a system coefficient of performance (COPsys) of 2.87. The heat pump water heater alone results in a COPsys of 1.9, while the baseline resistance water heater has a COPsys of 0.95. Impacts on space conditioning are also investigated by considering the extra energy consumption required of the air source heat pump to remove or add heat from the conditioned space by the water heating system. A modified COPsys that incorporates the heat pump energy consumption shows a significant drop in efficiency for the dual tank configuration since the heat pump water heater draws the most heat from the space in the heating season while the high temperatures in the solar storage tank during the cooling season result in an added heat load to the space. Despite this degradation in the COPsys, the combination of the solar thermal preheat tank and the heat pump water heater is the most efficient option even when considering the impacts on space conditioning. PMID:27990058

An assessment of efficient water heating options for an all-electric single family residence in a mixed-humid climate.

Science.gov (United States)

Balke, Elizabeth C; Healy, William M; Ullah, Tania

2016-12-01

An evaluation of a variety of efficient water heating strategies for an all-electric single family home located in a mixed-humid climate is conducted using numerical modeling. The strategies considered include various combinations of solar thermal, heat pump, and electric resistance water heaters. The numerical model used in the study is first validated against a year of field data obtained on a dual-tank system with a solar thermal preheat tank feeding a heat pump water heater that serves as a backup. Modeling results show that this configuration is the most efficient of the systems studied over the course of a year, with a system coefficient of performance (COP sys ) of 2.87. The heat pump water heater alone results in a COP sys of 1.9, while the baseline resistance water heater has a COP sys of 0.95. Impacts on space conditioning are also investigated by considering the extra energy consumption required of the air source heat pump to remove or add heat from the conditioned space by the water heating system. A modified COP sys that incorporates the heat pump energy consumption shows a significant drop in efficiency for the dual tank configuration since the heat pump water heater draws the most heat from the space in the heating season while the high temperatures in the solar storage tank during the cooling season result in an added heat load to the space. Despite this degradation in the COP sys , the combination of the solar thermal preheat tank and the heat pump water heater is the most efficient option even when considering the impacts on space conditioning.

Dead public spaces - live private corners: (Recontextualization of musically public and private

Directory of Open Access Journals (Sweden)

Jakovljević Rastko

2009-01-01

Full Text Available The expressions of private and public musical life and experience are mostly discussed separately. This article joins these two concepts into one scope and surveys the identity of both. In ideal (utopian? traditional context between private and public music experience (life, the context shows ideal vitality and consistence, while in an 'irregular' context these two concepts begin to distance themselves, opening space for marginality or so called 'errors'. This article studies bagpipe tradition in Serbia, at different stages of its development and in different periods, specifically focusing on rural and urban contexts in diverse sociopolitical conditions. Although bagpipe tradition still exists in Serbia it is far removed from what it once was, and the idea is to represent the contexts of that process, private and public, sociopolitical, and marginal aspects, from the 19th century (or hypothetically before then until today.

Entrepreneurial Crowdfunding without Private Claims

DEFF Research Database (Denmark)

Boudreau, Kevin J.; Jeppesen, Lars Bo; Reichstein, Toke

Today's crowdfunding raises funds for tiny, private entrepreneurial ventures without granting funders private claims to a project's future value. Rather than “investments,” these are “contributions.” This paper argues that for such crowdfunding neither producer nor consumer surplus – i.e., project...

Is Nordic Private Equity Different?

DEFF Research Database (Denmark)

Spliid, Robert

2013-01-01

Most research on private equity is based on American theory, tested on American empirical data. Nevertheless, the private equity concept has gained a solid foothold in the Nordic region, especially in Sweden. This article analyzes whether American-biased assumptions prevail in the Nordic countries...

The structure of privatization plans

NARCIS (Netherlands)

Perotti, E.C.; Guney, S.E.

1992-01-01

In recent years a vast transfer of state-owned assets to the private sector has taken place in many countries, irrespective of their level of development or the political affiliation of their government. Privatization is believed to improve economic incentives; attract managerial and technological

A planning support system to optimize approval of private housing development projects

Science.gov (United States)

Hussnain, M. Q.; Wakil, K.; Waheed, A.; Tahir, A.

