WorldWideScience

Sample records for heavily marketed medications

  1. Heavily skewed pricing in two-sided markets

    NARCIS (Netherlands)

    Bolt, Wilko; Tieman, Alexander F.

    A common feature in two-sided markets is the prevalence of heavily skewed pricing strategies in which price markups are much higher on one side of the market than the other. We show that maximal skewed pricing is profit maximizing under constant elasticity of demand. The most elastic side of the

  2. Deconstructing medical practice marketing.

    Science.gov (United States)

    Kasbo, Abe

    2010-01-01

    The healthcare marketing game has radically changed. Medical practices must rely on strategies instead of tactics to better separate themselves from the competition. The Internet has become a disruptive force in marketing, tipping the balance and control of the reputations of medical practices to the patient. Done right, medical practices can harness this new energy to attract new patients and keep current patients loyal.

  3. Marketing new medical devices.

    Science.gov (United States)

    LoBuglio, R J

    1988-01-01

    The marketing concept says that a firm should focus all of its efforts on satisfying its customers, at a profit. This is really a a new philosophy of business, replacing a production-oriented philosophy which focused on organizing a firm's resources to make products and then selling them. The marketing concept calls for reorienting the firm's ways of doing things. Instead of trying to get customers to buy what the firm has produced, a marketing-oriented firm would try to sell what the customers want. The underlying principle of the marketing concept is that a firm should seek to meet the needs of customers, at a profit, rather than place its main emphasis on its own internal activities and utilization of its resources. These latter factors are also important, of course, but those who believe in the marketing concept feel that customers' needs should be the firm's primary focus and that resources should be organized to satisfy those needs. Give the customer what he needs--this may seem so obvious and logical that it is difficult to understand why the marketing concept is considered such a breakthrough. However, people haven't always done the logical and obvious. In a typical company, production men thought mainly about getting the product out. Accountants were only interested in balancing the books. Financial people were absorbed in the company's cash position. And salesmen were mainly concerned with getting orders. No one was particularly concerned with whether the whole system made sense. As long as the company made a profit, each department went merrily on its independent way, "doing its own thing." Unfortunately, they still do in the majority of companies today. Finding out customer's attitudes can avoid prejudices and stereotypes commonly found in the typical organization. The need for market research to avoid stereotypes can be dramatized by the following results from a large-scale survey of European adults: The average Frenchman uses almost twice as many

  4. Marketing medical devices in Japan.

    Science.gov (United States)

    Ohashi, J

    1998-01-01

    The control of medical devices in Japan has recently undergone significant changes as the country brings its systems into line with those of the United States and Europe. This article discusses pre-market approval, quality system requirements and post-market surveillance. Many technical issues have been harmonized but language is likely to continue to be a barrier to trade. Details of information services that are available to foreign manufacturers and importers are supplied.

  5. [Medical students and drug marketing].

    Science.gov (United States)

    Calderón Larrañaga, Sara; Rabanaque Hernández, María José

    2014-03-01

    To determine the exposure of medical students to the marketing activities of the pharmaceutical industry, and identify their opinions and attitudes, and also the possible effects this exposure on their training and future professional practice. Descriptive cross-sectional. University of Zaragoza Faculty of Medicine. Third, fourth, fifth and sixth year medical students. The information was obtained using a previously adapted, self-report questionnaire on the exposure, attitudes and perceived suitability of drug marketing activities. Percentages were calculated for the categorical variables, applying the chi squared test for the comparison between the groups. A logistic regression was performed to determine the factors associated with their attitudes towards these activities. A total of 369 questionnaires were returned (93% of those attending classes). The exposure to marketing activities is high, particularly in the clinical stage (78.6% said to have received a gift non-educational gift). The students recognised the possible biases and repercussions in professional practice, although with ambiguity and contradictions. The most accepted activities are those associated with training, and the most critical attitudes appear in the clinical stage, particularly in the sixth year. Exposure to drug marketing by medical students and its possible training and professional effects is frequent and significant. The training environment is particularly open to promotional activities. The differences observed in the later years suggest the need for a specific curriculum subject and development of reflective attitudes by the students themselves. Copyright © 2013 Elsevier España, S.L. All rights reserved.

  6. Beyond "medical tourism": Canadian companies marketing medical travel.

    Science.gov (United States)

    Turner, Leigh

    2012-06-15

    Despite having access to medically necessary care available through publicly funded provincial health care systems, some Canadians travel for treatment provided at international medical facilities as well as for-profit clinics found in several Canadian provinces. Canadians travel abroad for orthopaedic surgery, bariatric surgery, ophthalmologic surgery, stem cell injections, "Liberation therapy" for multiple sclerosis, and additional interventions. Both responding to public interest in medical travel and playing an important part in promoting the notion of a global marketplace for health services, many Canadian companies market medical travel. Research began with the goal of locating all medical tourism companies based in Canada. Various strategies were used to find such businesses. During the search process it became apparent that many Canadian business promoting medical travel are not medical tourism companies. To the contrary, numerous types of businesses promote medical travel. Once businesses promoting medical travel were identified, content analysis was used to extract information from company websites. Company websites were analyzed to establish: 1) where in Canada these businesses are located; 2) the destination countries and health care facilities that they market; 3) the medical procedures they promote; 4) core marketing messages; and 5) whether businesses market air travel, hotel accommodations, and holiday tours in addition to medical procedures. Searches conducted from 2006 to 2011 resulted in identification of thirty-five Canadian businesses currently marketing various kinds of medical travel. The research project began with what seemed to be the straightforward goal of establishing how many medical tourism companies are based in Canada. Refinement of categories resulted in the identification of eighteen businesses fitting the category of what most researchers would identify as medical tourism companies. Seven other businesses market regional, cross

  7. Beyond "medical tourism": Canadian companies marketing medical travel

    Directory of Open Access Journals (Sweden)

    Turner Leigh

    2012-06-01

    Full Text Available Abstract Background Despite having access to medically necessary care available through publicly funded provincial health care systems, some Canadians travel for treatment provided at international medical facilities as well as for-profit clinics found in several Canadian provinces. Canadians travel abroad for orthopaedic surgery, bariatric surgery, ophthalmologic surgery, stem cell injections, “Liberation therapy” for multiple sclerosis, and additional interventions. Both responding to public interest in medical travel and playing an important part in promoting the notion of a global marketplace for health services, many Canadian companies market medical travel. Methods Research began with the goal of locating all medical tourism companies based in Canada. Various strategies were used to find such businesses. During the search process it became apparent that many Canadian business promoting medical travel are not medical tourism companies. To the contrary, numerous types of businesses promote medical travel. Once businesses promoting medical travel were identified, content analysis was used to extract information from company websites. Company websites were analyzed to establish: 1 where in Canada these businesses are located; 2 the destination countries and health care facilities that they market; 3 the medical procedures they promote; 4 core marketing messages; and 5 whether businesses market air travel, hotel accommodations, and holiday tours in addition to medical procedures. Results Searches conducted from 2006 to 2011 resulted in identification of thirty-five Canadian businesses currently marketing various kinds of medical travel. The research project began with what seemed to be the straightforward goal of establishing how many medical tourism companies are based in Canada. Refinement of categories resulted in the identification of eighteen businesses fitting the category of what most researchers would identify as medical tourism

  8. Beyond "medical tourism": Canadian companies marketing medical travel

    Science.gov (United States)

    2012-01-01

    Background Despite having access to medically necessary care available through publicly funded provincial health care systems, some Canadians travel for treatment provided at international medical facilities as well as for-profit clinics found in several Canadian provinces. Canadians travel abroad for orthopaedic surgery, bariatric surgery, ophthalmologic surgery, stem cell injections, “Liberation therapy” for multiple sclerosis, and additional interventions. Both responding to public interest in medical travel and playing an important part in promoting the notion of a global marketplace for health services, many Canadian companies market medical travel. Methods Research began with the goal of locating all medical tourism companies based in Canada. Various strategies were used to find such businesses. During the search process it became apparent that many Canadian business promoting medical travel are not medical tourism companies. To the contrary, numerous types of businesses promote medical travel. Once businesses promoting medical travel were identified, content analysis was used to extract information from company websites. Company websites were analyzed to establish: 1) where in Canada these businesses are located; 2) the destination countries and health care facilities that they market; 3) the medical procedures they promote; 4) core marketing messages; and 5) whether businesses market air travel, hotel accommodations, and holiday tours in addition to medical procedures. Results Searches conducted from 2006 to 2011 resulted in identification of thirty-five Canadian businesses currently marketing various kinds of medical travel. The research project began with what seemed to be the straightforward goal of establishing how many medical tourism companies are based in Canada. Refinement of categories resulted in the identification of eighteen businesses fitting the category of what most researchers would identify as medical tourism companies. Seven other

  9. Social marketing: application to medical education.

    Science.gov (United States)

    David, S P; Greer, D S

    2001-01-16

    Medical education is often a frustrating endeavor, particularly when it attempts to change practice behavior. Traditional lecture-based educational methods are limited in their ability to sustain concentration and interest and to promote learner adherence to best-practice guidelines. Marketing techniques have been very effective in changing consumer behavior and physician behavior. However, the techniques of social marketing-goal identification, audience segmentation, and market research-have not been harnessed and applied to medical education. Social marketing can be applied to medical education in the effort to go beyond inoculation of learners with information and actually change behaviors. The tremendous potential of social marketing for medical education should be pilot-tested and systematically evaluated.

  10. Medical group management: a marketing orientation.

    Science.gov (United States)

    Bopp, K D; Allcorn, S

    1986-09-01

    This article considers the pragmatic aspects of conducting a situation/marketing audit for group medical practices. This audit is a key component in the formulation of a competitive strategy and the development of a marketing program. Given are a series of questions that may be used by medical groups to guide assessment of the opportunities and threats present in the environment as well as the strengths and weaknesses of the organization in meeting the environmental challenges. Furthermore, the article provides a framework for thinking about strategy and the variables that should be considered and aligned to achieve effective implementation of strategy. Finally, the parameters are outlined for deciding on a marketing program: the mix of marketing tools (service design, distribution channels, pricing and promotion) that should be employed to offensively and/or defensively position the medical group in the competitive marketplace.

  11. Marketing authorization of medical devices in China

    OpenAIRE

    Zhang, Weifan; Lui, Rebecca; Chatwin, Chris

    2016-01-01

    Medical device regulations across the globe have significant variations. The Chinese medical device market, like\\ud China’s economy, is developing rapidly. This article reviews the medical device regulations in China and illustrates\\ud the major changes that have been recently implemented according to the new medical device regulations that\\ud came into force on the 1st June, 2014. Most regulatory research has focused on the US and EU medical device\\ud regulations with little written about th...

  12. Air ambulance medical transport advertising and marketing.

    Science.gov (United States)

    2011-01-01

    The National Association of EMS Physicians (NAEMSP), the American College of Emergency Physicians (ACEP), the Air Medical Physician Association (AMPA), the Association of Air Medical Services (AAMS), and the National Association of State EMS Officials (NASEMSO) believe that patient care and outcomes are optimized by using air medical transport services that are licensed air ambulance providers with robust physician medical director oversight and ongoing quality assessment and review. Only air ambulance medical transport services with these credentials should advertise/market themselves as air ambulance services.

  13. Clarifications regarding medical tourism destinations marketing

    Directory of Open Access Journals (Sweden)

    STANCIOIU Aurelia-Felicia

    2014-09-01

    Full Text Available The development of new types of tourism (stand-alone, connected or components, from marketing experience, implies a broad spectrum of challenges, which, placed in a planned background, has the purpose the creation and then, the development of tourism products that correspond, at least, to consumers’ expectations. In order to optimize the new type of tourism, it is necessary to be correlated with the relevant resources of the destination, which, harmonized, can lead to the elaboration of destination marketing strategies, in this situation being the medical tourism, component of health tourism.

  14. Integrative taxonomy of the ornamental 'peppermint' shrimp public market and population genetics of Lysmata boggessi, the most heavily traded species worldwide.

    Science.gov (United States)

    Baeza, J Antonio; Behringer, Donald C

    2017-01-01

    The ornamental trade is a worldwide industry worth >15 billion USD with a problem of rampant product misidentification. Minimizing misidentification is critical in the face of overexploitation of species in the trade. We surveyed the peppermint shrimp ornamental marketplace in the southeastern USA, the most intense market for peppermint shrimps worldwide, to characterize the composition of species in the trade, reveal the extent of misidentification, and describe the population genetics of the true target species. Shrimps were bought from aquarium shops in FL, GA, SC, and NC. We demonstrated, contrary to popular belief (information from dealers), that the most heavily traded species in the market was Lysmata boggessi, an endemic species to the eastern Gulf of Mexico, and not Lysmata wurdemanni. Importantly, only when color pattern or genetic markers in conjunction with morphological traits were employed, was it was possible to unequivocally identify L. boggessi as the only species in the trade. The intensity of the market for peppermint shrimps in the USA has led to L. boggessi being the most traded species worldwide. Misidentification in the shrimp aquarium trade is accidental and involuntary, and is explained by remarkable similarity among congeneric species. Using sequences of the 16S-mt-DNA marker, we found no indication of population genetic structure in the endemic L. boggessi across  550 km of linear coast. Therefore, this species can be considered genetically homogeneous and a single fished stock. Still, we argue in favor of additional studies using more powerful markers (e.g., SNPs) capable of revealing genetic structure at a finer spatial-scale. Our results will help advance management and conservation policies in this lucrative yet understudied fishery. Future studies of other ornamental fisheries will benefit from using an integrative taxonomic approach, as we demonstrate here.

  15. Integrative taxonomy of the ornamental ‘peppermint’ shrimp public market and population genetics of Lysmata boggessi, the most heavily traded species worldwide

    Directory of Open Access Journals (Sweden)

    J. Antonio Baeza

    2017-09-01

    Full Text Available The ornamental trade is a worldwide industry worth >15 billion USD with a problem of rampant product misidentification. Minimizing misidentification is critical in the face of overexploitation of species in the trade. We surveyed the peppermint shrimp ornamental marketplace in the southeastern USA, the most intense market for peppermint shrimps worldwide, to characterize the composition of species in the trade, reveal the extent of misidentification, and describe the population genetics of the true target species. Shrimps were bought from aquarium shops in FL, GA, SC, and NC. We demonstrated, contrary to popular belief (information from dealers, that the most heavily traded species in the market was Lysmata boggessi, an endemic species to the eastern Gulf of Mexico, and not Lysmata wurdemanni. Importantly, only when color pattern or genetic markers in conjunction with morphological traits were employed, was it was possible to unequivocally identify L. boggessi as the only species in the trade. The intensity of the market for peppermint shrimps in the USA has led to L. boggessi being the most traded species worldwide. Misidentification in the shrimp aquarium trade is accidental and involuntary, and is explained by remarkable similarity among congeneric species. Using sequences of the 16S-mt-DNA marker, we found no indication of population genetic structure in the endemic L. boggessi across  550 km of linear coast. Therefore, this species can be considered genetically homogeneous and a single fished stock. Still, we argue in favor of additional studies using more powerful markers (e.g., SNPs capable of revealing genetic structure at a finer spatial-scale. Our results will help advance management and conservation policies in this lucrative yet understudied fishery. Future studies of other ornamental fisheries will benefit from using an integrative taxonomic approach, as we demonstrate here.

  16. [Marketing as a tool in the medical institution management].

    Science.gov (United States)

    Petrova, N G; Balokhina, S A

    2009-01-01

    The contemporary social economic conditions dictate the necessity to change tactics and strategy of functioning of medical institutions of different property forms. Marketing, alongside with management is to become a leading concept of administration of medical institutions. It should be a framework for systematic collection, registration and analysis of data relevant to the medical services market. The issues of the implementation of marketing concept in the practical everyday activities of commercial medical organization providing cosmetology services to population of metropolis.

  17. Marketing norm perception among medical representatives in Indian pharmaceutical industry.

    Science.gov (United States)

    Nagashekhara, Molugulu; Agil, Syed Omar Syed; Ramasamy, Ravindran

    2012-03-01

    Study of marketing norm perception among medical representatives is an under-portrayed component that deserves further perusal in the pharmaceutical industry. The purpose of this study is to find out the perception of marketing norms among medical representatives. The research design is quantitative and cross sectional study with medical representatives as unit of analysis. Data is collected from medical representatives (n=300) using a simple random and cluster sampling using a structured questionnaire. Results indicate that there is no difference in the perception of marketing norms among male and female medical representatives. But there is a difference in opinion among domestic and multinational company's medical representatives. Educational back ground of medical representatives also shows the difference in opinion among medical representatives. Degree holders and multinational company medical representatives have high perception of marketing norms compare to their counterparts. The researchers strongly believe that mandatory training on marketing norms is beneficial in decision making process during the dilemmas in the sales field.

  18. Medical center farmers markets: a strategic partner in the patient-centered medical home.

    Science.gov (United States)

    George, Daniel R; Rovniak, Liza S; Kraschnewski, Jennifer L; Morrison, Kathy J; Dillon, Judith F; Bates, Beth Y

    2013-08-01

    The number of medical center-based farmers markets has increased in the past decade, but little is known about how such organizations contribute to the preventive health goals of the patient-centered medical home. In 2010, we started a seasonal farmers market at Penn State Hershey Medical Center to help support the institution's commitment to the medical home. We obtained descriptive data on the farmers market from hospital and market records and tracking information on the market's Facebook and Twitter sites. We computed summary measures to characterize how the market has begun to meet the 6 standards of the 2011 National Committee for Quality Assurance's report on the medical home. During the 2010 and 2011 seasons, 146 medical center volunteers from 40 departments formed 23 interprofessional teams that spent an average of 551 volunteer hours per season at the market, providing health screenings (n = 695) and speaking to customers (n = 636) about preventive health. Fifty-five nonmedical community health partners provided 208 hours of service at the market alongside medical center staff. Market programming contributed to 5 regional preventive health partnerships and created opportunities for interprofessional mentoring, student leadership, data management, development of social media skills, and grant-writing experience. The market contributed to all 6 medical home standards outlined by the National Committee for Quality Assurance. Medical center markets can support medical home standards. With systematic tracking of the health effects and integration with electronic medical health records, markets hold potential to contribute to comprehensive patient-centered care.

  19. Growing a medical practice with social media marketing.

    Science.gov (United States)

    Laban, Jake

    2012-01-01

    Many medical practices are facing the lack of practice growth that their social media efforts are generating. This article provides concrete ideas that can be put in place by any medical practice to realize sustainable practice growth through social media marketing. In the article, the author demonstrates that social media marketing of the medical practice has become absolutely essential in today's evolving, competitive, and fast-paced environment. This demonstration is made through an exploration of the evolution of what "good" marketing has looked like for medical practices over time. In addition, attention is paid to the shift in the definition of good marketing that is required for the practice that is preparing a social media-marketing plan. Specifically, the article investigates the proven requirements for a balanced blend of unique and engaging promotional and nonpromotional community outreach, which is required on a daily basis to achieve the significant, lasting, and sustainable growth that the practice wishes to achieve.

  20. Strategic marketing: an introduction for medical specialists.

    Science.gov (United States)

    Lexa, Frank James; Berlin, Jonathan

    2006-03-01

    Marketing and branding are 2 of the most important factors for business success in the United States. They are particularly critical in service industries such as diagnostic imaging. However, in spite of their strategic importance in radiology success, a search of the peer-reviewed radiology literature reveals a paucity of published work that addresses marketing for imaging practices. In particular, there is a dearth of literature addressing the role (both direct and indirect) of radiologists in marketing efforts. In this article, the authors attempt to identify and correct some common misconceptions that physicians and other scientific and technical professionals have about marketing. Basic terms and preliminary concepts are introduced to provide a foundational understanding of the topic, allowing the interested reader to move forward and explore these critical issues in greater depth.

  1. Clarifications regarding medical tourism destinations marketing

    National Research Council Canada - National Science Library

    STANCIOIU Aurelia-Felicia; Botoş Andreea; Pârgaru Ion

    2014-01-01

    ..., at least, to consumers’ expectations. In order to optimize the new type of tourism, it is necessary to be correlated with the relevant resources of the destination, which, harmonized, can lead to the elaboration of destination marketing...

  2. Reassessing Pre-market Regulation of Class III Medical Devices

    OpenAIRE

    Zollinger, Geri

    2003-01-01

    Regulation of medical devices has evolved over the past twenty-five years. Initially, Congress created a regime where the safety and efficacy of all medical devices would be reviewed to varying degrees, depending on the risk posed by the device. Class III devices, the most dangerous class of devices, were to each have a safety and efficacy review. To permit new market entrants on similar grounds as those marketing devices prior to the 1976 Amendments, Congress also created a premarket notific...

  3. Marketing 2.0 für Medizinbibliotheken / Marketing 2.0 for medical libraries

    Directory of Open Access Journals (Sweden)

    Obst, Oliver

    2007-07-01

    Full Text Available For medical libraries marketing and public relations are essential factors, which are important for strategic planning. They positively affect the imbedding into the organization and the customer relationship. The decrease of the information monopoly, the flood of information and the increasing competition strengthen the necessity for marketing activities. Fundamental principles of marketing and public relations are described and illustrated with examples from the Branch Library of Medicine at Münster. New methods such as weblog marketing and viral marketing are presented.

  4. Combination of phenotype assessments and CYP2C9-VKORC1 polymorphisms in the determination of warfarin dose requirements in heavily medicated patients.

    Science.gov (United States)

    Michaud, V; Vanier, M-C; Brouillette, D; Roy, D; Verret, L; Noel, N; Taillon, I; O'Hara, G; Gossard, D; Champagne, M; Goodman, K; Renaud, Y; Brown, A; Phillips, M; Ajami, A M; Turgeon, J

    2008-05-01

    The relative contribution of phenotypic measures and CYP2C9-vitamin K epoxide reductase complex subunit 1 (VKORC1) polymorphisms to warfarin dose requirements at day 14 was determined in 132 hospitalized, heavily medicated patients. Phenotypic measures were (1) the urinary losartan metabolic ratio before the first dose of warfarin, (2) the S:R-warfarin ratio at day 1, and (3) a dose-adjusted international normalized ratio (INR) at day 4. CYP2C9 and VKORC1 genotypes were determined by gene chip analysis. In multivariate analyses, the dose-adjusted INR at day 4 explained 31% of variability observed in warfarin doses at day 14, whereas genotypic measures (CYP2C9-VKORC1) contributed 6.5%. When S:R-warfarin ratio was used, genotypes contributed more significantly (23.5%). Finally, urinary losartan metabolic ratio was of low predictive value. The best models obtained explained 51% of intersubject variability in warfarin dose requirements. Thus, combination of a phenotypic measure to CYP2C9-VKORC1 genotypes represents a useful strategy to predict warfarin doses in patients receiving multiple drugs (11+/-4 drugs/day).

  5. Medical Informatics: Market for IS/IT.

    Science.gov (United States)

    Morris, Theodore Allan

    2002-01-01

    Uses co-occurrence analysis of INSPEC classification codes and thesaurus terms assigned to medical informatics (biomedical information) journal articles and proceedings papers to reveal a more complete perspective of how information science and information technology (IS/IT) authors view medical informatics. Discusses results of cluster analysis…

  6. COMPETITION ON THE WHOLESALE MEDICATION DISTRIBUTION MARKET IN ROMANIA

    Directory of Open Access Journals (Sweden)

    Alina HAGIU

    2013-09-01

    Full Text Available Wholesale distribution of medicines in Romania was in the constant attention of the competition authority. In order to analyze the operation of the distribution system practiced in Romania, but also changes that may occur in this system on short and medium term, the Competition Council conducted a sector inquiry after which they found some malfunctioning mainly chained to distributors access to certain medications. Conducted on a sample of 23 pharmaceutical groups operating on the Romanian market and holding approximately 80% of the pharmaceutical market in Romania in 2009, the sector inquiry aimed at two objectives, namely: Legislation analysis with impact on the wholesale distribution of drugs; Market analysis of drug distribution.Following the findings of the high concentration of markets analyzed, due to significant market shares held by innovative drugs under investigation were analyzed also the penetration of generics in the market and the factors that led to this situation.

  7. Medical Financial Burden Declined For Consumers In The Nongroup Market.

    Science.gov (United States)

    Boudreaux, Michel H; Gonzales, Gilbert; Saloner, Brendan

    2017-05-01

    The share of consumers in the nongroup health insurance market who spent more than 10 percent of family income on medical expenses declined by 6.7 percentage points after Affordable Care Act implementation (2013-15), and after adjustments for other factors. Average family medical expenses declined by $811 for nongroup consumers. Project HOPE—The People-to-People Health Foundation, Inc.

  8. [Marketing approval and market surveillance of medical devices in Germany: Where does policy integration take place?].

    Science.gov (United States)

    Lang, Achim

    2014-01-01

    Since 2011 new regulatory measures regarding medical devices have been set up with the aim to eliminate obstacles to innovations and to find more coordinated ways to marketing authorisation and market surveillance. This essay investigates whether these new and existing coordination mechanisms build up to a Joined-up Government approach. The analysis shows that the regulatory process should be adjusted along several dimensions. First, many organisations lack awareness regarding their stakeholders and focus solely on their immediate organisational activities. Second, the regulatory process (marketing authorisation and market surveillance) is too fragmented for an effective communication to take place. Finally, the underlying strategy process is an ad-hoc approach lacking continuity and continued involvement of, in particular, the responsible federal ministries. Copyright © 2013. Published by Elsevier GmbH.

  9. [Medical care, medical education, and the job market for physicians: internship in Mexico].

    Science.gov (United States)

    Frenk, J

    1984-01-01

    This article endeavors to establish a connection between the emergence and development of internship in Mexico and a series of macrosocial changes, including the extension of Government intervention in medical care, the labor market processes that have led to unemployment among physicians, and the responses of the medical education system. The author considers that this comprehensive analysis will be of use in understanding at least in part the complex dynamics of the influence exerted on each other by medical care and medical education, and particularly how changes in conditions on the labor market for physicians have led to the formulation of ideological paradigms of medical practice and to their institutionalization in the programs of study of the medical schools. The study is also important for developed and developing countries with increasing numbers of physicians and which therefore need to understand the possible causes and effects of this trend.

  10. Medical Representatives' Intention to Use Information Technology in Pharmaceutical Marketing.

    Science.gov (United States)

    Kwak, Eun-Seon; Chang, Hyejung

    2016-10-01

    Electronic detailing (e-detailing), the use of electronic devices to facilitate sales presentations to physicians, has been adopted and expanded in the pharmaceutical industry. To maximize the potential outcome of e-detailing, it is important to understand medical representatives (MRs)' behavior and attitude to e-detailing. This study investigates how information technology devices such as laptop computers and tablet PCs are utilized in pharmaceutical marketing, and it analyzes the factors influencing MRs' intention to use devices. This study has adopted and modified the theory of Roger's diffusion of innovation model and the technology acceptance model. To test the model empirically, a questionnaire survey was conducted with 221 MRs who were working in three multinational or eleven domestic pharmaceutical companies in Korea. Overall, 28% and 35% of MRs experienced using laptop computers and tablet PCs in pharmaceutical marketing, respectively. However, the rates were different across different groups of MRs, categorized by age, education level, position, and career. The results showed that MRs' intention to use information technology devices was significantly influenced by perceived usefulness in general. Perceived ease of use, organizational and individual innovativeness, and several MR characteristics were also found to have significant impacts. This study provides timely information about e-detailing devices to marketing managers and policy makers in the pharmaceutical industry for successful marketing strategy development by understanding the needs of MRs' intention to use information technology. Further in-depth study should be conducted to understand obstacles and limitations and to improve the strategies for better marketing tools.

  11. [Beyond the horizon of health-care delivery - medical marketing].

    Science.gov (United States)

    Hoffmann, M; Großterlinden, L G; Rueger, J M; Ruecker, A H

    2014-12-01

    The progress in medical health care and demographic changes cause increasing financial expenses. The rising competitive environment on health-care delivery level calls for economisation and implementation of a professional marketing set-up in order to ensure long-term commercial success. The survey is based on a questionnaire-analysis of 100 patients admitted to a trauma department at a university hospital in Germany. Patients were admitted either for emergency treatment or planned surgical procedures. Competence and localisation represent basic criteria determing hospital choice with a varying focus in each collective. Both collectives realise a trend toward economisation, possibly influencing medical care decision-making. Patients admitted for planned surgical treatment are well informed about their disease, treatment options and specialised centres. The main source of information is the internet. Both collectives claim amenities during their in-hospital stay. Increasing economisation trends call for a sound and distinct marketing strategy. The marketing has to be focused on the stakeholders needs. Concomitant factors are patient satisfaction, the establishment of cooperation networks and maintenance/improvement of medical health-care quality. Georg Thieme Verlag KG Stuttgart · New York.

  12. The marketing mix and development of medical tourism in shiraz.

    Science.gov (United States)

    Jabbari, Alireza; Rahimi Zarchi, Mohammad Kazem; Kavosi, Zahra; Shafaghat, Tahere; Keshtkaran, Ali

    2013-01-01

    In recent years, medical tourism market has been raised as one of the income-earning and competitive industries in the world and is considered as a modern field of advanced tourism. Therefore, a great number of countries are seeking to develop this type of tourism and one of the strategies for developing this industry is using the marketing mix elements. This study was a descriptive-analytic and cross sectional one. The research community included all the public and private hospitals of Shiraz among which, 7 public and 9 private hospitals were studied. The study data were collected through a researcher-made check list whose face and content validity was confirmed by the experts. Then, the data were entered into the SPSS statistical software. According to the objectives of the study, the descriptive results were presented in frequency tables and Chi-square test was used for data analysis. In addition, P<0.05 was considered as statistically significant. According to the results, both public and private hospitals of Shiraz were in the best condition regarding staff and physician mix and in the worst condition concerning promoting and facilities mixes. No significant difference was found between public and private hospitals regarding the mixes. From marketing mix elements view, paying more attention to media advertisements and providing more facilities can improve the status of the hospitals which, consequently, results in attracting more medical tourists and developing this industry in Shiraz.

  13. RESEARCH OF RUSSIAN HIGH TECHNOLOGY MEDICAL EQUIPMENT MARKET: THE SOCIO-ECONOMIC ASPECTS

    OpenAIRE

    Otstavnov Stanislav Sergeevich

    2013-01-01

    The article presents the data obtained from comprehensive study of russian hi-tech medical equipment market. The size and the structure of Russian medical equipment market in 2005-2011 were investigated and market size forecast for 2012-2015 was given. Priority segments of Russian high-tech medical equipment market were identified (products with a high degree of visualization, anesthetic and ventilation equipment, patient monitors)  based on the analysis of literature sources and morbidity st...

  14. Identifying and removing the barriers to strategic marketing planning within medical practices.

    Science.gov (United States)

    Henthorne, B H; Henthorne, T L

    1993-01-01

    Physicians practice in a constantly changing environment, exacerbating the need for strategic marketing planning. The evolution of marketing planning within the medical industry parallels that of other industries in some respects, yet, in most instances it has not reached the level of sophistication necessary to be an effective tool. There are distinct barriers that impinge upon the marketing planning process within medical practices. Identifying and removing those barriers can facilitate the implementation of strategic marketing planning within medical practices, thereby contributing to their future viability in the market.

  15. MARKETING RESEARCHES OF THE POPULATIONS HEALTH STATE AS A FACTOR OF DEMAND FORMATION IN THE MARKET OF PAID MEDICAL SERVICES

    Directory of Open Access Journals (Sweden)

    Nataliia Hrechanyk

    2017-08-01

    Full Text Available The state of health of the population is one of the most important indicators of the well-being of the nation. Important directions of health care reform are optimization of management, rational distribution of limited financial resources, efficient use of material resources, introduction of health insurance, restructuring of treatment and preventive care to the people. Marketing of medical services market is one of the most complex types of marketing. Because it is medical services that are connected with the protection and maintenance of the most important values ​​of a person - life and health. The market for medical services is a combination of socio-economic relations in the healthcare sector. The most important components of the analysis of any market, including the market of medical services, are marketing research, which is a systematic collection, processing, analysis of data and information in order to formulate proposals for effective activities on it. In the field of public health, marketing can be defined as a complex process of planning, economic substantiation and management of the process of provision of medical services, the formation of a pricing policy of the medical-preventive process, ensuring effective communication with patients. The purpose of the study is to identify the health of the population and determine the demand factors for paid health services and their demand. The main task set before market research on the health of the population is the formation and provision of benefits to consumers that meet their needs for qualified medical care and quality of life. The research methods used in the work are based on probabilistic, stratified, quota, representative samples for the entire population of Ivano-Frankivsk and Ivano-Frankivsk region. The obtained results allow us to give a realistic assessment of the main trends and allow us to assess the potential of socio-economic adaptation of the population in the

  16. Human inputs: the health care workforce and medical markets.

    Science.gov (United States)

    Cooper, R A; Aiken, L H

    2001-10-01

    Arrow wrote his classic article in simpler times, as those who chance upon this article forty years hence will say of today. It was a new era in science and medicine, soon to be fueled by new resources from Medicare and the National Institutes of Health. Fiscal constraint was a stranger, physicians were in short supply, and information asymmetry was pervasive. In the intervening years, Americans have become more comfortable with health care issues. Fatal illness, which was rarely discussed with patients in 1960, is now researched by them on the Internet, and greater attention is paid to patient rights. Nonetheless, concerns about quality have, if anything, increased. Indeed, it is public concern about quality that has invited governmental regulation and induced a defensive posture among medical organizations, which are rushing to establish their own instruments of quality, and it is these same public concerns that have facilitated the ability of managed care to offer itself as the guarantor of quality. However, center stage is now held by another issue: health care costs. As a result, the focus has shifted from resolving information asymmetry by enhancing quality to controlling national health expenditures by changing the size and composition of the health care workforce. Licensure, which was restrictive in 1960, is more relaxed today, thereby reducing the entry barriers for the NPC disciplines, several of which were just beginning when Arrow wrote his article. The entry of NPCs into the realm of physician's services partially counterbalances the constraints that have been placed on physician supply, although the major contributions of NPCs are skewed to the primary care end of the spectrum while the major constraints on physician supply affect specialists. The growing presence of NPCs creates a dynamic market in which practitioners in various disciplines both compete and collaborate. It is, in fact, the perfect market that Arrow reluctantly longed for, in which

  17. Post-market clinical research conducted by medical device manufacturers: a cross-sectional survey.

    Science.gov (United States)

    Ross, Joseph S; Blount, Katrina L; Ritchie, Jessica D; Hodshon, Beth; Krumholz, Harlan M

    2015-01-01

    In the US, once a medical device is made available for use, several requirements have been established by the US Food and Drug Administration (FDA) to ensure ongoing post-market surveillance of device safety and effectiveness. Our objective was to determine how commonly medical device manufacturers initiate post-market clinical studies or augment FDA post-market surveillance requirements for higher-risk devices that are most often approved via the FDA's pre-market approval (PMA) pathway. We conducted a cross-sectional survey of 47 manufacturers with operations in California, Minnesota, and Massachusetts who market devices approved via the PMA pathway. Among 22 respondents (response rate =47%), nearly all self-reported conducting post-market clinical research studies, commonly between 1 and 5; only 1 respondent reported never conducting post-market clinical research studies. While manufacturers most often engaged in these studies to satisfy FDA requirements, other reasons were reported, including performance monitoring and surveillance and market acceptance initiatives. Risks of conducting and not conducting post-market clinical research studies were described through open-ended response to questions. Medical device manufacturers commonly initiate post-market clinical studies at the request of the FDA. Clinical data from these studies should be integrated into national post-market surveillance initiatives.

  18. Canadian medical tourism companies that have exited the marketplace: Content analysis of websites used to market transnational medical travel.

    Science.gov (United States)

    Turner, Leigh

    2011-10-14

    Medical tourism companies play an important role in promoting transnational medical travel for elective, out-of-pocket medical procedures. Though researchers are paying increasing attention to the global phenomenon of medical tourism, to date websites of medical tourism companies have received limited scrutiny. This article analyzes websites of Canadian medical tourism companies that advertised international healthcare but ultimately exited the marketplace. Using content analysis of company websites as an investigative tool, the article provides a detailed account of medical tourism companies that were based in Canada but no longer send clients to international health care facilities. Internet searches, Google Alerts, searches on Google News Canada and ProQuest Newsstand, and searches of an Industry Canada database were used to locate medical tourism companies located in Canada. Once medical tourism companies were identified, the social science research method of content analysis was used to extract relevant information from company websites. Company websites were analyzed to determine: 1) where these businesses were based; 2) the destination countries and medical facilities that they promoted; 3) the health services they advertised; 4) core marketing messages; and 5) whether businesses marketed air travel, hotel accommodations, and holiday excursions in addition to medical procedures. In total, 25 medical tourism companies that were based in Canada are now defunct. Given that an estimated 18 medical tourism companies and 7 regional, cross-border medical travel facilitators now operate in Canada, it appears that approximately half of all identifiable medical tourism companies in Canada are no longer in business. 13 of the previously operational companies were based in Ontario, 7 were located in British Columbia, 4 were situated in Quebec, and 1 was based in Alberta. 14 companies marketed medical procedures within a single country, 9 businesses marketed health care

  19. Canadian medical tourism companies that have exited the marketplace: Content analysis of websites used to market transnational medical travel

    Science.gov (United States)

    2011-01-01

    Background Medical tourism companies play an important role in promoting transnational medical travel for elective, out-of-pocket medical procedures. Though researchers are paying increasing attention to the global phenomenon of medical tourism, to date websites of medical tourism companies have received limited scrutiny. This article analyzes websites of Canadian medical tourism companies that advertised international healthcare but ultimately exited the marketplace. Using content analysis of company websites as an investigative tool, the article provides a detailed account of medical tourism companies that were based in Canada but no longer send clients to international health care facilities. Methods Internet searches, Google Alerts, searches on Google News Canada and ProQuest Newsstand, and searches of an Industry Canada database were used to locate medical tourism companies located in Canada. Once medical tourism companies were identified, the social science research method of content analysis was used to extract relevant information from company websites. Company websites were analyzed to determine: 1) where these businesses were based; 2) the destination countries and medical facilities that they promoted; 3) the health services they advertised; 4) core marketing messages; and 5) whether businesses marketed air travel, hotel accommodations, and holiday excursions in addition to medical procedures. Results In total, 25 medical tourism companies that were based in Canada are now defunct. Given that an estimated 18 medical tourism companies and 7 regional, cross-border medical travel facilitators now operate in Canada, it appears that approximately half of all identifiable medical tourism companies in Canada are no longer in business. 13 of the previously operational companies were based in Ontario, 7 were located in British Columbia, 4 were situated in Quebec, and 1 was based in Alberta. 14 companies marketed medical procedures within a single country, 9

  20. Canadian medical tourism companies that have exited the marketplace: Content analysis of websites used to market transnational medical travel

    Directory of Open Access Journals (Sweden)

    Turner Leigh

    2011-10-01

    Full Text Available Abstract Background Medical tourism companies play an important role in promoting transnational medical travel for elective, out-of-pocket medical procedures. Though researchers are paying increasing attention to the global phenomenon of medical tourism, to date websites of medical tourism companies have received limited scrutiny. This article analyzes websites of Canadian medical tourism companies that advertised international healthcare but ultimately exited the marketplace. Using content analysis of company websites as an investigative tool, the article provides a detailed account of medical tourism companies that were based in Canada but no longer send clients to international health care facilities. Methods Internet searches, Google Alerts, searches on Google News Canada and ProQuest Newsstand, and searches of an Industry Canada database were used to locate medical tourism companies located in Canada. Once medical tourism companies were identified, the social science research method of content analysis was used to extract relevant information from company websites. Company websites were analyzed to determine: 1 where these businesses were based; 2 the destination countries and medical facilities that they promoted; 3 the health services they advertised; 4 core marketing messages; and 5 whether businesses marketed air travel, hotel accommodations, and holiday excursions in addition to medical procedures. Results In total, 25 medical tourism companies that were based in Canada are now defunct. Given that an estimated 18 medical tourism companies and 7 regional, cross-border medical travel facilitators now operate in Canada, it appears that approximately half of all identifiable medical tourism companies in Canada are no longer in business. 13 of the previously operational companies were based in Ontario, 7 were located in British Columbia, 4 were situated in Quebec, and 1 was based in Alberta. 14 companies marketed medical procedures within a

  1. The efficacy of the Internet and Social Media as Medical Marketing Tools

    NARCIS (Netherlands)

    Constantinides, Efthymios; Karantinou, Kalipso; Alexiou, Maria; Vlachaki, Athanasia

    2016-01-01

    The role and efficacy of online marketing in healthcare remains underexplored. The present study, focusing on one medical specialty, investigates the perceived role of the Internet and social media as marketing tools from the perspectives of both healthcare providers and patients. It assesses their

  2. A decision framework to evaluate intellectual property strategies in the medical nutrition market.

    NARCIS (Netherlands)

    Weenen, T.C.; Jentink, A.W.; Pronker, E.S.; Commandeur, H.R.; Claassen, E.