2016-06-01

Out of 182 million population of Pakistan, 38% reside in urban areas having an average growth rate of 1.6%, raising the urban housing demand significantly. Poor state response to fulfil the housing needs has resulted in a mushroom growth of private housing schemes (PHS) over the years. Consequently, only in five major cities of Punjab, there are 383 legal and 150 illegal private housing development projects against 120 public sector housing schemes. A major factor behind the cancerous growth of unapproved PHS is the prolonged and delayed approval process in concerned approval authorities requiring 13 months on average. Currently, manual and paper-based approaches are used for vetting and for granting the permission which is highly subjective and non-transparent. This study aims to design a flexible planning support system (PSS) to optimize the vetting process of PHS projects under any development authority in Pakistan by reducing time and cost required for site and documents investigations. Relying on the review of regulatory documents and interviews with professional planners and land developers, this study describes the structure of a PSS developed using open- source geo-spatial tools such as OpenGeo Suite, PHP, and PostgreSQL. It highlights the development of a Knowledge Module (based on regulatory documents) containing equations related to scheme type, size (area), location, access road, components of layout plan, planning standards and other related approval checks. Furthermore, it presents the architecture of the database module and system data requirements categorized as base datasets (built-in part of PSS) and input datasets (related to the housing project under approval). It is practically demonstrated that developing a customized PSS to optimize PHS approval process in Pakistan is achievable with geospatial technology. With the provision of such a system, the approval process for private housing schemes not only becomes quicker and user-friendly but also

Heating characteristics of billet in a walking hearth type reheating furnace

International Nuclear Information System (INIS)

Emadi, Ali; Saboonchi, Ahmad; Taheri, Mahdi; Hassanpour, Saeid

2014-01-01

The heating characteristics of billet in a walking hearth type reheating furnace were studied by developing a mathematical heat transfer model. Radiation calculations were conducted by means of zone method and considering all radiation exchange paths. The weighted-sum-of-gray-gas-model was used for better accuracy of gas radiation prediction. Convective heat flux was calculated by considering suitable value of convective heat transfer coefficient at any location of the furnace. The model was substantiated through its comparison to experimental data. A comparison was drawn to evaluate the effect of constant and variable convective coefficient on convective flux distribution and billet thermal behavior. The effect of furnace wall's emissivity of each zone and whole of the furnace on the billet thermal behavior was investigated. The obtained results revealed that by increasing furnace wall's emissivity for a determined residence time, billet's temperature in primary zones rises but it has no significant effect on its final temperature. However, by increasing wall's emissivity from 0.7 to 0.95, the residence time can be declined by about 5%. Moreover, emissivity increase in non-firing and preheating zones as compared to heating and soaking zones has greater impact on the billet thermal behavior. -- Highlights: • 3D radiation modeling by considering all possible paths of radiation exchange. • Using WSGG model for better prediction of gas radiation. • Using non-constant convection coefficient to consider variation of gas mass flow. • Investigation of effect of convection coefficient on billet temperature behavior. • Investigation of wall emissivity of furnace zones

Facebook Use between College Resident Advisors' and Their Residents: A Mixed Methods Approach.

Science.gov (United States)

Kacvinsky, Lauren E; Moreno, Megan A

2014-01-01

Facebook use is nearly ubiquitous among college students. Studies have shown links between Facebook displays of depression or problem drinking and risk of these problems. This project aimed to determine whether Facebook could be used to help Resident Advisors (RAs) identify college students at risk for depression or problem drinking. Interviews were conducted with college freshmen to investigate whether they were Facebook "friends" with their RA. Focus groups were conducted with RAs to determine their views on Facebook friending their dormitory residents and using Facebook to help identify at-risk students. 72 freshmen were interviewed and 25 RAs participated in focus groups; both agreed it is common for RAs and residents to be Facebook friends. RAs commonly noted references to depression and problem drinking on residents' Facebook pages, which often led to in-person discussions with the resident. This study provides support that RAs use Facebook to identify issues that may impact their student residents. RAs emphasized benefits of in-person interactions in order to provide support and obtain additional details about the situation. Universities could consider whether providing RA education about Facebook interactions with residents merits encouragement within their existing RA training programs.

Role of the private sector in vaccination service delivery in India: evidence from private-sector vaccine sales data, 2009-12.

Science.gov (United States)

Sharma, Abhishek; Kaplan, Warren A; Chokshi, Maulik; Zodpey, Sanjay P

2016-09-01

India's Universal Immunization Programme (UIP) provides basic vaccines free-of-cost in the public sector, yet national vaccination coverage is poor. The Government of India has urged an expanded role for the private sector to help achieve universal immunization coverage. We conducted a state-by-state analysis of the role of the private sector in vaccinating Indian children against each of the six primary childhood diseases covered under India's UIP. We analyzed IMS Health data on Indian private-sector vaccine sales, 2011 Indian Census data and national household surveys (DHS/NFHS 2005-06 and UNICEF CES 2009) to estimate the percentage of vaccinated children among the 2009-12 birth cohort who received a given vaccine in the private sector in 16 Indian states. We also analyzed the estimated private-sector vaccine shares as function of state-specific socio-economic status. Overall in 16 states, the private sector contributed 4.7% towards tuberculosis (Bacillus Calmette-Guérin (BCG)), 3.5% towards measles, 2.3% towards diphtheria-pertussis-tetanus (DPT3) and 7.6% towards polio (OPV3) overall (both public and private sectors) vaccination coverage. Certain low income states (Uttar Pradesh, Rajasthan, Madhya Pradesh, Orissa, Assam and Bihar) have low private as well as public sector vaccination coverage. The private sector's role has been limited primarily to the high income states as opposed to these low income states where the majority of Indian children live. Urban areas with good access to the private sector and the ability to pay increases the Indian population's willingness to access private-sector vaccination services. In India, the public sector offers vaccination services to the majority of the population but the private sector should not be neglected as it could potentially improve overall vaccination coverage. The government could train and incentivize a wider range of private-sector health professionals to help deliver the vaccines, especially in the low

Peru turnaround tied to privatization

International Nuclear Information System (INIS)

Anon.

1993-01-01

Petroleos del Peru predicts a 10% increase in Peru's oil production this year and a further increase in 1994. Petroperu also forecasts a sharp increase in drilling in Peru this year. After several years of declining oil production, a gradual turnaround in the cash strapped country's petroleum industry is largely tied to its progress in privatization. The government last year began a campaign to privatize all state owned companies by the end of July 1995. The paper discusses forecasts by Petroperu; the contract of Occidental del Amazonas Inc.; the Petromar privatization; Great Western's contract; development of the Aguaytia gas field; and refinery contracts

Residents as teachers: psychiatry and family medicine residents' self-assessment of teaching knowledge, skills, and attitudes.

Science.gov (United States)

Brand, Michael W; Ekambaram, Vijayabharathi; Tucker, Phebe; Aggarwal, Ruchi

2013-09-01

Residents are one of the prime sources of information and education for medical students. As an initial step in supporting residents as teachers, a baseline self-assessment of residents' knowledge, skills, attitudes, and values related to teaching was conducted among psychiatry and family medicine residents to compare and improve their confidence and skills as teachers. Psychiatry residents (N=12) and family medicine residents (N=23) completed self-assessments of their knowledge, skills, attitudes, and values related to teaching. Residents also were asked to list steps used in the One-Minute Preceptor process and estimate the time each spent in teaching. Descriptive summary statistics were used for four main areas related to teaching; t-test and chi-square analyses were conducted to ascertain whether there was a significant difference in resident groups. In the current study, the perceived amount of time spent for teaching patients was significantly higher among family practice residents, whereas no group differences were found for time teaching medical students, peers, community members, non-physicians, or others. However, family medicine residents rated themselves higher than psychiatry residents in their understanding of their roles in teaching medical students and teaching patients. Also, family medicine residents' self-reported teaching skills were more advanced (82.4%) than psychiatry residents' (54.2%). They most likely applied at least two different teaching methods in inpatient and outpatient settings, as compared with psychiatry residents. No significant group differences were found in the other 15 items assessing teaching knowledge, skills, attitudes, and values. Results indicate that residents' knowledge, skills, attitudes, and values regarding teaching varies across institutions and training programs. The psychiatry residents in this study do not clearly understand their role as educators with patients and medical students; they have a less clear

Venture Capital and Other Private Equity: A Survey

OpenAIRE

Andrew Metrick; Ayako Yasuda

2010-01-01

We review the theory and evidence on venture capital (VC) and other private equity: why professional private equity exists, what private equity managers do with their portfolio companies, what returns they earn, who earns more and why, what determines the design of contracts signed between (i) private equity managers and their portfolio companies and (ii) private equity managers and their investors (limited partners), and how/whether these contractual designs affect outcomes. Findings highlig...