    2013-01-01

    In the medical nutrition (MN) market, insights into the motives driving intellectual property (IP) protection strategies remain unclear. This emerging market has expressed the pressing need for clarity on the subject of applicable IP methods. The aim of this study is therefore to evaluate the role

  3. A decision framework to evaluate intellectual property strategies in the medical nutrition market

    NARCIS (Netherlands)

    Weenen, T.C.; Jentink, A.; Commandeur, H.R.; Pronker, E.S.; Claassen, E.

    2013-01-01

    In the medical nutrition (MN) market, insights into the motives driving intellectual property (IP) protection strategies remain unclear. This emerging market has expressed the pressing need for clarity on the subject of applicable IP methods. The aim of this study is therefore to evaluate the role

  4. RESEARCH OF RUSSIAN HIGH TECHNOLOGY MEDICAL EQUIPMENT MARKET: THE SOCIO-ECONOMIC ASPECTS

    Directory of Open Access Journals (Sweden)

    Otstavnov Stanislav Sergeevich

    2013-01-01

    Full Text Available The article presents the data obtained from comprehensive study of russian hi-tech medical equipment market. The size and the structure of Russian medical equipment market in 2005-2011 were investigated and market size forecast for 2012-2015 was given. Priority segments of Russian high-tech medical equipment market were identified (products with a high degree of visualization, anesthetic and ventilation equipment, patient monitors based on the analysis of literature sources and morbidity structure. Key players in key segments of the market were identified and their financial performance such as number of employees, revenue, net profit, researches and development expenses were compared (according to actual annual reports. Research allowed to draw the following conclusion: today in the key segments of Russian high-tech medical equipment market the leadership of foreign companies (Hitachi, Philips, Siemens, Toshiba, General Electric, Dräger is indisputable, objective preconditions for the fundamental change of the situation are absent. Import substitution requires the consolidation of domestic producers, adequate funding and human resource. The results can be used in practice by medical industry companies and State authorities on purpose to upgrade the medical industry.

  5. RESEARCH OF RUSSIAN HIGH TECHNOLOGY MEDICAL EQUIPMENT MARKET: THE SOCIO-ECONOMIC ASPECTS

    Directory of Open Access Journals (Sweden)

    Станислав Сергеевич Отставнов

    2013-04-01

    Full Text Available The article presents the data obtained from comprehensive study of russian hi-tech medical equipment market. The size and the structure of Russian medical equipment market in 2005-2011 were investigated and market size forecast for 2012-2015 was given. Priority segments of Russian high-tech medical equipment market were identified (products with a high degree of visualization, anesthetic and ventilation equipment, patient monitors  based on the analysis of literature sources and morbidity structure. Key players in key segments of the market were identified and their financial performance such as number of employees, revenue, net profit, researches and development expenses were compared (according to actual annual reports.Research allowed to draw the following conclusion: today in the key segments of Russian high-tech medical equipment market the leadership of foreign companies  (Hitachi, Philips, Siemens, Toshiba, General Electric, Dräger is indisputable, objective preconditions for the fundamental change of the situation are absent. Import substitution requires the consolidation of domestic producers, adequate funding and human resource.The results can be used in practice by medical industry companies and State authorities on purpose to upgrade the medical industry.DOI: http://dx.doi.org/10.12731/2218-7405-2013-1-31

  6. Post market surveillance in the german medical device sector - current state and future perspectives.

    Science.gov (United States)

    Zippel, Claus; Bohnet-Joschko, Sabine

    2017-08-01

    Medical devices play a central role in the diagnosis and treatment of diseases but also bring the potential for adverse events, hazards or malfunction with serious consequences for patients and users. Medical device manufacturers are therefore required by law to monitor the performance of medical devices that have been approved by the competent authorities (post market surveillance). Conducting a nationwide online-survey in the German medical device sector in Q2/2014 in order to explore the current status of the use of post market instruments we obtained a total of 118 complete data sets, for a return rate of 36%. The survey included manufacturers of different sizes, producing medical devices of all risk classes. The post market instruments most frequently reported covered the fields of production monitoring and quality management as well as literature observation, regulatory vigilance systems, customer knowledge management and market observation while Post Market Clinical Follow-up and health services research were being used less for product monitoring. We found significant differences between the different risk classes of medical devices produced and the intensity of use of post market instruments. Differences between company size and the intensity of instruments used were hardly detected. Results may well contribute to the development of device monitoring which is a crucial element of the policy and regulatory system to identify device-related safety issues. Copyright © 2017 Elsevier B.V. All rights reserved.

  7. Post-market clinical research conducted by medical device manufacturers: a cross-sectional survey

    Directory of Open Access Journals (Sweden)

    Ross JS

    2015-05-01

    Full Text Available Joseph S Ross, Katrina L Blount, Jessica D Ritchie, Beth Hodshon, Harlan M Krumholz Center for Outcomes Research and Evaluation, Yale-New Haven Hospital, New Haven, CT, USA Background: In the US, once a medical device is made available for use, several requirements have been established by the US Food and Drug Administration (FDA to ensure ongoing post-market surveillance of device safety and effectiveness. Our objective was to determine how commonly medical device manufacturers initiate post-market clinical studies or augment FDA post-market surveillance requirements for higher-risk devices that are most often approved via the FDA's pre-market approval (PMA pathway. Methods and results: We conducted a cross-sectional survey of 47 manufacturers with operations in California, Minnesota, and Massachusetts who market devices approved via the PMA pathway. Among 22 respondents (response rate =47%, nearly all self-reported conducting post-market clinical research studies, commonly between 1 and 5; only 1 respondent reported never conducting post-market clinical research studies. While manufacturers most often engaged in these studies to satisfy FDA requirements, other reasons were reported, including performance monitoring and surveillance and market acceptance initiatives. Risks of conducting and not conducting post-market clinical research studies were described through open-ended response to questions. Conclusion: Medical device manufacturers commonly initiate post-market clinical studies at the request of the FDA. Clinical data from these studies should be integrated into national post-market surveillance initiatives. Keywords: FDA, PMA pathway, post-market surveillance

  8. Electronic Technology in Home Medical Equipment in Chinese Market

    OpenAIRE

    Zhou, Mincheng

    2016-01-01

    Home medical equipment has been an emerging industry in recent years, possessing small bulk, agile operation and relative inexpensive price. In the essay, the principle and classification of home medical equipment are introduced through the principle and structure of four types of essential home medical equipment: pulse oximeter, electronic sphygmomanometer, electronic thermometer and glucose meter. Then the application of photodiode, pressure sensor, biosensor, temperature sensor, amplifiers...

  9. Marketing to Develop the Premier Medical Brand in the Huaihai Economic Zone.

    Science.gov (United States)

    Zhang, Peiying; Meng, Qingchao

    2015-06-01

    Based on the practices at Xuzhou Central Hospital, the authors analyzed the improvements in the healthcare quality and economic efficiency after implementing a brand marketing strategy. Using methods including questionnaires and business controlling means, we summarized that the improvements to the healthcare quality and economic efficiency after strategies were implemented in the areas of network, reputation, academic research, and public welfare. After the implementation of a brand marketing campaign, the medical service quality and brand reputation have been greatly improved. Meanwhile, a central hospital group was formed and gradually became the central healthcare provider in the Huaihai Economic Zone. The new marketing facilitated the drastic increase of medical service and brand reputation.

  10. Positioning patient-perceived medical services to develop a marketing strategy.

    Science.gov (United States)

    Jung, Minsoo; Hong, Myung-Sun

    2012-01-01

    In today's medical market, marketing philosophy is being rapidly transformed from customer searching to patient satisfaction and service improvement. The principal objective of this study was to contribute to the establishment of a desirable medical marketing strategy, through the factors of customer satisfaction and the positioning of patients' perceptions by marketing institutions. The data were collected from 282 students of the College of Public Health and Medicine in Seoul. The survey tools were developed using the SERVQUAL scale. Analysis in this study involved both statistical and network analysis. The former was used to verify the determinants of service satisfaction as perceived by respondents, via factor analysis and multiple regression analysis. The latter was obtained using a positioning map and 2-mode network analysis with the matrix data converted from raw data. The determining factors for patient satisfaction were identified as facilities, accessibility, process, physicians, and medical staff. The regression equation was significant (R = 0.606), and the most influential variable was the service quality of physicians (β = .569). According to multidimensional scaling, the positioning of medical institutions indicated that patients' perceptions were affected by hospital size and specialization. By recognizing and managing patient satisfaction, medical institutions are able to foster customer loyalty and, in turn, to enhance service quality. It is necessary to develop an adequate marketing mix to provide better medical services and to overcome medical competition among institutions.

  11. Understanding congestion in China's medical market: an incentive structure perspective

    National Research Council Canada - National Science Library

    Sun, Zesheng; Wang, Shuhong; Barnes, Stephen R

    2016-01-01

    .... Our analysis reveals that prior medical system reforms with price regulation in China have induced hospitals to establish incentives for capital-intensive investments, while ignoring human capital...

  12. Evaluation of a Consumer-Generated Marketing Plan for Medication Therapy Management Services

    Directory of Open Access Journals (Sweden)

    Brian J. Isetts

    2012-01-01

    Full Text Available The purpose of this project was to utilize a consumer-directed, care model redesign methodology to develop and evaluate a marketing plan for medication therapy management services (MTMS provided in community pharmacies. This was accomplished through a six-step process: (1 application of "design thinking" for eliciting consumer input on redesigning MTMS and marketing approaches, (2 exploratory research, (3 focus group analysis, (4 marketing plan development, (5 marketing plan implementation, and (6 marketing plan evaluation. The findings showed that the application of "design thinking" and focus group analysis was useful for creating a consumer-directed marketing plan for medication therapy management services (MTMS. Implementation and evaluation of the MTMS Marketing Plan revealed that the most successful pharmacies were those that had established business associate agreements with the medical clinics closest to their site of practice, including access to electronic health records. This "virtual electronic presence" of pharmacists in the medical care system was highly consistent with the consumer demand we uncovered for a visible relationship between pharmacists, physicians and other health care providers.   Type: Original Research

  13. Evaluation of a Consumer-Generated Marketing Plan for Medication Therapy Management Services

    Directory of Open Access Journals (Sweden)

    Brian J. Isetts, Ph.D.

    2012-01-01

    Full Text Available The purpose of this project was to utilize a consumer-directed, care model redesign methodology to develop and evaluate a marketing plan for medication therapy management services (MTMS provided in community pharmacies. This was accomplished through a six-step process: (1 application of “design thinking” for eliciting consumer input on redesigning MTMS and marketing approaches, (2 exploratory research, (3 focus group analysis, (4 marketing plan development, (5 marketing plan implementation, and (6 marketing plan evaluation.The findings showed that the application of “design thinking” and focus group analysis was useful for creating a consumer-directed marketing plan for medication therapy management services (MTMS. Implementation and evaluation of the MTMS Marketing Plan revealed that the most successful pharmacies were those that had established business associate agreements with the medical clinics closest to their site of practice, including access to electronic health records. This “virtual electronic presence” of pharmacists in the medical care system was highly consistent with the consumer demand we uncovered for a visible relationship between pharmacists, physicians and other health care providers.

  14. Hospital ownership and medical services: market mix, spillover effects, and nonprofit objectives.

    Science.gov (United States)

    Horwitz, Jill R; Nichols, Austin

    2009-09-01

    Hospitals operate in markets with varied demographic, competitive, and ownership characteristics, yet research on ownership tends to examine hospitals in isolation. Here we examine three hospital ownership types -- nonprofit, for-profit, and government -- and their spillover effects. We estimate the effects of for-profit market share in two ways, on the provision of medical services and on operating margins at the three types of hospitals. We find that nonprofit hospitals' medical service provision systematically varies by market mix. We find no significant effect of market mix on the operating margins of nonprofit hospitals, but find that for-profit hospitals have higher margins in markets with more for-profits. These results fit best with theories in which hospitals maximize their own output.

  15. [Overview on the market, supervision and standardization of nanomaterial-contained medical devices].

    Science.gov (United States)

    Shao, Anliang; Xu, Liming

    2015-01-01

    In this paper, industry development and market tendency, supervision and standardization of nanomaterial-contained medical devices are overviewed comprehensively based on a large number of reference data including national and international information. Furthermore, the consideration about standardization of biological evaluation for nanomaterial-contained medical devices is discussed by combined some works performed in our laboratory.

  16. Generating demand for pharmacist-provided medication therapy management: identifying patient-preferred marketing strategies.

    Science.gov (United States)

    Garcia, Gladys M; Snyder, Margie E; McGrath, Stephanie Harriman; Smith, Randall B; McGivney, Melissa Somma

    2009-01-01

    To identify effective strategies for marketing pharmacist-provided medication therapy management (MTM) services to patients in a self-insured employer setting. Qualitative study. University of Pittsburgh during March through May 2008. 26 university employees taking at least one chronic medication. Three focus group sessions were conducted using a semistructured topic guide to facilitate the discussion. Employees' perceived medication-related needs, perceived benefits of pharmacist-provided MTM, potential barriers for employee participation in MTM, and effective strategies for marketing MTM. Participants reported concerns with timing of doses, medication costs, access, and ensuring adherence. Participants generally felt positively toward pharmacists; however, the level of reported patient contact with pharmacists varied among participants. Some participants questioned pharmacists' education and qualifications for this enhanced role in patient care. Perceived benefits of MTM noted by participants included the opportunity to obtain personalized information about their medications and the potential for improved communication among their health providers. Barriers to patient participation were out-of-pocket costs and lack of time for MTM visits. Participants suggested use of alternative words to describe MTM and marketing approaches that involve personal contact. Pharmacists should emphasize parts of MTM that patients feel are most beneficial (i.e., provision of a personal medication record) and use patient-friendly language to describe MTM when marketing their practice. Patients will need greater exposure to the concept of MTM and the pharmacists' role in order to correctly describe and assign value to this type of pharmacist patient care practice.

  17. The influence of labor market changes on first-time medical school applicant pools.

    Science.gov (United States)

    Cort, David A; Morrison, Emory

    2014-12-01

    To explore whether the number and composition of first-time applicants to U.S. MD-granting medical schools, which have fluctuated over the past 30 years, are related to changes in labor market strength, specifically the unemployment rate and wages. The authors merged time series data from 1980 through 2010 (inclusive) from five sources and used multivariate time series models to determine whether changes in labor market strength (and several other macro-level factors) were related to the number of the medical school applicants as reported by the American Medical College Application Service. Analyses were replicated across specific sex and race/ethnicity applicant pools. Two results surfaced in the analyses. First, the strength of the labor market was not influential in explaining changes in applicant pool sizes for all applicants, but was strongly influential in explaining changes for black and Hispanic males. Increases of $1,000 in prevailing median wages produced a 1.6% decrease in the white male applicant pool, while 1% increases in the unemployment rate were associated with 4.5% and 3.1% increases in, respectively, the black and Hispanic male applicant pools. Second, labor market strength was a more important determinant in applications from males than in applications from females. Although stakeholders cannot directly influence the overall economic market, they can plan and prepare for fewer applications from males, especially those who are black and Hispanic, when the labor market is strong.

  18. Variability in market uptake of psychotropic medications in Europe reflects cultural diversity

    Directory of Open Access Journals (Sweden)

    J. M. Hoebert

    2017-11-01

    Full Text Available Abstract Background In the last 20–30 years, many international studies have found substantial differences in the use of (older psychotropic medication between European countries. The majority mentioned an important role for attitudes and beliefs towards psychotropic medication. So far, no studies have looked into the effects of cultural diversity on the use of new medications entering the market. As national cultures relate deeply to held values regarding, for example, what is seen as effective versus ineffective or safe versus dangerous, (cultural diversity in decision making around the role of new medications in clinical practice may already be expected from the first day after market authorization. Methods This study examined the relation between cultural diversity, described in Hofstede’s model of cultural dimensions (Power Distance, Individualism, Masculinity, Uncertainty Avoidance, Indulgence and Long-Term Orientation and utilization of three new psychotropic medications, namely aripiprazole, duloxetine and pregabalin in Europe. Country level sales data of the case study medications were correlated to country-specific scores of Hofstede’s cultural dimensions. IMS Health’s MIDAS database has been used for sales data (converted to Defined Daily Doses/1000 inhabitants/day for the case study medications from the market authorization date in 2004 until December 2009 for 23 EU member states. Results Consumption of the case study medications was seen in all countries. In general, pregabalin was used more often than aripiprazole and duloxetine. In 2 years after market authorization, approximately 80% of all countries have reported use of all three molecules. Correlations between Hofstede dimensions individualism, long-term orientation and indulgence and total use of the case study medications tended to become stronger over time, but they were only statistically significant for indulgence at two years after market authorization (rho

  19. Variability in market uptake of psychotropic medications in Europe reflects cultural diversity.

    Science.gov (United States)

    Hoebert, J M; Mantel-Teeuwisse, A K; Leufkens, H G M; van Dijk, L

    2017-11-06

    In the last 20-30 years, many international studies have found substantial differences in the use of (older) psychotropic medication between European countries. The majority mentioned an important role for attitudes and beliefs towards psychotropic medication. So far, no studies have looked into the effects of cultural diversity on the use of new medications entering the market. As national cultures relate deeply to held values regarding, for example, what is seen as effective versus ineffective or safe versus dangerous, (cultural) diversity in decision making around the role of new medications in clinical practice may already be expected from the first day after market authorization. This study examined the relation between cultural diversity, described in Hofstede's model of cultural dimensions (Power Distance, Individualism, Masculinity, Uncertainty Avoidance, Indulgence and Long-Term Orientation) and utilization of three new psychotropic medications, namely aripiprazole, duloxetine and pregabalin in Europe. Country level sales data of the case study medications were correlated to country-specific scores of Hofstede's cultural dimensions. IMS Health's MIDAS database has been used for sales data (converted to Defined Daily Doses/1000 inhabitants/day) for the case study medications from the market authorization date in 2004 until December 2009 for 23 EU member states. Consumption of the case study medications was seen in all countries. In general, pregabalin was used more often than aripiprazole and duloxetine. In 2 years after market authorization, approximately 80% of all countries have reported use of all three molecules. Correlations between Hofstede dimensions individualism, long-term orientation and indulgence and total use of the case study medications tended to become stronger over time, but they were only statistically significant for indulgence at two years after market authorization (rho = 0.51, p = 0.014) and three years after market

  20. Medical devices and the Middle East: market, regulation, and reimbursement in Gulf Cooperation Council states

    Directory of Open Access Journals (Sweden)

    Howard JJ

    2014-11-01

    Full Text Available Jason J Howard Division of Paediatric Orthopaedics, Department of Surgery, Sidra Medical and Research Center, Doha, Qatar Abstract: With some of the richest economies in the world, the Gulf Cooperation Council (GCC is undergoing rapid growth not only in its population but also in health care expenditure. Despite the GCC's abundance of hydrocarbon-based wealth, the drivers of the medical device industry in the GCC are still in flux, with gains yet to be made in areas of infrastructure, regulation, and reimbursement. However, the regional disease burden, expanding health insurance penetration, increasing privatization, and a desire to attract skilled expatriate health care providers have led to favorable conditions for the medical device market in the GCC. The purpose of this article is to investigate the current state of the GCC medical device industry, with respect to market, regulation, and reimbursement, paying special attention to the three largest medical device markets: Saudi Arabia, the United Arab Emirates, and Qatar. The GCC would seem to represent fertile ground for the development of medical technologies, especially those in line with the regional health priorities of the respective member states. Keywords: medical devices, regulation, reimbursement, Middle East 

  1. Delivering medical abortion at scale: a study of the retail market for medical abortion in Madhya Pradesh, India.

    Directory of Open Access Journals (Sweden)

    Timothy Powell-Jackson

    Full Text Available Medical abortion (mifepristone and misoprostol has the potential to contribute to reduced maternal mortality but little is known about the provision or quality of advice for medical abortion through the private retail sector. We examined the availability of medical abortion and the practices of pharmacists in India, where abortion has been legal since 1972.We interviewed 591 pharmacists in 60 local markets in city, town and rural areas of Madhya Pradesh. One month later, we returned to 359 pharmacists with undercover patients who presented themselves unannounced as genuine customers seeking a medical abortion.Medical abortion was offered to undercover patients by 256 (71.3% pharmacists and 24 different brands were identified. Two thirds (68.5% of pharmacists stated that abortion was illegal in India. Only 106 (38.5% pharmacists asked clients the timing of the last menstrual period and 38 (13.8% requested to see a doctor's prescription - a legal requirement in India. Only 59 (21.5% pharmacists correctly advised patients on the gestational limit for medical abortion, 97 (35.3% provided correct information on how many and when to take the tablets in a combination pack, and 78 (28.4% gave accurate advice on where to seek care in case of complications. Advice on post-abortion family planning was almost nonexistent.The retail market for medical abortion is extensive, but the quality of advice given to patients is poor. Although the contribution of medical abortion to women's health in India is poorly understood, there is an urgent need to improve the practices of pharmacists selling medical abortion.

  2. A Qualitative Study about Self-Medication in the Community among Market Venders in Fuzhou, China

    Science.gov (United States)

    Wen, Yi; Lieber, Eli; Wan, Dai; Hong, Yuanhao

    2013-01-01

    Despite government efforts to increase health care insurance and access in China, many individuals, regardless of insurance status, continue to engage in high levels of self-medication. To understand the factors influencing common self-medication behaviour in a community of food market venders in Fuzhou China, a total of 30 market venders were randomly recruited from six food markets in 2007. In-depth interviews were conducted with each participant at their market stalls by trained interviewers using a semi-structured open-ended interview protocol. Participants were asked broad questions about their health-seeking behaviours as well as their past experiences with self-medication and hospital care. ATLAS.ti was used to manage and analyze the interview data. The results showed that hospital-based health care services were perceived as better quality. However, self-medication was viewed as more affordable in terms of money and time. Other factors prompting self-medication included confidence in understanding the health problem, the easy accessibility of local pharmacies, and the influences of friends/peers and advertising. Three broad domains, attitude, cost, and effectiveness, were all seen to determine past decisions and experiences with self-medication. Interestingly, the effective management of self-medication via pharmacy resources raised particular concern because of perceived variation in quality. In conclusion, self-medication was found to be an important and common health-seeking behaviour driven by multiple factors. A sound and comprehensive public health system should systematically attend to these behaviours and the pharmacies where much of the behaviour occurs. PMID:21651638

  3. Global Health, Medical Anthropology, and Social Marketing: Steps to the Ecology of Collaboration.

    Science.gov (United States)

    Whiteford, Linda

    2015-06-01

    Anthropology and global health have long been a focus of research for both biological and medical anthropologists. Research has looked at physiological adaptations to high altitudes, community responses to water-borne diseases, the integration of traditional and biomedical approaches to health, global responses to HIV/AIDS, and more recently, to the application of cultural approaches to the control of the Ebola epidemic. Academic anthropology has employed theory and methods to extend knowledge, but less often to apply that knowledge. However, anthropologists outside of the academy have tackled global health issues such as family planning and breast-feeding by bringing together applied medical anthropology and social marketing. In 2014, that potent and provocative combination resulted in the University of South Florida in Tampa, Florida being made the home of an innovative center designed to combine academic and applied anthropology with social marketing in order to facilitate social change. This article discusses how inter- and intra-disciplinary research/application has led to the development of Florida's first World Health Organization Collaborating Center (WHO CC), and the first such center to focus on social marketing, social change and non-communicable diseases. This article explains the genesis of the Center and presents readers with a brief overview, basic principles and applications of social marketing by reviewing a case study of a water conservation project. The article concludes with thoughts on the ecology of collaboration among global health, medical anthropology and social marketing practitioners.

  4. Differentiating between marketing-driven and technology-driven vendors of medical information systems.

    Science.gov (United States)

    Friedman, B A; Mitchell, W; Singh, K

    1994-08-01

    Buyers of medical information systems such as laboratory information systems need to recognize that the vendors of such systems may pursue corporate strategies emphasizing expenditures on marketing and client services, expenditures on technology and research and development (R&D), or a more balanced approach. The strategic goals and objectives of a vendor of an information system should align closely with those of a potential hospital client. A restless hospital client seeking cutting-edge technology will probably be dissatisfied with a system vendor who emphasizes slow ongoing incremental system development. Objective criteria for distinguishing between a marketing-driven vendor and a technology-driven vendor of medical information systems, and their variants, are presented based on the ratio of marketing expenditures to sales revenue compared with the ratio of research and development expenditures to sales revenue of the company. More subjective narrative criteria are also offered for making such distinctions.

  5. Marketing to Increase Participation in a Web-Based Continuing Medical Education Cultural Competence Curriculum

    Science.gov (United States)

    Estrada, Carlos A.; Krishnamoorthy, Periyakaruppan; Smith, Ann; Staton, Lisa; Korf, Michele J.; Allison, Jeroan J.; Houston, Thomas K.

    2011-01-01

    Introduction: CME providers may be interested in identifying effective marketing strategies to direct users to specific content. Online advertisements for recruiting participants into activities such as clinical trials, public health programs, and continuing medical education (CME) have been effective in some but not all studies. The purpose of…

  6. How can cardiothoracic and vascular medical devices stay in the market?

    Science.gov (United States)

    Wong, Kathie A; Hodgson, Luke; Garas, George; Malietzis, George; Markar, Sheraz; Rao, Christopher; von Segesser, Ludwig K; Athanasiou, Thanos

    2016-12-01

    Surgeons, as the consumers, must engage in commercial activity regarding medical devices since it directly has impacts on surgical practice and patient outcomes. Unique features defy traditional economic convention in this specific market partly because consumers do not usually pay directly. Greater involvement with commercial activity means better post-market surveillance of medical devices which leads to improved patient safety. The medical device industry has exhibited astonishing levels of growth and profitability reaching $398 billion on a global scale with new product development focusing on unmet clinical need. The industry has rapidly emerged within the context of an ageing population and a global surge in healthcare spending. But the market remains fragmented. The split of consumer, purchaser and payer leads to clinical need driving demand for new product development. This demand contributes to potentially large profit margins mainly contained by regulatory burden and liability issues. Demographic trends, prevalence of diseases and a huge capacity to absorb technology have sustained near unparalleled growth. To stay in the market, incremental development over the short term is essentially aided by responsiveness to demand. Disruptive product development is now more likely to come from multinational companies, in an increasingly expensive, regulated industry. Understanding healthcare organization can help explain the highly complex process of diffusion of innovations in healthcare that include medical devices. The time has come for surgeons to become actively involved with all aspects of the medical device life cycle including commercial activity and post-market surveillance. This is vital for improving patient care and ensuring patient safety. © The Author 2016. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

  7. Medical devices and the Middle East: market, regulation, and reimbursement in Gulf Cooperation Council states

    Science.gov (United States)

    Howard, Jason J

    2014-01-01

    With some of the richest economies in the world, the Gulf Cooperation Council (GCC) is undergoing rapid growth not only in its population but also in health care expenditure. Despite the GCC’s abundance of hydrocarbon-based wealth, the drivers of the medical device industry in the GCC are still in flux, with gains yet to be made in areas of infrastructure, regulation, and reimbursement. However, the regional disease burden, expanding health insurance penetration, increasing privatization, and a desire to attract skilled expatriate health care providers have led to favorable conditions for the medical device market in the GCC. The purpose of this article is to investigate the current state of the GCC medical device industry, with respect to market, regulation, and reimbursement, paying special attention to the three largest medical device markets: Saudi Arabia, the United Arab Emirates, and Qatar. The GCC would seem to represent fertile ground for the development of medical technologies, especially those in line with the regional health priorities of the respective member states. PMID:25429243

  8. Medical devices and the Middle East: market, regulation, and reimbursement in Gulf Cooperation Council states.

    Science.gov (United States)

    Howard, Jason J

    2014-01-01

    With some of the richest economies in the world, the Gulf Cooperation Council (GCC) is undergoing rapid growth not only in its population but also in health care expenditure. Despite the GCC's abundance of hydrocarbon-based wealth, the drivers of the medical device industry in the GCC are still in flux, with gains yet to be made in areas of infrastructure, regulation, and reimbursement. However, the regional disease burden, expanding health insurance penetration, increasing privatization, and a desire to attract skilled expatriate health care providers have led to favorable conditions for the medical device market in the GCC. The purpose of this article is to investigate the current state of the GCC medical device industry, with respect to market, regulation, and reimbursement, paying special attention to the three largest medical device markets: Saudi Arabia, the United Arab Emirates, and Qatar. The GCC would seem to represent fertile ground for the development of medical technologies, especially those in line with the regional health priorities of the respective member states.

  9. The Effect of Physician and Hospital Market Structure on Medical Technology Diffusion.

    Science.gov (United States)

    Karaca-Mandic, Pinar; Town, Robert J; Wilcock, Andrew

    2017-04-01

    To examine the influence of physician and hospital market structures on medical technology diffusion, studying the diffusion of drug-eluting stents (DESs), which became available in April 2003. Medicare claims linked to physician demographic data from the American Medical Association and to hospital characteristics from the American Hospital Association Survey. Retrospective claims data analyses. All fee-for-service Medicare beneficiaries who received a percutaneous coronary intervention (PCI) with a cardiac stent in 2003 or 2004. Each PCI record was joined to characteristics on the patient, the procedure, the cardiologist, and the hospital where the PCI was delivered. We accounted for the endogeneity of physician and hospital market structure using exogenous variation in the distances between patient, physician, and hospital locations. We estimated multivariate linear probability models that related the use of a DES in the PCI on market structure while controlling for patient, physician, and hospital characteristics. DESs diffused faster in markets where cardiology practices faced more competition. Conversely, we found no evidence that the structure of the hospital market mattered. Competitive pressure to maintain or expand PCI volume shares compelled cardiologists to adopt DESs more quickly. © Health Research and Educational Trust.

  10. Managerial Guidelines for Market Penetration and Expansion: A Case Study of a Medical Devices Manufacturer

    Directory of Open Access Journals (Sweden)

    Vlastimil Juppa

    2013-06-01

    Full Text Available This article brings managerial guidelines for new markets expansion and current market penetration on an example of a Czech medical devices manufacturer. We describe the strategy in evaluation of the opportunities in the territories, of setting up the benchmarks, the steps how to deal with the partners in current territories and how to approach the acquisition of new territories. We show how significant is the sales growth for financials, we mention the limit defined in the Theory of Sustainable Growth. We show how important the level is, how the products are advanced and how important is to have unique products.

  11. Chronic Disease Prevalence and Medicare Advantage Market Penetration: Findings From the Medical Expenditure Panel Survey.

    Science.gov (United States)

    Howard, Steven W; Bernell, Stephanie Lazarus; Casim, Faizan M; Wilmott, Jennifer; Pearson, Lindsey; Byler, Caitlin M; Zhang, Zidong

    2015-01-01

    By March 2015, 30% of all Medicare beneficiaries were enrolled in Medicare Advantage (MA) plans. Research to date has not explored the impacts of MA market penetration on individual or population health outcomes. The primary objective of this study is to examine the relationships between MA market penetration and the beneficiary's portfolio of cardiometabolic diagnoses. This study uses 2004 to 2008 Medical Expenditure Panel Survey (MEPS) Household Component data to construct an aggregate index that captures multiple diagnoses in one outcome measure (Chronic Disease Severity Index [CDSI]). The MEPS data for 8089 Medicare beneficiaries are merged with MA market penetration data from Centers for Medicare and Medicaid Services (CMS). Ordinary least squares regressions are run with SAS 9.3 to model the effects of MA market penetration on CDSI. The results suggest that each percentage increase in MA market penetration is associated with a greater than 2-point decline in CDSI (lower burden of cardiometabolic chronic disease). Spill-over effects may be driving improvements in the cardiometabolic health of beneficiary populations in counties with elevated levels of MA market penetration.

  12. Rural hospital ownership: medical service provision, market mix, and spillover effects.

    Science.gov (United States)

    Horwitz, Jill R; Nichols, Austin

    2011-10-01

    To test whether nonprofit, for-profit, or government hospital ownership affects medical service provision in rural hospital markets, either directly or through the spillover effects of ownership mix. Data are from the American Hospital Association, U.S. Census, CMS Healthcare Cost Report Information System and Prospective Payment System Minimum Data File, and primary data collection for geographic coordinates. The sample includes all nonfederal, general medical, and surgical hospitals located outside of metropolitan statistical areas and within the continental United States from 1988 to 2005. We estimate multivariate regression models to examine the effects of (1) hospital ownership and (2) hospital ownership mix within rural hospital markets on profitable versus unprofitable medical service offerings. Rural nonprofit hospitals are more likely than for-profit hospitals to offer unprofitable services, many of which are underprovided services. Nonprofits respond less than for-profits to changes in service profitability. Nonprofits with more for-profit competitors offer more profitable services and fewer unprofitable services than those with fewer for-profit competitors. Rural hospital ownership affects medical service provision at the hospital and market levels. Nonprofit hospital regulation should reflect both the direct and spillover effects of ownership. © Health Research and Educational Trust.

  13. Action needed to combat food and drink companies' social media marketing to adolescents.

    Science.gov (United States)

    Williams, Simon

    2013-05-01

    Reports have shown how behavioural marketing through social media sites is heavily dominated by soft drink and fast food franchises, with additional concern arising due to the direct targeting of this marketing at 13 to 17-year-olds. Dr Simon Williams from Northwestern University, Chicago, USA suggests ways in which the medical community can tackle this threat to public health.

  14. Effects of internal marketing on nurse job satisfaction and organizational commitment: example of medical centers in Southern Taiwan.

    Science.gov (United States)

    Chang, Ching-Sheng; Chang, Hsin-Hsin

    2007-12-01

    As nurses typically represent the largest percentage of employees at medical centers, their role in medical care is exceptionally important and becoming more so over time. The quality and functions of nurses impact greatly on medical care quality. The concept of internal marketing, with origins in the field of market research, argues that enterprises should value and respect their employees by treating them as internal customers. Such a marketing concept challenges traditional marketing methods, which focus on serving external customers only. The main objective of internal marketing is to help internal customers (employees) gain greater job satisfaction, which should promote job performance and facilitate the organization accomplishing its ultimate business objectives. A question in the medical service industry is whether internal marketing can similarly increase the job satisfaction of nurses and enhance their commitment to the organization. This study aimed to explore the relational model of nurse perceptions related to internal marketing, job satisfaction, and organizational commitment by choosing nurses from two medical centers in Southern Taiwan as research subjects. Of 450 questionnaire distributed, 300 valid questionnaires were returned, giving a response rate of 66.7%. After conducting statistical analysis and estimation using structural equation modeling, findings included: (1) job satisfaction has positive effects on organizational commitment; (2) nurse perceptions of internal marketing have positive effects on job satisfaction; and (3) nurse perceptions of internal marketing have positive effects on organizational commitment.

  15. Curing the disobedient patient: medication adherence programs as pharmaceutical marketing tools.

    Science.gov (United States)

    Lamkin, Matt; Elliott, Carl

    2014-01-01

    Pharmaceutical companies have long focused their marketing strategies on getting doctors to write more prescriptions. But they lose billions in potential sales when patients do not take their prescribed drugs. Getting patients to "adhere" to drug therapies that have unpleasant side effects and questionable efficacy requires more than mere ad campaigns urging patients to talk to their doctors. It requires changing patients' beliefs and attitudes about their medications through repeated contact from people patients trust. Since patients do not trust drug companies, these companies are delivering their marketing messages through nurses, pharmacists, and even other patients--leveraging patients' trust in these intermediaries to persuade them to consume more brand name drugs. Armed with the premise that better adherence improves patients' health, drug companies justify manipulating patients by reframing reasonable decisions to decline therapy as pathological, and promote brand loyalty in the guise of offering medical care. © 2014 American Society of Law, Medicine & Ethics, Inc.

  16. Medically unexplained symptoms and the risk of loss of labor market participation

    DEFF Research Database (Denmark)

    Loengaard, Katja; Bjorner, Jakob Bue; Fink, Per Klausen

    2015-01-01

    BACKGROUND: Medically Unexplained Symptoms (MUS) are frequently encountered in general practice. However, little is known whether MUS affects labor market participation. We investigated the prospective association between MUS at baseline and risk of long-term sickness absence (LTSA), unemployment......, and disability pensioning in a 5-year-follow-up study. METHODS: In the Danish Work Environment Cohort Study 2005, 8187 randomly selected employees from the Danish general population answered a questionnaire on work and health. Responses were linked with national registers on prescribed medication and hospital...... follow-up. MUS participants also showed an elevated RR with regard to risk of disability pensioning, however this association was not statistically significant (RR = 2.06, 95% CI = 0.77-5.52). CONCLUSION: MUS seem to have a negative effect on labor market participation defined by LTSA and unemployment...

  17. Marketing.

    Science.gov (United States)

    Chambers, David W

    2010-01-01

    There is not enough marketing of dentistry; but there certainly is too much selling of poor quality service that is being passed off as dentistry. The marketing concept makes the patient and the patients' needs the ultimate criteria of marketing efforts. Myths and good practices for effective marketing that will promote oral health are described under the traditional four "Ps" categories of "product" (best dental care), "place" (availability), "promotion" (advertising and other forms of making patients aware of available services and how to use them), and "price" (the total cost to patients of receiving care).

  18. Patient access to medical devices-what about Japan, the second largest medical device market?

    Science.gov (United States)

    Ikeno, Fumiaki; Ikeda, Koji; Uchida, Takahiro

    2014-01-01

    Patients' access to innovative medical devices in Japan still shows the gap between the other countries. The cause of this device gap is researched from the prior published data. We searched the review time of new innovative devices by the Pharmaceuticals and Medical Devices Agency (PMDA) and the submission time lag compared with the US and EU from the prior published data. The average review time was 9.5 months and the total time from PMDA to introduction of the device to patients in Japan is almost similar to the US and the four European countries. However, the time lag of the file submission between Japan and the US was 2.42 years, on average, between 2001 and 2009. The review time for new innovative medical devices by the PMDA has been improving year after year. On the contrary, the pre-submission delay still exists in Japan.

  19. Uptake of new antidiabetic medications in three emerging markets: a comparison between Brazil, China and Thailand.

    Science.gov (United States)

    Lu, Christine Y; Emmerick, Isabel Cristina M; Stephens, Peter; Ross-Degnan, Dennis; Wagner, Anita K

    2015-01-01

    New antidiabetic medications such as insulin analogues and thiazolidinediones have been introduced over the last decade. This study compares the uptake of new agents in three emerging pharmaceutical markets: Brazil, China, and Thailand. Using longitudinal IMS Health sales data, we calculated the quarterly percentage market share for types of insulins and oral hypoglycemic agents from 2002 through 2012 in each country. New oral hypoglycemic agents included: alpha-glucosidase inhibitors, thiazolidinediones, dipeptidyl peptidase-4 inhibitors, and non-sulfonylurea secretagogues. While China had the highest use of insulin cartridges and pens (85.6% in 2010), Brazil was the earliest adopter of insulin analogues and had the greatest use of these products overall (44.6% of the insulin market) in 2010, which then decreased by almost half by 2012. Together, sulfonylureas and metformin dominated the markets in Brazil and Thailand (~89% and ~96% respectively) over the 10-year period. Between 2002 and 2012, there was a shift in use from sulfonylureas to metformin; the market share of newer agents remained 10% or less in both countries. In China, however, market share of new oral agents grew rapidly from 13.1% to 44.4%. While metformin use was relatively stable in China (one-third of the market), sulfonylureas declined substantially over the 10-year period (41.5% to 20.8%). Given large cost differentials between newer and older insulins and among oral hypoglycemic agents, it is important to evaluate uptake of newer products over time. Uptake patterns differed in the study countries, likely due to different medicines policy approaches. Future research should evaluate how trends in use of antidiabetic products align with national clinical practice guidelines and pharmaceutical policies, as well as the impacts of different patterns of use on cost and clinical outcomes.

  20. Marketing.

    Science.gov (United States)

    Appel, David L.

    This booklet suggests ways in which institutions--Catholic schools in particular--can move beyond public relations and advertising to engage in the broader arena of marketing with its focus on consumer satisfaction. The first of the book's three chapters reviews the concept of marketing, providing definitions of key terms, clarification of…

  1. [Countryside obstetrics--Dr. Franz von Ottenthal and the South Tyrolean Medical Market (1860-1869)].

    Science.gov (United States)

    Hilber, Marina

    2012-01-01

    The paper focuses on the structure of the obstetric market in a rural region of alpine South Tyrol (today: Italy) throughout the 1860s. Besides midwives and parturient women, also male obstetricians are traceable in the actual research area of the Tauferer Ahrntal. Among them was the general practitioner Dr. Franz von Ottenthal, whose medical records (Historiae Morborum, 1847-1899) are used to reconstruct the participation of physicians in the obstetric market. Special emphasis lies on the evaluation of the predominant hierarchies (midwives/surgeons/physicians) and the position of Franz von Ottenthal in this specialized medical sub-segment. Therefore, the quantitative extent of obstetric intervention as well as the qualitative dimension of treatments (medication, surgeries) is investigated. So far, the relevance of Ottenthals obstetric practice as to the gender ratio has been measured as rather high, considering that he generally treated more female than male patients. An attempt will be made to estimate the significance of the obstetric segment within his practice in order to find an explanatory approach for the higher female medical demand.