Private labels : The brands of the future

NARCIS (Netherlands)

Keller, Kristopher

2017-01-01

This dissertation consists of three essays that study private labels’ evolution from private labels as brand class to individual private-label brands from three different perspectives. In the second chapter of this dissertation (essay 1), I study the antecedents and performance implications of

Chain store management through private labels strategy

Directory of Open Access Journals (Sweden)

Martina Sopta

2007-07-01

Full Text Available The purpose of this paper is to examine the market shares of private labels in the European Union and on the global market, and to compare the results of the analysis with the level of presence of private labels on the Croatian market. Moreover, through the application of macro and microeconomic tools, the author tried to estimate the future trends of private labels in Croatia.For the purpose of the paper secondary and primary data was used in the research. Relevant scientific and professional literature of local and foreign authors was analyzed. In addition, a few recent research studies were analyzed and their results compared. Field research has been conducted by the survey method, with 225 respondents included in the intentional sample.The main hypothesis of the paper based on research is that, in total sales, private labels are gaining a growing share in all markets, regardless of the development level of those markets. Alongside the main hypothesis of the work, three supporting hypotheses were tested to see which private labels are a good alternative to other brands on the world market. Private labels are generally developed on generic products. The third supporting hypothesis starts from the assumption that the investments in the promotion of private labels are negligible, resulting in lower prices of thoseproducts. The results of research and analyses in the work indicate that the position of private labels will strengthen internationally, as part of the process of liberalization and globalization of trade flows. In the process of purchase of private labels the positioning of the point of sale and price have an increasing contribution. With the concentration of commerce in chain stores, the share of private labels grows, approaching a half of the total sales in some countries. Considering the Croatian market, according to the international product life cycle theory, the share of private labels in the total sales will grow in the future

Does Private Tutoring Payoff?

OpenAIRE

Gurun, Ayfer; Millimet, Daniel L.

2008-01-01

We assess the causal effect of private tutoring on the probability of university placement in Turkey. We find that tutoring increases the probability of being placed in a university when non-random selection is ignored. Moreover, among those utilizing private tutoring, greater expenditure on tutoring is also positively associated with university placement. However, we find evidence of positive selection into tutoring, but negative selection into greater expenditures among those receiving tuto...

French know-how in the field of geothermal energy. District heating and electricity generation systems

International Nuclear Information System (INIS)

2012-08-01

This brochure is aimed at presenting the French expertise, public and private, at international level in the field of geothermal energy (district heating and electricity generation systems). It presents a summary of the French public policy framework, measures to support Research and Development, innovation and training and offers from private companies. It has been designed by the ADEME in cooperation with the French ministry for Ecology and Sustainable Development, the French association of geothermal energy professionals, Ubifrance (the French Agency for international business development) and the French renewable energies union

Solar Heating/Cooling of Buildings: Current Building Community Projects. An Interim Report.

Science.gov (United States)

National Academy of Sciences - National Research Council, Washington, DC. Building Research Advisory Board.

Projects being carried out by the private sector involving the use of solar energy for heating and cooling buildings are profiled in this report. A substantial portion of the data were collected from a broad cross-section of the building community. Data collection efforts also involved the canvassing of the nearly 200 trade and professional…

Privatization and Political Power in Representative Democracy

DEFF Research Database (Denmark)

Hansen, Morten Balle

One of the main endeavors within ”New Public Management” (NPM) since the 1980s has been to encourage various forms of privatization in the public sector. In recent years, the involvement of private players in the provision of services in Danish municipalities has thus been increased, which makes...... it important to study the consequences of this development. In the present article, privatization is understood as the use of private service providers to provide services and focus is on what privatization means for the power of local political players. The point of departure is an expectation that a high...... degree of privatization can have far-reaching consequences for the distribution of local political power. This is illustrated empirically by a questionnaire survey of 896 municipal leaders. The main findings are that the local political actors generally have less power in municipalities with high degrees...