  2. The concept of marketing in the public-private partnership in the medical system in Romania.

    Science.gov (United States)

    Purcărea, V L; Coculescu, B I; Coculescu, E C

    2014-01-01

    During the transition period, the Romanian medical system, subject (like other areas) to a process of reform, had to go through a difficult path, not without obstacles (malpractice, underfunding, embezzlement scandals in the media etc.). Consequently, Romania has faced (and unfortunately still is still facing) the massive exodus of health professionals to countries where they can benefit from better working conditions and payment, and those who suffer from health care crisis are the patients. Reform means "the people in the system for the people", which requires a change of mindset within the medical staff, especially in the continuous professional development. However, to talk about the quality of the medical act requires that all those involved in the medical system should create appropriate conditions - i.e. advanced technical equipment and appropriate salaries. In addition, as underfunding is the main cause of failure in the health system, that management remains the only tool that can lead to the appropriate use of the existing resources and the quality of health services. Therefore, the idea of public-private partnership - which occurred as a challenge, especially after the EU accession - can be considered a solution designed to improve the quality and cost of health services. In other words, the cooperation of the private sector with the public authority means increasing the rigor of the medical equipment performance, fostering professional competition, and an increased attention to the patient, in a word: performance. Currently, more and more frequently, the management has studied to identify opportunities for innovation in health care services in an attempt to bring together patients and practitioners in the field by resorting to the identification of the ways they can receive health care services promptly, fairly and efficiently. Therefore, a clear and responsible design in the spirit of ethics and medical ethic will help the marketing manager solve many

  3. Relationship between National Institutes of Health research awards to US medical schools and managed care market penetration.

    Science.gov (United States)

    Moy, E; Mazzaschi, A J; Levin, R J; Blake, D A; Griner, P F

    1997-07-16

    Medical research conducted in academic medical centers is often dependent on support from clinical revenues generated in these institutions. Anecdotal evidence suggests that managed care has the potential to affect research conducted in academic medical centers by challenging these clinical revenues. To examine whether empirical evidence supports a relationship between managed care and the ability of US medical schools to sustain biomedical research. Data on annual extramural research grants awarded to US medical schools by the National Institutes of Health (NIH) from fiscal years 1986 to 1995 were obtained, and each medical school was matched to a market for which information about health maintenance organization (HMO) penetration in 1995 was available. Growth in total NIH awards, traditional research project (R01) awards, R01 awards to clinical and basic science departments, and changes in institutional ranking by NIH awards were compared among schools located in markets with low, medium, and high managed care penetration. Medical schools in all markets had comparable rates of growth in NIH awards from 1986 to 1990. Thereafter, medical schools in markets with high managed care penetration had slower growth in the dollar amounts and numbers of NIH awards compared with schools in markets with low or medium managed care penetration. This slower growth for schools in high managed care markets was associated with loss of share of NIH awards, equal to $98 million in 1995, and lower institutional ranking by NIH awards. Much of this revenue loss can be explained by the slower growth of R01 awards to clinical departments in medical schools in high managed care markets. These findings provide evidence of an inverse relationship between growth in NIH awards during the past decade and managed care penetration among US medical schools. Whether this association is causal remains to be determined.

  4. Impacts of regulated competition on pricing in Chinese pharmaceutical market under urban employee basic medical insurance.

    Science.gov (United States)

    Zhao, Mingyue; Wu, Jing

    2017-06-01

    Examine the effects of regulated competition on the drug pricing in China. Based on product-level data, a regression method was employed for pricing by using data from Tianjin Urban Employee Basic Medical Insurance (UEBMI) database. The market competition measures distinguished generic competition within the same molecule from therapeutic competition within the same therapeutic class. The increases in pricing are inversely related to the number of generic competitions. The generic sub-group results vary from the originator sub-group. For the generics, generic competition has a significantly reduced effect on the price; however, only therapeutic competition has a significantly reduced effect on the originator price. Regulated competition has a positive role in shaping the pharmaceutical market. Furthermore, regulated competition affects the price differently for the sub-groups. The promotion of competition between generic and originator in order to reap full competition benefit and reduce frictions among policies are necessary.

  5. The doctor and the market: about the influence of market reforms on the professional medical ethics of surgeons and general practitioners in the Netherlands.

    Science.gov (United States)

    Dwarswaard, Jolanda; Hilhorst, Medard; Trappenburg, Margo

    2011-12-01

    To explore whether market reforms in a health care system affect medical professional ethics of hospital-based specialists on the one hand and physicians in independent practices on the other. Qualitative interviews with 27 surgeons and 28 general practitioners in The Netherlands, held 2-3 years after a major overhaul of the Dutch health care system involving several market reforms. Surgeons now regularly advertise their work (while this was forbidden in the past) and pay more attention to patients with relatively minor afflictions, thus deviating from codes of ethics that oblige physicians to treat each other as brothers and to treat patients according to medical need. Dutch GPs have abandoned their traditional reticence and their fear of medicalization. They now seem to treat more in accordance with patients' preferences and less in accordance with medical need. Market reforms do affect medical professional principles, and it is doubtful whether these changes were intended when Dutch policy makers decided to introduce market elements in the health care system. Policy makers in other countries considering similar reforms should pay attention to these results.

  6. Abortion choices among women in Cambodia after introduction of a socially marketed medicated abortion product.

    Science.gov (United States)

    Sotheary, Khim; Long, Dianna; Mundy, Gary; Madan, Yasmin; Blumenthal, Paul D

    2017-02-01

    To assess whether a social marketing initiative focusing on medicated abortion via a mifepristone/misoprostol "combipack" has contributed to reducing unsafe abortion in Cambodia. In a questionnaire-based cross-sectional study, annual household surveys were conducted across 13 Cambodian provinces in 2010, 2011, and 2012. One married woman of reproductive age who was not pregnant and did not wish to be within the next 2 years in each randomly selected household was approached for inclusion. Participants were interviewed using a structured questionnaire. The questionnaire was completed by 1843 women in 2010, 2068 in 2011, and 2059 in 2012. Manual vacuum aspiration was reported by 61 (72.6%) of 84 women surveyed in 2010 who reported an abortion in the previous 12 months, compared with only 28 (52.8%) of 53 in 2012 (P=0.001). The numbers of women undergoing medicated abortion increased from 22 (26.2%) of 84 in 2010 to 27 (49.1%) of 53 in 2012 (P=0.003), whereas the numbers undergoing unsafe abortion decreased from 4 (4.8%) in 2010 to 0 in 2012 (P=0.051). Social marketing of medication abortion coupled with provider training in clinical and behavioral change could have contributed to a reduction in the prevalence of unsafe abortion and shifted the types of abortion performed in Cambodia, while not increasing the overall number of abortions. © 2016 International Federation of Gynecology and Obstetrics.

  7. Using marketing research concepts to investigate specialty selection by medical students.

    Science.gov (United States)

    Weissman, Charles; Schroeder, Josh; Elchalal, Uriel; Weiss, Yoram; Tandeter, Howard; Zisk-Rony, Rachel Y

    2012-10-01

    This study was intended to examine whether a marketing research approach improves understanding of medical specialty selection by medical students. This approach likens students to consumers who are deciding whether or not to purchase a product (specialty). This approach proposes that when consumers' criteria match their perceptions of a product's features, the likelihood that they will purchase it (select the specialty) increases. This study examines whether exploring students' selection criteria and perceptions of various specialties provides additional insights into the selection process. Using a consumer behaviour model as a framework, a questionnaire was designed and administered to Year 6 (final-year) students in 2008 and 2009 to elicit information on their knowledge about and interests in various specialties, the criteria they used in specialty selection, and their perceptions of six specialties. A total of 132 (67%) questionnaires were returned. In many instances, consistency between selection criteria and perceptions of a specialty was accompanied by interest in pursuing the specialty. Exceptions were noted and pointed to areas requiring additional research. For example, although > 70% of female students replied that the affordance of a controllable lifestyle was an important selection criterion, many were interested in obstetrics and gynaecology despite the fact that it was not perceived as providing a controllable lifestyle. Minimal overlap among students reporting interest in primary specialties that possess similar characteristics (e.g. paediatrics and family medicine) demonstrated the need to target marketing (recruitment) efforts for each specialty individually. Using marketing research concepts to examine medical specialty selection may precipitate a conceptual shift among health care leaders which acknowledges that, to attract students, specialties must meet students' selection criteria. Moreover, if consumers (students) deem a product (specialty

  8. Accessing the medical devices market in Egypt and Saudi Arabia: a systematic review of policies and regulations.

    Science.gov (United States)

    Gad, Mohamed; Kriza, Christine; Fidler, Armin; Kolominsky-Rabas, Peter

    2016-07-01

    Despite the significant medical devices market size in Egypt and Saudi Arabia, information regarding policies and regulations for medical devices market access is highly deficient. The aim of this paper is to provide a systematic review on market access policies and regulations in both countries, to allow safe and timely access to medical technology. The following databases were searched: PubMed, Science Direct, Scopus, and Al Manhal Arabic database. Additionally, the web portals of regulatory authorities of both countries were searched. There are 34 records included in the qualitative synthesis of this review. Expert commentary: Main findings include; adopted regulatory framework from reference countries, and interim main regulatory documents, In conclusion, the market access schemes are relatively structured. However, some recommendations are put forward to navigate towards a more comprehensive policy framework in both countries.

  9. Can inbound and domestic medical tourism improve your bottom line? Identifying the potential of a U.S. tourism market.

    Science.gov (United States)

    Fottler, Myron D; Malvey, Donna; Asi, Yara; Kirchner, Sarah; Warren, Natalia A

    2014-01-01

    In large part due to current economic conditions and the political uncertainties of healthcare reform legislation, hospitals need to identify new sources of revenue. Two potentially untapped sources are inbound (international) and domestic (within the United States) medical tourists. This case study uses data from a large, urban healthcare system in the southeastern United States to quantify its potential market opportunities for medical tourism. The data were mined from electronic health records, and descriptive frequency analysis was used to provide a preliminary market assessment. This approach permits healthcare systems to move beyond anecdotal information and assess the relative market potential of their particular geographic area and the diagnostic services they offer for attracting inbound and domestic medical tourists. Implications for healthcare executives and guidance on how they can focus marketing efforts are discussed.

  10. Markets

    Science.gov (United States)

    David N. Wear; Jeffrey Prestemon; Robert Huggett; Douglas Carter

    2013-01-01

    Key FindingsAlthough timber production in the South more than doubled from the 1960s to the late 1990s, output levels have declined over the last 10 years, signaling structural changes in timber markets.For softwood products, production declines are most clearly related to demand issues. Demand for softwood solid wood products...

  11. The doctor and the market: about the influence of market reforms on the professional medical ethics of surgeons and general practitioners in the Netherlands

    NARCIS (Netherlands)

    Dwarswaard, J.; Hilhorst, M.; Trappenburg, M.

    2011-01-01

    To explore whether market reforms in a health care system affect medical professional ethics of hospital-based specialists on the one hand and physicians in independent practices on the other. Qualitative interviews with 27 surgeons and 28 general practitioners in The Netherlands, held 2-3 years

  12. Promoting medical tourism to India: messages, images, and the marketing of international patient travel.

    Science.gov (United States)

    Crooks, Valorie A; Turner, Leigh; Snyder, Jeremy; Johnston, Rory; Kingsbury, Paul

    2011-03-01

    The practice of medical tourism depends on successfully informing potential patients about procedure options, treatment facilities, tourism opportunities, travel arrangements, and destination countries. The promotion of medical tourism includes a wide range of marketing materials such as flyers, booklets, and websites. Yet, there is a paucity of knowledge about the dissemination, content, and reception of these promotional materials. Drawing on a thematic content analysis of the promotional print material distributed at the first medical tourism trade show in Canada in 2009, the main purpose of this article is to identify and understand the messages and images that companies use to market India as a global destination. While researchers and news media frequently cite low cost procedures as a key determinant for international patient travel, particularly to developing nations, our analysis reveals few low cost-related images or messages in the promotional materials distributed at the trade show. To help explain this surprising disjuncture, we consider four related issues: (1) promotional materials may be designed to be circulated amongst potential patients' concerned family and friends who privilege knowing about things such as the use of advanced technologies; (2) developing nations need to portray safe and advanced treatment facilities in order to dispel potential patients' suspicions that their medical care is inferior; (3) companies may avoid making cost saving claims that cannot be fulfilled for all of their international patients, especially those traveling from developing nations; and (4) messages of low cost may detract from and even undermine messages about quality. We conclude by identifying numerous avenues for future research by social and health scientists, and by considering the implications of our findings for existing knowledge gaps and debates within health geography specifically. Copyright © 2011 Elsevier Ltd. All rights reserved.

  13. Learning from marketing: Rapid development of medication messages that engage patients.

    Science.gov (United States)

    Yank, Veronica; Tribett, Erika; Green, Lydia; Pettis, Jasmine

    2015-08-01

    To adapt marketing approaches in a health services environment. Researchers and advertising professionals partnered in developing advertising-style messages designed to activate patients pre-identified as having chronic kidney disease to ask providers about recommended medications. We assessed feasibility of the development process by evaluating partnership structure, costs, and timeframe. We tested messages with patients and providers using preliminary surveys to refine initial messages and subsequent focus groups to identify the most persuasive ones. The partnership achieved an efficient structure, $14,550 total costs, and 4-month timeframe. The advertising team developed 11 initial messages. The research team conducted surveys and focus groups with a total of 13 patients and 8 providers to identify three messages as most activating. Focus group themes suggested the general approach of using advertising-style messages was acceptable if it supported patient-provider relationships and had a credible evidence base. Individual messages were more motivating if they elicited personal identification with imagery, particular emotions, active patient role, and message clarity. We demonstrated feasibility of a research-advertising partnership and acceptability and likely impact of advertising-style messages on patient medication-seeking behavior. Healthcare systems may want to replicate our adaptation of marketing approaches to patients with chronic conditions. Copyright © 2015. Published by Elsevier Ireland Ltd.

  14. Is the medical loss ratio a good target measure for regulation in the individual market for health insurance?

    Science.gov (United States)

    Karaca-Mandic, Pinar; Abraham, Jean M; Simon, Kosali

    2015-01-01

    Effective January 1, 2011, individual market health insurers must meet a minimum medical loss ratio (MLR) of 80%. This law aims to encourage 'productive' forms of competition by increasing the proportion of premium dollars spent on clinical benefits. To date, very little is known about the performance of firms in the individual health insurance market, including how MLRs are related to insurer and market characteristics. The MLR comprises one component of the price-cost margin, a traditional gauge of market power; the other component is percent of premiums spent on administrative expenses. We use data from the National Association of Insurance Commissioners (2001-2009) to evaluate whether the MLR is a good target measure for regulation by comparing the two components of the price-cost margin between markets that are more competitive versus those that are not, accounting for firm and market characteristics. We find that insurers with monopoly power have lower MLRs. Moreover, we find no evidence suggesting that insurers' administrative expenses are lower in more concentrated insurance markets. Thus, our results are largely consistent with the interpretation that the MLR could serve as a target measure of market power in regulating the individual market for health insurance but with notable limited ability to capture product and firm heterogeneity. Copyright © 2013 John Wiley & Sons, Ltd.

  15. Market reforms in English primary medical care: medicine, habitus and the public sphere.

    Science.gov (United States)

    McDonald, Ruth

    2009-07-01

    Drawing on interviews with English primary care doctors (GPs), this paper examines GP responses to reforms intended to introduce a market in primary health care. GPs' reactions are conceptualised in terms of a GP habitus, which takes for granted the superiority of 'public' providers (i.e. GP partnerships) in the provision of care. GPs are actively involved in the defence of the public sphere, which is neither a neo-liberal minimalist market state, nor a wholly altruistic state, responding to consumers' wants. The public sphere they defend is one in which boundaries are drawn about entitlements and GPs are actively engaged in defining and policing these boundaries. The GP habitus can be seen as shaping responses in ways which serve GP interests. In the context of struggles involving various social actors (e.g. private providers, third-party payers, patients) with different stakes in the field of general medical practice; this public service orientation may enable GPs to reap cultural capital. At the same time, the habitus constrains action in a way which limits resistance to reforms threatening GPs' interests, with GPs responding by coping, rather than downing tools or engaging in active confrontation.

  16. Medical and Social Determinants of Subsequent Labour Market Marginalization in Young Hospitalized Suicide Attempters.

    Science.gov (United States)

    Niederkrotenthaler, Thomas; Tinghög, Petter; Goldman-Mellor, Sidra; Wilcox, Holly C; Gould, Madelyn; Mittendorfer-Rutz, Ellenor

    2016-01-01

    Individuals with a history of suicide attempt have a high risk for subsequent labour market marginalization. This study aimed at assessing the effect of individual and parental factors on different measures of marginalization. Prospective cohort study based on register linkage of 5 649 individuals who in 1994 were 16-30 years old, lived in Sweden and were treated in inpatient care for suicide attempt during 1992-1994. Hazard ratios (HRs) for labour market marginalization defined as long-term unemployment (>180 days), sickness absence (>90 days), or disability pension in 1995-2010 were calculated with Cox regression. Medical risk factors, particularly any earlier diagnosed specific mental disorders (e.g., schizophrenia: HR 5.4 (95% CI: 4.2, 7.0), personality disorders: HR 3.9, 95% CI: 3.1, 4.9), repetitive suicide attempts (HR 1.6, 95% CI: 1.4, 1.9) were associated with a higher relative risk of disability pension. Individual medical factors were of smaller importance for long-term sickness absence, and of only marginal relevance to long-term unemployment. Country of birth outside Europe had an opposite effect on disability pension (HR 0.6, 95% CI: 0.4, 0.8) and long-term unemployment (HR 1.5, 95% CI: 1.3, 1.8). Female sex was positively correlated with long-term sickness absence (HR 1.6, 95% CI: 1.4, 1.7), and negatively associated with long-term unemployment (HR: 0.8, 95% CI: 0.7, 0.9). As compared to disability pension, long-term sickness absence and unemployment was more strongly related to socio-economic variables. Marginalization pathways seemed to vary with migration status and sex. These findings may contribute to the development of intervention strategies which take the individual risk for marginalization into account.

  17. Medical and Social Determinants of Subsequent Labour Market Marginalization in Young Hospitalized Suicide Attempters.

    Directory of Open Access Journals (Sweden)

    Thomas Niederkrotenthaler

    Full Text Available Individuals with a history of suicide attempt have a high risk for subsequent labour market marginalization. This study aimed at assessing the effect of individual and parental factors on different measures of marginalization.Prospective cohort study based on register linkage of 5 649 individuals who in 1994 were 16-30 years old, lived in Sweden and were treated in inpatient care for suicide attempt during 1992-1994. Hazard ratios (HRs for labour market marginalization defined as long-term unemployment (>180 days, sickness absence (>90 days, or disability pension in 1995-2010 were calculated with Cox regression.Medical risk factors, particularly any earlier diagnosed specific mental disorders (e.g., schizophrenia: HR 5.4 (95% CI: 4.2, 7.0, personality disorders: HR 3.9, 95% CI: 3.1, 4.9, repetitive suicide attempts (HR 1.6, 95% CI: 1.4, 1.9 were associated with a higher relative risk of disability pension. Individual medical factors were of smaller importance for long-term sickness absence, and of only marginal relevance to long-term unemployment. Country of birth outside Europe had an opposite effect on disability pension (HR 0.6, 95% CI: 0.4, 0.8 and long-term unemployment (HR 1.5, 95% CI: 1.3, 1.8. Female sex was positively correlated with long-term sickness absence (HR 1.6, 95% CI: 1.4, 1.7, and negatively associated with long-term unemployment (HR: 0.8, 95% CI: 0.7, 0.9.As compared to disability pension, long-term sickness absence and unemployment was more strongly related to socio-economic variables. Marginalization pathways seemed to vary with migration status and sex. These findings may contribute to the development of intervention strategies which take the individual risk for marginalization into account.

  18. Inadequately marketing our brand: Medical student awareness of acute care surgery.

    Science.gov (United States)

    Montgomery, Stephanie C; Privette, Alicia R; Ferguson, Pamela L; Mirdamadi, Meena; Fakhry, Samir M

    2015-11-01

    Despite focused national efforts to promote acute care surgery (ACS), little is known about medical student awareness of ACS as a career choice. The impending shortage of general surgeons emphasizes the need to increase interest in this comprehensive surgical specialty. The goal of this study was to determine whether students would be more likely to consider choosing ACS if they were aware of the specialty and its benefits. A survey was distributed electronically to medical students at our institution, a Level I trauma center with an active ACS service. The survey asked questions regarding specialty choice and factors that were used in making that decision. Also included were questions regarding their familiarity and affinity for ACS. The survey was returned by 518 students. Each medical school year was proportionately represented. Twenty-one percent of the students reported surgery as their career choice; however, women were half as likely to choose surgery as men. When asked to define ACS, 23% of all students gave the correct response. Only 8.9% of the students in the preclinical years correctly defined ACS. Even in the clinical years, 54% were unaware of ACS as a specialty. Students reported that the top factors that influenced their choice were controllable lifestyle, predictable schedule, and a positive medical school role model. When asked to identify what would make ACS appealing, a 50-hour work week was deemed most influential. When given the definition of ACS with approximate pay and on-call hours, 41.5% of the students and 75% of those interested in surgery would be likely to choose ACS as a career. This study highlights that awareness of ACS as a specialty is lacking. This may reflect inadequate marketing of our "brand" both locally and nationally. Focused efforts at familiarizing students with ACS and increased role modeling may increase interest in ACS.

  19. ["What do physicians really read?" Medical journals and pharma-marketing between 1900 and the late 1970s].

    Science.gov (United States)

    Thoms, Ulrike

    2014-01-01

    Scientific Journals are widely used sources in the history science. First and foremost they are analyzed under the aspect of professionalization and the development of scientific topics. However, the impact of the increasing number of advertisements on the journals has been almost systematically excluded from historical analysis. The paper analyses the relations between pharma marketing and medical journals. However, the emphasis here is not so much on the development of print advertisements. Instead the paper uses sources, which were produced in the process of marketing to access the history of the medical scientific journal, its change and its reception by physicians.

  20. [Medical ethics in the world's market. Hippocratic fidelity or enterprise fidelity].

    Science.gov (United States)

    Roncoroni, A J

    2000-01-01

    The advance which resulted in the mean survival increase from 50 to 75 years between 1920 and 1990 also provoked the rise in health care costs, and the so called "health crisis". In order to contain it, market tactics were put to action, health care was considered a commodity, patients "consumers" and hospitals or physicians "providers". Economists, accountants and business advisors in charge of "Health Maintenance Organizations" (HMO) started the very profitable activity of intervening between patients and physicians. Rationing, use of general practice guides, suboptimal treatments, risk avoidance and other market tactics changed the practice of a profession into a business enterprise. The HMO decides if, when, how and how much will be given to any "consumer". Use of technology more impersonal and easily administered is the leading feature of to-day's medicine over the intellectual activity of the physician who hears, understands, makes the physical examination, diagnosis and treatment. The increasing depreciation of his task obliges the physician to enlarge the number and decrease his communication with his patients. His fiduciary obligation is subordinated to market needs and his practice increasingly compromises his moral integrity. The HMO boasts of the quality of the service given, this is the timely use of to-day's appropriate resources. Nobody wants the 1950 car or medical practice. Tomorrow's practice however depends on increasing knowledge, that is, on research, an activity which is not the HMO object. The academic-medical center, the very place where the interaction of teaching and investigating promotes the excellence is discriminated by the HMO because of its compromise with fiduciary activity imposed by 2500 years of jewish-christian philosophy. The future of these institutions (state's Cinderella's) is progressively compromised; when we loose them how long will it take to recover them? The politicians are always ready to create new hospitals, after

  1. Dispersion relations in heavily-doped nanostructures

    CERN Document Server

    Ghatak, Kamakhya Prasad

    2016-01-01

    This book presents the dispersion relation in heavily doped nano-structures. The materials considered are III-V, II-VI, IV-VI, GaP, Ge, Platinum Antimonide, stressed, GaSb, Te, II-V, HgTe/CdTe superlattices and Bismuth Telluride semiconductors. The dispersion relation is discussed under magnetic quantization and on the basis of carrier energy spectra. The influences of magnetic field, magneto inversion, and magneto nipi structures on nano-structures is analyzed. The band structure of optoelectronic materials changes with photo-excitation in a fundamental way according to newly formulated electron dispersion laws. They control the quantum effect in optoelectronic devices in the presence of light. The measurement of band gaps in optoelectronic materials in the presence of external photo-excitation is displayed. The influences of magnetic quantization, crossed electric and quantizing fields, intense electric fields on the on the dispersion relation in heavily doped semiconductors and super-lattices are also disc...

  2. Hospital Staff and Patient Recognition Toward Opening of Medical Services Market, and Factors in Selecting a Foreign Hospital

    OpenAIRE

    Ryu, Hyang Jin; Park, Eun Cheol; Sohn, Tae Yong; Yu, Seung Hum

    2007-01-01

    Purpose The objectives of this study are to compare the hospital employees' and patients' recognition and attitudes toward the opening of the medical services market, to analyze the differences between hospital employees and patients on the factors in selecting a foreign hospital. Materials and Methods This study collected and analyzed data using systematic questionnaires that were self-administered by employees and outpatients to compare their recognition of the opening of the medical servic...

  3. Marketing information goods and services in medical libraries and information centers

    Science.gov (United States)

    Ashrafi-rizi, Hasan; Kazempour, Zahra

    2012-01-01

    Marketing is one of the essential parts of any business corporation in the modern management. One can see the difference between corporations in gaining their goals, considering their marketing methods. Gaining more advantage or acquiring more funds can be of reasons for marketing, but these are not all the reasons. Perhaps the most important reason for marketing is increasing the customer satisfaction. This, in turn, leads to more willingness in payment and using services. Nowadays, due to rapid growth in ICT, changes in budgets, rapid growth in development and use of knowledge, variety of users and their needs, marketing has become an important factor in any library activities. Libraries are now more responsible in this regard, because marketing is now an important tool in improving users’ satisfaction in using library services. Hence, marketing is now very important for libraries to survive in the increasing pressures of competitive conditions of the information market. This article is tapping on issues such as information marketing, principles of marketing, marketing techniques, developing markets, and marketing skills. Some recommendations are also presented for marketing in libraries. PMID:23555112

  4. Marketing information goods and services in medical libraries and information centers.

    Science.gov (United States)

    Ashrafi-Rizi, Hasan; Kazempour, Zahra

    2012-01-01

    Marketing is one of the essential parts of any business corporation in the modern management. One can see the difference between corporations in gaining their goals, considering their marketing methods. Gaining more advantage or acquiring more funds can be of reasons for marketing, but these are not all the reasons. Perhaps the most important reason for marketing is increasing the customer satisfaction. This, in turn, leads to more willingness in payment and using services. Nowadays, due to rapid growth in ICT, changes in budgets, rapid growth in development and use of knowledge, variety of users and their needs, marketing has become an important factor in any library activities. Libraries are now more responsible in this regard, because marketing is now an important tool in improving users' satisfaction in using library services. Hence, marketing is now very important for libraries to survive in the increasing pressures of competitive conditions of the information market. This article is tapping on issues such as information marketing, principles of marketing, marketing techniques, developing markets, and marketing skills. Some recommendations are also presented for marketing in libraries.

  5. Exposure to the drug company marketing in Greece: Interactions and attitudes in a non-regulated environment for medical students

    Directory of Open Access Journals (Sweden)

    Magdalini Filippiadou

    2017-07-01

    Conclusion: Our results suggest that medical students in Greece are notably exposed to pharmaceutical industry marketing and their conflicting answers demonstrate that they are inadequately prepared for this interaction. Interventions are needed so that students are prepared and able to manage these interactions critically.

  6. Conductivity and superconductivity in heavily vacant diamond

    Directory of Open Access Journals (Sweden)

    S A Jafari

    2009-08-01

    Full Text Available   Motivated by the idea of impurity band superconductivity in heavily Boron doped diamond, we investigate the doping of various elements into diamond to address the question, which impurity band can offer a better DOS at the Fermi level. Surprisingly, we find that the vacancy does the best job in producing the largest DOS at the Fermi surface. To investigate the effect of disorder in Anderson localization of the resulting impurity band, we use a simple tight-binding model. Our preliminary study based on the kernel polynomial method shows that the impurity band is already localized at the concentration of 10-3. Around the vacancy concentration of 0.006 the whole spectrum of diamond becomes localized and quantum percolation takes place. Therefore to achieve conducting bands at concentrations on the scale of 5-10 percent, one needs to introduce correlations such as hopping among the vacancies .

  7. Modernising the regulation of medical migration: moving from national monopolies to international markets.

    Science.gov (United States)

    Epstein, Richard J; Epstein, Stephen D

    2012-10-05

    Traditional top-down national regulation of internationally mobile doctors and nurses is fast being rendered obsolete by the speed of globalisation and digitisation. Here we propose a bottom-up system in which responsibility for hiring and accrediting overseas staff begins to be shared by medical employers, managers, and insurers. In this model, professional Boards would retain authority for disciplinary proceedings in response to local complaints, but would lose their present power of veto over foreign practitioners recruited by employers who have independently evaluated and approved such candidates' ability. Evaluations of this kind could be facilitated by globally accessible National Registers of professional work and conduct. A decentralised system of this kind could also dispense with time-consuming national oversight of continuing professional education and license revalidation, which tasks could be replaced over time by tighter institutional audit supported by stronger powers to terminate underperforming employees. Market forces based on the reputation (and, hence, financial and political viability) of employers and institutions could continue to ensure patient safety in the future, while at the same time improving both national system efficiency and international professional mobility.

  8. Market Driven Design of Accelerator Systems for Sterilization of Medical Products.

    Science.gov (United States)

    Whitham, K.

    1997-05-01

    Historically, most scientific accelerator systems are the primary ingredient of a given facility. In commercial applications of accelerators the customers' needs are for a system in which the accelerator is a part of a process. In the case of the sterilization of medical products, the accelerator is part of a process which ensures a sterile dose to FDA standards to a variety of products. The process includes a variety of hardware and specifications for parameters that are unrelated to accelerator technology. In addition, the customers are in general unfamiliar with accelerator technology. This creates the need for a different approach to design including a multidisciplined group of designers as well as the need for the design of equipment that has industrial reliability, so as to be useable for long periods of time by relatively low skill operators. In addition, the systems must be highly cost efficient, because the accelerator technology will be competing with alternative technologies which invariably are less expensive. This paper describes the design of the TB 10/15 accelerator system which is currently being operated in several places around the world. The description includes the market needs that were addressed and how the system was designed to meet them. Log No. 3006

  9. Modernising the regulation of medical migration: moving from national monopolies to international markets

    Directory of Open Access Journals (Sweden)

    Epstein Richard J

    2012-10-01

    Full Text Available Abstract Background Traditional top-down national regulation of internationally mobile doctors and nurses is fast being rendered obsolete by the speed of globalisation and digitisation. Here we propose a bottom-up system in which responsibility for hiring and accrediting overseas staff begins to be shared by medical employers, managers, and insurers. Discussion In this model, professional Boards would retain authority for disciplinary proceedings in response to local complaints, but would lose their present power of veto over foreign practitioners recruited by employers who have independently evaluated and approved such candidates' ability. Evaluations of this kind could be facilitated by globally accessible National Registers of professional work and conduct. A decentralised system of this kind could also dispense with time-consuming national oversight of continuing professional education and license revalidation, which tasks could be replaced over time by tighter institutional audit supported by stronger powers to terminate underperforming employees. Summary Market forces based on the reputation (and, hence, financial and political viability of employers and institutions could continue to ensure patient safety in the future, while at the same time improving both national system efficiency and international professional mobility.

  10. Exposure to the drug company marketing in Greece: Interactions and attitudes in a non-regulated environment for medical students.

    Science.gov (United States)

    Filippiadou, Magdalini; Kouvelas, Dimitrios; Garyfallos, Georgios; Tsakiridis, Ioannis; Tzachanis, Dimitrios; Spachos, Dimitrios; Papazisis, Georgios

    2017-07-01

    Medical students are targeted by the pharmaceutical industry and are exposed to their marketing strategies even in the preclinical years of study. The marketing strategies used by pharmaceutical companies with physicians are also applied to students, affecting their future prescribing behaviour, and include low-cost non-educational gifts, travel expenses and conferences registration fees. In Greece, there are no national or institutional regulations and guidelines concerning drug company-medical student interactions. This study is the first time this estimate has been made in Greece and assessed a) the interactions between pharmaceutical companies and medical students, and b) students' attitudes towards pharmaceutical marketing. A sampling of undergraduate medical students completed an anonymous, self-administered, web-based survey. The first part of the survey investigated the interaction between the students and pharmaceutical companies; the possible answers were the binomial variables 'yes' or 'no'. The second part assessed the students' opinions of pharmaceutical company marketing and the answer options were 'agree', 'don't know/don't answer' and 'disagree'. The survey was completed by 412 undergraduate medical students (mean age 22 ± 2.2 years, 52.7% were women); the overall response rate was 58.9%. Although the majority did not consider accepting gifts and meals from drug companies as ethical, most of them (59%) had accepted meals and low-cost non-educational gifts, especially the clinical-level students. Further, 52,6% of the students did not believe that accepting gifts from pharmaceutical companies would affect their own prescription behaviour, whereas surprisingly they held the opposite opinion of their classmates. The vast majority (85.9%) agreed that sponsored lectures were biased in favour of a company's products; however, 47.6% agreed that promotional material is useful for learning about new medications and 34.5% believed that medical schools

  11. West Angeles Community Development Corporation final technical report on export market feasibility planning and research for the solar medical autoclave

    Energy Technology Data Exchange (ETDEWEB)

    Power, G.D.

    1998-04-20

    This report summarizes core findings from an investigation performed by the staff of West Angeles Community Development Corporation (CDC) regarding the feasibility of marketing the Solar Medical Autoclave (``autoclave``) in South Africa. The investigation was completed during 1997, the period prescribed by the Grant Award made by the U.S. Department of Energy on January 1, 1997, and was monitored by the National Renewable Energy Laboratory.

  12. Marketing marketing

    NARCIS (Netherlands)

    dr. Karel Jan van Alsem

    2013-01-01

    In deze installatierede betoogt Karel Jan Alsem dat marketing een grotere strategische rol in organisaties zou moeten krijgen. Want marketing is bij uitstek de verbinding tussen klantwensen en het DNA van een organisatie. Doordat merken gemiddeld voor mensen niet heel belangrijk zijn, is goede

  13. Medical Underwriting In Long-Term Care Insurance: Market Conditions Limit Options For Higher-Risk Consumers.

    Science.gov (United States)

    Cornell, Portia Y; Grabowski, David C; Cohen, Marc; Shi, Xiaomei; Stevenson, David G

    2016-08-01

    A key feature of private long-term care insurance is that medical underwriters screen out would-be buyers who have health conditions that portend near-term physical or cognitive disability. We applied common underwriting criteria based on data from two long-term care insurers to a nationally representative sample of individuals in the target age range (50-71 years) for long-term care insurance. The screening criteria put upper bounds on the current proportion of Americans who could gain coverage in the individual market without changes to medical underwriting practice. Specifically, our simulations show that in the target age range, approximately 30 percent of those whose wealth meets minimum industry standards for suitability for long-term care insurance would have their application for such insurance rejected at the underwriting stage. Among the general population-without considering financial suitability-we estimated that 40 percent would have their applications rejected. The predicted rejection rates are substantially higher than the rejection rates of about 20-25 percent of applicants in the actual market. In evaluating reforms for long-term care financing and their potential to increase private insurance rates, as well as to reduce financial pressure on public safety-net programs, policy makers need to consider the role of underwriting in the market for long-term care insurance. Project HOPE—The People-to-People Health Foundation, Inc.

  14. Exposure of Medical Students to Pharmaceutical Marketing in Primary Care Settings: Frequent and Influential

    Science.gov (United States)

    Sarikaya, Ozlem; Civaner, Murat; Vatansever, Kevser

    2009-01-01

    It is known that interaction between pharmaceutical companies and medical professionals may lead to corruption of professional values, irrational use of medicine, and negative effects on the patient-physician relationship. Medical students frequently interact with pharmaceutical company representatives and increasingly accept their gifts.…

  15. Variability in market uptake of psychotropic medications in Europe reflects cultural diversity.

    NARCIS (Netherlands)

    Hoebert, J.M.; Mantel-Teeuwisse, A.K.; Leufkens, H.G.M.; Dijk, L. van

    2017-01-01

    Background: In the last 20–30 years, many international studies have found substantial differences in the use of (older) psychotropic medication between European countries. The majority mentioned an important role for attitudes and beliefs towards psychotropic medication. So far, no studies have

  16. The application of a marketing systems planning framework to design a ground-air medical transport service.

    Science.gov (United States)

    Chasin, S; Schlacter, J; Shirley, C

    1986-01-01

    This article has examined the application of a marketing and community planning process to the development of a regional, complete patient transportation system. The model is designed to interface with a region whose existing Emergency Medical Service System is operating at the advanced Life Support (usually paramedic) level. It is suitable for regions whose existing ambulance (ground and air) services are in need of improvement and/or coordination, and specifically utilizes the concept of ownership and management by a hospital consortium. The model, as described, is sufficiently flexible to be usable in a variety of local and regional environments, where changes in the patient transportation system can enhance the quality and operations of emergency medical services.

  17. Heroin in brown, black and white: structural factors and medical consequences in the US heroin market.

    Science.gov (United States)

    Ciccarone, Daniel

    2009-05-01

    Heroin coming into the United States historically comes from three widely dispersed geographical regions: Southwest Asia, Southeast Asia and Mexico. A fourth source of US-bound heroin, from Colombia, originated in the early 1990s. The fact that the four heroin sources produce differing morphologies and qualities of heroin has not been critically examined. In addition, it is not well established how the contemporary competing dynamics of interdiction, or restriction of heroin flows across international boundaries, and neoliberal, e.g., global expansion of free trade, policies are affecting heroin markets. This paper will highlight changes in the US heroin market, including source trends, the political economy of the now dominant source and the resultant effects on the heroin risk environment by US region. Using a structural and historical framework this paper examines two decades of secondary data sources, including government and drug control agency documents, on heroin flows together with published work on the political and economic dynamics in Latin America. Co-occurring neoliberal economic reforms may have contributed to paradoxical effects of US/Colombian interdiction efforts. Since entering the US market, heroin from Colombia has been distributed at a much higher quality and lower retail price. An increasingly exclusive market has developed with Mexican and Colombian heroin gaining market share and displacing Asian heroin. These trends have had dramatic effects on the risk environment for heroin consumers. An intriguing factor is that different global sources of heroin produce substantially different products. Plausible associations exist between heroin source/form and drug use behaviours and harms. For example, cold water-soluble powdered heroin (sources: Asia, Colombia) may be associated with higher HIV prevalence in the US, while low-solubility "black tar" heroin (BTH; source: Mexico) is historically used in areas with reduced HIV prevalence. BTH is

  18. The 'market' for medical and health information in transition: the case of the Hong Kong Hospital Authority libraries.

    Science.gov (United States)

    Cheng, G

    1996-06-01

    The last few years have been a period of transition not only for hospitals and their governance but also for post-graduate medical education in Hong Kong. Both trends have a direct impact on the information market place. This article starts by studying the provision of medical and health-related information in Hong Kong. The two university medical and dental libraries, together with the hospital and health sciences libraries in government hospitals and the Department of Health, house the major collections on medicine and health care. The demand for medical and health care information is increasingly felt with the takeover of 39 hospitals by the statutory Hong Kong Hospital Authority in 1991. The major problems and issues in planning for library information services are the historically uneven development of libraries, discrepancies in funding, the changes in organizational and management structure, and the competition with higher development priorities within the organization. In view of current technology and the availability of rich external resources, the adopted strategies tend towards the formation of 10 library service networks, development of integrated library information systems on the Health Authority-wide area network, and the devolution of management responsibilities. The future challenges in store for the information professional are examined.

  19. THE METHODOLOGY FOR CALCULATING OF LABOR COSTS OF MEDICAL PERSONNEL IN MARKET CONDITIONS

    Directory of Open Access Journals (Sweden)

    S. V. Katasonov

    2015-01-01

    Full Text Available The article presents the approximate calculations of working time of physician to work with the patient and documentation. On the base of these calculations they outline the possible ways to optimize the work of the medical staff.

  20. United States academic medical centers: priorities and challenges amid market transformation.

    Science.gov (United States)

    Thompson, Irene M; Anason, Barbara

    2012-01-01

    United States academic medical centers (AMCs) have upheld their long-standing reputation for excellence by teaching and training the next generation of physicians, supporting medical research, providing world-class medical care, and offering breakthrough treatments for highly complex medical cases. In recent years, the pace and direction of change reshaping the American health care industry has created a set of new and profound challenges that AMC leaders must address in order to sustain their institutions. University HealthSystem Consortium (UHC) is an alliance of 116 leading nonprofit academic medical centers and 276 of their affiliated hospitals, all of which are focused on delivering world-class patient care. Formed in 1984, UHC fosters collaboration with and among its members through its renowned programs and services in the areas of comparative data and analytics, performance improvement, supply chain management, strategic research, and public policy. Each year, UHC surveys the executives of its member institutions to understand the issues they view as most critical to sustaining the viability and success of their organizations. The results of UHC's most recent 2011 member survey, coupled with a 2012 Strategic Health Perspectives Harris Interactive presentation, based in parton surveys of major health care industry stakeholders reveal the most important and relevant issues and opportunities that hospital leaders face today, as the United States health care delivery system undergoes a period of unprecedented transformation.

  1. Selling medical travel to US patient-consumers: the cultural appeal of website marketing messages.

    Science.gov (United States)

    Sobo, Elisa J; Herlihy, Elizabeth; Bicker, Mary

    2011-04-01

    More US-based patients than ever are travelling abroad for medical or dental services. Beyond financial incentives, what cultural factors have supported this trend? Because of their interest in selling medical travel, medical travel agencies (MTAs) have vested interests in this question. To find out how they are answering it, an ethnographic content analysis of MTA websites was undertaken. Beyond themes promoting a 'worry-free experience' of 'legitimate services', themes linking healthcare consumerism to culturally specific identity ideals and self-creation/representation processes predominated. Themes relating to the demonstration of social position, savvy expression of good consumer judgment, and achievement of libertarian ideals figured highly. However, various inconsistencies (including an appeal to tourism in some but not other situations) suggested that medical travel involves, for the US-based consumer, a complex act of juggling context-specific self-identity desires and expectations in relation to healthcare. The potential impact of prevailing discourses on 'self-construction-in-practice' was explored. Findings enhance understanding of the care seeking process as experienced within the context of globalized, mass-mediated healthcare consumerism. They also point to the need for finer-grained distinctions than the global gloss 'medical travel' offers.

  2. Funding of Graduate Medical Education in a Market-Based Healthcare System.

    Science.gov (United States)

    Schuster, Barbara L

    2017-02-01

    The graduate medical education (GME) process in the United States is considered the most respected model for high-quality education of graduate physicians in the world. With substantial funding through government and private insurers and through structured educational accreditation standards, the American Board of Medical Specialists-certified physicians are recognized for their expertise in delivering high-quality medical care. However, under fiscal constraints and changing social expectations, questions are continually posed about the process of funding and whether the "physician outcomes" are sufficient to continue with the investment. This article reviews the history of postgraduate physician education, the multiple funding pathways, disruptions to a placid educational system and changing social expectations. The ultimate issues involve the core goals of GME and how much GME should shoulder responsibility for changing the healthcare system. Copyright © 2017 Southern Society for Clinical Investigation. Published by Elsevier Inc. All rights reserved.

  3. Update on inflation of journal prices: Brandon/Hill list journals and the scientific, technical, and medical publishing market.

    Science.gov (United States)

    Schlimgen, Joan B; Kronenfeld, Michael R

    2004-07-01

    The original study of journal prices, using the "Brandon/ Hill Selected List of Books and Journals for the Small Medical Library," was first published in 1980 and periodically updated. This research continues to measure price increases for these titles for the periods 1996 to 1999 and 1999 to 2002. The 111 journal titles that have appeared in each published list from 1967 to 2001 were included in the study. Institutional subscription price data were gathered for each journal for the years 1996, 1999, and 2002 and were compared to the Consumer Price Index (CPI) for the same years. The average journal price continues to rise significantly and is independent of the CPI. The study found that prices have jumped 51.9% from 1996 to 1999 and 32% from 1999 to 2002, which is consistent with nearly every recent journal price study. The unprecedented rise in journal prices negatively affects the purchasing power of medical libraries. This paper examines the economic and technological pressures on the science, technology, and medical journals market that contribute to high prices and identifies a number of initiatives in the biological and health sciences that utilize alternative models for disseminating scientific research.

  4. Update on inflation of journal prices: Brandon/Hill list journals and the scientific, technical, and medical publishing market*

    Science.gov (United States)

    Schlimgen, Joan B.; Kronenfeld, Michael R.

    2004-01-01

    Objective: The original study of journal prices, using the “Brandon/ Hill Selected List of Books and Journals for the Small Medical Library,” was first published in 1980 and periodically updated. This research continues to measure price increases for these titles for the periods 1996 to 1999 and 1999 to 2002. Methodology: The 111 journal titles that have appeared in each published list from 1967 to 2001 were included in the study. Institutional subscription price data were gathered for each journal for the years 1996, 1999, and 2002 and were compared to the Consumer Price Index (CPI) for the same years. Results: The average journal price continues to rise significantly and is independent of the CPI. The study found that prices have jumped 51.9% from 1996 to 1999 and 32% from 1999 to 2002, which is consistent with nearly every recent journal price study. Conclusion: The unprecedented rise in journal prices negatively affects the purchasing power of medical libraries. This paper examines the economic and technological pressures on the science, technology, and medical journals market that contribute to high prices and identifies a number of initiatives in the biological and health sciences that utilize alternative models for disseminating scientific research. PMID:15243636

  5. USING ONLINE MARKETING TO INCREASE PARTICIPATION IN A WEB-BASED CONTINUING MEDICAL EDUCATION CULTURAL COMPETENCE CURRICULUM

    Science.gov (United States)

    Estrada, Carlos A.; Krishnamoorthy, Periyakaruppan; Smith, Ann; Staton, Lisa; Korf, Michele J.; Allison, Jeroan J.; Houston, Thomas K.

    2012-01-01

    Introduction CME providers may be interested in identifying effective marketing strategies to direct users to specific content. The use of online advertisements to recruit participants for clinical trials, public health programs, and Continuing Medical Education (CME) has been shown to be effective in some but not all studies. The purpose of this study was to compare the impact of two marketing strategies in the context of an online CME cultural competence curriculum (www.c-comp.org). Methods In an interrupted time-series quasi-experimental design, two marketing strategies were tested: a) wide dissemination to relevant organizations over a period of approximately four months, and b) Internet paid search using Google Ads (five consecutive eight-week periods--control 1, cultural/ CME advertisement, control 2, hypertension/ content advertisement, control 3). Outcome measures were CME credit requests, Web traffic (visits per day, page views, pages viewed per visit), and cost. Results Overall, the site was visited 19,156 times and 78,160 pages were viewed. During the wide dissemination phase, the proportion of visits requesting CME credit decreased between the first (5.3%) and second halves (3.3%) of this phase (p= .04). During the Internet paid search phase, the proportion of visits requesting CME credit was highest during the cultural/ CME advertisement period (control 1, 1.4%; cultural/CME ad, 4.3%; control 2, 1.5%; hypertension/content ad, 0.6%; control 3, 0.8%; pcultural advertisement per CME credit requested was $0.64US. Discussion Internet advertisement focusing on cultural competence and CME was associated with about a three-fold increase in requests for CME credit at an incremental cost of under $1; however, Web traffic changes were independent of the advertisement strategy. PMID:21425356

  6. Global Health, Medical Anthropology, and Social Marketing: Steps to the Ecology of Collaboration

    OpenAIRE

    Whiteford, Linda

    2015-01-01

    Anthropology and global health have long been a focus of research for both biological and medical anthropologists. Research has looked at physiological adaptations to high altitudes, community responses to water-borne diseases, the integration of traditional and biomedical approaches to health, global responses to HIV/AIDS, and more recently, to the application of cultural approaches to the control of the Ebola epidemic. Academic anthropology has employed theory and methods to extend knowledg...

  7. Post-marketing surveillance in the published medical and grey literature for percutaneous transluminal coronary angioplasty catheters: a systematic review.

    Science.gov (United States)

    Polisena, Julie; Forster, Alan J; Cimon, Karen; Rabb, Danielle

    2013-10-10

    Post-marketing surveillance (PMS) may identify rare serious incidents or adverse events due to the long-term use of a medical device, which was not captured in the pre-market process. Percutaneous transluminal coronary angioplasty (PTCA) is a non-surgical procedure that uses a balloon-tipped catheter to enlarge a narrowed artery. In 2011, 1,942 adverse event reports related to the use of PTCA catheters were submitted to the FDA by the manufacturers, an increase from the 883 reported in 2008. The primary research objective is to conduct a systematic review of the published and grey literature published between 2007 and 2012 for the frequency of incidents, adverse events and malfunctions associated with the use of PTCA catheters in patients with coronary artery disease (CAD). Grey literature has not been commercially published. We searched MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials and PubMed for medical literature on PMS for PTCA catheters in patients with CAD published between January 2007 and July 2012. We also searched the grey literature. This review included 11 studies. The in-hospital adverse events reported were individual cases of myocardial infarction and hematoma. In studies of patients with coronary perforation, more patients with balloon angioplasty were identified compared with patients who required stenting. Our systematic review illustrates that the volume and quality of PMS studies associated with the use of PTCA catheters in patients with CAD are low in the published and grey literature, and may not be useful sources of information for decisions on safety. In most studies, the objectives were not to monitor the long-term safety of the use of PTCA catheters in clinical practice. Future studies can explore the strengths and limitations of PMS databases administered by regulatory authorities.

  8. Market, Regulation, Market, Regulation

    DEFF Research Database (Denmark)

    Frankel, Christian; Galland, Jean-Pierre

    2015-01-01

    This paper focuses on the European Regulatory system which was settled both for opening the Single Market for products and ensuring the consumers' safety. It claims that the New Approach and Standardization, and the Global Approach to conformity assessment, which suppressed the last technical...... barriers to trade in Europe, realized the free movement of products by organizing progressively several orders of markets and regulation. Based on historical and institutional documents, on technical publications, and on interviews, this article relates how the European Commission and the Member States had...... alternatively recourse to markets and to regulations, at the three main levels of the New Approach Directives implementation. The article focuses also more specifically on the Medical Devices sector, not only because this New Approach sector has long been controversial in Europe, and has recently been concerned...

  9. PRE-MARKET CLINICAL EVALUATIONS OF INNOVATIVE HIGH-RISK MEDICAL DEVICES IN EUROPE

    DEFF Research Database (Denmark)

    Hulstaert, F.; Neyt, M.; Vinck, I.

    2012-01-01

    data are available? We studied the premarket clinical evaluation of innovative high-risk medical devices in Europe compared with the US, and with medicines, where appropriate. Methods: The literature and regulatory documents were checked. Representatives from industry, Competent Authorities, Notified...... of premarket trials in Europe and number of patients exposed, but failed as this information is not made public. Furthermore, the Helsinki Declaration is not followed with respect to the registration and publication of premarket trials. Conclusions: For innovative high-risk devices, new EU legislation should...

  10. Medical care price indexes for patients with employer-provided insurance: nationally representative estimates from MarketScan Data.

    Science.gov (United States)

    Dunn, Abe; Liebman, Eli; Pack, Sarah; Shapiro, Adam Hale

    2013-06-01

    Commonly observed shifts in the utilization of medical care services to treat diseases may pose problems for official price indexes at the Bureau of Labor Statistics (BLS) that do not account for service shifts. We examine how these shifts may lead to different price estimates than those observed in official price statistics at the BLS. We use a convenience sample of enrollees with employer-provided insurance from the MarketScan database for the years 2003 to 2007. Population weights that consider the age, sex, and geographic distribution of enrollees are assigned to construct representative estimates. We compare two types of price indexes: (1) a Service Price Index (SPI) that is similar to the BLS index, which holds services fixed and measures the prices of the underlying treatments; (2) a Medical Care Expenditure Index (MCE) that measures the cost of treating diseases and allows for utilization shifts. Over the entire period of study the CAGR of the SPI grows 0.7 percentage points faster than the preferred MCE index. Our findings suggest that the health component of inflation may be overstated by 0.7 percentage points per year, and real GDP growth may be understated by a similar amount. However, more work may be necessary to precisely replicate the indexes of the BLS to obtain a more accurate measure of these price differences. © Health Research and Educational Trust.

  11. The second market failure phenomenon in safety-net health systems: the case of a municipal academic medical center from 1980 to 2000.

    Science.gov (United States)

    Tataw, David

    2011-01-01

    The specific aim of this analysis is to demonstrate how the trade-off between efficiency and equity policy approaches affects the ability of at-risk children to access quality health care services at the King/Drew Medical Center of Los Angeles County from 1980 to 2000. The concept of a second market phenomenon is used as a framework to illustrate how efficiency-seeking behaviors of federal, state, and local government actors affected government intervention efforts initiated to remedy health care access hardships created by market failure in low-income communities. A second market failure occurs when government failure results from the reintroduction of market protocols in an environment where the market had originally failed to facilitate the distribution of basic goods and services. The review suggest that financial austerity at the Los Angeles County Department of Health Services in the context of federal, state, and local government policies that emphasized allocative efficiencies, compromised equity values by undermining access to quality pediatric services at the King/Drew Medical Center which was a municipal academic medical center.

  12. Closing the information gap: informing better medical decisionmaking through the use of post-market safety and comparative effectiveness information.

    Science.gov (United States)

    Fox, Bethany

    2012-01-01

    While FDA gathers vast amounts of data about prescription drugs prior to their marketing approval, important information about the relative effectiveness and long term safety of products is not required for approval, and often is never collected. Increased postmarket research on the safety and comparative effectiveness of products would improve medical decisionmaking and lead to better clinical outcomes. Fortunately, Congress has recognized the value of this information for healthcare professionals. In response to a congressional mandate in the FDA Amendments Act (FDAAA), FDA is developing the Sentinel Initiative, an active surveillance system for monitoring postmarket drug safety issues. FDAAA also authorized FDA to require a drug sponsor to conduct postmarket safety studies or clinical trials to address a specific safety concern. To increase the repository of comparative effectiveness information, Congress established the Patient-Centered Outcomes Research Institute (PCORI) in the Patient Protection and Affordable Care Act (PPACA), directing it to manage comparative effectiveness research (CER). This article discusses the need for better safety and comparative effectiveness information and outlines methods to efficiently conduct the research and communicate it effectively to healthcare professionals. Coordination between FDA and the PCORI in gathering and communicating postmarket information is recommended. Medical source data collected by the Sentinel Initiative should be used for CER in addition to postmarket safety surveillance, and FDA and the PCORI should adopt identical standards for the distribution and communication of CER. Coordination between the two entities is recommended to save costs, reduce duplication of efforts, and to generate and communicate more information on prescription drugs for medical decisionmakers.

  13. Sustainable clinical research, health economic aspects and medical marketing: drivers of product innovation.

    Science.gov (United States)

    Haschke, Ferdinand; Klassen-Wigger, Petra

    2010-01-01

    Marketing-driven innovation in the field of pediatric nutrition, in particular in the infant formula segment is not sustainable. New benefits of products must be scientifically proven and safety and efficacy of new formulae established in clinical trials. The scientific innovation process of three infant formulae is described. Improvement in protein quality allowed to reduce the protein concentration in whey-based infant formula. Weight gain and BMI of infants fed those formulae corresponds to breastfed infants and is lower than in infants fed traditional formulae with higher protein concentration. A meta-analysis indicates associations between rapid weight gain in infancy and obesity later in life. If infants cannot be exclusively breastfed until 4-6 months of age, feeding low-protein formulae may contribute to positive long-term health outcome with potentially important health economic effects. A partially hydrolyzed whey based formula for prevention of allergic symptoms in children with hereditary risk for allergic diseases was developed more than 25 years ago. The most recent meta-analysis which included 15 randomized clinical trials indicates that the risk of all allergic diseases and atopic dermatitis/eczema is significantly reduced in infants at risk when the partially hydrolyzed formula is fed. The partially hydrolyzed formula had the same protective effect as casein-based high-degree extensively hydrolyzed formula. Because of substantial price differences between the two formulae, feeding the partially hydrolyzed whey formula is cost saving. Hypoallergenic claims can be made in many countries, and international nutrition committees have positively commented the preventive effect of those formulae. Acidified formulae have been widely used during the last decade in replacement feeding programs for infants whose mothers are HIV positive. The formula was innovated by improving whey protein quality and lowering protein concentration. The bacteriostatic

  14. Source camera identification for low resolution heavily compressed images

    NARCIS (Netherlands)

    Alles, E.J.; Geradts, Z.J.M.H.; Veenman, C.J.

    2008-01-01

    In this paper, we propose a method to exploit photo response non-uniformity (PRNU) to identify the source camera of heavily JPEG compressed digital photographs of resolution 640 times 480 pixels. Similarly to research reported previously, we extract the PRNU patterns from both reference and

  15. Explosive phenomena in heavily irradiated NaCl

    NARCIS (Netherlands)

    denHartog, HW; Vainshtein, DI; Matthews, GE; Williams, RT

    1997-01-01

    In heavily irradiated NaCl crystals explosive phenomena can be initiated during irradiation or afterwards when samples are heated to temperatures between 100 and 250 degrees C. During irradiation of NaCl Na and Cl-2 precipitates and void structures are produced along with the accumulation of stored

  16. [How are consumers, service and market factors related to customer loyalty in medical service? Targeting the medical consumer in a city].

    Science.gov (United States)

    Lee, Sunhee; Kim, Hyunmi; Kim, Juhye; Ha, Gwiyeom

    2008-09-01

    This study was performed to explore customer loyalty and the related factors. 900 households (a 1% sample) were randomly selected from the total population of K city located in Kangwon province. An interview survey was performed with using a structured questionnaire for the subjects (923 persons) who had used medical service during the year before the survey, and the survey was done September, 2002. When comparing the relating factors related with customer loyalty according to the sociodemographic characteristics, the older group showed a significantly higher level of recognition for service quality, service reputation, internal customers.attitudes and switching cost. The lower income group showed a higher level of recognition for service quality, service image and switching cost. The lower educated group showed a higher level of recognition for service reputation, service image and internal customers.attitudes. The higher educated group showed a higher level of recognition for perceived risk, and seeking variety. In addition, the expert group or the service and manufacturing workers group showed a higher level of recognition for service involvement. On multiple regression analysis, internal customers' attitudes, service image, service reputation, service quality, switching cost, and substitutability showed significant relations with customer loyalty. This study showed that customer loyalty was significantly influenced by service factors like internal customers' attitudes, service image, service reputation, and service quality, and by market factors like switching cost, and substitutability. The results of this study can be used as a baseline for developing strategies to create and keep customers with high loyalty.

  17. Superconductivity in heavily boron-doped silicon carbide

    Directory of Open Access Journals (Sweden)

    Markus Kriener, Takahiro Muranaka, Junya Kato, Zhi-An Ren, Jun Akimitsu and Yoshiteru Maeno

    2008-01-01

    Full Text Available The discoveries of superconductivity in heavily boron-doped diamond in 2004 and silicon in 2006 have renewed the interest in the superconducting state of semiconductors. Charge-carrier doping of wide-gap semiconductors leads to a metallic phase from which upon further doping superconductivity can emerge. Recently, we discovered superconductivity in a closely related system: heavily boron-doped silicon carbide. The sample used for that study consisted of cubic and hexagonal SiC phase fractions and hence this led to the question which of them participated in the superconductivity. Here we studied a hexagonal SiC sample, free from cubic SiC phase by means of x-ray diffraction, resistivity, and ac susceptibility.

  18. Recovery by triple junction motion in heavily deformed metals

    DEFF Research Database (Denmark)

    Yu, Tianbo; Hansen, Niels; Huang, Xiaoxu

    2015-01-01

    is briefly considered, whereas recovery in samples deformed to much higher strains is discussed in more detail. An example is Al, where a new and important recovery mechanism is triple junction motion, which can remove thin lamellae and consequently increase the thickness of neighbouring lamellae...... controlling the rate of recovery by triple junction motion. Operation of triple junction motion in other heavily deformed metals, such as Ni and Cu, is also briefly discussed....

  19. Proposed Industry Best Practices in Development and Marketing of Medical Foods for the Management of Chronic Conditions and Diseases while Awaiting Regulation.

    Science.gov (United States)

    Burnett, Bruce; Levy, Robert M

    Ideal therapeutics have low toxicity and can effectively manage condition(s) or disease(s). The Food & Drug Administration (FDA) marketing category of therapeutics called “medical foods” (MFs) meets such a definition. Medical foods have existed in Federal law since passage the Orphan Drug Act in 1988, which created a category of nutritional therapeutics separate from drugs. Unfortunately, MFs are not widely understood by the medical community or utilized in all patients who need them due to lack of a FDA-approval process, unclear and contradictory guidance especially with regard for need for an investigational new drug (IND) application, and no clear regulations regarding their development and marketing. The goals of this article are to propose “Best Practices” to guide the medical food industry in the development and marketing of products as well as to serve as a starting point for suggestions regarding further FDA regulation so that therapeutics which are shown to be generally recognized as safe (GRAS), provide food ingredients to meet a distinctive nutritional requirement for a specific condition/disease and are proven effective for the management for that condition/disease can be used to benefit patients who need them.

  20. Tracking with heavily irradiated silicon detectors operated at cryogenic temperatures

    CERN Document Server

    Casagrande, L; Bartalini, P; Bell, W H; Borer, K; Bowcock, T J V; Buytaert, J; Chochula, P; Collins, P; Da Vià, C; Dijkstra, H; Dormond, O; Esposito, A P; Frei, R; Granata, V; Janos, S; Konorov, I; Lourenço, C; Niinikoski, T O; Pagano, S; Palmieri, V G; Parkes, C; Paul, S; Pretzl, Klaus P; Ruf, T; Ruggiero, G; Saladino, S; Schmitt, L; Smith, K; Sonderegger, P; Stavitski, I; Steele, D; Vitobello, F

    1999-01-01

    In this work we show that a heavily irradiated double-sided silicon microstrip detector recovers its performance when operated at cryogenic temperatures. A DELPHI microstrip detector, irradiated to a fluence of $\\sim\\,4\\times 10^{14}$ p/cm$^2$, no longer operational at room temperature, cannot be distinguished from a non-irradiated one when operated at $T<120$~K. Besides confirming the previously observed `Lazarus effect' in single diodes, these results establish for the first time, the possibility of using standard silicon detectors for tracking applications in extremely demanding radiation environments.

  1. Characterization of ultra-heavily damaged NaCl

    Energy Technology Data Exchange (ETDEWEB)

    Hartog, H.W. den; Sugonyako, A.V.; Vainshtein, D.I. [University of Groningen (Netherlands); Turkin, A.A. [National Science Centre, Institute of Physics and Technology, Kharkov (Ukraine); Sulyanov, S.N. [Institute of Crystallography, RAS, Moscow (Russian Federation); Kheiker, D.M.; Dorovatovskii, P.V. [Institute of Crystallography, RAS, Moscow (Russian Federation); Kurchatov Centre of Synchrotron Radiation, Moscow (Russian Federation)

    2007-03-15

    In this paper we present the progress made to (i) characterize the defect state of ultra-heavily damaged rock salt samples with up to more than 20 at% Na colloids, which had been irradiated with 0.5 MeV electrons at 100 C up to 10{sup 4} MGy (1000 GRad), and (ii) understand their physical properties. The explanation of the observations, made by means of a variety of experimental techniques, is not trivial and often the results obtained with different experimental techniques lead to conflicting interpretations. (copyright 2007 WILEY-VCH Verlag GmbH and Co. KGaA, Weinheim) (orig.)

  2. [Potentially inappropriate prescription according to the "STOPP" Criteria in heavily polymedicated elderly patients].

    Science.gov (United States)

    Terán-Álvarez, L; González-García, M J; Rivero-Pérez, A L; Alonso-Lorenzo, J C; Tarrazo-Suárez, J A

    2016-01-01

    Appropriate prescribing is especially relevant in elderly people. The objective of this study is to analyse the potentially inappropriate prescription (PIP) in heavily polymedicated elderly patients according to the criteria Screening Tool of Older Person's Prescriptions. A descriptive cross-sectional study was conducted in Primary Care on patients assigned to the Siero-Sariego (Asturias) Health Centre, who were over 64 years old and heavily polymedicated (consumption >10 drugs for six months). The 65 Screening Tool of Older Person's Prescriptions criteria were reviewed in the electronic Primary Care patient records, collecting sociodemographic variables, prescribed medications, and chronic diseases. Frequency distributions were made for each criterion, and causes related to PIP were explored using contingency tables, the Spearman correlation coefficient, and logistic regression. A total of 349 polymedicated elderly patients were analysed with a prevalence of 6.4 (95% CI:5.76-7.08), a mean age of 79.2 years (SD:3.7), 62.2% were female, 14% institutionalised, a Charlson index of 2.9. The mean of number of drugs was 11.5 (SD:1.7), and the most frequent pathologies were high blood pressure (64%), diabetes (46%), and osteoarticular diseases (41%). There was at least one PIP in 72.9% of heavily polymedicated elderly patients [(Mean: 1.32 (SD:1.2)]. The Screening Tool of Older Person's Prescriptions criteria least complied with were: therapeutic duplication (25.2%), use of long-acting benzodiazepines (15.8%), and inappropriate use of aspirin (10.9%). An association was found between having any inappropriate prescription and the number of medications prescribed (OR=1.22 [95% CI:1.04-1.43]) and inversely to the Charlson index (OR=0.76 [95% CI:0.65-0.89]). PIP is common in heavily polymedicated elderly patients. Special attention must be paid to the use of psychotropic drugs, which are implicated in a high volume of PIP. Copyright © 2014 Sociedad Española de Médicos de

  3. Uncovering Heavily Obscured AGN with WISE and NuSTAR

    Science.gov (United States)

    Hickox, Ryan C.; Carroll, Christopher M.; Yan, Wei; DiPompeo, Michael A.; Hainline, Kevin N.; NuSTAR Obscured AGN Team

    2018-01-01

    Supermassive black holes gain their mass through accretion as active galactic nuclei (AGN), but it is now clear that a large fraction of this growth is "hidden" behind large columns of gas and dust. Of particular interest are Compton-thick (CT) AGN, with columns NH > 1024 cm-2, that have been difficult to identify using optical or soft X-ray surveys. We will present two studies of heavily obscured AGN that aim to uncover more of the full population of "hidden" growing black holes: (1) Analysis of the spectral energy distributions of millions of galaxies with photometry from WISE (mid-IR), UKIDSS (near-IR), and SDSS (optical), that uncovers large populations of weak or heavily buried AGN, and (2) NuSTAR observations of a sample of candidate highly obscured AGN, selected from WISE and SDSS photometry,and confirmed using SALT and Keck spectroscopy. The NuSTAR data reveal the existence of powerful CT quasars with extremely large columns NH > 1025 cm-2, which may represent a significant fraction of previously hidden black hole growth. This work is supported by NASA grant numbers NNX16AN48G and NNX15AP24G, and the NSF through grant numbers 1515364 and 1554584.

  4. Characteristics of Heavily Edited Objects in OpenStreetMap

    Directory of Open Access Journals (Sweden)

    Peter Mooney

    2012-03-01

    Full Text Available This paper describes the results of an analysis of the OpenStreetMap (OSM database for the United Kingdom (UK and Ireland (correct to April 2011. 15; 640 OSM ways (polygons and polylines, resulting in 316; 949 unique versions of these objects, were extracted and analysed from the OSM database for the UK and Ireland. In our analysis we only considered “heavily edited” objects in OSM: objects which have been edited 15 or more times. Our results show that there is no strong relationship between increasing numbers of contributors to a given object and the number of tags (metadata assigned to it. 87% of contributions/edits to these objects are performed by 11% of the total 4128 contributors. In 79% of edits additional spatial data (nodes are added to objects. The results in this paper do not attempt to evaluate the OSM data as good/poor quality but rather informs potential consumers of OSM data that the data itself is changing over time. In developing a better understanding of the characteristics of “heavily edited” objects there may be opportunities to use historical analysis in working towards quality indicators for OSM in the future.

  5. Common market but divergent regulatory practices: exploring European regulation and the effect on regulatory uncertainty in the marketing authorization of medical products

    NARCIS (Netherlands)

    Chowdhury, Nupur

    2013-01-01

    The medical product sector is characterised by a regulatory patchwork of European and national laws and guidelines operating concurrently with each other. Each of these sectors are characterised by different levels of regulatory uncertainty that may undermine the effectiveness of the regulatory

  6. Raltitrexed combined with bevacizumab in heavily pretreated metastatic colorectal cancer

    Directory of Open Access Journals (Sweden)

    Ke Cheng

    2013-01-01

    Full Text Available No standard chemotherapy regimen has been established for metastatic colorectal cancer (mCRC after progression on 5-fluorouracil, oxaliplatin, and irinotecan. Here, we report the combination of raltitrexed and bevacizumab as a salvage regimen for the treatment of three heavily pretreated patients with KRAS mutant mCRC. All three patients had stable disease (SD according to response evaluation criteria in solid tumors (RECIST criteria, progression free survival (PFS were 3.0, 3.2 months for the first two patients and have not been reached for over 5 months for the third patient and no severe adverse effect was observed. The combination of raltitrexed plus bevacizumab in mCRC seems worthy of further investigation.

  7. Heavily doped silicon electrode for dielectrophoresis in high conductivity media

    Science.gov (United States)

    Zhu, Xiongfeng; Tung, Kuan-Wen; Chiou, Pei-Yu

    2017-10-01

    A hemispherically shaped, heavily doped (N++) silicon electrode is proposed to overcome the challenges of dielectrophoretic (DEP) manipulation using a conventional metal electrode operating in high conductivity media. An N++ electrode decouples the strong electric field region from the electrode interface and provides a large interface capacitance to prevent surface charging in high conductivity media, thereby effectively suppressing electrochemical reactions. Compared to a conventional metal electrode, an N++ electrode can provide 3 times higher threshold voltage and a corresponding 9-fold enhancement of maximum DEP force in 1× phosphate-buffered saline buffer with an electrical conductivity of 1 S/m. Furthermore, an N++ silicon electrode has excellent thermal conductivity and low electrical impedance, ideal for powering massively parallel DEP manipulation in high conductivity media across a large area.

  8. Social marketing self-esteem: a socio-medical approach to high-risk and skin tone alteration activities.

    Science.gov (United States)

    Karelas, Gregory D

    2011-05-01

    This paper proposes social marketing as a tool to build individual self-esteem and thus prevent the uptake of activities that pose risk to health. Evidence supporting this approach can be drawn from pioneer social marketing campaigns of the last 30 years that successfully addressed the prevention, treatment and stigmatization of skin cancer and leprosy with a fraction of the communication and media tools available today. Focusing primarily on the practices of skin tanning and lightening, this paper builds on studies that validate the ties between self-esteem and behavior, and addresses popular conceptions of skin color as drivers for individual behavior. © 2011 The International Society of Dermatology.

  9. Marketing health services.

    Science.gov (United States)

    Zasa, R J

    1984-01-01

    Indisputably, marketing plays an important role in today's competitive health service industry. It is essential for every medical group manager to learn about the marketing process and his role in pursuing marketing in his medical group. Conducting internal and external assessments, developing promotional techniques and strategies, organizing and implementing a plan, and evaluating results are all critical areas in the marketing effort. When each critical area is carefully examined and steps are properly taken, a marketing approach will be totally consistent with delivery of high-quality patient care services.

  10. [Marketing for hospitals--an issue?].

    Science.gov (United States)

    Schindler, Achim W; Schindler, Nicola; Vagts, Dierk

    2007-09-01

    Since economization of medicine continues, marketing is becoming more and more important. To shape marketing activities in correspondence with their professional ethics, physicians need some basic knowledge about marketing. The process of marketing consists of SWOT-analysis, market segmentation, market differentiation, positioning and the marketing-mix with ist most important component, the marketing communication. Specific aspects in the marketing of medical services derive from their nature as a service and the determinants of perceived service quality.

  11. Static and dynamic properties of heavily doped quantum vortices

    Science.gov (United States)

    Pshenichnyuk, I. A.

    2017-10-01

    Quantum vortices in superfluids may capture matter and deposit it inside their core. By doping vortices with foreign particles one can effectively visualize them and study them experimentally. To acquire a better understanding of the interaction between quantum vortices and matter, and clarify the details of recent experiments, the properties of doped vortices are investigated here theoretically in the regimes where the doping mass becomes close to the total mass of superfluid particles forming a vortex. Such formations are dynamically stable and, possessing both vorticity and enhanced inertia, demonstrate properties that are different from the pure vortex case. The goal of this paper is to define and investigate the universal aspects of heavily doped vortex behavior, which can be realized in different types of quantum mixtures. The proposed 3D model is based on a system of coupled semiclassical matter wave equations that are solved numerically in a wide range of physical parameters. The size, geometry and binding energy of dopants in different regimes are discussed. The coupled motion of a vortex–dopant complex and decoupling conditions are studied. The reconnection of vortices, taken as an example of a fundamental process responsible for the evolution of a quantum turbulent state, is modeled to illustrate the difference between the light and heavy doping cases.

  12. Einstein's photoemission emission from heavily-doped quantized structures

    CERN Document Server

    Ghatak, Kamakhya Prasad

    2015-01-01

    This monograph solely investigates the Einstein's Photoemission(EP) from Heavily Doped(HD) Quantized Structures on the basis of newly formulated electron dispersion laws. The materials considered are quantized structures of HD non-linear optical, III-V, II-VI, Ge, Te, Platinum Antimonide, stressed materials, GaP, Gallium Antimonide, II-V, Bismuth Telluride together with various types of HD superlattices and their Quantized counterparts respectively. The EP in HD opto-electronic materials and their nanostructures is studied in the presence of strong light waves and intense electric fields  that control the studies of such quantum effect devices. The suggestions for the experimental determinations of different important physical quantities in HD 2D and 3D materials  and the importance of measurement of band gap in HD optoelectronic materials under intense built-in electric field in nano devices and strong external photo excitation (for measuring   physical properties in the presence of intense light waves w...

  13. Medical technology management in U.S. hospitals.

    Science.gov (United States)

    Baretich, Matthew F

    2002-01-01

    Medical technologies move from research and development through manufacturing and marketing into the healthcare delivery system. Within the healthcare delivery system, hospitals rely heavily on medical technologies (and the medical devices they enable) to provide diagnosis, treatment, and monitoring in patient care. Managing these devices from acquisition through application in patient care is a formidable task. Hospitals must act to maximize the benefits of medical devices while minimizing adverse side effects. They must do so within a highly regulated and cost-constrained environment. This paper describes the challenges hospitals face and the strategies they employ in their efforts to achieve cost-effective medical technology management. The role of clinical engineering is discussed.

  14. Random responses inflate statistical estimates in heavily skewed addictions data.

    Science.gov (United States)

    King, Kevin M; Kim, Dale S; McCabe, Connor J

    2017-12-09

    Some respondents may respond at random to self-report surveys, rather than responding conscientiously (Meade and Craig, 2012), and this has only recently come to the attention of researchers in the addictions field (Godinho et al., 2016). Almost no research in the published addictions literature has reported screening for random responses. We illustrate how random responses can bias statistical estimates using simulated and real data, and how this is especially problematic in skewed data, as is common with substance use outcomes. We first tested the effects of varying amounts and types of random responses on covariance-based statistical estimates in distributions with varying amounts of skew. We replicated these findings in correlations from a real dataset (Add Health) by replacing varying amounts of real data with simulated random responses. Skew and the proportion of random responses influenced the amount and direction of bias. When the data were not skewed, uniformly random responses deflated estimates, while long-string random responses inflated estimates. As the distributions became more skewed, all types of random responses began to inflate estimates, even at very small proportions. We observed similar effects in the Add Health data. Failing to screen for random responses in survey data produces biased statistical estimates, and data with only 2.5% random responses can inflate covariance-based estimates (i.e., correlations, Cronbach's alpha, regression coefficients, factor loadings, etc.) when data are heavily skewed. Screening for random responses can substantially improve data quality, reliability and validity. Copyright © 2017. Published by Elsevier B.V.

  15. Assessing new developments in the pre-market regulatory process of medical devices in the People's Republic of China.

    Science.gov (United States)

    Zhang, Shixuan; Kriza, Christine; Kolominsky-Rabas, Peter L

    2014-09-01

    The objective of this paper is to provide a systematic overview of the Chinese medical device registration processes, identify challenges and suggest how these can be addressed. In addition, the paper will outline the impact of new policies and regulations since the restructuring of the China FDA. A systematic review was performed for journal articles between the year of 2009 and 2013 in the following databases: PubMed, ScienceDirect and Zhongguozhiwang. The review has identified 184 papers which were potentially relevant. Seventeen articles were included in the review, which highlights the challenges and opportunities related to the medical device registration process. In order to understand the actual impact of the regulation environment and its policies including the lack of regulatory guidance regular assessment updates are crucial. The results of this paper are aimed at informing regulatory bodies, health policy decision makers, national and international Health Technology Assessment networks as well as medical devices manufacturers.

  16. Review of segmentation process in consumer markets

    OpenAIRE

    Veronika Jadczaková

    2013-01-01

    Although there has been a considerable debate on market segmentation over five decades, attention was merely devoted to single stages of the segmentation process. In doing so, stages as segmentation base selection or segments profiling have been heavily covered in the extant literature, whereas stages as implementation of the marketing strategy or market definition were of a comparably lower interest. Capitalizing on this shortcoming, this paper strives to close the gap and provide each step...

  17. Public health care providers and market competition: the case of Finnish occupational health services.

    Science.gov (United States)

    Kankaanpää, Eila; Linnosmaa, Ismo; Valtonen, Hannu

    2011-02-01

    As reforms in publicly funded health systems rely heavily on competition, it is important to know if and how public providers react to competition. In many European countries, it is empirically difficult to study public providers in different markets, but in Finnish occupational health services, both public and private for-profit and non-profit providers co-exist. We studied possible differences in public providers' performance (price, intensity of services, service mix-curative medical services/prevention, productivity and revenues) according to the competitiveness of the market. The Finnish Institute of Occupational Health (FIOH) collected data on clients, services and personnel for 1992, 1995, 1997, 2000 and 2004 from occupational health services (OHS) providers. Employers defray the costs of OHS and apply for reimbursement from the Social Insurance Institution (SII). The SII data was merged with FIOH's questionnaire. The unbalanced panel consisted of about 230 public providers, totalling 1,164 observations. Local markets were constructed from several municipalities based on commuting practices and regional collaboration. Competitiveness of the market was measured by the number of providers and by the Herfindahl index. The effect of competition was studied by ordinary least square regression analysis and panel models. The more competitive the environment was for a public provider the higher were intensity, productivity and the share of medical care. Fixed panel models showed that these differences were not due to differences and changes in the competitiveness of the market. Instead, in more competitive markets public providers had higher unit prices and higher revenues.

  18. Prospective cohort studies of newly marketed medications: using covariate data to inform the design of large-scale studies.

    Science.gov (United States)

    Franklin, Jessica M; Rassen, Jeremy A; Bartels, Dorothee B; Schneeweiss, Sebastian

    2014-01-01

    Nonrandomized safety and effectiveness studies are often initiated immediately after the approval of a new medication, but patients prescribed the new medication during this period may be substantially different from those receiving an existing comparator treatment. Restricting the study to comparable patients after data have been collected is inefficient in prospective studies with primary collection of outcomes. We discuss design and methods for evaluating covariate data to assess the comparability of treatment groups, identify patient subgroups that are not comparable, and decide when to transition to a large-scale comparative study. We demonstrate methods in an example study comparing Cox-2 inhibitors during their postmarketing period (1999-2005) with nonselective nonsteroidal anti-inflammatory drugs (NSAIDs). Graphical checks of propensity score distributions in each treatment group showed substantial problems with overlap in the initial cohorts. In the first half of 1999, >40% of patients were in the region of nonoverlap on the propensity score, and across the study period this fraction never dropped below 10% (the a priori decision threshold for transitioning to the large-scale study). After restricting to patients with no prior NSAID use, design that uses pilot data to evaluate treatment selection can guide the efficient design of large-scale outcome studies with primary data collection by focusing on comparable patients.

  19. Propaganda de medicamentos: como conciliar uso racional e a permanente necessidade de expandir mercado? Medication advertising: how to reconcile rational use and the permanent need for market expansions?

    Directory of Open Access Journals (Sweden)

    Álvaro Nascimento

    2007-07-01

    Full Text Available A indústria farmacêutica, agências de publicidade, empresas de comunicação e o comércio varejista têm implementado uma intensa estratégia de marketing com vistas a elevar o consumo de medicamentos. A revolução científica e tecnológica, por sua vez, altera o padrão de enfrentamento terapêutico de doenças e seu impacto no setor saúde faz surgir o fenômeno da medicalização e da lógica de que estes bens e serviços devam ser considerados mercadorias como as demais. Esta realidade impõe um desafio: na utilização de medicamentos, até onde prevalece a exigência terapêutica estritamente voltada para o controle de enfermidades e começa a pressão mercadológica a estimular o seu consumo? A exploração do valor simbólico do medicamento pela grande mídia passa a representar um poderoso instrumento de indução de hábitos para elevar seu consumo. A magnitude do problema levou a que o Estado há muito busque regular a propaganda de medicamentos por meio de leis, decretos e códigos, que vêm sendo desrespeitados ao longo do tempo. Em 30 de novembro de 2000, a Agência Nacional de Vigilância Sanitária (Anvisa publica a Resolução de Diretoria Colegiada (RDC 102, tentando novamente impor limites ao setor. Para além de um maior esforço fiscalizador, este trabalho discute o próprio modelo regulador adotado, que não tem conseguido alcançar o objetivo a que se propõe.The pharmaceutical industry, advertising agencies, communication companies, and the retail market have implemented an intense marketing strategy aimed at boosting medication consumption. The scientific and technological revolution, in turn, changed illnesses treatment standards and its impact on the health sector gave rise both to the medicalization phenomenon and to the logic that these goods and services should be considered as merchandise, as any other. This fact brings a challenge about: in medication use, to what extent should therapeutic requirements aimed

  20. Which way ahead?: I want my doctor to.... The mechanics of market research for medics in the millenium: special communication.