The emergence of integrated private reporting

OpenAIRE

Atkins, Jill; Solomon, A.; Norton, S. D.; Joseph, N. L.

2015-01-01

Purpose: Private social and environmental reporting (SER) has grown considerably in recent years, consistent with a rise in institutional investor engagement and dialogue with investee companies. We interpret the emergence of integrated private reporting through the lens of institutional logics. We frame the emergence of integrated private reporting as a merging of two hitherto separate and possibly rival institutional logics.\\ud Methodology/Approach: We interviewed 19 companies listed on the...

Private sector joins family planning effort.

Science.gov (United States)

1989-12-01

Projects supported by the Directorate for Population (S&T/POP) of the U.S. Agency for International Development and aimed at increasing for-profit private sector involvement in providing family planning services and products are described. Making products commercially available through social-marketing partnerships with the commercial sector, USAID has saved $1.1 million in commodity costs from Brazil, Dominican Republic, Ecuador, Indonesia, and Peru. Active private sector involvement benefits companies, consumers, and donors through increased corporate profits, healthier employees, improved consumer access at lower cost, and the possibility of sustained family planning programs. Moreover, private, for-profit companies will be able to meet service demands over the next 20 years where traditional government and donor agency sources would fail. Using employee surveys and cost-benefit analyses to demonstrate expected financial and health benefits for businesses and work forces, S&T/POP's Technical Information on Population for the Private Sector (TIPPS) project encourages private companies in developing countries to invest in family planning and maternal/child health care for their employees. 36 companies in 9 countries have responded thus far, which examples provided from Peru and Zimbabwe. The Enterprise program's objectives are also to increase the involvement of for-profit companies in delivering family planning services, and to improve the efficiency and effectiveness of private volunteer organizations in providing services. Projects have been started with mines, factories, banks, insurance companies, and parastatals in 27 countries, with examples cited from Ghana and Indonesia. Finally, the Social Marketing for Change project (SOMARC) builds demand and distributes low-cost contraceptives through commercial channels especially to low-income audiences. Partnerships have been initiated with the private sector in 17 developing countries, with examples provided from

R&D of Thermochemical reactor concepts to enable seasonal heat storage of solar energy in residential houses

NARCIS (Netherlands)

Zondag, H.A.; Bakker, M.; Schuitema, R.; Bleijendaal, L.P.J.; Cot Gores, J.; Essen, van V.M.; Helden, van W.G.J.

2009-01-01

About 30% of the energy consumption in the Netherlands is taken up by residences and offices. Most of this energy is used for heating purposes. In order to reduce the consumption of fossil fuels, it is necessary to reduce this energy use as much as possible by means of insulation and heat recovery.

Leadership Training in Otolaryngology Residency.

Science.gov (United States)

Bent, John P; Fried, Marvin P; Smith, Richard V; Hsueh, Wayne; Choi, Karen

2017-06-01

Although residency training offers numerous leadership opportunities, most residents are not exposed to scripted leadership instruction. To explore one program's attitudes about leadership training, a group of otolaryngology faculty (n = 14) and residents (n = 17) was polled about their attitudes. In terms of self-perception, more faculty (10 of 14, 71.4%) than residents (9 of 17, 52.9%; P = .461) considered themselves good leaders. The majority of faculty and residents (27 of 31) thought that adults could be taught leadership ability. Given attitudes about leadership ability and the potential for improvement through instruction, consideration should be given to including such training in otolaryngology residency.

Advanced Introduction to Private Law

NARCIS (Netherlands)

Smits, Jan

2017-01-01

In this Advanced Introduction, the reader is taken on an intellectual journey through the different facets and dimensions of private law, from the family home to Kuta Beach and from Thomas Piketty to Nina Hagen. This concise book provides an accessible and fresh introduction to private law,

On Public–private Partnership Performance

DEFF Research Database (Denmark)

Hodge, Graeme A.; Greve, Carsten

2017-01-01

Private finance-based infrastructure public–private partnerships (P3s) are globally popular, including renewed interest in the United States, but their performance remains contested. This article explores the meaning of P3 and the notion of P3 success, and points to multiple interpretations of both...

Prevalence and covariates of food insecurity among residents of single-room occupancy housing in Chicago, IL, USA.

Science.gov (United States)

Bowen, Elizabeth A; Bowen, Sarah K; Barman-Adhikari, Anamika

2016-04-01

Emerging evidence suggests that food insecurity is a significant public health concern among people who are homeless or marginally housed. The present study assessed prevalence of food insecurity and its covariates among a group of marginally housed individuals living in single-room occupancy (SRO) dwellings, a population for which there is little extant health or nutrition research. Cross-sectional survey incorporating the Household Food Insecurity Access Scale. Ten private SRO residences in the Uptown neighbourhood of Chicago, IL, USA, 2013. SRO residents over 18 years of age who were able to communicate verbally in English (n 153). Food insecurity was widespread among SRO residents, with 75 % of the sample considered food insecure and 52 % meeting criteria for severe food insecurity. Bivariate analyses indicated that female gender, eating most meals at a soup kitchen, having a mental health condition, problem drinking, having at least one chronic health condition, and diabetes were all significantly associated with food insecurity. In the multivariate ordered logistic regression model, eating most meals at a soup kitchen remained as the only significant correlate of food insecurity (OR=10·13). SRO residents and other marginally housed populations face unique food access challenges. Although targeted assistance in the form of food stamps and congregate meal programmes remains critical, efforts to prevent and address food insecurity among homeless and marginally housed individuals should include policy interventions that recognize poverty as the root cause of food insecurity and aim to increase overall income and improve housing conditions.

Effects of a Short Video-Based Resident-as-Teacher Training Toolkit on Resident Teaching.

Science.gov (United States)

Ricciotti, Hope A; Freret, Taylor S; Aluko, Ashley; McKeon, Bri Anne; Haviland, Miriam J; Newman, Lori R

2017-10-01

To pilot a short video-based resident-as-teacher training toolkit and assess its effect on resident teaching skills in clinical settings. A video-based resident-as-teacher training toolkit was previously developed by educational experts at Beth Israel Deaconess Medical Center, Harvard Medical School. Residents were recruited from two academic hospitals, watched two videos from the toolkit ("Clinical Teaching Skills" and "Effective Clinical Supervision"), and completed an accompanying self-study guide. A novel assessment instrument for evaluating the effect of the toolkit on teaching was created through a modified Delphi process. Before and after the intervention, residents were observed leading a clinical teaching encounter and scored using the 15-item assessment instrument. The primary outcome of interest was the change in number of skills exhibited, which was assessed using the Wilcoxon signed-rank test. Twenty-eight residents from two academic hospitals were enrolled, and 20 (71%) completed all phases of the study. More than one third of residents who volunteered to participate reported no prior formal teacher training. After completing two training modules, residents demonstrated a significant increase in the median number of teaching skills exhibited in a clinical teaching encounter, from 7.5 (interquartile range 6.5-9.5) to 10.0 (interquartile range 9.0-11.5; P<.001). Of the 15 teaching skills assessed, there were significant improvements in asking for the learner's perspective (P=.01), providing feedback (P=.005), and encouraging questions (P=.046). Using a resident-as-teacher video-based toolkit was associated with improvements in teaching skills in residents from multiple specialties.

Comparing public and private sector switchers

DEFF Research Database (Denmark)

Frederiksen, Anders; Hansen, Jesper Rosenberg; Bozeman, Barry

are related to sector switching and the pattern of sector switch, public to private versus private to public. We propose a life stage model arguing that people's needs change in different life stages of their lives. We further suggest that this can help explain why they switch sector. We use unique Danish...... labor market data that include information on all employees in Denmark (both private and public sector). The data are for the period 1980 to 2006, and this longitudinal database includes abundant information about job changes, including sector switching. Our findings indicate mixed support....... Finally, we find that people with more education are likely to switch from private to public sector....

77 FR 58208 - Airport Privatization Pilot Program

Science.gov (United States)

2012-09-19

... Privatization Pilot Program AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Notice of receipt of... International Airport, San Juan, Puerto Rico (SJU) in the Airport Privatization Pilot Program and has determined....S.C. Section 47134 establishes an airport privatization pilot program and authorizes the Department...

On the Real Effects of Private Equity

NARCIS (Netherlands)

P.G.J. Roosenboom (Peter)

2009-01-01

textabstractPrivate equity has become an increasingly important part of our economy. Around the world the companies owned by private equity investors account for a substantial percentage of Gross Domestic Product (GDP) and private sector employment. These investors have recently been under fire in

Private sector participation in power sector in India

International Nuclear Information System (INIS)

Ranganathan, V.