    Science.gov (United States)

    Hicks, A

    2004-12-01

    A brief description is given of the changing politico-social structure today involving medicine and especially the cosy personal doctor-patient relationship of the past which has now become triangular involving Managed Health Care Organisations in many cases. The Medical Practitioners' and Dentists' Board (the Board) appointed the Ethics Conference Committee largely composed of non-Board members to collect and collate information of what doctors, paramedics and the lay public expected from their doctors today. It is planned that the Committee's Report summarising this information would form the basis of the new guidelines to modern ethics to be published by the Board later. In this paper the mechanics, funding and production of the report are described but not the contents of the report which is still being considered by the new Board.

  1. Marketing; Il marketing

    Energy Technology Data Exchange (ETDEWEB)

    Muscigna, M. [ENEA, Centro Ricerche Casaccia, S. Maria di Galeria, RM (Italy). Dipt. Innovazione

    1999-07-01

    The report discusses marketing strategies oriented to the organizations and analyzes its critical factors, which determine the success of the organization activity. [Italian] Il rapporto analizza i caratteri delle strategie del marketing orientato all'impresa. Vengono infine analizzati i fattori critici che determinano il successo o l'insuccesso delle scelte aziendali.

  2. Emissions markets, power markets and market power: A study of the interactions between contemporary emissions markets and deregulated electricity markets

    Science.gov (United States)

    Dormady, Noah Christopher

    Chapter 1: A Monte Carlo Approach. The use of auctions to distribute tradeable property rights to firms in already heavily concentrated markets may further exacerbate the problems of market power that exist within those markets. This chapter provides a model of a two-stage emissions market modeled after a contemporary regional permit trading market in the United States, the Regional Greenhouse Gas Initiative, Inc. (RGGI). It then introduces Oligopsony 1.0, a C# software package constructed in the .NET environment that simulates uniform-price auctions using stochastic Monte Carlo simulation for modeling market power in tradeable property rights auctions. Monte Carlo methods add a probabilistic element to standard auction theoretic equilibria. The results of these simulations indicate that there can be significant non-linearities between profit and market power as exercised through strategic demand reduction. This analysis finds the optimum point of strategic demand reduction that enables the firm to exploit these non-linearities, and it determines the probability distributions of these optima using kernel density analysis. Chapter 2: An Experimental Approach. How will emerging auction-based emissions markets function within the context of today's deregulated auction-based electricity markets? This chapter provides an experimental analysis of a joint energy-emissions market. The impact of market power and collusion among dominant firms is evaluated to determine the extent to which an auction-based tradeable permit market influences performance in an adjacent electricity market. The experimental treatment design controls for a variety of real-world institutional features, including variable demand, permit banking, inter-temporal (multi-round) dynamics, a tightening cap, and resale. Results suggest that the exercise of market power significantly increases electricity auction clearing prices, without significantly increasing emissions auction clearing prices, and in

  3. Positioning marketing in the hospital's power structure.

    Science.gov (United States)

    Beckham, D

    1984-08-01

    Although hospitals are increasingly recognizing the importance of marketing, many have difficulty assimilating what has been primarily an industrial concern into a health care environment. The author explains the function of marketing in health care, the outlook and expectations of a good marketing executive, and why hospital management and the medical staff may have difficulty accepting marketing and the expectations of the marketing executive.

  4. Marketing Is Not a Luxury - Marketing Is a Necessity.

    Science.gov (United States)

    Price, Sean

    2017-10-01

    Physicians who work in small practices constantly face a basic marketing question: What's the best way to sell myself and my business to the community? Because few physicians studied business principles, many won't know the answer. That's why the Texas Medical Association is publishing a book titled Marketing Smart: A Guide for Medical Practices.

  5. Structure of an urban Christmas tree market

    Science.gov (United States)

    Thomas H. Pendleton; Lawrence D. Garrett; Lawrence D. Garrett

    1973-01-01

    The retail Christmas tree market in Winston-Salem, N.C., was studied 3 years. Types of retailers and their sales are described. Best sales were made by dealers who had lots on heavily traveled streets in business districts, had ample parking facilities, advertised, and displayed their trees well.

  6. ASSESSMENT OF CURRENT TRENDS OF THE MARKET NANOCOSMETICS DEVELOPMENT

    Directory of Open Access Journals (Sweden)

    Yu. V. Korzh

    2013-06-01

    Full Text Available Today, nanotechnology has become one of the strategic directions of economic development of the leading countries. According to literary sources, it is established that more than 50 countries of the world are adopting national programs in this field of new knowledge, and various methods of nanotechnology have received the greatest development and application in microelectronics, aerospace, chemical, medical, pharmaceutical and cosmetic industries. It should be noted, that beauty is the most represented products with the use of nanotechnologies in the world. On the evaluation of the European Commission in 2009, the specific weight of cosmetics with nanoparticles amounted to 5%. The aim of the work was to assess the current trends of the market nanocosmetic photoprotectors development. In the last years in Ukraine the market of cosmetics is developing dynamically. Manufacturers of medical cosmetics invest heavily in scientific researches, patents, improvement of existing technologies. To determine the status of the security of the pharmaceutical market of Ukraine, we have analyzed the volume of sales and range of medical cosmetics, presented at the domestic market. In terms of sales volume in money terms of therapeutic cosmetics every year loses its position. Thus, the volume of sales in 2011, has decreased on 1,1 % in comparison with 2009. In Ukraine cosmetics of native production occupies 8% of the total volume of sales, cosmetics of foreign production - 92%. At the next stage of the research we have analyzed the medical cosmetic means, which are used for the prevention of photo-aging of the skin. In General, the Ukrainian market of medicinal cosmetics contains 125 trademarks of foreign and native manufacture. The largest share in the market of Ukraine belongs to the French medical cosmetics - 48,6 % of the total number of medical cosmetic means. It is represented by the various lines of medical cosmetics brands such: Vichy, Avene, RoC, Uriage

  7. Inbound Marketing

    OpenAIRE

    Hesoun, Jan

    2013-01-01

    In my work I focus on Inbound Marketing, which represents a new perspective on marketing, that has not been given the attention it deserves. It is a combination of existing and proven marketing methods that are used to obtain new customers with minimal marketing costs to the organization. The first section of my work is devoted to defining the concept of Inbound Marketing definitions and explanations. Furthermore, I present a list of instruments used in Inbound Marketing, and showcase the def...

  8. Trends in market share of leading cigarette brands in the USA: national survey on drug use and health 2002-2013

    National Research Council Canada - National Science Library

    Sharma, Anushree; Fix, Brian V; Delnevo, Cristine; Cummings, K Michael; O'Connor, Richard J

    2016-01-01

    ... of market share trends. Introduction Cigarettes remain one of the most heavily advertised consumer products. Since tobacco manufacturers have a keen interest in driving consumers to select their products over their competitors, they invest heavily to promote specific brands using marketing via direct mail, cigarette packaging, point of sale...

  9. Sustainable Marketing

    NARCIS (Netherlands)

    Dam, van Y.K.

    2017-01-01

    In this article, three different conceptions of sustainable marketing are discussed and compared. These different conceptions are referred to as social, green, and critical sustainable marketing. Social sustainable marketing follows the logic of demand-driven marketing management and places the

  10. Enhanced diffusion of oxygen depending on Fermi level position in heavily boron-doped silicon

    Energy Technology Data Exchange (ETDEWEB)

    Torigoe, Kazuhisa, E-mail: ktorigoe@sumcosi.com; Fujise, Jun; Ono, Toshiaki [Technology Division, Advanced Evaluation and Technology Development Department, SUMCO Corporation, 1-52 Kubara, Yamashiro-cho, Imari, Saga 849-4256 (Japan); Nakamura, Kozo [Department of Communication Engineering, Okayama Prefectural University, 111 Kuboki, Soja, Okayama 719-1197 (Japan)

    2014-11-21

    The enhanced diffusivity of oxygen in heavily boron doped silicon was obtained by analyzing oxygen out-diffusion profile changes found at the interface between a lightly boron-doped silicon epitaxial layer and a heavily boron-doped silicon substrate by secondary ion mass spectrometry. It was found that the diffusivity is proportional to the square root of boron concentration in the range of 10{sup 18 }cm{sup −3}–10{sup 19 }cm{sup −3} at temperatures from 750 °C to 950 °C. The model based on the diffusion of oxygen dimers in double positive charge state could explain the enhanced diffusion. We have concluded that oxygen diffusion enhanced in heavily boron-doped silicon is attributed to oxygen dimers ionized depending on Fermi level position.

  11. Thermophotovoltaic energy conversion system having a heavily doped n-type region

    Science.gov (United States)

    DePoy, David M.; Charache, Greg W.; Baldasaro, Paul F.

    2000-01-01

    A thermophotovoltaic (TPV) energy conversion semiconductor device is provided which incorporates a heavily doped n-type region and which, as a consequence, has improved TPV conversion efficiency. The thermophotovoltaic energy conversion device includes an emitter layer having first and second opposed sides and a base layer in contact with the first side of the emitter layer. A highly doped n-type cap layer is formed on the second side of the emitter layer or, in another embodiment, a heavily doped n-type emitter layer takes the place of the cap layer.

  12. Internet marketing

    OpenAIRE

    Trofymchuk, Dmytro

    2009-01-01

    In the bachelor thesis are introduced theoretical concepts of the Internet and marketing, accented the need of marketing mix along with its specifics of the internet environment. Next is interpreted which tools can be used for marketing of firms and which marketing instruments are to be deployed. Final chapter illustrates socio-demographics of Czech internet users along with media market allocation from the perspective of all media as well as in the segment of the Internet.

  13. Marketing ethics, functions, and content: a health education/marketing survey.

    Science.gov (United States)

    Cooper, P D; King, K K

    1985-01-01

    Survey data were used to evaluate the role of marketing in the nonprofit arena of health promotion. Questionnaires utilizing a Likert type scale were sent to 106 marketers and 247 health educators soliciting their opinions about health care marketing. Both groups agreed that marketing was appropriate for both profit and non-profit organizations, but were not in total agreement on specific aspects of the marketing process. Marketers were adamant that marketing is not confined to promotional, advertising and communication functions, while health educators were neutral. Marketers were strong in their disagreement that marketing is selling; health educators were still neutral but in slight disagreement. Marketers did not believe that marketing uses gimmickry heavily, while health educators agreed that it does use gimmickry. A significant finding from the survey is that the major ethical issue for health educators is their view that marketing manipulates society. Both community and school health educators agreed that using marketing techniques is a step forward manipulation of a society, while the group of marketers disagreed.

  14. Marketing to physicians in a digital world.

    Science.gov (United States)

    Manz, Christopher; Ross, Joseph S; Grande, David

    2014-11-13

    Pharmaceutical marketing can lead to overdiagnosis, overtreatment, and overuse of medications. Digital advertising creates new pathways for reaching physicians, allowing delivery of marketing messages at the point of care, when clinical decisions are being made.

  15. AFM of metallic nano-particles and nano-structures in heavily irradiated NaCl

    NARCIS (Netherlands)

    Gaynutdinov, R; Vainshtein, DI; Hak, SJ; Tolstikhina, A; Den Hartog, HW

    2003-01-01

    AFM investigations are reported for heavily, electron irradiated NaCl crystals in ultra high vacuum (UHV) in the non-contact mode-with an UHV AFM/STM Omicron system. To avoid chemical reactions between the radiolytic Na and oxygen and water, the irradiated samples were cleaved and prepared for the

  16. Becoming a Heavily Tattooed Young Body: From a Bodily Experience to a Body Project

    Science.gov (United States)

    Ferreira, Vitor Sérgio

    2014-01-01

    Why some young people start to tattoo their bodies? And why some of them keep going on with this practice, until having all body tattooed? What doing so means to them? These are some of the questions that underlie a qualitative research project carried out in Portugal on heavily tattooed young people. In this article, the author discusses their…

  17. In situ observation of triple junction motion during recovery of heavily deformed aluminum

    DEFF Research Database (Denmark)

    Yu, Tianbo; Hughes, Darcy A.; Hansen, Niels

    2015-01-01

    Microstructural evolution during in situ annealing of heavily cold-rolled aluminum has been studied by transmission electron microscopy, confirming that an important recovery mechanism is migration of triple junctions formed by three lamellar boundaries (Y-junctions). The migrating Y...

  18. NuSTAR observations of heavily obscured quasars at z ~ 0.5

    DEFF Research Database (Denmark)

    Lansbury, G. B.; Alexander, D. M.; Del Moro, A.

    2014-01-01

    We present NuSTAR hard X-ray observations of three Type 2 quasars at z ≈ 0.4-0.5, optically selected from the Sloan Digital Sky Survey. Although the quasars show evidence for being heavily obscured, Compton-thick systems on the basis of the 2-10 keV to [O III] luminosity ratio and multiwavelength...

  19. Quantitative Microstructural Characterization of Thick Aluminum Plates Heavily Deformed Using Equal Channel Angular Extrusion

    DEFF Research Database (Denmark)

    Mishin, Oleg; Segal, V.M.; Ferrasse, S.

    2012-01-01

    A detailed quantitative analysis of the microstructure has been performed in three orthogonal planes of 15-mm-thick aluminum plates heavily deformed via two equal channel angular extrusion (ECAE) routes. One route was a conventional route A with no rotation between passes. Another route involved ...

  20. RADIATION-DAMAGE IN NACL .1. OPTICAL-ABSORPTION EXPERIMENTS ON HEAVILY IRRADIATED SAMPLES

    NARCIS (Netherlands)

    WEERKAMP, JRW; GROOTE, JC; SEINEN, J; DENHARTOG, HW

    1994-01-01

    Results of optical-absorption experiments on heavily irradiated NaCl single crystals are presented. The dose rates were between 4 and 250 Mrad/h; the doses between 1 and 7 Grad. The irradiation temperatures were in the range of 20-150-degrees-C. Because of the intense optical bands, the thickness of

  1. Heavily Germanium-Doped Silica Fiber With a Flat Normal Dispersion Profile

    DEFF Research Database (Denmark)

    Wang, Chun-can; Wang, M. H.; Wu, J.

    2015-01-01

    A heavily germanium-doped (Ge-doped) silica fiber with a four-layer refractive index profile is proposed to obtain all normal flat dispersion property. The waveguide dispersion in the fiber can be modified by adjusting the fiber parameters, including the refractive indices and the core radiuses...

  2. The ground state of metallic nano-structures in heavily irradiated NaCl-KBF4

    NARCIS (Netherlands)

    Cherkasov, FG; L'vov, SG; Tikhonov, DA; Den Hartog, HW; Vainshtein, DI

    2002-01-01

    ESR, NMR and static magnetic susceptibility measurements of heavily irradiated NaCl-K and NaCl-KBF4 are reported. Up to 10% of the NaCl-molecules are transformed into metallic Na nanoparticles and Cl-2 precipitates. In addition, there are paramagnetic F- and F-aggregates, which are coupled by

  3. The ground state of metallic nano-structures in heavily irradiated NaCl–KBF4

    NARCIS (Netherlands)

    Cherkasov, F.G.; L’vov, S.G.; Tikhonov, D.A.; Hartog, H.W. den; Vainshtein, D.I.

    2002-01-01

    ESR, NMR and static magnetic susceptibility measurements of heavily irradiated NaCl–K and NaCl–KBF4 are reported. Up to 10% of the NaCl-molecules are transformed into metallic Na nanoparticles and Cl2 precipitates. In addition, there are paramagnetic F- and F-aggregates, which are coupled by

  4. All-Round Marketing Increases Hospital Popularity.

    Science.gov (United States)

    Ziqi, Tao

    2015-06-01

    Xuzhou Center Hospital is in a competing medical market in Xuzhou city. This hospital has been dedicating to improve the medical skills and provide professional and individualized service to the patients in order to improve the patient's experience and increase the patient's satisfaction. On the other side, this hospital has provided an all-round marketing campaign to build up the social influence and public reputation through public-praise marketing, web marketing, media marketing, and scholar marketing. Besides, this hospital has been cooperating with foreign medical institutions and inviting foreign medical specialists to academic communication. With the combined effects of improving medical service and all-round marketing, the hospital's economic performance has been enhanced significantly and laid a solid foundation for its ambition to become the first-class hospital in Huaihai Economic Zone.

  5. Politisk marketing

    DEFF Research Database (Denmark)

    Disciplinen politisk marketing er udbredt i mange vestlige lande. Imidlertid er kendskabet til politisk marketing i Danmark bemærkelsesværdigt lavt. I det lys er denne bog Politisk Marketing: Personer, Partier & Praksis den første bog i Danmark, som -ud fra marketing- indkredser de sidste mange års...... brudflader i dansk politik. Gennem ti bidrag fra forskere og praktikere udskraber forfatterne et DNA for feltet politisk marketing. Kort sagt kan du i denne bog finde svarene på: Hvad er politisk marketing? Hvordan har det udviklet sig? Og hvilke konsekvenser har dette fænomen for vælgere, partier og...

  6. Marketing aspect of paramedical

    OpenAIRE

    Dugalić Sretenka L.

    2003-01-01

    That's how the primary medical and ecological reasons as the well being for humanity came out of the satisfaction of specific health needs. Through operationally of these outcomes it tried to prove the need and the intentions of the customers, and through methodologies and strategies which stand to our service. Further developing activity acted as a useful to the innovation of the product and vertical structure of marketing, through the change in the way of thinking of the medical and pharmac...

  7. RELIGIOUS MARKETING

    OpenAIRE

    Ariadna-Ioana JURAVLE (GAVRA); Sasu, Constantin; Geanina Constanța SPĂTARU (PRAVĂȚ)

    2016-01-01

    The purpose of this paper is to establish the conceptual delimitation of the term religious marketing. The term religious marketing has caused controversy. There are two currents: that of the theologians, on one hand and that of the marketers, on the other hand. The representatives of each current have their own view regarding the implementation of marketing into the religious sphere. The article concludes with the necessity to adapt the churches’ activities and the ways they must be presente...

  8. Mobile marketing

    OpenAIRE

    Klečková, Zuzana

    2013-01-01

    The main aim of this thesis was to provide a comprehensive overview of the mobile marketing and analyze selected campaigns of Czech mobile marketing in comparison to world successful campaigns. The research contained studying of available literature about the theme to gain general knowledge about the issue. The theoretical part of the thesis contains predominantly various definitions of mobile marketing and its tools, advantages of these tools and some information about Mobile Marketing Assoc...

  9. Postmoderne marketing

    OpenAIRE

    Urquizu, Alvaro

    2014-01-01

    Abstract: This thesis will challenge the traditional marketing perspective by adding a post-modern approach to marketing. Secondary an analysis of the post-modern consumer as well as the importance of neo tribalism in marketing will be described. Additionally the necessity of including countercultural segments and the importance of countercultures will be argued. Finally this thesis will examine which marketing method is the most useful when working with countercultures.

  10. Viral marketing

    OpenAIRE

    Bláhová, Adéla

    2012-01-01

    The aim of my thesis is to provide a comprehensive overview of the viral marketing and to analyze selected viral campaigns. There is a description of advantages and disadvantages of this marketing tool. In the end I suggest for which companies viral marketing is an appropriate form of the promotion.

  11. Service marketing

    Directory of Open Access Journals (Sweden)

    Babić-Hodović Vesna

    2002-01-01

    Full Text Available Development of postindustrial society and services revolution created numerous changes in size of consumer demand, consumer reaction and priorities. Continuous change on the side of demand and offer must follow changes in marketing orientation. Leader in that change is services marketing which by knowing services range and all the changes builds a new concept called Relationship Marketing.

  12. Marketing aspect of paramedical

    Directory of Open Access Journals (Sweden)

    Dugalić Sretenka L.

    2003-01-01

    Full Text Available That's how the primary medical and ecological reasons as the well being for humanity came out of the satisfaction of specific health needs. Through operationally of these outcomes it tried to prove the need and the intentions of the customers, and through methodologies and strategies which stand to our service. Further developing activity acted as a useful to the innovation of the product and vertical structure of marketing, through the change in the way of thinking of the medical and pharmaceutical profession. The paper is concepted so that the received material inserted to the content part, do the following: 1. Meaning, characteristics and developing possibilities of phytotherapy; 2. Dimensions of market in managing of phytotherapic assortment. By observing the final results, which were obtained through means of representative sources and other research of phytotherapic products, it can be expected that the same can be applicable to broader spectrum in practice with kind input to the marketing ideas. Models, presented here, is meant to be for innovative applications in the medical marketing concept, by the results of wide spending in the food service industry (domain of dietetics, at manufacture of food for children at the manufacture of 'medical cosmetics' and cosmetic-druggist assortments (products for hygiene, shampoos, soap, creams and bubbles for bath.

  13. MARKETING CHANNELS

    Directory of Open Access Journals (Sweden)

    Ljiljana Stošić Mihajlović

    2014-07-01

    Full Text Available Marketing channel is a set of entities and institutions, completion of distribution and marketing activities, attend the efficient and effective networking of producers and consumers. Marketing channels include the total flows of goods, money and information taking place between the institutions in the system of marketing, establishing a connection between them. The functions of the exchange, the physical supply and service activities, inherent in the system of marketing and trade. They represent paths which products and services are moving after the production, which will ultimately end up buying and eating by the user.

  14. Marketing maloobchodu

    OpenAIRE

    Demuth, Jan

    2012-01-01

    This thesis is about the situation of retail marketing in Czech republic, with a special focus on in-store marketing instruments and activities. The goal of this work is to evaluate the application of these marketing instruments in a specific retail store. This chosen store is supermarket Billa. The first part of the thesis is offering theoretical base for in-store marketing activities and also presents the history of retail marketing in Czech republic. The second part is focusing on the situ...

  15. The use of bonded partial ceramic restorations to recover heavily compromised teeth.

    Science.gov (United States)

    Politano, Gianfranco; Fabianelli, Andrea; Papacchini, Federica; Cerutti, Antonio

    Restorative procedures are accompanied by a reduction of tooth stability, a decrease of fracture resistance, and an increase in deflection of weakened cusps. The choice between a direct or an indirect restorative technique, mainly in posterior areas, is a challenge, and involves biomechanical, anatomical, functional, esthetic, and financial considerations. In this article, the pros and cons of direct restorations are examined, as well as an analysis of indirect restorations and an overview of dental ceramics. In particular, several clinical uses of lithium disilicate overlays with a circumferential adhesive ferrule effect are proposed: heavily compromised vital teeth with thin walls, cracked teeth, and endodontically treated molars. Clinical procedures are described step by step on the basis of data from scientific literature. In conclusion, the use of lithium disilicate in combination with adhesive technologies can lead to a more conservative, economic, and esthetic approach in the restoration of heavily compromised teeth.

  16. Decadal evolution of a very small heavily debris-covered glacier in an Alpine permafrost environment

    OpenAIRE

    Capt, M.; Bosson, Jean-Baptiste; Fischer, M; Micheletti, N.; Lambiel, Christophe

    2016-01-01

    Glacier response to climate forcing can be heterogeneous and complex, depending on glacier system characteristics. This article presents the decadal evolution of the Tsarmine Glacier (Swiss Alps), a very small and heavily debris-covered cirque glacier located in the Alpine periglacial belt. Archival aerial photogrammetry and autocorrelation of orthophotos were used to compute surface elevation, volume and geodetic mass changes, as well as horizontal displacement rates for several periods...

  17. Debt relief and public health spending in heavily indebted poor countries.

    Science.gov (United States)

    Gupta, Sanjeev; Clements, Benedict; Guin-Siu, Maria Teresa; Leruth, Luc

    2002-01-01

    The Heavily Indebted Poor Countries (HIPC) Initiative, which was launched in 1996, is the first comprehensive effort by the international community to reduce the external debt of the world's poorest countries. The Initiative will generate substantial savings relative to current and past public spending on health and education in these countries. Although there is ample scope for raising public health spending in heavily indebted poor countries, it may not be advisable to spend all the savings resulting from HIPC resources for this purpose. Any comprehensive strategy for tackling poverty should also focus on improving the efficiency of public health outlays and on reallocating funds to programmes that are most beneficial to the poor. In order to ensure that debt relief increases poverty-reducing spending and benefits the poor, all such spending, not just that financed by HIPC resources, should be tracked. This requires that countries improve all aspects of their public expenditure management. In the short run, heavily indebted poor countries can take some pragmatic tracking measures based on existing public expenditure management systems, but in the longer run they should adopt a more comprehensive approach so as to strengthen their budget formulation, execution, and reporting systems.

  18. Medic Bleep.

    Science.gov (United States)

    2017-03-15

    Medic Bleep is a secure instant messaging app that enables clinicians to discuss patient care quickly, securely and legally. It looks and feels like WhatsApp, but has been designed for the healthcare market to enable staff to communicate with each other, and to help speed up conversations between clinicians to increase efficiency.

  19. Medical Devices

    NARCIS (Netherlands)

    Verkerke, Gijsbertus Jacob; Mahieu, H.F.; Geertsema, A.A.; Hermann, I.F.; van Horn, J.R.; Hummel, J. Marjan; van Loon, J.P.; Mihaylov, D.; van der Plaats, A.; Schraffordt Koops, H.; Schutte, H.K.; Veth, R.P.H.; de Vries, M.P.; Rakhorst, G.; Shi, Donglu

    2004-01-01

    The development of new medical devices is a very time-consuming and costly process. Besides the time between the initial idea and the time that manufacturing and testing of prototypes takes place, the time needed for the development of production facilities, production of test series, marketing,

  20. Marketization Revisited

    DEFF Research Database (Denmark)

    Hansen, Morten Balle; Lindholst, Andrej Christian

    2016-01-01

    Purpose: The purpose of this introduction article to the IJPSM special issue on marketization is to clarify the conceptual foundations of marketization as a phenomenon within the public sector and to gauge current marketization trends on the basis of the seven articles in the special issue. Design....../methodology/approach: Conceptual clarification and cross-cutting review of seven articles analysing marketization in six countries in three policy areas at the level of local government. Findings: Four ideal-type models are deduced: Quasi-markets, involving both provider competition and free choice for users; Classic contracting...... out; Benchmarking and yardstick competition; and Public-Private collaboration. On the basis of the review of the seven articles, it is found that all elements in all marketization models are firmly embedded but also under dynamic change within public service delivery systems. The review also...

  1. Marketing automation

    Directory of Open Access Journals (Sweden)

    TODOR Raluca Dania

    2017-01-01

    Full Text Available The automation of the marketing process seems to be nowadays, the only solution to face the major changes brought by the fast evolution of technology and the continuous increase in supply and demand. In order to achieve the desired marketing results, businessis have to employ digital marketing and communication services. These services are efficient and measurable thanks to the marketing technology used to track, score and implement each campaign. Due to the technical progress, the marketing fragmentation, demand for customized products and services on one side and the need to achieve constructive dialogue with the customers, immediate and flexible response and the necessity to measure the investments and the results on the other side, the classical marketing approached had changed continue to improve substantially.

  2. Sport Marketing

    OpenAIRE

    Ekmekci, Ridvan; Ekmekçi, Aytul Yeter

    2009-01-01

    Abstract  Marketing which is entered to almost our whole life, now more than goods and services, became an important  concept of ideas, persons, institutions, events, and facilities. As a main activities of business co. marketing has an important place in sports industry. Recently, the development of special sport marketing strategies and the presentation of sport goods and services to consumers are gaining importance. Efforts of increasing income of sport clubs, because of sport organization...

  3. Advancing regulatory science to bring novel medical devices for use in emergency care to market: the role of the Food and Drug Administration.

    Science.gov (United States)

    Scully, Christopher G; Forrest, Shawn; Galeotti, Loriano; Schwartz, Suzanne B; Strauss, David G

    2015-04-01

    The Food and Drug Administration (FDA) performs regulatory science to provide science-based medical product regulatory decisions. This article describes the types of scientific research the FDA's Center for Devices and Radiological Health performs and highlights specific projects related to medical devices for emergency medicine. In addition, this article discusses how results from regulatory science are used by the FDA to support the regulatory process as well as how the results are communicated to the public. Regulatory science supports the FDA's mission to assure safe, effective, and high-quality medical products are available to patients. Published by Elsevier Inc.

  4. Comparative cardiovascular safety of dementia medications

    DEFF Research Database (Denmark)

    Fosbøl, Emil L; Peterson, Eric D; Holm, Ellen

    2012-01-01

    To compare the cardiovascular safety of currently marketed dementia medications in new users in the United States and Denmark.......To compare the cardiovascular safety of currently marketed dementia medications in new users in the United States and Denmark....

  5. FinTech Market Development Perspectives

    OpenAIRE

    Kalmykova Ekaterina; Ryabova Anna

    2016-01-01

    Fast development of technologies has led to emergence of the new market – FinTech – which is very attractive for investors today. By now this market has a great number of different concepts: P2P-crediting, E-wallets, Bitcoins, mPOS-acquiring, T-commerce, mobile banks, etc. Many of these tools have already heavily entered our ordinary life. People can obtain any credits through special services on the Internet from other users without participation of banks, pay by credit card using mobile dev...

  6. [Review and perspective of a long-term follow-up of two cohorts of workers heavily exposed to asbestos].

    Science.gov (United States)

    Chamoux, Alain

    2015-01-01

    National screening programs for detection of breast, colon and cervical cancers have been set up in France. Occupational cancers are excluded from these programs. Surveillance is left to the initiative of former employees who can initiate post-professional medical monitoring. This study describes an experience of such monitoring organised by the health insurance in collaboration with "victims". The long term follow-up, every two years, of 324 workers directly and heavily exposed to asbestos confirms the high risk of developing lung cancer, mesothelioma or asbestosis, the latter at times rapidly evolving. The early discovery of 3 bronchopulmonary cancers points to the interest of an annual or biannual routine screening. While new imaging techniques reduce by a factor of 8 irradiation, without significantly affecting the diagnostic capacity, the health benefit provided by annual monitoring scanner in heavy smokers favors an early detection program for lung cancers. The population targeted for such a screening (active or former smoker with pleural plaques) should be defined in more detail. The increasingly frequent observation of lung or pleural changes besides the populations at risk should also be considered. Therefore the detecting procedures applied to those workers indirectly or discontinuously exposed should be reassessed (only 1 TDM at 60 y, or on retirement, for the relevant occupations). These data suggest that the recommendation HAS 2010 for post-professional screening of workers occupationally exposed to asbestos should be reconsidered, particularly in case of pleural plaques. An organized screening program needs to be overhauled.

  7. Treatment inferred from mutations identified using massive parallel sequencing leads to clinical benefit in some heavily pretreated cancer patients.

    Science.gov (United States)

    Zick, Aviad; Peretz, Tamar; Lotem, Michal; Hubert, Ayala; Katz, Daniela; Temper, Mark; Rottenberg, Yakir; Uziely, Beatrice; Nechushtan, Hovav; Meirovitz, Amichai; Sonnenblick, Amir; Sapir, Eli; Edelman, David; Goldberg, Yael; Lossos, Alexander; Rosenberg, Shai; Fried, Iris; Finklstein, Ruth; Pikarsky, Eli; Goldshmidt, Hanoch

    2017-05-01

    Molecular portraits of numerous tumors have flooded oncologists with vast amounts of data. In parallel, effective inhibitors of central pathways have shown great clinical benefit. Together, this promises potential clinical benefits to otherwise end-stage cancer patients. Here, we report a clinical service offering mutation detection of archived samples using the ion Ampliseq cancer panel coupled with clinical consultation.A multidisciplinary think tank consisting of oncologists, molecular-biologists, genetic counselors, and pathologists discussed 67 heavily pretreated, advanced cancer patient cases, taking into account mutations identified using ion Ampliseq cancer panel, medical history, and relevant literature.The team generated a treatment plan, targeting specific mutations, for 41 out of 64 cases. Three patients died before results were available. For 32 patients, the treating oncologists chose not to include the panel recommendation in the treatment plan for various reasons. Nine patients were treated as recommended by the panel, 5 with clinical benefit, and 4 with disease progression.This study suggests that routine use of massive parallel tumor sequencing is feasible and can judiciously affect treatment decisions when coupled with multidisciplinary team-based decision making. Administration of personalized based therapies at an earlier stage of disease, expansion of genetic alterations examined, and increased availability of targeted therapies may lead to further improvement in the clinical outcome of metastatic cancer patients.

  8. Marketing and medicine: a questionable mix.

    Science.gov (United States)

    Moran, Michael E; Baum, Neil H

    2012-01-01

    Historically, medicine has been an evolving art and science. It never remains the same. Only in the past few decades has it been acceptable for doctors to market and promote their practices. This article will review the history of medical marketing and provide ethical examples of marketing that might be available to any physician, in any practice, and in any geographic location.

  9. Sexual Markets or Black Markets?

    DEFF Research Database (Denmark)

    Groes-Green, Christian

    2014-01-01

    sex with sugar-daddies, called sponsors or patrons, who provide for them in exchange for sex while male peers often become street vendors, street artists or petty criminals engaged in the so-called ‘black’ markets of theft, sale of counterfeits, and circulation of stolen goods, alcohol and drugs. As I...... show, these gendered markets are highly entangled and interdependent, and as I argue, male and female markets use many of the same technologies, sources and circuits of exchange...

  10. Australian Educational Institutions International Markets: A Correspondence Analysis

    Science.gov (United States)

    Mazzarol, Timothy W.; Soutar, Geoffrey N.

    2008-01-01

    Purpose: The global market for international students have become highly competitive and many institutions, particularly higher education institutions, rely heavily on fee income from overseas students. This study aims to examine the countries from which Australian education institutions draw such students and used this information to better…

  11. Regulating the Dutch pharmaceutical market: improving efficiency or controlling costs?

    NARCIS (Netherlands)

    Wolf, de P.; Brouwer, W.B.F.; Rutten, F.H.

    2005-01-01

    In this paper, we describe the Dutch pharmaceutical market, which is heavily regulated by the government. Through the regulation of prices and promoting prudent use, the Dutch government tries to bring down the cost of pharmaceuticals, which increases every year at a higher rate than total health

  12. The "Journal of Marketing Education": Past, Present, and Future

    Science.gov (United States)

    Gray, Deborah M.; Peltier, James W.; Schibrowsky, John A.

    2012-01-01

    The "Journal of Marketing Education" ("JME") was launched almost 35 years ago. In this invited article, we review "JME"'s long and distinguished history. For historical perspective, we will lean heavily on the words of "JME" editors (including special issue editors); this focus adds context for the past and helps project the future. As a…

  13. Direct marketing

    Directory of Open Access Journals (Sweden)

    Čičić Muris

    2002-01-01

    Full Text Available Direct Marketing (DM is usually treated as unworthy activity, with actions at the edge of legality and activities minded cheating. Despite obvious problems regarding ethics and privacy threat, DM with its size, importance and role in a concept of integrated marketing communication deserves respect and sufficient analysis and review

  14. Tourism Marketing.

    Science.gov (United States)

    North Carolina State Dept. of Public Instruction, Raleigh. Div. of Vocational Education.

    This document contains teacher materials for a 6-unit, 1-year distributive education course in marketing tourism offered in grades 11 and 12 in North Carolina. Although in general the material presented concerns marketing tourism anywhere, some of it is specifically related to tourism within North Carolina. A purpose statement explains the…

  15. Art Markets

    NARCIS (Netherlands)

    P.A. Arora (Payal); F.R.R. Vermeylen (Filip)

    2013-01-01

    textabstractThe advent of digitization has had a profound impact on the art market and its institutions. In this chapter, we focus on the market for visual arts as it finds its expression in (among other) paintings, prints, drawings, photographs, sculpture and the like. These artistic disciplines

  16. Marketing Management

    DEFF Research Database (Denmark)

    Wilke, Ricky

    2012-01-01

    Book review of: Christian Homburg, Sabine Kuester, Harley Krohmer, Marketing Management – A Contemporary Perspective, McGraw-Hill Higher Education, 2009......Book review of: Christian Homburg, Sabine Kuester, Harley Krohmer, Marketing Management – A Contemporary Perspective, McGraw-Hill Higher Education, 2009...

  17. Agricultural Marketing.

    Science.gov (United States)

    Helt, Lawrence; And Others

    Designed for use in farm business management adult programs, this marketing curriculum includes six teaching lessons and professional staff products. The following topics are covered in the lessons: introduction to marketing; interpretation of price/demand/supply cycles and fundamental outlook trends (carryover/projections/disappearance); farmers'…

  18. Labor Markets' Institutional Properties and Distributive Justice in Modern Society: A Comparative Empirical Analysis

    Science.gov (United States)

    Zafirovski, Milan

    2005-01-01

    The paper's main argument is that the rates of distributive injustice in industrial societies are significantly influenced by labor markets' institutional properties. Markets characterized by institutional properties that heavily favor capital at the expense of labor are expected to produce more distributive injustice--as well as more income…

  19. RELIGIOUS MARKETING

    Directory of Open Access Journals (Sweden)

    Ariadna-Ioana JURAVLE (GAVRA

    2016-07-01

    Full Text Available The purpose of this paper is to establish the conceptual delimitation of the term religious marketing. The term religious marketing has caused controversy. There are two currents: that of the theologians, on one hand and that of the marketers, on the other hand. The representatives of each current have their own view regarding the implementation of marketing into the religious sphere. The article concludes with the necessity to adapt the churches’ activities and the ways they must be presented to the society’s actual characteristics. This can be achieved by using appropriate marketing tools and methods; however, the particularities of religion must be taken into account in order not to alter its religious values.

  20. Developing markets?

    DEFF Research Database (Denmark)

    Figueiredo, Bernardo; Chelekis, Jessica; DeBerry-Spence, Benet

    2015-01-01

    Situated at the intersection of markets and development, this commentary aims to promote a cross-fertilization of macromarketing and transformative consumer research (TCR) that directs attention to the sociocultural context and situational embeddedness of consumer experience and wellbeing, while...... acknowledging complex, systemic interdependencies between markets, marketing, and society. Based on a critical review of the meaning of development and an interrogation of various developmental discourses, the authors develop a conceptual framework that brings together issues of development, wellbeing......, and social inequalities. We suggest that these issues are better understooda nd addressed when examined via grounded investigations of the role of markets in shaping the management of resources, consumer agency, power inequalities and ethics. The use of markets as units of analysis may lead to further cross...

  1. Investigation of Heavily Doped Congruent Lithium Tantalite for Single-pass Second Harmonic Generation

    OpenAIRE

    Farsi, Mohammad Vahid

    2013-01-01

    Treball final de màster oficial fet en col·laboració amb Universitat Autònoma de Barcelona (UAB), Universitat de Barcelona (UB) i Institut de Ciències Fotòniques (ICFO) [ANGLÈS] We report a compact , practical, green sources based on single-pass second harmonic generation(SHG) of a picosecond Yb-fiber laser in 10-mm-long, heavily MgO doped congruent lithium tantalite (MgO:cPPLT). The fundamental pump source is 20 ps Yb-fiber laser operating at a repetition rate of 80 MHz. The green source ...

  2. High-temperature ferromagnetism in heavily Fe-doped ferromagnetic semiconductor (Ga,Fe)Sb

    Energy Technology Data Exchange (ETDEWEB)

    Tu, Nguyen Thanh [Department of Electrical Engineering and Information Systems, The University of Tokyo, 7-3-1 Hongo, Bunkyo, Tokyo 113-8656 (Japan); Department of Physics, Ho Chi Minh City University of Pedagogy, 280, An Duong Vuong Street, District 5, Ho Chi Minh City 748242 (Viet Nam); Hai, Pham Nam [Department of Electrical Engineering and Information Systems, The University of Tokyo, 7-3-1 Hongo, Bunkyo, Tokyo 113-8656 (Japan); Department of Physical Electronics, Tokyo Institute of Technology, 2-12-1 Ookayama, Meguro, Tokyo 152-0033 (Japan); Center for Spintronics Research Network (CSRN), The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8656 (Japan); Anh, Le Duc [Department of Electrical Engineering and Information Systems, The University of Tokyo, 7-3-1 Hongo, Bunkyo, Tokyo 113-8656 (Japan); Tanaka, Masaaki [Department of Electrical Engineering and Information Systems, The University of Tokyo, 7-3-1 Hongo, Bunkyo, Tokyo 113-8656 (Japan); Center for Spintronics Research Network (CSRN), The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8656 (Japan)

    2016-05-09

    We show high-temperature ferromagnetism in heavily Fe-doped ferromagnetic semiconductor (Ga{sub 1−x},Fe{sub x})Sb (x = 23% and 25%) thin films grown by low-temperature molecular beam epitaxy. Magnetic circular dichroism spectroscopy and anomalous Hall effect measurements indicate intrinsic ferromagnetism of these samples. The Curie temperature reaches 300 K and 340 K for x = 23% and 25%, respectively, which are the highest values reported so far in intrinsic III-V ferromagnetic semiconductors.

  3. Electron spin dynamics in heavily Mn-doped (Ga,Mn)As

    Science.gov (United States)

    Zhu, Yonggang; Han, Lifen; Chen, Lin; Zhang, Xinhui; Zhao, Jianhua

    2010-12-01

    Electron spin relaxation and related mechanisms in heavily Mn-doped (Ga,Mn)As are studied by performing time-resolved magneto-optical Kerr effect measurements. At low temperature, s-d exchange scattering dominates electron spin relaxation, whereas the Bir-Aronov-Pikus mechanism and Mn impurity scattering play important roles at high temperature. The temperature-dependent spin relaxation time exhibits an anomaly around the Curie temperature (Tc) that implies that thermal fluctuation is suppressed by short-range correlated spin fluctuation above Tc.

  4. Marketing is Dead! Long Live Marketing!

    OpenAIRE

    Marjanova Jovanov, Tamara

    2016-01-01

    The contents of the lectures included: Why marketing? Citizen, Consumer, Customer (Behavior) Who is the Father of Marketing? Some Antecedents of Marketing When Did Marketing Start? The Contributors of Marketing Where Did Marketing Start? Job Positions in Today’s Marketing Organization The Role of the Chief Marketing Officer Four Different CEO Views of Marketing Reality – Truth – Challenge (Why Can’t We Make It?) The Strong and Steady Progress of Marketi...

  5. Accuracy of marketing claims by providers of stereotactic radiation therapy.

    Science.gov (United States)

    Narang, Amol K; Lam, Edwin; Makary, Martin A; Deweese, Theodore L; Pawlik, Timothy M; Pronovost, Peter J; Herman, Joseph M

    2013-01-01

    Direct-to-consumer advertising by industry has been criticized for encouraging overuse of unproven therapies, but advertising by health care providers has not been as carefully scrutinized. Stereotactic radiation therapy is an emerging technology that has sparked controversy regarding the marketing campaigns of some manufacturers. Given that this technology is also being heavily advertised on the Web sites of health care providers, the accuracy of providers' marketing claims should be rigorously evaluated. We reviewed the Web sites of all U.S. hospitals and private practices that provide stereotactic radiation using two leading brands of stereotactic radiosurgery technology. Centers were identified by using data from the manufacturers. Centers without Web sites were excluded. The final study population consisted of 212 centers with online advertisements for stereotactic radiation. Web sites were evaluated for advertisements that were inconsistent with advertising guidelines provided by the American Medical Association. Most centers (76%) had individual pages dedicated to the marketing of their brand of stereotactic technology that frequently contained manufacturer-authored images (50%) or text (55%). Advertising for the treatment of tumors that have not been endorsed by professional societies was present on 66% of Web sites. Centers commonly claimed improved survival (22%), disease control (20%), quality of life (17%), and toxicity (43%) with stereotactic radiation. Although 40% of Web sites championed the center's regional expertise in delivering stereotactic treatments, only 15% of Web sites provided data to support their claims. Provider advertisements for stereotactic radiation were prominent and aggressive. Further investigation of provider advertising, its effects on quality of care, and potential oversight mechanisms is needed.

  6. Accuracy of Marketing Claims by Providers of Stereotactic Radiation Therapy

    Science.gov (United States)

    Narang, Amol K.; Lam, Edwin; Makary, Martin A.; DeWeese, Theodore L.; Pawlik, Timothy M.; Pronovost, Peter J.; Herman, Joseph M.

    2013-01-01

    Purpose: Direct-to-consumer advertising by industry has been criticized for encouraging overuse of unproven therapies, but advertising by health care providers has not been as carefully scrutinized. Stereotactic radiation therapy is an emerging technology that has sparked controversy regarding the marketing campaigns of some manufacturers. Given that this technology is also being heavily advertised on the Web sites of health care providers, the accuracy of providers' marketing claims should be rigorously evaluated. Methods: We reviewed the Web sites of all US hospitals and private practices that provide stereotactic radiation using two leading brands of stereotactic radiosurgery technology. Centers were identified by using data from the manufacturers. Centers without Web sites were excluded. The final study population consisted of 212 centers with online advertisements for stereotactic radiation. Web sites were evaluated for advertisements that were inconsistent with advertising guidelines provided by the American Medical Association. Results: Most centers (76%) had individual pages dedicated to the marketing of their brand of stereotactic technology that frequently contained manufacturer-authored images (50%) or text (55%). Advertising for the treatment of tumors that have not been endorsed by professional societies was present on 66% of Web sites. Centers commonly claimed improved survival (22%), disease control (20%), quality of life (17%), and toxicity (43%) with stereotactic radiation. Although 40% of Web sites championed the center's regional expertise in delivering stereotactic treatments, only 15% of Web sites provided data to support their claims. Conclusion: Provider advertisements for stereotactic radiation were prominent and aggressive. Further investigation of provider advertising, its effects on quality of care, and potential oversight mechanisms is needed. PMID:23633973

  7. Radiation-induced gain degradation in lateral PNP BJTs with lightly and heavily doped emitters

    Energy Technology Data Exchange (ETDEWEB)

    Wu, A. [Univ. of Arizona, Tucson, AZ (United States); Schrimpf, R.D. [Vanderbilt Univ., Nashville, TN (United States); Pease, R.L. [RLP Research, Inc., Albuquerque, NM (United States); Fleetwood, D.M. [Sandia National Labs., Albuquerque, NM (United States); Kosier, S.L. [VTC Inc., Bloomington, MN (United States)

    1997-06-01

    Ionizing radiation may cause failures in ICs due to gain degradation of individual devices. The base current of irradiated bipolar devices increases with total dose, while the collector current remains relatively constant. This results in a decrease in the current gain. Lateral PNP (LPNP) transistors typically exhibit more degradation than vertical PNP devices at the same total dose, and have been blamed as the cause of early IC failures at low dose rates. It is important to understand the differences in total-dose response between devices with heavily- and lightly-doped emitters in order to compare different technologies and evaluate the applicability of proposed low-dose-rate hardness-assurance methods. This paper addresses these differences by comparing two different LPNP devices from the same process: one with a heavily-doped emitter and one with a lightly-doped emitter. Experimental results demonstrate that the lightly-doped devices are more sensitive to ionizing radiation and simulations illustrate that increased recombination on the emitter side of the junction is responsible for the higher sensitivity.

  8. Docetaxel monotherapy in heavily pretreated metastatic breast cancer: a multicenter, community-based feasibility trial.

    Science.gov (United States)

    Schmidinger, M; Budinsky, A C; Wenzel, C; Locker, G J; Pluschnig, U; Brodowicz, T; Kubista, E; Maca, S; Zabernigg, A; Ilsinger, P; Seewann, L; Hojas, S; Blach, M; Zielinski, C C; Steger, G G

    2001-01-01

    To evaluate the efficacy and safety of docetaxel in heavily pretreated and anthracycline-resistant patients with metastatic breast cancer in an outpatient setting. Between February 1996 and June 1998, 98 consecutive patients who had progressed during or relapsed following prior anthracycline-containing chemotherapy were enrolled into the trial. Docetaxel was administered at a dose of 100 mg/m2 by intravenous infusion every 3 weeks. The administration of colony-stimulating factors was at the discretion of the attending physician. Premedication with dexamethasone was mandatory for all patients. Of the 98 patients, 93 were evaluable for toxicity and response. Patients had received two palliative regimens (median, range 1-5) prior to docetaxel treatment. The most frequent toxicity observed was leukopenia grade III and IV (WHO grading system) which occurred in 47% of patients (grade IV only in 14%). Except for alopecia grade III (64% of patients), nonhematologic side effects grade III-IV were rare (1-7% of patients) and included nausea, stomatitis, diarrhea, peripheral neuropathy, fluid retention and pulmonary toxicities. There were no treatment-related deaths. Objective responses occurred in 40% of patients (CR 6%, PR 34%), and stable disease in 38% of patients. The median duration of response was 5.3 months (range 0.7-18.1 months) while the median survival was 15 months (range 2 36 months). Docetaxel is a highly active agent in patients with anthracycline-resistant metastatic breast cancer, even in heavily pretreated patients, with moderate toxicity.

  9. Marine reserves and reproductive biomass: a case study of a heavily targeted reef fish.

    Directory of Open Access Journals (Sweden)

    Brett M Taylor

    Full Text Available Recruitment overfishing (the reduction of a spawning stock past a point at which the stock can no longer replenish itself is a common problem which can lead to a rapid and irreversible fishery collapse. Averting this disaster requires maintaining a sufficient spawning population to buffer stochastic fluctuations in recruitment of heavily harvested stocks. Optimal strategies for managing spawner biomass are well developed for temperate systems, yet remain uncertain for tropical fisheries, where the danger of collapse from recruitment overfishing looms largest. In this study, we explored empirically and through modeling, the role of marine reserves in maximizing spawner biomass of a heavily exploited reef fish, Lethrinus harak around Guam, Micronesia. On average, spawner biomass was 16 times higher inside the reserves compared with adjacent fished sites. Adult density and habitat-specific mean fish size were also significantly greater. We used these data in an age-structured population model to explore the effect of several management scenarios on L. harak demography. Under minimum-size limits, unlimited extraction and all rotational-closure scenarios, the model predicts that preferential mortality of larger and older fish prompt dramatic declines in spawner biomass and the proportion of male fish, as well as considerable declines in total abundance. For rotational closures this occurred because of the mismatch between the scales of recovery and extraction. Our results highlight how alternative management scenarios fall short in comparison to marine reserves in preserving reproductively viable fish populations on coral reefs.

  10. MARKETING PLANNING IN HEALTHCARE INDUSTRY

    Directory of Open Access Journals (Sweden)

    Bobeica Ana Amaria

    2013-04-01

    Full Text Available The purpose of this paper is to develop a perspective on what is important or critical to the discipline of healthcare marketing by analyzing the marketing plan from the institutional (or organizational perspective. This “salience issue” is complicated by the structural problems in healthcare such as new advertising programs, advances in medical technology, and the escalating costs of care in the recent economic situation of world economic crisis. Reviewing a case study, the paper examines how marketing managers face increasingly difficult management and it emphasizes one more time the importance of marketing in the internal organizational structure. Also it shows the direct connection between the marketing strategy, the Quality of Healthcare and marketing planning in the internal organization of Private Healthcare Practice in Romania. Also it concludes that marketing planning in healthcare has to be very precised in order to achieve some major objectives: customer care, financial stability, equilibrium between stakeholders and shareholders and future improvement in communication to customers. The marketing strategies and programs discussed in this paper follow the analysis of the 4Ps of Healthcare Marketing Services and propose call to action plans and possibilities that might result in a more particular case study analysis of the Romanian Healthcare Market.

  11. Increasing participation in cancer research: insights from Native Hawaiian women in medically underserved communities.

    Science.gov (United States)

    Ka'opua, Lana Sue; Mitschke, Diane; Lono, Joelene

    2004-09-01

    The cancer burden falls heavily on Native Hawaiian women, and of particular concern are those living in medically underserved communities where participation in potentially helpful clinical studies may be limited. Difficulty in accrual of Native Hawaiian women to a culturally-grounded intervention led researchers to conduct focus groups aimed at exploring attitudes towards research, use of a traditional Hawaiian practice for family discussion, and study promotion. Social marketing theory guided the development of discussion questions and a survey. Through purposive sampling, 30 women from medically underserved communities were recruited. Content analysis was used to identify major discussion themes. Findings indicate that lack of informational access may be a major barrier to participation. Study information disseminated through community channels with targeted outreach to social and religious organizations, promotion through face-to-face contact with researchers, and culturally tailored messages directed to families were preferred. Community oriented strategies based on linkages with organizational networks may increase participation.

  12. Exploiting globally available safety information on medical devices to enhance EU market surveillance/vigilance - An analysis of available data sources and their systematic and consistent use

    OpenAIRE

    FARAULO FABIO; GRIESINGER CLAUDIUS

    2017-01-01

    Every day regulatory websites worldwide publish an impressive volumeof new data on safety information on related to medical devices, which remains largely unexploited. This report recommends ways towards the effective exploitation of this information for early risk / signal detection, thus enhancing patient safety.

  13. Marketing automation

    National Research Council Canada - National Science Library

    Raluca Dania Todor

    2016-01-01

      The automation of the marketing process seems to be nowadays, the only solution to face the major changes brought by the fast evolution of technology and the continuous increase in supply and demand...

  14. Guerilla Marketing

    OpenAIRE

    Nufer, Gerd; Bender, Manuel

    2008-01-01

    Die Rezipienten sind gelangweilt von der heutigen Werbeuniformität. Die Aufmerksamkeit, die für die Absorption kommerziellen Botschaften aufgewendet wird, schwindet. Das Postulat nach neuen, innovativen Marketingformen lässt sich konstatieren. Dieser Forderung möchte das Konzept des Guerilla Marketings gerecht werden. Das Hauptaugenmerk des vorliegenden Beitrags liegt auf der Erarbeitung einer Charakterisierung dieser ungewöhnlichen Marketingstrategie sowie einer Einordnung in einen marketing...

  15. Doktor Kot, Doktor Sla - book doctors, plant doctors and the segmentation of the medical market place in Meghalaya, northeast India.

    Science.gov (United States)

    Albert, Sandra; Porter, John; Green, Judith

    2017-10-16

    Despite decades of research on India's plural health care market, the practices of many local health traditions outside the allopathic and codified traditions are under-studied. Drawing on interview and observational data, this paper explores the space in which indigenous traditional Khasi healers in Meghalaya state, northeast India, practice. Khasi indigenous healers describe themselves as doktor sla, plant doctors, to distinguish themselves from doktor kot, or book doctors. This distinction operates as a rhetorical resource, utilised to carve a distinct sphere of expertise in relation to the allopathic sector, and to mark claims for the specifically local appropriateness of traditional practices within a shifting market of state-sponsored provision. Khasi healers are a heterogeneous group who treat a wide variety of conditions, including physical ailments which have no obvious correlates in biomedical systems, and musculoskeletal disorders, with which they have recognised expertise. In addition to claiming these discrete strengths, healers also present themselves as accommodating deficiencies in biomedicine, including inherent generic weaknesses of allopathic care as well as specific local gaps in rural health care provision. Thus, the expertise niches of traditional healers have evolved through their interactions with, and the needs of, the community, but also through managing a shifting boundary with biomedical practitioners, who are explicitly sceptical of their efficacy, but tacitly accepting of the ways in which they manage the gaps in biomedical provision. While codified non-biomedical traditions in India have engaged in universalising professionalising projects, in this setting at least, non-codified practitioners have instead utilised discourses of localism.

  16. Traditional marketing vs. Internet marketing. A comparison

    OpenAIRE

    Varfan, Mona; Shima, Alfa

    2008-01-01

    Title: Traditional marketing vs. Internet marketing: A comparison Problem: Marketing is an important strategy for businesses and it contains numerous effective tools. Traditional marketing has been in use for many years and nowadays Internet has brought new ways of doing business for companies and that has affected marketing. What are the main differences between Internet marketing and traditional marketing? Which one of the two approaches contains the most used and effective marketing tools ...

  17. Does the market maker stabilize the market?

    NARCIS (Netherlands)

    Zhu, M.; Chiarella, C.; He, X.Z.; Wang, D.

    2009-01-01

    The market maker plays an important role in price formation, but his/her behavior and stabilizing impact on the market are relatively unclear, in particular in speculative markets. This paper develops a financial market model that examines the impact on market stability of the market maker, who acts

  18. Heavily loaded ferrite-polymer composites to produce high refractive index materials at centimetre wavelengths

    Directory of Open Access Journals (Sweden)

    L. Parke

    2013-10-01

    Full Text Available A cold-pressing technique has been developed for fabricating composites composed of a polytetrafluoroethylene-polymer matrix and a wide range of volume-fractions of MnZn-ferrite filler (0%–80%. The electromagnetic properties at centimetre wavelengths of all prepared composites exhibited good reproducibility, with the most heavily loaded composites possessing simultaneously high permittivity (180 ± 10 and permeability (23 ± 2. The natural logarithm of both the relative complex permittivity and permeability shows an approximately linear dependence with the volume fraction of ferrite. Thus, this simple method allows for the manufacture of bespoke materials required in the design and construction of devices based on the principles of transformation optics.

  19. Selectively excited blue luminescence in heavily Mg doped p-type GaN

    Energy Technology Data Exchange (ETDEWEB)

    Colton, John S.; Yu, Peter Y.

    2000-12-31

    The emission at {approx}2.8 eV from heavily doped p-GaN, known as the blue luminescence (BL), has been studied by selective excitation using a dye laser tunable between 2.7-3.0 eV. The peak position and intensity of the BL are found to exhibit an unusual dependence on the excitation photon energy. We have explained our results with a shallow-donor and deep-acceptors pair recombination model which includes potential fluctuations induced by heavy doping. We found a ''critical energy'' of {approx}2.8 eV for the BL. Electron-hole pairs with energies above this energy are able to achieve quasi-thermal equilibrium while those with energies below 2.8 eV are strongly ''localized''.

  20. Low-temperature TCT characterization of heavily proton irradiated p-type magnetic Czochralski silicon detectors

    CERN Document Server

    Härkönen, J; Luukka, P; Kassamakov, I; Autioniemi, M; Tuominen, E; Sane, P; Pusa, P; Räisänen, J; Eremin, V; Verbitskaya, E; Li, Z

    2007-01-01

    n+/p−/p+ pad detectors processed at the Microelectronics Center of Helsinki University of Technology on boron-doped p-type high-resistivity magnetic Czochralski (MCz-Si) silicon substrates have been investigated by the transient current technique (TCT) measurements between 100 and 240 K. The detectors were irradiated by 9 MeV protons at the Accelerator Laboratory of University of Helsinki up to 1 MeV neutron equivalent fluence of 2×1015 n/cm2. In some of the detectors the thermal donors (TD) were introduced by intentional heat treatment at 430 °C. Hole trapping time constants and full depletion voltage values were extracted from the TCT data. We observed that hole trapping times in the order of 10 ns were found in heavily (above 1×1015 neq/cm2) irradiated samples. These detectors could be fully depleted below 500 V in the temperature range of 140–180 K.

  1. The Time Response of Glass Resistive Plate Chambers to Heavily Ionizing Particles

    CERN Document Server

    Artamonov, A; Bogomilov, M; Booth, C; Borghi, S; Catanesi, M G; Chimenti, P; Gastaldi, Ugo; Giani, S; Graulich, J S; Grégoire, G; Grossheim, A; Guglielmi, A; Ivantchenko, V; Kolev, D; Meurer, C; Mezzetto, M; Panman, J; Popov, B; Radicioni, E; Schroeter, R; Temnikov, P; Chernyaev, E; Tsenov, R; Tsukerman, I; Wiebusch, C

    2007-01-01

    The HARP system of resistive plate chambers (RPCs) was designed to perform particle identification by the measurement of the difference in the time-of-flight of different particles. In previous papers an apparent discrepancy was shown between the response of the RPCs to minimum ionizing pions and heavily ionizing protons. Using the kinematics of elastic scattering off a hydrogen target a controlled beam of low momentum recoil protons was directed onto the chambers. With this method the trajectory and momentum, and hence the time-of-flight of the protons can be precisely predicted without need for a measurement of momentum of the protons. It is demonstrated that the measurement of the time-of-arrival of particles by the thin gas-gap glass RPC system of the HARP experiment depends on the primary ionization deposited by the particle in the detector.

  2. Simulation of Heavily Irradiated Silicon Pixel Sensors and Comparison with Test Beam Measurements

    CERN Document Server

    Chiochia, Vincenzo; Bortoletto, Daniela; Cremaldi, Lucien; Cucciarelli, Susanna; Dorokhov, Andrei; Hoermann, Christoph; Kim, Dongwook; Konecki, Marcin; Kotlinski, Danek; Prokofiev, Kirill; Regenfus, Christian; Rohe, Tilman; Sanders, David A.; Son, Seunghee; Speer, Thomas; Chiochia, Vincenzo; Swartz, Morris; Bortoletto, Daniela; Cremaldi, Lucien; Cucciarelli, Susanna; Dorokhov, Andrei; Hoermann, Christoph; Kim, Dongwook; Konecki, Marcin; Kotlinski, Danek; Prokofiev, Kirill; Regenfus, Christian; Rohe, Tilman; Sanders, David A.; Son, Seunghee; Speer, Thomas

    2004-01-01

    Charge collection measurements performed on heavily irradiated p-spray DOFZ pixel sensors with a grazing angle hadron beam provide a sensitive determination of the electric field within the detectors. The data are compared with a complete charge transport simulation of the sensor which includes signal trapping and charge induction effects. A linearly varying electric field based upon the standard picture of a constant type-inverted effective doping density is inconsistent with the data. A two-trap double junction model implemented in the ISE TCAD software can be tuned to produce a doubly-peaked electric field which describes the data reasonably well. The modeled field differs somewhat from previous determinations based upon the transient current technique. The model can also account for the level of charge trapping observed in the data.

  3. Enhanced diffusion of boron by oxygen precipitation in heavily boron-doped silicon

    Science.gov (United States)

    Torigoe, Kazuhisa; Ono, Toshiaki

    2017-06-01

    The enhanced diffusion of boron has been investigated by analyzing out-diffusion profiles in the vicinity of the interface between a lightly boron-doped silicon epitaxial layer and a heavily boron-doped silicon substrate with a resistivity of 8.2 mΩ cm and an oxide precipitate (O.P.) density of 108-1010 cm-3. It is found that the boron diffusion during annealing at 850-1000 °C is enhanced with the increase of the oxide precipitate density. On the basis of a model for boron diffusion mediated by silicon self-interstitials, we reveal that the enhanced diffusion is attributed to self-interstitials supersaturated as a result of the emission from oxide precipitates and the absorption by punched-out dislocations. In addition, the temperature dependence of the fraction of the self-interstitial emission obtained analyzing the diffusion enhancement well explains the morphology changes of oxide precipitates reported in literature.

  4. Porous-like structures prepared by temperature-pressure treatment of heavily hydrogenated silicon

    Energy Technology Data Exchange (ETDEWEB)

    Misiuk, A. [Institute of Electron Technology, Al. Lotnikow 46, 02-668 Warsaw (Poland); Shalimov, A.; Bak-Misiuk, J. [Institute of Physics, PAS, Al. Lotnikow 32, 02-668 Warsaw (Poland); Surma, B. [Institute of Electron Technology, Al. Lotnikow 46, 02-668 Warsaw (Poland); Institute of Electronic Materials Technology, Wolczynska 133, 01-919 Warsaw (Poland); Wnuk, A. [Institute of Electronic Materials Technology, Wolczynska 133, 01-919 Warsaw (Poland); Antonova, I.V. [Institute of Semiconductor Physics, SB RAS, Lavrentieva 13, 630090 Novosibirsk (Russian Federation); Zavodinsky, V.G.; Gnidenko, A.A. [Institute of Materials Science, RAS, Tikhookeanskaya 153, 680042 Khabarovsk (Russian Federation)

    2005-06-01

    Microstructure and related properties of Czochralski silicon heavily doped with hydrogen by implantation (hydrogen dose 2.7 x 10{sup 17} cm{sup -2}, at 24 keV) or by hydrogen plasma etching (reference samples) and treated at up to 1270 K (HT) under argon pressure up to 1.1 GPa (HP) are investigated. The structure of HT-HP treated Cz-Si:H is similar to that of porous (spongy) Si. Visible photoluminescence at 2.0-2.8 eV originates from accumulation of hydrogen and oxygen atoms near the sample surface. (copyright 2005 WILEY-VCH Verlag GmbH and Co. KGaA, Weinheim) (orig.)

  5. Induction hardening of tool steel for heavily loaded aircraft engine components

    Directory of Open Access Journals (Sweden)

    Rokicki P.

    2017-03-01

    Full Text Available Induction hardening is an innovative process allowing modification of the materials surface with more effective, cheaper and more reproducible way to compare with conventional hardening methods used in the aerospace industry. Unfortunately, high requirements and strict regulation concerning this branch of the industry force deep research allowing to obtain results that would be used for numerical modelling of the process. Only by this way one is able to start the industrial application of the process. The main scope of presented paper are results concerning investigation of microstructure evolution of tool steel after single-frequency induction hardening process. The specimens that aim in representing final industrial products (as heavily loaded gears, were heat- -treated with induction method and subjected to metallographic preparation, after which complex microstructure investigation was performed. The results obtained within the research will be a basis for numerical modelling of the process of induction hardening with potential to be introduced for the aviation industrial components.

  6. Double peak electric field distortion in heavily irradiated silicon strip detectors

    CERN Document Server

    Eremin, Vladimir; Roe, Shaun; Ruggiero, G; Verbitskaya, E

    2004-01-01

    Non-uniform distribution of the electric field outlined as double peak distortion (DPD) is considered for heavily irradiated silicon strip detectors, which were developed for the CERN-ATLAS semiconductor tracker. DPD originates from the non-uniform accumulation of electrons and holes from the bulk generated current that are captured by radiation induced defects: deep acceptors and donors with mid-gap energy levels. This corresponds to the formation of the low electric field region in the detector central part that consequently will delay charge collection. The electric field distributions at different reverse biases, fluences and detector operational temperatures are calculated using a one-dimensional Poisson equation as it was done earlier for pad detectors. It has been shown that due to the electric field focusing at the strips the DPD effect is more pronounced for strip detectors as compared to that in pad detectors. The double peak electric field distribution is evinced experimentally in current pulse res...

  7. Facilitating political decisions using species distribution models to assess restoration measures in heavily modified estuaries.

    Science.gov (United States)

    Heuner, Maike; Weber, Arnd; Schröder, Uwe; Kleinschmit, Birgit; Schröder, Boris

    2016-09-15

    The European Water Framework Directive requires a good ecological potential for heavily modified water bodies. This standard has not been reached for most large estuaries by 2015. Management plans for estuaries fall short in linking implementations between restoration measures and underlying spatial analyses. The distribution of emergent macrophytes - as an indicator of habitat quality - is here used to assess the ecological potential. Emergent macrophytes are capable of settling on gentle tidal flats where hydrodynamic stress is comparatively low. Analyzing their habitats based on spatial data, we set up species distribution models with 'elevation relative to mean high water', 'mean bank slope', and 'length of bottom friction' from shallow water up to the vegetation belt as key predictors representing hydrodynamic stress. Effects of restoration scenarios on habitats were assessed applying these models. Our findings endorse species distribution models as crucial spatial planning tools for implementing restoration measures in modified estuaries. Copyright © 2016 Elsevier Ltd. All rights reserved.

  8. Short-channel drain current model for asymmetric heavily / lightly doped DG MOSFETs

    Science.gov (United States)

    Dutta, Pradipta; Syamal, Binit; Koley, Kalyan; Dutta, Arka; Sarkar, C. K.

    2017-08-01

    The paper presents a drain current model for double gate metal oxide semiconductor field effect transistors (DG MOSFETs) based on a new velocity saturation model that accounts for short-channel velocity saturation effect independently in the front and the back gate controlled channels under asymmetric front and back gate bias and oxide thickness. To determine the front and the back-channel velocity saturation, drain-induced barrier lowering is evaluated by effective gate voltages at the front and back gates obtained from surface potential at the threshold condition after considering symmetric and asymmetric front and back oxide thickness. The model also incorporates surface roughness scattering and ionized impurity scattering to estimate drain current for heavily / lightly doped channel for short-channel asymmetric DG MOSFET and a good agreement has been achieved with TCAD simulations, with a relative error of around 3-7%.

  9. Biweekly Pegylated Liposomal Doxorubicin (Caelyx) in Heavily Pretreated Metastatic Breast Cancer: A Phase 2 Study.

    Science.gov (United States)

    Jehn, Christian F; Hemmati, Philipp; Lehenbauer-Dehm, Silvia; Kümmel, Sherko; Flath, Bernd; Schmid, Peter

    2016-12-01

    Pegylated liposomal doxorubicin (PLD) has shown to be as effective as conventional doxorubicin in the treatment of metastatic breast cancer but provides a lower risk of cardiotoxicity. This phase 2 study in heavily pretreated patients with metastatic breast cancer was initiated to evaluate a biweekly instead of a 4-week schedule of PLD in order to obtain a more flexible and tolerable regimen. A total of 25 patients with 2 or more prior lines of chemotherapy for metastatic disease were treated with PLD (25 mg/m2) at 2-week intervals for a maximum of 12 courses. Pretreatment with anthracyclines was allowed as long as the cumulative doxorubicin dose at study entry was below 400 mg/m2. Most patients were pretreated with anthracyclines, taxanes, vinorelbine, alkylating agents, and capecitabine. The clinical benefit rate, ie, objective response or stable disease, for at least 6 months was 22.7% for all patients and 22.2% in anthracycline- and taxane-pretreated patients, respectively. Median duration of clinical benefit and median time to progression were 12.5 months (95% confidence interval [CI], 10.1-32.3) and 7 weeks (95% CI, 5.4-8.6), respectively. Median overall survival was 9.6 months (95% CI, 5.4-13.9). One- and 2-year survival rates were 38% and 4%, respectively. Myelosuppression was low, with no grade 3 or 4 neutropenia or thrombocytopenia. Most common nonhematologic toxicities were nausea, alopecia, asthenia, and hand-foot syndrome. The low rate of hematologic toxicity and hand-foot syndrome is clinically noteworthy. Biweekly PLD is an easily manageable schedule with a favorable toxicity profile. Efficacy was moderate in heavily pretreated patients. Copyright © 2016 Elsevier Inc. All rights reserved.

  10. Relationship between levels of serum creatinine and perirenal hyperintensity on heavily T2-weighted MR images

    Energy Technology Data Exchange (ETDEWEB)

    Erden, Ayse, E-mail: ayse.erden@medicine.ankara.edu.tr [Ankara University, School of Medicine, Department of Radiology, Talatpasa Bulvari, Sihhiye, 06100 Ankara (Turkey); Sahin, Burcu Savran, E-mail: bsavrans@hotmail.com [Ankara University, School of Medicine, Department of Radiology, Talatpasa Bulvari, Sihhiye, 06100 Ankara (Turkey); Orgodol, Horolsuren, E-mail: hoogii99@yahoo.com [Ankara University, School of Medicine, Department of Radiology, Talatpasa Bulvari, Sihhiye, 06100 Ankara (Turkey); Erden, Ilhan, E-mail: erden@medicine.ankara.edu.tr [Ankara University, School of Medicine, Department of Radiology, Talatpasa Bulvari, Sihhiye, 06100 Ankara (Turkey); Biyikli, Zeynep, E-mail: zeynep.biyikli@gmail.com [Ankara University, School of Medicine, Department of Biostatistics, Talatpasa Bulvari, Sihhiye, 06100 Ankara (Turkey)

    2011-11-15

    Objective: To determine the frequency of perirenal hyperintensity on heavily T2-weighted images and to evaluate its relationship with serum creatinine levels. Subjects and methods: Axial and coronal single-shot fast spin-echo images which have been originally obtained for MR cholangiopancreatography in 150 subjects were examined by two observers individually for the presence of perirenal hyperintensity. The morphologic properties of perirenal hyperintensity (peripheral rim-like, discontinuous, polar) were recorded. Chi square test was used to test whether the frequencies of bilateral perirenal hyperintensity differ significantly in subjects with high serum creatinine levels and those with normal creatinine levels. This test was also used to compare the frequencies of perirenal hyperintensity in patients with and without renal cysts and in patients with and without corticomedullary differentiation. A p value of less than 0.05 was considered to be statistically significant. Results: The perirenal hyperintensity was identified in 40 of 150 cases (26.6%) on heavily T2-weighted image. Serum creatinine levels were high in 18 of 150 cases (12%). The perirenal hyperintensity was present in 11 of 18 subjects (61%) with high serum creatinine levels and 26 of 132 subjects (19.7%) with normal creatinine levels. The difference of rates in two groups was statistically significant. Odds ratio was 6407 (95% confidence interval 2264-18,129). The frequency of perirenal hyperintensity was also significantly higher in subjects with renal cyst or cysts in whom serum creatinine levels were normal (p < 0.05) (37.5% vs. 11.8%). Conclusion: Perirenal hyperintensities are more frequent in patients with high serum creatinine levels. They are also more common in patients with simple renal cysts.

  11. Returns on Business-to-Business Relationship Marketing Investments: Strategies for Leveraging Profits

    OpenAIRE

    Robert W. Palmatier; Srinath Gopalakrishna; Mark B. Houston

    2006-01-01

    Firms invest heavily in different types of business-to-business relationship marketing activities in the belief that such programs bolster their bottom line. In this study, we develop and test a conceptual model that links customer-specific relationship marketing investments to short-term, customer-specific financial outcomes. Data from a matched set of 313 business customers covered by 143 salespeople of 34 selling firms indicate that investments in social relationship marketing pay off hand...

  12. Craft Beer Marketing. Do You Have to be First, Best, or Unique to Succeed?

    OpenAIRE

    Lahnalampi, Benjamin

    2016-01-01

    This thesis deals with the interplay of marketing and design in the craft brewing industry in Finland. The goal was to figure out what craft brewers do to successfully market their products. The thesis first explains that craft beer is different from generic beer in that it is uncompromising in its ingredients, special flavours, and sole focus on the beer rather than stock prices. Craft breweries use grassroots and guerrilla marketing tactics. They are heavily involved in social media marketi...

  13. Border markets

    DEFF Research Database (Denmark)

    Walther, Olivier

    2014-01-01

    regional trade. The last part of the paper argues that more policy attention should be paid to border markets which, despite being at the margin of states, are a vital component of their economy. Fifty years after most West African states became independent and just as NAFTA turns 20, it is high time...... to challenge the conventional wisdom and put border markets at the center of trade policies....... their unequal economic development: the presence of a trade community, the combination of trading and productive activities, and the relative porosity of borders. In a second part, I examine how border markets on the U.S.-Mexico border must simultaneously guarantee the security of the state while favoring...

  14. Prediction Markets

    DEFF Research Database (Denmark)

    Horn, Christian Franz; Ivens, Bjørn Sven; Ohneberg, Michael

    2014-01-01

    In recent years, Prediction Markets gained growing interest as a forecasting tool among researchers as well as practitioners, which resulted in an increasing number of publications. In order to track the latest development of research, comprising the extent and focus of research, this article...... provides a comprehensive review and classification of the literature related to the topic of Prediction Markets. Overall, 316 relevant articles, published in the timeframe from 2007 through 2013, were identified and assigned to a herein presented classification scheme, differentiating between descriptive...... works, articles of theoretical nature, application-oriented studies and articles dealing with the topic of law and policy. The analysis of the research results reveals that more than half of the literature pool deals with the application and actual function tests of Prediction Markets. The results...

  15. MARKETING CULTURAL

    Directory of Open Access Journals (Sweden)

    Claudia Gómez Ramírez

    2013-07-01

    Full Text Available Este artículo analiza la definición de "Marketing" Cultural y la adaptación y beneficios del "marketing" tradicional respecto al conjunto de manifestaciones artísticas de las diversas industrias involucradas en el sector cultural o artístico; asimismo, se desagregan los conceptos básicos que lo componen como factor de éxito en dichas empresas. Se hace uso de la exposición de casos específicos para ilustrar la articulación de estos dos conceptos aparentemente contrapuestos, cultura y "marketing", y registra algunas reflexiones para que el lector se involucre en la construcción del concepto aquí presentado.

  16. Chronic lower extremity lymphedema: A comparative study of high-resolution interstitial MR lymphangiography and heavily T2-weighted MRI

    Energy Technology Data Exchange (ETDEWEB)

    Lu Qing [Department of Radiology, Shanghai Renji Hospital, Shanghai Jiao Tong University School of Medicine, 1630 Dong Fang Rd, Shanghai 200127 (China)], E-mail: luqingshan@sjtu.edu.cn; Xu Jianrong [Department of Radiology, Shanghai Renji Hospital, Shanghai Jiao Tong University School of Medicine, 1630 Dong Fang Rd, Shanghai 200127 (China)], E-mail: jiangrongx@hotmail.com; Liu Ningfei [Department of Plastic and Reconstructive Surgery, Shanghai 9th People' s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Second Medical University, 639 Zhi Zao Ju Rd, Shanghai 200011 (China)], E-mail: luqing_1973@163.com

    2010-02-15

    Purpose: To assess the role of heavily T2-weighted image and interstitial MR lymphangiography (MRL) for the visualization of lymphatic vessels in patients with disorders of the lymphatic circulation. Methods: Forty lower extremities in 31 patients (9 bilateral and 22 unilateral) with primary lymphedema were examined by heavily T2-weighted image and indirect MRL. Maximum-intensity projection (MIP) was used to reconstruct the images of the lymphatic system. Two experienced radiologists analyzed the images with regard to the differences in image quality, number of lymphatic vessels, its maximum diameter and two other findings: accumulated lymph fluid in the tissue and honeycombing pattern. Results: The beaded appearance of the affected vessels in 73 leg segments of 40 lower extremities were present on both modalities 3D MIP. Larger amount of the dilated lymphatic vessels were visualized on heavily T2-weighted image than that on MRL (p = 0.003) and the maximum diameter of it was 4.28 {+-} 1.53 mm on heavily T2-weighted image, whereas 3.41 {+-} 1.05 mm on MRL (p < 0.01). The dilated lymphatic vessels on MRL showed better image quality and greater SNR and CNR than that on heavily T2-weighted image (p < 0.01). The regions of accumulated lymph fluid and the honeycombing pattern extent were identified on heavily T2-weighted image scored statistically higher than that on MRL (p < 0.01). Conclusion: The heavily T2-weighted imaging has greater sensitivity and the MRL image has higher legibility for detecting the pathologically modified lymphatic vessels and accompanying complications non-invasively. Combining these two MR techniques can accurately access the pathological changes in the lower extremity with lymphedema.

  17. Football marketing

    OpenAIRE

    Hontañón Velarde, Carlos

    2016-01-01

    RESUMEN: A lo largo del presente proyecto, realizo un estudio de investigación sobre el marketing dentro del fútbol, llevando a cabo un caso práctico con un equipo de Cantabria; el Racing de Santander. En este Trabajo de Fin de Grado defino las principales causas por las que el marketing dentro del fútbol es considerado de interés. Una de las causas es la económica, ya que aporta una actividad que en total es casi el 1% de PIB de una potencia como España; y, la causa social, ya que por tod...

  18. Market Sociality

    DEFF Research Database (Denmark)

    Borch, Christian; Lange, Ann-Christina

    2017-01-01

    This article presents a critical systematic discussion of Shiller’s writings from the late 1970s to the present, as well as an examination of the social-psychological assumptions on which his work is built. We argue that Shiller’s work displays a tension between mimetic and anti-mimetic tendencies......, i.e. between understanding financial markets as captured by fads and fashions (mimesis), and at the same time understanding such markets on the basis of a notion of homo economicus (an essentially anti-mimetic figure). Identifying that tension not only sheds novel light on Shiller’s work, but also...

  19. Outperforming markets

    DEFF Research Database (Denmark)

    Nielsen, Christian; Rimmel, Gunnar; Yosano, Tadanori

    2015-01-01

    . Intellectual capital information leads to significantly better long-term performance against a reference portfolio, and is thus important to the capital market. Further, superior disclosure of IC reduces bid-ask spread in the long-term, indicating that such disclosures are important in an IPO setting. Analysts...

  20. Sports Marketing.

    Science.gov (United States)

    Ohio State Dept. of Education, Columbus. Div. of Career-Technical and Adult Education.

    This document presents the Ohio Integrated Technical and Academic Competency profile for sports marketing. The profile is to serve as the basis for curriculum development in Ohio's secondary, adult, and postsecondary programs. The profile includes a comprehensive listing of 999 specialty key indicators for evaluating mastery of 113 competencies in…

  1. Marketing Optimization for B2B Market

    OpenAIRE

    Kaynova Tatyana V.

    2012-01-01

    The article presents market definition B2B, the necessity to optimize marketing B2B market, provides a system for B2B-marketing and developed stages of its formation. On this basis it was identified key factors of customer loyalty and are the stages of development of loyalty programs for customers market B2B.

  2. From physical marketing to web marketing

    NARCIS (Netherlands)

    Constantinides, Efthymios

    2002-01-01

    Reviews the criticism of the 4P marketing mix framework as the basis of traditional and virtual marketing planning. Argues that the customary marketing management approach, based on the popular marketing mix 4Ps paradigm, is inadequate in the case of virtual marketing. Identifies two main

  3. Utilizing of marketing research for marketing communication

    OpenAIRE

    Bielová, Zuzana

    2008-01-01

    The subject of bachelor's thesis "Utilizing of marketing research for marketing communication" is analyze problematic of marketing communications in sector of educational services. The aims are potential clients of education. I will try to make out import of marketing research for marketing communication of the company.

  4. Entrepreneurship and marketing

    OpenAIRE

    Sidorchuk, Roman

    2009-01-01

    This article analyzes the relationship marketing and entrepreneurship. Marketing considered as an integral part of entrepreneurship. Commit role in relationship marketing and entrepreneurship innovation. The role of marketing in the search for potential market demand of innovation as the scope of latent or unmet needs of customers. Shown the lack of marketing in today's special marketing tools for entrepreneurs.