1992-01-01

The Indian Government is currently thinking of allowing private sector to participate in power sector inviting private sector to generate electricity mainly from coal. The main motivation is resource mobilization from private sector, since the Plan funds are diverted to rural development away from power sector; and yet the massive expansion has to be financed. The paper analyzes the inherent difficulties and contradictions in the Government's proposal, such as co-existence of high cost private power and low cost public power, the potential goal-conflicts of private and public utilities and the constraints in raising finance. It suggests a different model in order to make the privatization proposition feasible. 12 refs

Vapor compression heat pump system field tests at the tech complex

Science.gov (United States)

Baxter, Van D.

1985-11-01

The Tennessee Energy Conservation In Housing (TECH) complex has been utilized since 1977 as a field test site for several novel and conventional heat pump systems for space conditioning and water heating. Systems tested include the Annual Cycle Energy System (ACES), solar assisted heat pumps (SAHP) both parallel and series, two conventional air-to-air heat pumps, an air-to-air heat pump with desuperheater water heater, and horizontal coil and multiple shallow vertical coil ground-coupled heat pumps (GCHP). A direct comparison of the measured annual performance of the test systems was not possible. However, a cursory examination revealed that the ACES had the best performance, however, its high cost makes it unlikely that it will achieve wide-spread use. Costs for the SAHP systems are similar to those of the ACES but their performance is not as good. Integration of water heating and space conditioning functions with a desuperheater yielded significant efficiency improvement at modest cost. The GCHP systems performed much better for heating than for cooling and may well be the most efficient alternative for residences in cold climates.

Privatization considerations of environmental remediation of DOE wastes

International Nuclear Information System (INIS)

Zocher, M.A.; Paananen, O.H.; Kost, K.

1997-01-01

The US Department of Energy (DOE) is in the process of privatizing the application of environmental cleanup technologies to remediate nuclear waste within the DOE complex. These wastes are the legacy of the production of nuclear materials during the cold war era. It is anticipated that the privatization strategy will result in more efficient and less expensive approaches to the cleanup of DOE wastes. Similar privatization initiatives have the potential to achieve increased efficiency and cost savings at sites under the Department of Defense (DOD) and other Federal agencies. The DOE is privatizing a major, complex portion of the Tank Waste Remediation System (TWRS) Program at the Hanford nuclear reservation located in eastern Washington State. This effort will involve private companies that will design, permit, construct, operate, and finally deactivate waste treatment facilities that will be owned entirely by the private sector. The DOE will purchase treated waste products on a unit cost basis from the facilities after supplying the vendors with waste from the tank farm at Hanford. The privatization of selected United States and international Government functions involve decisions that are based on accurate and valid cost information. Private firms are beginning to privatize certain corporate activities so that they may concentrate business activities along main product or mission lines. In either the public or private sector, many aspects of cost engineering are utilized to make prioritization a success

Britain stays cool on district heating

Energy Technology Data Exchange (ETDEWEB)

Jones, G

1982-04-08

Britain's wealth of energy sources has kept interest in the energy conservation potential of combined heat and power (CHP) and district heating (DH) at a low level. An active lobby for CHP/DH continues to argue against formidable odds. The Marshall group set up in the early days of the oil crisis reported on several strategies for CHP/DH and proposed technologies already proven in other European countries. The economics of abundant natural gas and coal, however, precludes commercial interest until energy prices reach higher levels. The lobbyists point out that this could occur within a short time, and local governments would do well to examine the lead-city concept for application on a national level. The present government's preference for the private sector pursuing development beyond the feasibility-study stage could make CHP/DH more of a political issue as unemployment increases. (DCK)

Enhancing teamwork between chief residents and residency program directors: description and outcomes of an experiential workshop.

Science.gov (United States)

McPhillips, Heather A; Frohna, John G; Murad, M Hassan; Batra, Maneesh; Panda, Mukta; Miller, Marsha A; Brigham, Timothy P; Doughty, Robert A

2011-12-01

An effective working relationship between chief residents and residency program directors is critical to a residency program's success. Despite the importance of this relationship, few studies have explored the characteristics of an effective program director-chief resident partnership or how to facilitate collaboration between the 2 roles, which collectively are important to program quality and resident satisfaction. We describe the development and impact of a novel workshop that paired program directors with their incoming chief residents to facilitate improved partnerships. The Accreditation Council for Graduate Medical Education sponsored a full-day workshop for residency program directors and their incoming chief residents. Sessions focused on increased understanding of personality styles, using experiential learning, and open communication between chief residents and program directors, related to feedback and expectations of each other. Participants completed an anonymous survey immediately after the workshop and again 8 months later to assess its long-term impact. Participants found the workshop to be a valuable experience, with comments revealing common themes. Program directors and chief residents expect each other to act as a role model for the residents, be approachable and available, and to be transparent and fair in their decision-making processes; both groups wanted feedback on performance and clear expectations from each other for roles and responsibilities; and both groups identified the need to be innovative and supportive of changes in the program. Respondents to the follow-up survey reported that workshop participation improved their relationships with their co-chiefs and program directors. Participation in this experiential workshop improved the working relationships between chief residents and program directors. The themes that were identified can be used to foster communication between incoming chief residents and residency directors and to

Protected Time for Research During Orthopaedic Residency Correlates with an Increased Number of Resident Publications.

Science.gov (United States)

Williams, Benjamin R; Agel, Julie A; Van Heest, Ann E

2017-07-05

The Accreditation Council for Graduate Medical Education (ACGME) requires orthopaedic residency programs to promote scholarship and research, which manifest differently among programs. We assess the impact of protected research time during orthopaedic residency on the number of resident publications. Rotation schedules and resident names were collected from 125 ACGME-accredited U.S. orthopaedic residency programs. Protected research time was classified as 1 of 3 types: (1) block time, (2) longitudinal time, or (3) no dedicated time. In April 2016, we searched residents in postgraduate year (PGY)-3 to PGY-5 on pubmed.gov to generate all orthopaedic publications with a PubMed identifier published during residency. Each publication's 2015 Thomson Reuters Journal Citation Reports 5-Year Journal Impact Factor and resident first authorship were noted. The number of PubMed identifiers for each program was summed and was divided by the number of residents in PGY-3 to PGY-5, giving a mean number of publications per resident. The relationship between output and program research time was compared using t tests and analysis of variance (ANOVA). A total of 1,690 residents were included, with an overall mean number (and standard deviation) of 1.2 ± 2.4 publications per resident. Eighty-seven programs reported block time, 14 programs reported longitudinal time, and 24 programs reported no time. There was a significant difference (p = 0.02) in the mean number of publications per resident when compared between programs with protected time (1.1 ± 1.2 publications) and programs with no protected time (0.6 ± 0.5 publication). One-way ANOVA demonstrated a significant mean difference across the 3 groups (p publications than block time at 1.0 ± 1.0 publication or no time at 0.6 ± 0.5 publication, a difference that persisted when adjusted to include only impact factors of >0 and exclude case reports (p = 0.0015). Both the presence of and the type of dedicated research time correlate

75 MW heat extraction from Beznau nuclear power plant (Switzerland)

International Nuclear Information System (INIS)

Handl, K.H.

1998-01-01

The district heat extraction system installed and commissioned at the Beznau Nuclear Power Plant 1983 and 1984 is working successfully since the beginning. Together with a six kilometres extension in 1994, the system now consists of a 35 kilometres main network and 85 kilometres of local distribution pipelines. The eight founding communities as well as three networks joined later have been connected. Today around 2160 consumers of the Refuna district heating, small and large private buildings, industrial and agricultural enterprises are supplied with heat from the Beznau plant (1997: 141'000 MWh). The regional district heat supply system has become an integrated part of the regional infrastructure for around 20'000 inhabitants of the lower Aare valley. Nearly 15 years of operational experience are confirming the success of the strict approval conditions for the housing connections. Remarkably deep return flow temperatures in the district heating network were leading to considerable reserves in the transport capacity of the main pipeline system. The impacts of the heat extraction from the Beznau nuclear power plant, in particular its contribution to the protection of the environment by substituting fossil fuels and preventing CO2-production, have been positive. (author)

Psychiatry residents in a milieu participatory democracy: a resident's view.

Science.gov (United States)

Gersten, D