  5. Heavily-doped 2D-quantized structures and the Einstein relation

    CERN Document Server

    Ghatak, Kamakhya P

    2015-01-01

    This book presents the Einstein Relation(ER) in two-dimensional (2-D) Heavily Doped(HD) Quantized Structures. The materials considered are quantized structures of HD non-linear optical, III-V, II-VI, Ge, Te, Platinum Antimonide, stressed materials, GaP, Gallium Antimonide, II-V, Bismuth Telluride together with various types of HD superlattices and their Quantized counterparts respectively. The ER in HD opto-electronic materials and their nanostructures is studied in the presence of strong light waves and intense electric fields on the basis of newly formulated electron dispersion laws that control the studies of such quantum effect devices. The suggestion for the experimental determination of HD 2D and 3D ERs and the importance of measurement of band gap in HD optoelectronic materials under intense built-in electric field in nanodevices and strong external photo excitation (for measuring photon induced physical properties) are also discussed in this context. The influence of crossed electric and quantizing ma...

  6. Bioremediation of soil heavily contaminated with crude oil and its products: composition of the microbial consortium

    Directory of Open Access Journals (Sweden)

    JELENA S. MILIĆ

    2009-04-01

    Full Text Available Bioremediation, a process that utilizes the capability of microorganism to degrade toxic waste, is emerging as a promising technology for the treatment of soil and groundwater contamination. The technology is very effective in dealing with petroleum hydrocarbon contamination. The aim of this study was to examine the composition of the microbial consortium during the ex situ experiment of bioremediation of soil heavily contaminated with crude oil and its products from the Oil Refinery Pančevo, Serbia. After a 5.5-month experiment with biostimulation and bioventilation, the concentration of the total petroleum hydrocarbons (TPH had been reduced from 29.80 to 3.29 g/kg (89 %. In soil, the dominant microorganism population comprised Gram-positive bacteria from actinomycete-Nocardia group. The microorganisms which decompose hydrocarbons were the dominant microbial population at the end of the process, with a share of more than 80 % (range 107 CFU/g. On the basis of the results, it was concluded that a stable microbial community had been formed after initial fluctuations.

  7. Comparative study and quantification of cementite decomposition in heavily drawn pearlitic steel wires

    Energy Technology Data Exchange (ETDEWEB)

    Lamontagne, A. [University of Lyon, INSA Lyon, MATEIS–UMR CNRS 5510, Bât. St Exupéry, 3ème étage, 25 Avenue Jean Capelle, Villeurbanne Cedex 69621 (France); Massardier, V., E-mail: veronique.massardier@insa-lyon.fr [University of Lyon, INSA Lyon, MATEIS–UMR CNRS 5510, Bât. St Exupéry, 3ème étage, 25 Avenue Jean Capelle, Villeurbanne Cedex 69621 (France); Kléber, X. [University of Lyon, INSA Lyon, MATEIS–UMR CNRS 5510, Bât. St Exupéry, 3ème étage, 25 Avenue Jean Capelle, Villeurbanne Cedex 69621 (France); Sauvage, X. [University of Rouen, GPM, UMR CNRS 6634, BP 12, Avenue de l’Université, 76801 Saint-Etienne du Rouvray (France); Mari, D. [Institute of Condensed Matter Physics, Ecole Polytechnique Fédérale de Lausanne, Station 3, Lausanne CH-1015 (Switzerland)

    2015-09-17

    Heavily cold-drawing was performed on a pearlitic steel wire and on an ultra-low carbon (ULC) steel wire in order to highlight and quantify the microstructural changes caused by this type of deformation. Both global techniques (thermoelectric power, electrical resistivity, internal fiction background) and local techniques (Atom Probe Tomography) were combined for this study. It was shown that two distinct stages have to be taken into account during the cold-drawing of pearlitic steels. The first stage (below a true strain of 1.5) was attributed mainly to the lamellar alignment, while the second stage (above a true strain of 1.5) was unambiguously interpreted as being due to a gradual enrichment of the carbon content of ferrite arising from the strain induced cementite decomposition. The carbon content in solid solution in ferrite was assessed as a function of the true strain. All the techniques showed that this carbon content exceeds the solubility limit of carbon in the ferrite above a true strain of 2.2. A correlation between the increase in the carbon content of ferrite and the increase in yield strength was also highlighted. Moreover, a scenario was proposed to explain the microstructural changes caused by drawing.

  8. Geostatistical and multivariate statistical analysis of heavily and manifoldly contaminated soil samples.

    Science.gov (United States)

    Schaefer, Kristin; Einax, Jürgen W; Simeonov, Vasil; Tsakovski, Stefan

    2010-04-01

    The surroundings of the former Kremikovtzi steel mill near Sofia (Bulgaria) are influenced by various emissions from the factory. In addition to steel and alloys, they produce different products based on inorganic compounds in different smelters. Soil in this region is multiply contaminated. We collected 65 soil samples and analyzed 15 elements by different methods of atomic spectroscopy for a survey of this field site. Here we present a novel hybrid approach for environmental risk assessment of polluted soil combining geostatistical methods and source apportionment modeling. We could distinguish areas with heavily and slightly polluted soils in the vicinity of the iron smelter by applying unsupervised pattern recognition methods. This result was supported by geostatistical methods such as semivariogram analysis and kriging. The modes of action of the metals examined differ significantly in such a way that iron and lead account for the main pollutants of the iron smelter, whereas, e.g., arsenic shows a haphazard distribution. The application of factor analysis and source-apportionment modeling on absolute principal component scores revealed novel information about the composition of the emissions from the different stacks. It is possible to estimate the impact of every element examined on the pollution due to their emission source. This investigation allows an objective assessment of the different spatial distributions of the elements examined in the soil of the Kremikovtzi region. The geostatistical analysis illustrates this distribution and is supported by multivariate statistical analysis revealing relations between the elements.

  9. Yb(3+) heavily doped photonic crystal fiber lasers prepared by the glass phase-separation technology.

    Science.gov (United States)

    Chu, Yingbo; Yang, Yu; Hu, Xiongwei; Chen, Zhangru; Ma, Yunxiu; Liu, Yongguang; Wang, Yibo; Liao, Lei; Xing, Yinbin; Li, Haiqing; Peng, Jinggagn; Dai, Nengli; Li, Jinyan; Yang, Luyun

    2017-10-02

    We report a Yb(3+) heavily doped photonic crystal fiber with 30 μm core diameter manufactured for the first time by an alternative technique. Silica core rods with a diameter of 3 mm and a length of 280 mm were prepared by the sodium-borosilicate glass phase-separation technology. The measurements show that the fiber has an Yb(3+) concentration of 22810 ppm by weight, and a resultant absorption of approximately 8.5 dB/m at 976 nm. The Yb(3+) ions are distributed throughout the fiber core with an excellent homogeneity. The laser performance demonstrates a high slope efficiency of 64.5% for laser emission at 1033.4 nm and a low power threshold of 3 W within a short fiber length of 1 m. This novel approach provides an alternative means of preparing large active silica rods with high doping levels and excellent material homogeneity for large mode area fibers with complex designs.

  10. Thermal oxidation effect on structural and optical properties of heavily doped phosphorus polycrystalline silicon films

    Science.gov (United States)

    Birouk, B.; Madi, D.

    2011-08-01

    The study reported in this paper contributes to better understanding the thermal oxidation effect on structural and optical properties of polycrystalline silicon heavily in situ P-LPCVD films. The deposits, doped at levels 3×1019 and 1.6×1020 cm-3, have been elaborated from silane decomposition (400 mTorrs, 605°C) on monosilicon substrate oriented . The thermal oxidation was performed at temperatures: 850°C during 1 hour, 1000, 1050, and 1100°C during 15 minutes. The XRD spectra analysis pointed out significant texture evolution, while in the case of and textures, the intensities are practically invariant (variations fall in the uncertainty intervals). The optical characterizations showed that refractive index and absorption coefficient are very sensitive to the oxidation treatment, mainly when the doping level is not very high. We think that atomic oxygen acts as defects passivating agent leading to carriers' concentration increasing. Besides, the optical behavior is modeled in visible and near infrared, by a seven-term polynomial function n 2= f( λ 2), with alternate signs, instead of theoretically unlimited terms number from Drude's model. It has been shown that fitting parameters fall on Gaussian curves like they do in the theoretical model.

  11. Annealing effect on the electron spin dynamics in heavily Mn-doped (Ga,Mn)As

    Energy Technology Data Exchange (ETDEWEB)

    Yue, Han; Chen, Lin; Gao, Haixia; Zhao, Jianhua; Zhang, Xinhui [Institute of Semiconductors, Chinese Academy of Sciences, Beijing (China)

    2014-05-15

    A temperature- and photo-excitation-density-dependent electron spin dephasing process has been studied by time-resolved magneto-optical Kerr effect (TR-MOKE) measurements for heavily-doped (Ga,Mn)As after appropriate annealing treatment. Unlike the as-grown (Ga,Mn)As in which s-d scattering is dominant for spin dephasing at low temperature, the exchange scattering induced by Mn ions is efficiently suppressed after annealing. For annealed (Ga,Mn)As, the p-d exchange coupling proves to be important for the electron spin dephasing process. Moreover, the Coulomb scattering arising from the weakly-localized holes and Mn impurities is revealed to play an important role in the electron spin dephasing after annealing. Our results demonstrate that the impurity induced disorder plays a significant role in the electron spin-dephasing process in (Ga,Mn)As when Mn is over doped by as much as 15%, which is a critical issue that needs to be considered to achieve high-quality (Ga,Mn)As thin films with a higher Curie temperature T{sub C} and better functionality.

  12. Microbial leaching of toxic metals and arsenic from a heap consisting of heavily polluted soil

    Science.gov (United States)

    Groudev, Stoyan; Georgiev, Plamen; Spasova, Irena; Nicolova, Marina

    2014-05-01

    Soil heavily polluted with toxic heavy metals (mainly Cu, Zn, Cd) and arsenic was subjected to microbial cleanup in a heap specially constructed for this purpose. The heap was located on an impermeable geomembrane, had the shape of a truncated pyramid and contained about 240 tons of soil collected mainly from the horizon A. The soil was highly acidic (with an initial pH of about 3.2) and was preliminarily crushed to minus 2.5 cm particle size. The pollutants were present mainly as the relevant sulphide minerals and the soil was inhabited by different microorganisms, including some acidophilic chemolithotrophic bacteria able to oxidize sulphides and to solubilize the relevant toxic elements. The heap possessed systems for irrigation and aeration and was surrounded by ditches to collect the drainage heap effluents containing the dissolved pollutants. The treatment of the soil was carried out by means of interrupted irrigation with leach solutions containing diluted sulphuric acid (to maintain pH in the heap within the range of about 2.5 - 2.8) and ammonium and phosphate ions to maintain the microbial growth. The treatment was carried out for a period of about two years during different climatic seasons. After the end of leaching the soil was subjected to some conventional melioration procedures such as liming, grassing, moulching, addition of fertilizers and animal manure and periodic ploughing and irrigation to increase its quality to levels suitable for agricultural utilization.

  13. Gemcitabine and capecitabine for heavily pre-treated metastatic colorectal cancer patients

    DEFF Research Database (Denmark)

    Spindler, Karen-Lise G; Pallisgaard, Niels; Andersen, Rikke F

    2014-01-01

    AIM: We investigated the efficacy and safety of capecitabine and gemcitabin (GemCap) in heavily pre-treated, therapy-resistant metastatic colorectal cancer (mCRC) patients and the clinical importance of cell-free DNA (cfDNA) measurement. PATIENTS AND METHODS: Patients' inclusion criteria included...... histopathologically-verified mCRC refractory to standard chemotherapy, adequate organ function and performance status. Treatment included capecitabine (2,000 mg/m(2) day on days 1-7 q2w) and gemcitabine (1,000 mg/m(2) on day 1). The number of DNA alleles was measured in pre-treatment plasma samples using an in......-house developed qPCR. RESULTS: Forty-nine patients were included in the study. GemCap was well-tolerated in the majority of patients. Disease control rate was 30%, median progression-free survival (PFS) and overall survival (OS) by intention-to-treat were 2.7 (95%CI=2.6-2.8) and 6.8 (95%CI=5.0-7.7) months. Median...

  14. Road Environments: Impact of Metals on Human Health in Heavily Congested Cities of Poland.

    Science.gov (United States)

    Adamiec, Ewa

    2017-06-29

    Road dust as a by-product of exhaust and non-exhaust emissions can be a major cause of systemic oxidative stress and multiple disorders. Substantial amounts of road dust are repeatedly resuspended, in particular at traffic lights and junctions where more braking is involved, causing potential threat to pedestrians, especially children. In order to determine the degree of contamination in the heavily traffic-congested cities of Poland, a total of 148 samples of road dust (RD), sludge from storm drains (SL) and roadside soil (RS) were collected. Sixteen metals were analysed using inductively coupled plasma mass spectrometry (ICP-MS), inductively coupled plasma atomic emission spectroscopy (ICP-OES) and atomic absorption spectroscopy (AAS) in all samples. Chemical evaluation followed by Principal Component Analysis (PCA) revealed that road environments have been severely contaminated with traffic-related elements. Concentration of copper in all road-environment samples is even higher, exceeding even up to 15 times its average concentrations established for the surrounding soils. Non-carcinogenic health risk assessment revealed that the hazard index (HI) for children in all road-environment samples exceeds the safe level of 1. Therefore, greater attention should be paid to potential health risks caused by the ingestion of traffic-related particles during outdoor activities.

  15. Interaction of surface plasmon polaritons in heavily doped GaN microstructures with terahertz radiation

    Energy Technology Data Exchange (ETDEWEB)

    Melentev, G. A., E-mail: gamelen@spbstu.ru; Shalygin, V. A.; Vorobjev, L. E.; Panevin, V. Yu.; Firsov, D. A. [Department of Physics of Semiconductors and Nanoelectronics, Peter the Great St. Petersburg Polytechnic University, St. Petersburg 195251 (Russian Federation); Riuttanen, L.; Suihkonen, S. [School of Electrical Engineering, Aalto University, Espoo 02150 (Finland); Korotyeyev, V. V.; Lyaschuk, Yu. M.; Kochelap, V. A. [Department of Theoretical Physics, Institute of Semiconductor Physics NASU, Kyiv 03028 (Ukraine); Poroshin, V. N. [Department of Solid State Electronics, Institute of Physics NASU, Kyiv 03028 (Ukraine)

    2016-03-07

    We present the results of experimental and theoretical studies of the surface plasmon polariton excitations in heavily doped GaN epitaxial layers. Reflection and emission of radiation in the frequency range of 2–20 THz including the Reststrahlen band were investigated for samples with grating etched on the sample surface, as well as for samples with flat surface. The reflectivity spectrum for p-polarized radiation measured for the sample with the surface-relief grating demonstrates a set of resonances associated with excitations of different surface plasmon polariton modes. Spectral peculiarities due to the diffraction effect have been also revealed. The characteristic features of the reflectivity spectrum, namely, frequencies, amplitudes, and widths of the resonance dips, are well described theoretically by a modified technique of rigorous coupled-wave analysis of Maxwell equations. The emissivity spectra of the samples were measured under epilayer temperature modulation by pulsed electric field. The emissivity spectrum of the sample with surface-relief grating shows emission peaks in the frequency ranges corresponding to the decay of the surface plasmon polariton modes. Theoretical analysis based on the blackbody-like radiation theory well describes the main peculiarities of the observed THz emission.

  16. Superconducting and normal state properties of heavily hole-doped diamond synthesized at high pressure

    Directory of Open Access Journals (Sweden)

    V.A. Sidorov, E.A. Ekimov, A.V. Rakhmanina, S.M. Stishov, E.D. Bauer and J.D. Thompson

    2006-01-01

    Full Text Available Diamonds, synthesized at high pressures and high temperatures in the presence of boron, are heavily hole-doped by incorporation of boron into the diamond lattice. These diamonds become superconducting below Tc=2–9 K. Synthesis in the systems B-C and B4C-C at P=9 GPa and T=2500–2800 K result in formation of polycrystalline carbonado-like material, whereas synthesis from B-C-H gives small single crystals and intergrowth plates. Dense superconducting bodies can be prepared by compacting these single crystal particles at P=8 GPa and T=1800 K. Specific heat and resistivity measurements in magnetic fields prove the bulk nature of superconductivity in all pressure-synthesized samples and provide a consistent set of materials parameters that favor a conventional weak-coupling electron–phonon interpretation of the superconducting mechanism at high hole doping. Schottky barrier tunneling conductance spectra, obtained with contacts fabricated at the surface of these hole-doped diamonds, indicate the appearance of superconducting gap below Tc.

  17. Modeling approaches to management of nitrate contamination of groundwater in a heavily cultivated area

    Science.gov (United States)

    Koh, E.; Park, Y.; Lee, K.

    2011-12-01

    A three-dimensional variably-saturated groundwater flow and reactive transport modeling framework was implemented to simulate nitrate contamination in a heavily cultivated area in Jeju volcanic Island. In the study area, two localized aquifer systems (perched and regional groundwater) exist due to distributions of impermeable clay layers beneath the perched groundwater. The approximate application rate of chemical fertilizers was surveyed to be 627.9 kg-N/ha per year, which is much higher than the average annual chemical fertilizer usage in Jeju Island, 172 kg-N/ha per year. Severe nitrate contamination has been observed in the perched groundwater system and such perched groundwater has influenced regional groundwater quality, through poorly cemented wall of the distributed throughout the region wells. For a part of managing plan of nitrate contamination in the island, a numerical modeling framework was developed for various scenarios associated with the factors affecting nitrate contamination in the study area (i.e., usage amount of chemical fertilizers, cultivated methods, grouting condition of wells). This work provides useful information to suggest effective ways to manage nitrate contamination of groundwater in the agricultural field. Acknowledgements: This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education, Science and Technology (2011-0001120) and by BK21 project of Korean Government.

  18. Epibenthic diversity and productivity on a heavily trawled Barents Sea bank (Tromsøflaket

    Directory of Open Access Journals (Sweden)

    Monika Kędra

    2017-04-01

    Full Text Available Shallow Arctic banks have been observed to harbour rich communities of epifaunal organisms, but have not been well-studied with respect to composition or function due to sampling challenges. In order to determine how these banks function in the Barents Sea ecosystem, we used a combination of video and trawl/dredge sampling at several locations on a heavily trawled bank, Tromsøflaket – located at the southwestern entrance to the Barents Sea. We describe components of the benthic community, and calculate secondary production of dominant epifaunal organisms. Forty-six epibenthic taxa were identified, and sponges were a significant part of the surveyed benthic communities. There were differences in diversity and production among areas, mainly related to the intensity of trawling activities. Gamma was the most diverse and productive area, with highest species abundance and biomass. Trawled areas had considerably lower species numbers, and significant differences in epifaunal abundance and biomass were found between all trawled and untrawled areas. Trawling seems to have an impact on the sponge communities: mean individual poriferan biomass was higher in untrawled areas, and, although poriferans were observed in areas subjected to more intensive trawling, they were at least five times less frequent than in untrawled areas.

  19. Strategic market segmentation

    National Research Council Canada - National Science Library

    Maricic, Branko; Djordjevic, Aleksandar

    2015-01-01

    ..., requires segmented approach to the market that appreciates differences in expectations and preferences of customers. One of significant activities in strategic planning of marketing activities is market segmentation...

  20. Strategische Planung im Marketing

    OpenAIRE

    Graßy, Oliver

    1990-01-01

    Strategische Planung im Marketing : e. krit. Analyse ausgew. Planungsmethoden. - Augsburg : Förderges. Marketing, 1990. - Zugl.: Augsburg, Univ., Diplomarb. - (Arbeitspapiere zur Schriftenreihe Schwerpunkt Marketing ; 28)

  1. FDA Asks Maker of Opioid Painkiller Opana ER to Pull Drug from Market

    Science.gov (United States)

    ... Opioid Painkiller Opana ER to Pull Drug From Market Agency says the powerful medication's risk for abuse ... to take an opioid pain medication off the market due to the public health threat of abuse. ...

  2. Financial markets

    OpenAIRE

    Bibow, Jörg

    2011-01-01

    This paper provides a brief exposition of financial markets in Post Keynesian economics. Inspired by John Maynard Keynes's path-breaking insights into the role of liquidity and finance in "monetary production economies," Post Keynesian economics offers a refreshing alternative to mainstream (mis)conceptions in this area. We highlight the importance of liquidity-as provided by the financial system—to the proper functioning of real world economies under fundamental uncertainty, contrasting star...

  3. Multilevel marketing

    OpenAIRE

    Trübenekr, Jakub

    2009-01-01

    The Bachelor Thesis examines Multilevel marketing (abbreviated as 'MLM') as a business sector. The first aim of this study is to analyse the system of MLM within the company Oriflame and to measure to what extent the success of MLM is dependent on the duration of the seller's involvement in MLM and on the type of individual's character. Additionally, the thesis investigates whether it is possible to attain financial independence within Oriflame. The second goal is to find out what is the publ...

  4. Does Online Marketing Truly Replace Traditional Marketing?

    OpenAIRE

    Gunawan, Emilia Margareth

    2013-01-01

    This review explains the way how online marketing has been replacing traditional marketing in terms of marketing mix. This replacement might happen, because online marketing can give advantages, i.e., offering on-time delivery, increasing effectiveness of two way interactions between buyer and seller, and creating online communities (Szmigin, et al, 2005). The transition of atoms to bits format reflects that tangible products in traditional marketing is being digitalized. The marketing strate...

  5. POLITICAL MARKET AS VARIABLE OF POLITICAL MARKETING

    OpenAIRE

    Goran Cicović

    2012-01-01

    In order to completely understandconcept of this paper I would like to stress that myaim was to elaborate “political market as variableof political marketing” in a way that will define therole of political marketing in the society by drawinga parallel with the traditional (basic marketing)only because the political marketing as a scientificdiscipline emerged from the theory of basicmarketing. The position that political market takeswithin the political marketing is defined, bystressing politi...

  6. Photonic crystal fibres in the market

    DEFF Research Database (Denmark)

    Broeng, Jes; Laurila, Marko; Noordegraaf, Danny

    2011-01-01

    Photonic crystal fibres (PCFs) emerged as a research topic in the mid 1990'ies [1]. Today, 15 years later, these fibres are increasing deployed in various commercial markets. Here, we will address three of these markets; medical imaging, materials processing and sensors. We will describe how...... the PCFs provide radical improvements and illustrate the strong diversity in the evolution of PCFs to serve these different markets....

  7. MR fetography using heavily T2-weighted sequences: Comparison of thin- and thick-slab acquisitions

    Energy Technology Data Exchange (ETDEWEB)

    Huisman, Thierry A.G.M. [Department of Diagnostic Imaging, University Children' s Hospital Zurich (Switzerland); Division Pediatric Radiology, Johns Hopkins Hospital, Baltimore (United States)], E-mail: thuisma1@jhmi.edu; Solopova, Alina [Department of Diagnostic Imaging, University Children' s Hospital Zurich (Switzerland)

    2009-09-15

    Purpose: To evaluate the use of MR-fetography sequences in identifying the major fetal structures and to compare thick- and thin-slab acquisitions for their diagnostic value. Materials and methods: Twenty-one consecutive, pregnant women with suspected fetal pathology underwent fetal magnetic resonance imaging (MRI) using a 1.5 T MRI unit. Heavily T2-weighted, single-shot fast spin-echo (SSFSE) sequences with a long echo train (MR-fetography) were acquired in a thick- and thin-slab modus. Thick- and thin-slab acquisitions were reviewed by two experienced radiologists with regard to the overall image quality and landmark anatomical structures (spinal canal, spinal cord, posterior fossa, cerebellum, brainstem, basal cisterns, stomach, urinary bladder and umbilical cord according to a three-scale grading system (good, moderate and poor). Visibility scores were calculated and compared between both sequences. Results: Overall image quality was graded good in 76.2%, moderate in 19.0% and poor in 4.8% for thick-slab images and good in 81%, moderate in 14.3% and poor in 4.8% for thin-slab images. The visibility scores of the thick/thin-slab images for evaluation of the main fetal structures were as follows: for the spinal canal 2.8 {+-} 0.4/2.9 {+-} 0.54 (p > 0.05), spinal cord 2.4 {+-} 0.75/2.7 {+-} 0.66 (p > 0.05), posterior fossa components (cerebellum, brainstem and basal cisterns) 2.4 {+-} 0.68/2.8 {+-} 0.54; 2.4 {+-} 0.67/2.7 {+-} 0.66; 2.5 {+-} 0.51/2.7 {+-} 0.56 (p < 0.05), stomach 2.8 {+-} 0.44/2.9 {+-} 0.48 (p > 0.05), urinary bladder 2.8 {+-} 0.51/2.8 {+-} 0.54 (p > 0.05) and umbilical cord 2.9 {+-} 0.30/2.6 {+-} 0.60 (p < 0.05). Conclusion: Heavily T2-weighted MR-fetography renders a quick overview of fetal contours, fetal position, amount of amniotic fluid and integrity and presence of several major fluid containing structures. Thick- and thin-slab acquisitions render complementary information. Thick-slab images display the entire fetus in one projection while

  8. Heat loss through the glabrous skin surfaces of heavily insulated, heat-stressed individuals.

    Science.gov (United States)

    Grahn, D A; Dillon, J L; Heller, H C

    2009-07-01

    Insulation reduces heat exchange between a body and the environment. Glabrous (nonhairy) skin surfaces (palms of the hands, soles of the feet, face, and ears) constitute a small percentage of total body surface area but contain specialized vascular structures that facilitate heat loss. We have previously reported that cooling the glabrous skin surfaces is effective in alleviating heat stress and that the application of local subatmospheric pressure enhances the effect. In this paper, we compare the effects of cooling multiple glabrous skin surfaces with and without vacuum on thermal recovery in heavily insulated heat-stressed individuals. Esophageal temperatures (T(es)) and heart rates were monitored throughout the trials. Water loss was determined from pre- and post-trial nude weights. Treadmill exercise (5.6 km/h, 9-16% slope, and 25-45 min duration) in a hot environment (41.5 degrees C, 20-30% relative humidity) while wearing insulating pants and jackets was used to induce heat stress (T(es)>or=39 degrees C). For postexercise recovery, the subjects donned additional insulation (a balaclava, winter gloves, and impermeable boot covers) and rested in the hot environment for 60 min. Postexercise cooling treatments included control (no cooling) or the application of a 10 degrees C closed water circulating system to (a) the hand(s) with or without application of a local subatmospheric pressure, (b) the face, (c) the feet, or (d) multiple glabrous skin regions. Following exercise induction of heat stress in heavily insulated subjects, the rate of recovery of T(es) was 0.4+/-0.2 degrees C/h(n=12), but with application of cooling to one hand, the rate was 0.8+/-0.3 degrees C/h(n=12), and with one hand cooling with subatmospheric pressure, the rate was 1.0+/-0.2 degrees C/h(n=12). Cooling alone yielded two responses, one resembling that of cooling with subatmospheric pressure (n=8) and one resembling that of no cooling (n=4). The effect of treating multiple surfaces was

  9. Information and/or medical technology staff experience with regulations for medical information systems and medical devices

    OpenAIRE

    Ivarsson, Bodil; Wiinberg, Stig; Svensson, Martin

    2016-01-01

    Objectives Regulations heavily control medical technology (MT), which often includes information technology (IT), but staff experiences related to these regulations are unknown. The study aim was to assess Swedish IT/MT staff experiences regarding regulations for medical devices and medical information systems. Methods An anonymous, ten-item, self-report questionnaire was administered to IT and MT staff (N=228) who attended a 3-h training course on IT and information security and MT regulatio...

  10. A Multidisciplinary Assessment of River Surface Water Quality in Areas Heavily Influenced by Human Activities.

    Science.gov (United States)

    Charalampous, Nikolina; Kindou, Aggeliki; Vlastos, Dimitris; Tsarpali, Vasiliki; Antonopoulou, Maria; Konstantinou, Ioannis; Dailianis, Stefanos

    2015-08-01

    The present study could serve as a multidisciplinary approach for the assessment of river surface water quality with the use of chemical and biological methods. Specifically, physicochemical parameters, heavy metals, and pesticides were measured in water samples from three different stations (sampling station S1, S2, and S3) along Asopos River (Greece). In parallel, algal species (primary producers)-such as Scenedesmus rubescens and Chlorococcum sp.; consumer invertebrate species, such as the fairy shrimp Thamnocephalus platyurus and the rotifer Brachionus calyciflorus; as well as human lymphocytes-were exposed to those samples for assessing their toxic and genotoxic/mutagenic effects. According to the results, although the values of almost all of the physicochemical parameters tested, heavy metals (zinc, cadmium, lead, and mercury) and pesticides were lower than or within the respective environmental quality standards, thus offering no clear evidence for their natural or anthropogenic origin. Values recorded for nickel, chromium, hexavalent chromium, and malathion represent a typical case of mixed influence from natural and anthropogenic enrichments. In contrast, the algal growth arrest, the acute toxic effects on the freshwater invertebrates, and the increased micronuclei frequencies observed in human lymphocytes showed the presence of human-derived hazardous substances, which were hardly determinable with the use of conventional chemical methods. Given that the presence of priority pollutants in river surface waters, heavily burdened by anthropogenic activities, could give no clear evidence for their biological risk, the results of the present study showed that chemical and biological assays should be applied in parallel, thus serving as a reliable tool for the assessment of river water quality.

  11. Fine particulate matter constituents and cardiopulmonary mortality in a heavily polluted Chinese city.

    Science.gov (United States)

    Cao, Junji; Xu, Hongmei; Xu, Qun; Chen, Bingheng; Kan, Haidong

    2012-03-01

    Although ambient fine particulate matter (PM(2.5); particulate matter ≤ 2.5 µm in aerodynamic diameter) has been linked to adverse human health effects, the chemical constituents that cause harm are unknown. To our knowledge, the health effects of PM(2.5) constituents have not been reported for a developing country. We examined the short-term association between PM(2.5) constituents and daily mortality in Xi'an, a heavily polluted Chinese city. We obtained daily mortality data and daily concentrations of PM(2.5), organic carbon (OC), elemental carbon (EC), and 10 water-soluble ions for 1 January 2004 through 31 December 2008. We also measured concentrations of fifteen elements 1 January 2006 through 31 December 2008. We analyzed the data using overdispersed generalized linear Poisson models. During the study period, the mean daily average concentration of PM(2.5) in Xi'an was 182.2 µg/m³. Major contributors to PM(2.5) mass included OC, EC, sulfate, nitrate, and ammonium. After adjustment for PM(2.5) mass, we found significant positive associations of total, cardiovascular, or respiratory mortality with OC, EC, ammonium, nitrate, chlorine ion, chlorine, and nickel for at least one lag period. Nitrate demonstrated stronger associations with total and cardiovascular mortality than PM(2.5) mass. For a 1-day lag, interquartile range increases in PM(2.5) mass and nitrate (114.9 and 15.4 µg/m³, respectively) were associated with 1.8% [95% confidence interval (CI): 0.8%, 2.8%] and 3.8% (95% CI: 1.7%, 5.9%) increases in total mortality. Our findings suggest that PM(2.5) constituents from the combustion of fossil fuel may have an appreciable influence on the health effects attributable to PM(2.5) in Xi'an.

  12. Preliminary report of MR cisternography using heavily T{sub 2}-weighted fast spin echo method

    Energy Technology Data Exchange (ETDEWEB)

    Toyama, Hiroyuki; Muro, Isao; Matsumae, Mitsunori; Mamata, Yoshiaki; Komiya, Taizo; Mamata, Hatsuho; Yanagimachi, Noriharu; Tsugane, Ryuichi [Tokai Univ., Isehara, Kanagawa (Japan). School of Medicine; Sato, Osamu

    1997-09-01

    The aim of this study is to demonstrate the details of cranial nerves and vascular components in the cistern using MR cisternography (MRC). All scans were performed on a PHILIPS Gyroscan ACS-NT (1.5T) using a standard head coil. MRC was performes by heavily T{sub 2}-weighted fast spin echo sequences with reversal image (TR: 6000 ms, TE: 220 ms, NEX: 4 times, matrix: 512 x 307, ETL: 23, 3 mm slice thickness, 0.3 mm slice gap). We studied 4 patients of volunteers with the following diagnosis: arachnoid cyst, facial spasm, pituitary adenoma, and CP angle tumor. The images of the VII and VIIIth nerves were clearly identified by axial and oblique coronal views along the VII and VIIIth nerves. In an oblique coronal view, the roots of the entire VII and VIIIth nerves from the internal auditory meatus to the brainstem were visualized. In the patient with facial spasm, the vascular compression at the root entry zone was proven to be in accordance with the finding obtained during the surgery. In the CP angle tumor case, it was possible to accurately discern the relationship of the tumor to the VII and VIIIth nerves as well as to the surrounding vascular and brainstem structures. In the pituitary adenoma case, MRC was useful indifining the relationship of the tumor to the chiasm, internal carotid artery and first segment of the anterior cerebral artery; however, the area surrounding the trigeminal nerve, the superior cerebello-pontine cistern, has the same intensity as the brainstem due to CSF flow artifacts. This CSF flow related artifact was attributed to high velocity signal loss. The VIth nerve and Xth and IXth nerves were observed in some volunteers. Since an average of 3 min 48 sec only is required for imaging in one direction, the clinical application of this method is considered feasible. (author)

  13. Optical Properties of Heavily Fluorinated Lanthanide Tris β-Diketonate Phosphine Oxide Adducts

    Directory of Open Access Journals (Sweden)

    Adam N. Swinburne

    2016-09-01

    Full Text Available The construction of lanthanide(III chelates that exhibit superior photophysical properties holds great importance in biological and materials science. One strategy to increase the luminescence properties of lanthanide(III chelates is to hinder competitive non-radiative decay processes through perfluorination of the chelating ligands. Here, the synthesis of two families of heavily fluorinated lanthanide(III β-diketonate complexes bearing monodentate perfluorinated tris phenyl phosphine oxide ligands have been prepared through a facile one pot reaction [Ln(hfac3{(ArF3PO}(H2O] and [Ln(F7-acac3{(ArF3PO}2] (where Ln = Sm3+, Eu3+, Tb3+, Er3+ and Yb3+. Single crystal X-ray diffraction analysis in combination with photophysical studies have been performed to investigate the factors responsible for the differences in the luminescence lifetimes and intrinsic quantum yields of the complexes. Replacement of both bound H2O and C–H oscillators in the ligand backbone has a dramatic effect on the photophysical properties of the complexes, particularly for the near infra-red emitting ion Yb3+, where a five fold increase in luminescence lifetime and quantum yield is observed. The complexes [Sm(hfac3{(ArF3PO}(H2O] (1, [Yb(hfac3{(ArF3PO}(H2O] (5, [Sm(F7-acac3{(ArF3PO}2] (6 and [Yb(F7-acac3{(ArF3PO}2] (10 exhibit unusually long luminescence lifetimes and attractive intrinsic quantum yields of emission in fluid solution (ΦLn = 3.4% (1; 1.4% (10 and in the solid state (ΦLn = 8.5% (1; 2.0% (5; 26% (6; 11% (10, which are amongst the largest values for this class of compounds to date.

  14. Radium-223 in Heavily Pretreated Metastatic Castrate-Resistant Prostate Cancer.

    Science.gov (United States)

    Modi, Dipenkumar; Hwang, Clara; Mamdani, Hirva; Kim, Seongho; Gayar, Hesham; Vaishampayan, Ulka; Joyrich, Richard; Heath, Elisabeth I

    2016-10-01

    Radium-223 is a bone-targeting radiopharmaceutical that extends survival in mCRPC. Postapproval data are limited, and the value of biochemical and radiologic monitoring during radium therapy is unknown. We conducted a retrospective study of 29 patients with mCRPC who received radium-223 at 1 of 3 participating institutions between August 2013 and December 2014. Trend of PSA, radiographic changes, and association of biochemical and clinical variables with PSA trend were measured. The median age of patients was 70 years, 79% of patients (N = 23) were European Americans, and 17% of patients (N = 5) were African Americans. Twenty patients (69%) had received at least 3 lines of prior therapies. Some 38% of patients (N = 11) received all 6 cycles of radium-223. Twenty patients (69%) had an increase in PSA during radium therapy, and 4 patients (14%) had a decline in PSA levels. Five patients had visceral metastases on computed tomography imaging performed during the course of radium-223. Radium therapy in mCRPC was associated with an increase in PSA in the majority of these heavily pretreated patients. The development of visceral disease was not uncommon, suggesting a need for follow-up computed tomography monitoring during radium-223 therapy. The significance of early increases in PSA and pain with radium-223 is still uncertain. Although pain and PSA flare have been reported in patients who subsequently have a dramatic response to therapy, we observed that a PSA increase or pain flare correlates to an improvement in bone scans only in a minority of patients. Copyright © 2016 Elsevier Inc. All rights reserved.

  15. Marketing orientation in pharmaceutical industry

    Directory of Open Access Journals (Sweden)

    Prošić Danica

    2006-01-01

    Full Text Available Pharmaceutical companies are major stakeholders in the global health agenda Virtually all drugs used by patients in Europe reach markets through the promotion tactics of a small number of corporations with a tremendous impact on global health. The sector is both fast growing and highly profitable. Effective marketing strategies are a crucial ingredient in making sure pharmaceutical products and profits flow in a virtuous cycle. At first glance, the relationship between doctors and drug companies, as well as advertising practices for over-the-counter medication, appears tightly regulated. According to many consumer organizations, drug promotion in Europe today can be characterized as nice and friendly marketing. This refers to the creation of a false sense of trust that consumers associate with branded pharmaceutical products, as a result of pharmaceutical marketing efforts disguised as genuine corporate responsibility.

  16. Recognizing misleading pharmaceutical marketing online.

    Science.gov (United States)

    De Freitas, Julian; Falls, Brian A; Haque, Omar S; Bursztajn, Harold J

    2014-01-01

    In light of decision-making psychology, this article details how drug marketing operates across established and novel web domains and identifies some common misleading trends and influences on prescribing and patient-initiated medication requests. The Internet has allowed pharmaceutical marketing to become more salient than ever before. Although the Internet's growth has improved the dissemination of pharmaceutical information, it has also led to the increased influence of misleading pharmaceutical marketing. Such mismarketing is of concern, especially in psychiatry, since psychotropics generate considerable revenue for drug companies. In a climate of resource-limited drug regulation and time-strapped physicians, we recommend improving both independent monitoring and consumer awareness of Internet-enabled, potentially misleading, pharmaceutical marketing influences. © 2014 American Academy of Psychiatry and the Law.

  17. The effects of the market withdrawal of temazepam gel capsules on benzodiazepine injecting in Sydney, Australia.

    Science.gov (United States)

    Degenhardt, Louisa; Roxburgh, Amanda; van Beek, Ingrid; Hall, Wayne D; Robinson, Maxine K F; Ross, Joanne; Mant, Andrea

    2008-03-01

    This study assessed the impact on benzodiazepine injection among IDU in Sydney of removing temazepam gel capsule preparations from the Australian market. Several data sources were used: (1) data from the NSW Illicit Drug Reporting System (IDRS) (an annual, cross-sectional survey of regular IDU in Sydney) for the period 1996 - 2005; (2) data from inner Sydney outreach services and the Sydney Medically Supervised Injecting Centre (MSIC) on last drug injected; and (3) national benzodiazepine prescription data, by formulation, from the Drug Utilisation Sub-Committee for the period 2001 - 06. Removal of temazepam gel capsule formulations from the Australian market in 2004 resulted in increased prescribing of tablet formulations but overall benzodiazepine prescription numbers remained stable. Injection of benzodiazepines ceased as a mode of administration of benzodiazepines among IDU in inner Sydney, but very frequent oral use of benzodiazepines remained highly prevalent. Removal of an easily injectable form of benzodiazepines appeared to halt injection of benzodiazepines among disadvantaged IDU. However, IDU continue to use the drug heavily and interventions to assist IDU with reducing dependent benzodiazepine use are warranted. There is a need for continued vigilance to emergent injecting drug use risks to implement timely harm reduction strategies.

  18. Does the market maker stabilize the market?

    Science.gov (United States)

    Zhu, Mei; Chiarella, Carl; He, Xue-Zhong; Wang, Duo

    2009-08-01

    The market maker plays an important role in price formation, but his/her behavior and stabilizing impact on the market are relatively unclear, in particular in speculative markets. This paper develops a financial market model that examines the impact on market stability of the market maker, who acts as both a liquidity provider and an active investor in a market consisting of two types of boundedly rational speculative investors-the fundamentalists and trend followers. We show that the market maker does not necessarily stabilize the market when he/she actively manages the inventory to maximize profits, and that rather the market maker’s impact depends on the behavior of the speculators. Numerical simulations show that the model is able to generate outcomes for asset returns and market inventories that are consistent with empirical findings.

  19. Market efficiency in foreign exchange markets

    Science.gov (United States)

    Oh, Gabjin; Kim, Seunghwan; Eom, Cheoljun

    2007-08-01

    We investigate the relative market efficiency in financial market data, using the approximate entropy(ApEn) method for a quantification of randomness in time series. We used the global foreign exchange market indices for 17 countries during two periods from 1984 to 1998 and from 1999 to 2004 in order to study the efficiency of various foreign exchange markets around the market crisis. We found that on average, the ApEn values for European and North American foreign exchange markets are larger than those for African and Asian ones except Japan. We also found that the ApEn for Asian markets increased significantly after the Asian currency crisis. Our results suggest that the markets with a larger liquidity such as European and North American foreign exchange markets have a higher market efficiency than those with a smaller liquidity such as the African and Asian markets except Japan.

  20. Effect of Rock Phosphate on Zn and Fe Bioavailability and Accumulation by Salix smithiana in Heavily Contaminated Soil

    Directory of Open Access Journals (Sweden)

    Vondrackova S.

    2013-04-01

    Full Text Available High biomass production Salix smithiana was proved as the plant able to accumulate substantial amount of Cd and Zn in aboveground biomass. Nevertheless, in heavily contaminated soils (mainly by Zn willows can suffer from chlorosis because of Fe deficiency induced by excess of Zn amount. Method such as chemophytostabilization seems like very good measure for planting willows in such heavily contaminated soil. In our experiments we evaluated effect of rock phosphate on changes in Zn and Fe bioavailability and accumulation of these elements by willows together with the willows growth on heavily contaminated soil. Addition of rock phosphate reduced plant-available Zn concentrations in soils resulting in significant decrease of Zn content in leaves. In the case of Fe, however, its contents in the leaves significantly decreased as well, although the mobile portion of Fe in soil remained unchanged. Yield of aboveground biomass in rock phosphate treatment was not significantly different in comparison to the control. After the first vegetation period, we can conclude that reduction of Zn contents in willows after rock phosphate application did not lead to suppress of Fe deficiency and improvement of willow growth in heavily contaminated soil.

  1. Evaluation of the use of polymer modified bitumen in the production of high modulus asphalt for heavily-trafficked roads

    CSIR Research Space (South Africa)

    Komba, Julius J

    2015-05-01

    Full Text Available Enrobé à Module Élevé (EME) technology, a High Modulus Asphalt (HiMA), has been introduced to South Africa to provide an optimum solution for the design and construction of heavily trafficked roads. Implementation of EME technology in South Africa...

  2. Assessing restrictiveness of national alcohol marketing policies.

    Science.gov (United States)

    Esser, Marissa B; Jernigan, David H

    2014-01-01

    To develop an approach for monitoring national alcohol marketing policies globally, an area of the World Health Organization's (WHO) Global Alcohol Strategy. Data on restrictiveness of alcohol marketing policies came from the 2002 and 2008 WHO Global Surveys on Alcohol and Health. We included four scales in a sensitivity analysis to determine optimal weights to score countries on their marketing policies and applied the selected scale to assess national marketing policy restrictiveness. Nearly, 36% of countries had no marketing restrictions. The overall restrictiveness levels were not significantly different between 2002 and 2008. The number of countries with strict marketing regulations did not differ across years. This method of monitoring alcohol marketing restrictiveness helps track progress towards implementing WHO'S Global Alcohol Strategy. Findings indicate a consistent lack of restrictive policies over time, making this a priority area for national and global action. © The Author 2014. Medical Council on Alcohol and Oxford University Press. All rights reserved.

  3. Marketing research activities in hospitals. Satisfaction surveys of inpatients and outpatients are the most widely used application.

    Science.gov (United States)

    Loubeau, P R; Jantzen, R

    1998-01-01

    Virtually unheard of in health care 30 years ago, marketing research by hospitals is expanding at a notable rate, particularly among larger institutions located in highly competitive urban markets. Research applications are particularly pronounced at for-profit institutions, those heavily involved in managed care programs, and hospitals that are part of an integrated delivery system. However, the majority of hospital administrators surveyed indicated they do not invest in marketing research to track the effectiveness of their own institution's advertising.

  4. Historical data reveal 30-year persistence of benthic fauna associations in heavily modified waterbody

    Directory of Open Access Journals (Sweden)

    Ruth Callaway

    2016-08-01

    Full Text Available Baseline surveys form the cornerstone of coastal impact studies where altered conditions, for example through new infrastructure development, are assessed against a temporal reference state. They are snapshots taken before construction. Due to scarcity of relevant data prior to baseline surveys long-term trends can often not be taken into account. Particularly in heavily modified waterbodies this would however be desirable to control for changes in anthropogenic use over time as well as natural ecological variation. Here, the benthic environment of an industrialized embayment was investigated (Swansea Bay, Wales, UK where it is proposed to build a tidal lagoon that would generate marine renewable energy from the tidal range. Since robust long-term baseline data was not available, the value of unpublished historical benthos information from 1984 by a regional water company was assessed with the aim to improve certainty about the persistence of current benthic community patterns. A survey of 101 positions in 2014 identified spatially discrete benthic communities with areas of high and low diversity. Habitat characteristics including sediment properties and the proximity to a sewage outfall explained 17-35% of the variation in the community structure. Comparing the historical information from 1984 with 2014 revealed striking similarity in the benthic communities between those years, not just in their spatial distribution but also to a large extent in the species composition. The 30-year-old information confirmed spatial boundaries of discrete species associations and pinpointed a similar diversity hotspot. A group of five common species was found to be particularly persistent over time (Nucula nitidosa, Spisula elliptica, Spiophanes bombyx, Nephtys hombergii, Diastylis rathkei. According to the Infauna Quality Index (IQI linked to the EU Water Framework Directive (WFD the average ecological status for 2014 was ‘moderate’, but eleven samples

  5. MR fetography using heavily T2-weighted sequences: comparison of thin- and thick-slab acquisitions.

    Science.gov (United States)

    Huisman, Thierry A G M; Solopova, Alina

    2009-09-01

    To evaluate the use of MR-fetography sequences in identifying the major fetal structures and to compare thick- and thin-slab acquisitions for their diagnostic value. Twenty-one consecutive, pregnant women with suspected fetal pathology underwent fetal magnetic resonance imaging (MRI) using a 1.5 T MRI unit. Heavily T2-weighted, single-shot fast spin-echo (SSFSE) sequences with a long echo train (MR-fetography) were acquired in a thick- and thin-slab modus. Thick- and thin-slab acquisitions were reviewed by two experienced radiologists with regard to the overall image quality and landmark anatomical structures (spinal canal, spinal cord, posterior fossa, cerebellum, brainstem, basal cisterns, stomach, urinary bladder and umbilical cord according to a three-scale grading system (good, moderate and poor). Visibility scores were calculated and compared between both sequences. Overall image quality was graded good in 76.2%, moderate in 19.0% and poor in 4.8% for thick-slab images and good in 81%, moderate in 14.3% and poor in 4.8% for thin-slab images. The visibility scores of the thick/thin-slab images for evaluation of the main fetal structures were as follows: for the spinal canal 2.8+/-0.4/2.9+/-0.54 (p>0.05), spinal cord 2.4+/-0.75/2.7+/-0.66 (p>0.05), posterior fossa components (cerebellum, brainstem and basal cisterns) 2.4+/-0.68/2.8+/-0.54; 2.4+/-0.67/2.7+/-0.66; 2.5+/-0.51/2.7+/-0.56 (p0.05), urinary bladder 2.8+/-0.51/2.8+/-0.54 (p>0.05) and umbilical cord 2.9+/-0.30/2.6+/-0.60 (pslab acquisitions render complementary information. Thick-slab images display the entire fetus in one projection while thin-slab images provide more detailed anatomical information. The short imaging time usually allows measuring both thick- and thin-slab images. MR-fetography is as a helpful addition to conventional fetal MRI. MR-fetography should not be viewed as a single, stand alone sequence but as a supporting fast MR sequence in a well-designed multisequence fetal MRI protocol

  6. Electrical activation of nitrogen heavily implanted 3C-SiC(1 0 0)

    Energy Technology Data Exchange (ETDEWEB)

    Li, Fan, E-mail: f.li.1@warwick.ac.uk [School of Engineering, University of Warwick, Coventry CV4 7AL (United Kingdom); Sharma, Yogesh; Shah, Vishal; Jennings, Mike [School of Engineering, University of Warwick, Coventry CV4 7AL (United Kingdom); Pérez-Tomás, Amador [ICN2 – Institut Catala de Nanociència i Nanotecnologia, Campus UAB, 08193 Bellaterra, Barcelona (Spain); Myronov, Maksym [Physics Department, University of Warwick, Coventry CV4 7AL (United Kingdom); Fisher, Craig [School of Engineering, University of Warwick, Coventry CV4 7AL (United Kingdom); Leadley, David [Physics Department, University of Warwick, Coventry CV4 7AL (United Kingdom); Mawby, Phil [School of Engineering, University of Warwick, Coventry CV4 7AL (United Kingdom)

    2015-10-30

    Highlights: • Nitrogen is fully activated by 1175 °C annealing for 1.5 × 10{sup 19} cm{sup −3} doped 3C-SiC. • Free donor concentration is found to readily saturate in 3C-SiC at ∼7 × 10{sup 19} cm{sup −3}. • 3C-SiC is found to have complete donor thermal ionization above 150 K. • Donor in 1.5 × 10{sup 19} cm{sup −3} nitrogen implanted 3C-SiC has an energy level ∼15 meV. • The SiO{sub 2} cap is found to have a bigger influence on low and medium doped samples. - Abstract: A degenerated wide bandgap semiconductor is a rare system. In general, implant levels lie deeper in the band-gap and carrier freeze-out usually takes place at room temperature. Nevertheless, we have observed that heavily doped n-type degenerated 3C-SiC films are achieved by nitrogen implantation level of ∼6 × 10{sup 20} cm{sup −3} at 20 K. According to temperature dependent Hall measurements, nitrogen activation rates decrease with the doping level from almost 100% (1.5 × 10{sup 19} cm{sup −3}, donor level 15 meV) to ∼12% for 6 × 10{sup 20} cm{sup −3}. Free donors are found to saturate in 3C-SiC at ∼7 × 10{sup 19} cm{sup −3}. The implanted film electrical performances are characterized as a function of the dopant doses and post implantation annealing (PIA) conditions by fabricating Van der Pauw structures. A deposited SiO{sub 2} layer was used as the surface capping layer during the PIA process to study its effect on the resultant film properties. From the device design point of view, the lowest sheet resistivity (∼1.4 mΩ cm) has been observed for medium doped (4 × 10{sup 19} cm{sup −3}) sample with PIA 1375 °C 2 h without a SiO{sub 2} cap.

  7. GEMINI/GeMS Observations Unveil the Structure of the Heavily Obscured Globular Cluster Liller 1.

    Science.gov (United States)

    Saracino, S.; Dalessandro, E.; Ferraro, F. R.; Lanzoni, B.; Geisler, D.; Mauro, F.; Villanova, S.; Moni Bidin, C.; Miocchi, P.; Massari, D.

    2015-06-01

    By exploiting the exceptional high-resolution capabilities of the near-IR camera GSAOI combined with the Gemini Multi-Conjugate Adaptive System at the GEMINI South Telescope, we investigated the structural and physical properties of the heavily obscured globular cluster Liller 1 in the Galactic bulge. We have obtained the deepest and most accurate color-magnitude diagram published so far for this cluster, reaching {{K}s}˜ 19 (below the main-sequence turnoff level). We used these data to redetermine the center of gravity of the system, finding that it is located about 2.″2 southeast from the literature value. We also built new star density and surface brightness profiles for the cluster and rederived its main structural and physical parameters (scale radii, concentration parameter, central mass density, total mass). We find that Liller 1 is significantly less concentrated (concentration parameter c=1.74) and less extended (tidal radius {{r}t}=298\\prime\\prime and core radius {{r}c}=5\\buildrel{\\prime\\prime}\\over{.} 39) than previously thought. By using these newly determined structural parameters, we estimated the mass of Liller 1 to be {{M}tot}=2.3+0.3-0.1× {{10}6} {{M}⊙ } ({{M}tot}=1.5+0.2-0.1× {{10}6} {{M}⊙ } for a Kroupa initial mass function), which is comparable to that of the most massive clusters in the Galaxy (ω Centari and Terzan 5). Also, Liller 1 has the second-highest collision rate (after Terzan 5) among all star clusters in the Galaxy, thus confirming that it is an ideal environment for the formation of collisional objects (such as millisecond pulsars). Based on observations obtained at the Gemini Observatory, which is operated by the Association of Universities for Research in Astronomy, Inc., under a cooperative agreement with the NSF on behalf of the Gemini partnership: the National Science Foundation (United States), the National Research Council (Canada), CONICYT (Chile), the Australian Research Council (Australia), Ministério da

  8. The internal marketing in enterprise marketing system

    OpenAIRE

    I.L. Reshetnikova

    2015-01-01

    The aim of the article. The aim of the article is to summarize the scientific approaches defining the essence of the concept of «internal marketing» and determining their place in the marketing company. The results of the analysis. The theoretical development of foreign and local scientists concerning about internal marketing nature and its role in the marketing of the company has been analyzed. Applying the principles of a systematic approach for analysis of marketing allowed to select it...

  9. Food Marketing Technology and Contingency Market Valuation

    OpenAIRE

    Holloway, Garth J.; Anthony C. Zwart

    1993-01-01

    Marketing activities are introduced into a rational expectations model of the food marketing system. The model is used to evaluate effects of alternative marketing technologies on the distribution of the benefits of contingency markets in agriculture. Benefits depend on two parameters: the cost share of farm inputs and the elasticity of substitution between farm and nonfarm inputs in food marketing. Over a broad spectrum of technologies, consumers are likely to be the net beneficiaries and fa...

  10. Relationship Marketing in Legal Services Marketing Strategy

    OpenAIRE

    Audronė Androšiūnaitė; Borisas Melnikas

    2013-01-01

    The article defines the concept of professional services and evaluates the extent, to which legal services could be understood as professional services. In addition, literature analysis in the relationship marketing is presented as well as conclusions on the method for the use of relationship marketing in the development of legal services marketing strategy. Strategies of professional services marketing are completely different from other services marketing because of relations with current c...

  11. Medical Malpractice

    DEFF Research Database (Denmark)

    Grembi, Veronica

    2014-01-01

    MM first came to the attention of policy makers primarily in the USA where, from the 1970s, healthcare providers denounced problems in getting insurance for medical liability, pointing out to a crisis in the MM insurance market (Sage WM (2003) Understanding the first malpractice crisis of the 21th...... century. In: Gosfield AG, (ed) Health law handbook. West Group, St. Paul, pp 549–608). The crisis was allegedly grounded in an explosion of requests of compensations based on suffering iatrogenic injuries. Since then, MM problems have been identified with scarce availability of insurance coverage and...... in the last decades also among European countries (Hospitals of the European Union (HOPE) (2004) Insurance and malpractice, final report. Brussels, www.​hope.​be; OECD (2006) Medical malpractice, insurance and coverage options, policy issues in insurance n.11; EC (European Commission, D.G. Sanco) (2006...

  12. Profitable marketing: marketing for non marketing managers. Ceuta Healthcare

    OpenAIRE

    Kilburn, David

    2005-01-01

    This workshop was conducted with 20 Managers from Ceuta Healthcare to raise their awareness of the power of marketing and give them a set of marketing tools to improve the success rate of their business development activities

  13. [Social marketing and public health].

    Science.gov (United States)

    Arcaro, P; Mannocci, A; Saulle, R; Miccoli, S; Marzuillo, C; La Torre, G

    2013-01-01

    Social marketing uses the principles and techniques of commercial marketing by applying them to the complex social context in order to promote changes (cognitive; of action; behavioral; of values) among the target population in the public interest. The advent of Internet has radically modified the communication process, and this transformation also involved medical-scientific communication. Medical journals, health organizations, scientific societies and patient groups are increasing the use of the web and of many social networks (Twitter, Facebook, Google, YouTube) as channels to release scientific information to doctors and patients quickly. In recent years, even Healthcare in Italy reported a considerable application of the methods and techniques of social marketing, above all for health prevention and promotion. Recently the association for health promotion "Social marketing and health communication" has been established to promote an active dialogue between professionals of social marketing and public health communication, as well as among professionals in the field of communication of the companies involved in the "health sector". In the field of prevention and health promotion it is necessary to underline the theme of the growing distrust in vaccination practices. Despite the irrefutable evidence of the efficacy and safety of vaccines, the social-cultural transformation together with the overcoming of compulsory vaccination and the use of noninstitutional information sources, have generated confusion among citizens that tend to perceive compulsory vaccinations as needed and safe, whereas recommended vaccinations as less important. Moreover, citizens scarcely perceive the risk of disease related to the effectiveness of vaccines. Implementing communication strategies, argumentative and persuasive, borrowed from social marketing, also for the promotion of vaccines is a priority of the health system. A typical example of the application of social marketing, as

  14. The Marketing Concept

    OpenAIRE

    G. Nazan Gunay

    2001-01-01

    Since the term "Market Orientation" is recognised as the critical factor in business success there has been an overwhelming increase in research issues linking market orientation with company performance. The term market orientation has been employed by scholars to indicate the implementation of the marketing concept. In order to understand market orientation, one believes that there is a need to recall what the marketing concept is. Therefore, this study reviews the "marketing concept" as a ...

  15. Social Guerilla marketing

    OpenAIRE

    Hejkalová, Tereza

    2011-01-01

    The diploma thesis deals with the social guerrilla marketing and its aim is to analyze the social guerrilla campaigns and to evaluate the suitability of the guerilla marketing for the social issues. The theoretical part describes marketing communications, new trends in communication, including guerrilla marketing, and also social marketing and social guerrilla marketing. The practical part includes the market research of guerrilla campaigns. The chosen campaigns are introduced and afterwards ...

  16. Marketing Auditing Services

    OpenAIRE

    Tuomivirta, Olga

    2009-01-01

    The study is done as a part of a bachelor’s study in Marketing at Laurea University of Applied Sciences. Marketing as a science appeared more than 50 years ago and is still developing. The purpose of the thesis work is to collect knowledge via marketing research, to understand how marketing is implemented by the case company–provider and compare the result to professional services marketing theory. Marketing professional services is difficult because services differ from goods. Marketing ...

  17. Forms of Functioning of the Modern Market of Addictive Goods Market

    Directory of Open Access Journals (Sweden)

    Roman Yu. Skokov

    2017-06-01

    Full Text Available The classification of forms of markets for addictive goods was made according to the criterion of exchange (absent, emerging, free, oligopolistic, monopolistic, monopoly. There were systematized approaches to argument for the state monopolization of the markets. Reducing the supply, increasing prices, reducing the influence of the motive of private profit are crucial. There was made the classification and analysis of prevailing forms of state markets for addictive goods in the international practice. They are: state monopolistic, competitive, prohibitionists, medical, antiprohibitionists mixed. Based on this there were marked modern features of their state regulation due to the consumer culture, religious prohibitions, the effectiveness of measures in demand reducing, diametrically different approaches to new markets, international split in the prohibition of the drug market. Domestic specifics associated with skimping on experience of regulation of the alcoholic market in a similar pattern of consumption in the Nordic countries, inadequate implementation capacity of state regulation of demand for tobacco products, with the creation of barriers to the development of gambling and new markets for addictive goods, with a veto on the liberalization of the drug market. Based on a comprehensive assessment of the market potential of business entities in specific markets there were offered socially appropriate forms of their states: in the markets of gambling and drugs a combination of the policy of prohibition and monopoly-oligopolistic proposals, in oligopolistic markets tobacco products and energy drinks the monopoly, in the markets of alcoholic products the differentiated approach.

  18. [A free market is unfavourable for health care].

    Science.gov (United States)

    Kant, A

    2006-05-06

    The new health care system in the Netherlands introduces a free market into the health care sector. Because health care lacks some essential conditions, a free market will not provide effective resource allocation in this sector. In addition, a free market leads to more bureaucracy and less solidarity, cooperation and freedom of choice. It also impairs the autonomy of the medical professional.

  19. "Location is surprisingly a lot more important than you think": a critical thematic analysis of push and pull factor messaging used on Caribbean offshore medical school websites.

    Science.gov (United States)

    Morgan, Jeffrey; Crooks, Valorie A; Sampson, Carla Jackie; Snyder, Jeremy

    2017-06-02

    Offshore medical schools are for-profit, private enterprises located in the Caribbean that provide undergraduate medical education to students who must leave the region for postgraduate training and also typically to practice. This growing industry attracts many medical students from the US and Canada who wish to return home to practice medicine. After graduation, international medical graduates can encounter challenges obtaining residency placements and can face other barriers related to practice. We conducted a qualitative thematic analysis to discern the dominant messages found on offshore medical school websites. Dominant messages included frequent references to push and pull factors intended to encourage potential applicants to consider attending an offshore medical school. We reviewed 38 English-language Caribbean offshore medical school websites in order to extract and record content pertaining to push and pull factors. We found two push and four pull factors present across most offshore medical school websites. Push factors include the: shortages of physicians in the US and Canada that require new medical trainees; and low acceptance rates at medical schools in intended students' home countries. Pull factors include the: financial benefits of attending an offshore medical school; geographic location and environment of training in the Caribbean; training quality and effectiveness; and the potential to practice medicine in one's home country. This analysis contributes to our understanding of some of the factors behind students' decisions to attend an offshore medical school. Importantly, push and pull factors do not address the barriers faced by offshore medical school graduates in finding postgraduate residency placements and ultimately practicing elsewhere. It is clear from push and pull factors that these medical schools heavily focus messaging and marketing towards students from the US and Canada, which raises questions about who benefits from this

  20. Marketing and public relations in the emergency department.

    Science.gov (United States)

    Mayer, T A; Tilson, W; Hemingway, J

    1987-02-01

    This article outlines the elements of successful ED marketing, as well as providing definitions for terms used within the marketing process. In today's competition and rapidly changing environment, marketing and public relations are tools that every ED Medical Director may want to consider. Because the marketing process requires a great deal of time and effort, as well as a high degree of intellectual honesty, it should never be entered into without a strong commitment. However, marketing the ED can be among the most productive, stimulating, and gratifying experiences for the ED Medical Director, the emergency department physicians, and all ED service personnel.

  1. Efficacy and safety of palbociclib in heavily pretreated patients with HR+/HER2- metastatic breast cancer.

    Science.gov (United States)

    Ban, Marija; Miše, Branka Petrić; Majić, Ana; Dražić, Ivanka; Vrdoljak, Eduard

    2017-11-22

    CDK4/6 inhibitors in the first and second treatment line in patients with HR+/HER2- metastatic breast cancer (mBC) in combination with hormonal therapy improve progression free survival. Role of CDK4/6 inhibitors in further treatment lines remains unclear. Retrospective analysis of 24 HR+/HER2- heavily pretreated mBC patients is presented. A total of 58.3% patients achieved stable disease. No objective response was observed. Median progression free survival was 4.8 months; median overall survival was 11 months. Treatment was well tolerated. Favorable toxicity profile and efficacy of palbociclib/aromatase inhibitors (AI) combination in heavily pretreated luminal mBC patients in this study emphasize the need for further investigation of such drugs in this population.

  2. Nature of intensive defect-related broadband luminescence of heavily doped Al x Ga1-x N:Si layers

    Science.gov (United States)

    Osinnykh, I. V.; Malin, T. V.; Plyusnin, V. F.; Zhuravlev, K. S.; Ber, B. Ya; Kazantsev, D. Yu

    2017-03-01

    We report photoluminescence investigations of heavily doped Al x Ga1-x N:Si films grown by molecular beam epitaxy on sapphire substrates. The wide intensive defect-related band dominates in the photoluminescence spectra of Al x Ga1-x N:Si films with the Al content higher than 0.46 covering the whole visible spectral range. This band is attributed to donor-acceptor transitions. The acceptor ionization energy of about 1.87 eV for heavily doped AlN:Si was obtained, decrease of Al content leads to decrease of the acceptor ionization energy. The donor was assigned to the Si atom on the Ga/Al site; the acceptor might be the (2-/3-) transition level of the V Al.

  3. Teaching the Visual Learner: The Use of Visual Summaries in Marketing Education

    Science.gov (United States)

    Clarke, Irvine, III.; Flaherty, Theresa B.; Yankey, Michael

    2006-01-01

    Approximately 40% of college students are visual learners, preferring to be taught through pictures, diagrams, flow charts, timelines, films, and demonstrations. Yet marketing instruction remains heavily reliant on presenting content primarily through verbal cues such as written or spoken words. Without visual instruction, some students may be…

  4. A Pilot Microbial Assessment Of Beef Sold In The Ashaiman Market ...

    African Journals Online (AJOL)

    Food safety is a matter of great public health concern worldwide and particularly crucial if the environment in which the food is handled is heavily contaminated. Most fresh foods particularly that of animal origin like beef is highly susceptible to microbial invasion and food poisoning. In poorly managed market environment

  5. Marketing in nursing organizations.

    Science.gov (United States)

    Chambers, S B

    1989-05-01

    The purpose of chapter 3 is to provide a conceptual framework for understanding marketing. Although it is often considered to be, marketing is not really a new activity for nursing organizations. What is perhaps new to most nursing organizations is the conduct of marketing activities as a series of interrelated events that are part of a strategic marketing process. The increasingly volatile nursing environment requires a comprehensive approach to marketing. This chapter presents definitions of marketing, the marketing mix, the characteristics of nonprofit marketing, the relationship of strategic planning and strategic marketing, portfolio analysis, and a detailed description of the strategic marketing process. While this chapter focuses on marketing concepts, essential components, and presentation of the strategic marketing process, chapter 4 presents specific methods and techniques for implementing the strategic marketing process.

  6. Oil on the market

    Energy Technology Data Exchange (ETDEWEB)

    Schroeder, K.; Ukert, T.

    1982-01-01

    The structure of the German mineral oil market, supply and consumption as well as the particularities of this market are investigated and explained. The authors deal in particular with the market for light fuel oil, the petrol market, the market for heavy fuel oil and the market of lubricants. As different as these markets may be - the unavoidable coupled production produces interdependences. This and the balance caused by imports and exports have the effect that the price level on the German mineral oil markets is closely connected with the development of prices on the internal mineral oil markets.

  7. Introduction to Electronic Marketing.

    Science.gov (United States)

    Dilbeck, Lettie

    These materials for a five-unit course were developed to introduce secondary and postsecondary students to the use of electronic equipment in marketing. The units cover the following topics: electronic marketing as a valid marketing approach; telemarketing; radio electronic media marketing; television electronic media marketing; and cable TV…

  8. Redefining the money market

    African Journals Online (AJOL)

    Abstract. The money market has traditionally been defined as the market for marketable short-term securities. It has deep historical roots. Today, it is not an illuminating definition. The genesis of interest rates, which is the quintessence of monetary policy implementation, does not originate in market for marketable short-term ...

  9. Marketing II Workbook.

    Science.gov (United States)

    Reeves, Cheryl

    This combination curriculum and workbook, which was originally developed for use in a training workshop, is intended to assist adult educators in learning to market their adult literacy programs. The first chapter reviews basic marketing concepts (the definition of marketing, 10 truths about marketing, marketing versus promotion, steps in…

  10. Lichens as biomonitors of uranium and other trace elements in an area of Kosovo heavily shelled with depleted uranium rounds

    Science.gov (United States)

    Di Lella, Luigi A.; Frati, Luisa; Loppi, Stefano; Protano, Giuseppe; Riccobono, Francesco

    This paper reports the results of a study using lichens as biomonitors to investigate the small-scale environmental distribution of uranium and other trace elements in an area of Kosovo (Djakovica) heavily shelled with depleted uranium (DU) anti-tank ammunition. The results of total uranium concentrations showed great variability and species-specific differences, mainly due to differences in the exposed surface area of the lichens. The uranium concentrations in lichen samples were rather similar at a site heavily shelled with DU ammunition and at a control site. Unexpectedly, the highest uranium concentrations were found at the control site. The observed U distribution can be explained by contamination of lichen thalli by soil particles. The soil geochemistry was similar at the two sampling sites. The 235U/ 238U ratios in the soil samples suggested a modest DU contribution only at the heavily shelled site. Measurements of U isotopes in lichens did not reveal DU pollution at the control site. The U isotopic ratios in lichens at the shelled site showed variable figures; only two samples were clearly contaminated by DU. There were no signs of contamination by other trace elements.

  11. Predominance of heavily calcified coccolithophores at low CaCO3 saturation during winter in the Bay of Biscay.

    Science.gov (United States)

    Smith, Helen E K; Tyrrell, Toby; Charalampopoulou, Anastasia; Dumousseaud, Cynthia; Legge, Oliver J; Birchenough, Sarah; Pettit, Laura R; Garley, Rebecca; Hartman, Sue E; Hartman, Mark C; Sagoo, Navjit; Daniels, Chris J; Achterberg, Eric P; Hydes, David J

    2012-06-05

    Coccolithophores are an important component of the Earth system, and, as calcifiers, their possible susceptibility to ocean acidification is of major concern. Laboratory studies at enhanced pCO(2) levels have produced divergent results without overall consensus. However, it has been predicted from these studies that, although calcification may not be depressed in all species, acidification will produce "a transition in dominance from more to less heavily calcified coccolithophores" [Ridgwell A, et al., (2009) Biogeosciences 6:2611-2623]. A recent observational study [Beaufort L, et al., (2011) Nature 476:80-83] also suggested that coccolithophores are less calcified in more acidic conditions. We present the results of a large observational study of coccolithophore morphology in the Bay of Biscay. Samples were collected once a month for over a year, along a 1,000-km-long transect. Our data clearly show that there is a pronounced seasonality in the morphotypes of Emiliania huxleyi, the most abundant coccolithophore species. Whereas pH and CaCO(3) saturation are lowest in winter, the E. huxleyi population shifts from 90% (winter) of the heavily calcified form. However, it is unlikely that the shifts in carbonate chemistry alone caused the morphotype shift. Our finding that the most heavily calcified morphotype dominates when conditions are most acidic is contrary to the earlier predictions and raises further questions about the fate of coccolithophores in a high-CO(2) world.

  12. Undiagnosed Hypertension and Proteinuria in a Market Population ...

    African Journals Online (AJOL)

    We conducted free medical examination and screening during one of the market days in Odo-Ogbe market, Ile-Ife, Nigeria to evaluate the magnitude of undiagnosed hypertension and proteinuria. Methods: Participants were taken through a brief medical history and had their socio-demographic data taken. Weight and ...

  13. Guerilla marketing

    OpenAIRE

    Slezáková, Martina

    2007-01-01

    Αντικείμενο της παρούσας διπλωματικής εργασίας είναι το “Guerilla Marketing”. To Guerilla Marketing είναι μια διαρκώς αναπτυσσόμενη τάση του Μάρκετινγκ, η οποία βασιζόμενη σε αντισυμβατικές τεχνικές, προσπαθεί να πετύχει την μέγιστη δυνατή ανταπόκριση, στο ελάχιστο δυνατό κόστος. Το Guerilla Marketing βασίζεται στην ενεργοποίηση ντόρου (buzz) και την συνακόλουθη μετάδοση του μηνύματος από στόμα σε στόμα (word-of-mouth). Στην άνθησή του έχουν συνεισφέρει η πτώση της αποτελεσματικότητα...

  14. 2011 Vehicle Technologies Market Report

    Energy Technology Data Exchange (ETDEWEB)

    Davis, Stacy Cagle [ORNL; Boundy, Robert Gary [ORNL; Diegel, Susan W [ORNL

    2012-02-01

    This report details the major trends in U.S. light-duty vehicle and medium/heavy truck markets as well as the underlying trends that caused them. This report is supported by the U.S. Department of Energy s (DOE) Vehicle Technologies Program (VTP), and, in accord with its mission, pays special attention to the progress of high-efficiency and alternative-fuel technologies. This third edition since this report was started in 2008 offers several marked improvements relative to its predecessors. Most significantly, where earlier editions of this report focused on supplying information through an examination of market drivers, new vehicle trends, and supplier data, this edition uses a different structure. After opening with a discussion of energy and economics, this report features a section each on the light-duty vehicle and heavy/medium truck markets, and concluding with a section each on technology and policy. In addition to making this sectional re-alignment, this year s edition of the report also takes a different approach to communicating information. While previous editions relied heavily on text accompanied by auxiliary figures, this third edition relies primarily on charts and graphs to communicate trends. Any accompanying text serves to introduce the trends communication by the graphic and highlight any particularly salient observations. The opening section on Energy and Economics discusses the role of transportation energy and vehicle markets on a national (and even international) scale. For example, Figures 11 through 13 discuss the connections between global oil prices and U.S. GDP, and Figures 20 and 21 show U.S. employment in the automotive sector. The following section examines Light-Duty Vehicle use, markets, manufacture, and supply chains. Figures 26 through 33 offer snapshots of major light-duty vehicle brands in the U.S. and Figures 38 through 43 examine the performance and efficiency characteristics of vehicles sold. The discussion of Medium and

  15. Relationship marketing as a modern marketing concept

    Directory of Open Access Journals (Sweden)

    Bolotnaya Oksana

    2015-10-01

    Full Text Available The article presents the results of scientific and practical justification of the relevance of using the concept of marketing of relations in modern market conditions and identifies the content and factors of customer loyalty.

  16. Market integration in the crustaceans market

    DEFF Research Database (Denmark)

    Ankamah-Yeboah, Isaac; Bronnmann, Julia

    2018-01-01

    In this paper the price dynamics and the degree of market integration in the German crustaceans market is examined using cointegration methods. The study focuses on wild caught cold water shrimp, farmed warm water shrimp as well as lobster and derives implications for the fisheries sector....... In the analysis, both the import market and the retail market price reactions are distinguished. Therefore, it is evaluated how price changes affect competing commodities within and between the value chain of a given crustaceans commodity. Evidence of partial market integration is found for all species under...... study at the import level while at the retail level; there is weak evidence of perfect market integration. At the import-retail level linkages, shrimp markets are partially integrated, while the lobster market is fully integrated. Consequently, it can be concluded that the species under consideration...

  17. FINANCIAL MARKETING CHALLENGES FOR THE ROMANIAN MARKET

    OpenAIRE

    Oana PREDA

    2013-01-01

    The reason I choose to analyze this issue is the fact that the proper functioning of the market economy is based on a solid and profitable banking financial system. The experience of the last 20 years in corroboration with the global financial crisis shows that banks in our country must face the challenges coming from both the international market and especially the national market. In this context, it becomes increasingly clear that to obtain a good market positioning (which will automatical...

  18. Experiential Marketing: Growing Importance in Marketing

    Directory of Open Access Journals (Sweden)

    Ebru Tümer Kabadayı

    2014-03-01

    Full Text Available Although the concept of experience entered in the field of marketing in 1982, this concept has now become a key constituent of understanding consumer behaviour. In recent years, a great deal of research has examined this concept is a foundation of economy and future of marketing. From this point of view the purpose of this study is to discuss concept of experience, experiential marketing and related concepts in a holistic perspective and moreover some marketing implications have been given.

  19. Marketing is everything.

    Science.gov (United States)

    McKenna, R

    1991-01-01

    Technology is creating customer choice, and choice is altering the marketplace. Gone are the days of the marketer as salesperson. Gone as well is marketing that tries to trick the customer into buying whatever the company makes. There is a new paradigm for marketing, a model that depends on the marketer's knowledge, experience, and ability to integrate the customer and the company. Six principles are at the heart of the new marketing. The first, "Marketing is everything and everything is marketing," suggests that marketing is like quality. It is not a function but an all-pervasive way of doing business. The second, "The goal of marketing is to own the market, not just to sell the product," is a remedy for companies that adopt a limiting "market-share mentality." When you own a market, you lead the market. The third principle says that "marketing evolves as technology evolves." Programmable technology means that companies can promise customers "any thing, any way, any time." Now marketing is evolving to deliver on that promise. The fourth principle, "Marketing moves from monologue to dialogue," argues that advertising is obsolete. Talking at customers is no longer useful. The new marketing requires a feedback loop--a dialogue between company and customer. The fifth principle says that "marketing a product is marketing a service is marketing a product." The line between the categories is fast eroding: the best manufacturing companies provide great service, the best service companies think of themselves as offering high-quality products. The sixth principle, "Technology markets technology," points out the inevitable marriage of marketing and technology and predicts the emergence of marketing workstations, a marketing counterpart to engineers' CAD/CAM systems.

  20. Tools of online Marketing

    OpenAIRE

    Hossain, M. S.; Rahman, M. F.

    2017-01-01

    Abstract Online marketing is the most crucial issue in the modern marketing era but there was no previous research that could identify the tools of internet marketing before this study and it was the first study on the field of online marketing tools. This research was descriptive in nature and it has attempted to identify the major tools of internet marketing from the concepts of traditional marketing tools. Worldwide network is known as Internet that can exchange information between use...

  1. New marketing, improved marketing, apocryphal marketing: is one marketing concept enough?

    OpenAIRE

    Woodall, T

    2007-01-01

    PURPOSE – This paper seeks to explore marketing's ambiguous relationship with truth and, in so doing, to question the efficacy and value of the marketing concept and the very nature of marketing itself. Is marketing something that marketers do, or is it something much broader than this? If the latter, are marketers themselves either willing, or able to operate beyond traditional boundaries and, if not, should they focus – honourably – on what they do best, and encourage/support others who mig...

  2. Connecting with prospective medical tourists online

    NARCIS (Netherlands)

    Moghavvemi, Sedigheh; Ormond, M.E.; Musa, Ghazali; Isa Mohammed, Che Ruhana; Thirumoorthi, Thinaranjeney; Mustapha, Bin Mohd Zulkhairi; Kanapathy, Kanagi; Chiremel Chandy, Jacob John

    2017-01-01

    Websites of private hospitals promoting medical tourism are important marketing channels for showcasing and promoting destinations' medical facilities and their array of staff expertise, services, treatments and equipment to domestic and foreign patient-consumers alike. This study examines the

  3. Marketing in Healthcare Unit

    OpenAIRE

    Mariana BIRSA

    2011-01-01

    Healthcare marketing is a part of public services marketing. In developed countries, healthcare marketing can be applied to a microeconomic as well as to a macroeconomic level. The main feature of healthcare marketing is that there are products, markets, but there is no cash equivalent. For both traditional marketing and public healthcare marketing, the user of a product or service is called “consumer” and a group of consumers is mentioned as a “market”. Acceptance of marketing by USA heath s...

  4. Mining Marketing Data

    Science.gov (United States)

    2002-01-01

    MarketMiner(R) Products, a line of automated marketing analysis tools manufactured by MarketMiner, Inc., can benefit organizations that perform significant amounts of direct marketing. MarketMiner received a Small Business Innovation Research (SBIR) contract from NASA's Johnson Space Center to develop the software as a data modeling tool for space mission applications. The technology was then built into the company current products to provide decision support for business and marketing applications. With the tool, users gain valuable information about customers and prospects from existing data in order to increase sales and profitability. MarketMiner(R) is a registered trademark of MarketMiner, Inc.

  5. Healthcare market research examined. Relevant, rigorous and highly regulated

    Directory of Open Access Journals (Sweden)

    Bob Douglas

    2011-10-01

    Full Text Available [The abstract of this article is not available. Here are the first sentences of the article. The full text is freely available upon registration]Market research is invariably confused with marketing – but, in fact, the two disciplines are very different. Put in its simplest terms, marketing is about promotion whilst market research is about understanding. Accordingly, data collected for market research purposes are used in a completely different way to that gathered for marketing, with research practices heavily regulated to ensure high ethical standards.Let’s begin with a definition of what, exactly, market research is. According to the ICC/ESOMAR International Code 2007 (a definition also adopted by the European Pharmaceutical Market Research Association, it is: «the systematic gathering and interpretation of information about individuals or organisations using the statistical and analytical methods and techniques of the applied social sciences to gain insight or support decision-making. The identity of respondents will not be revealed to the user of the information without explicit consent and no sales approach will be made to them as a direct result of their having provided information».

  6. The Market - between Marketing and Economics

    DEFF Research Database (Denmark)

    Bruun, Charlotte

    2015-01-01

    is applicable in real life situations. Furthermore we shall discuss implications of the global disintegration of production, and the growing content of intangibles (experiences) in the goods we consume, for our understanding of the market. This takes us to a plausible theoretical explanation of the smile......We all know what a market is, but when it comes to theorizing about markets and modelling them, there are differences within the fields of economics and marketing management. Here we shall try to locate the cause of these differences, and discuss when the economic concept of an ideal market...

  7. The Market - between Marketing and Economics

    DEFF Research Database (Denmark)

    Bruun, Charlotte

    2015-01-01

    We all know what a market is, but when it comes to theorizing about markets and modelling them, there are differences within the fields of economics and marketing management. Here we shall try to locate the cause of these differences, and discuss when the economic concept of an ideal market...... is applicable in real life situations. Furthermore we shall discuss implications of the global disintegration of production, and the growing content of intangibles (experiences) in the goods we consume, for our understanding of the market. This takes us to a plausible theoretical explanation of the smile...

  8. Relationship Marketing in Legal Services Marketing Strategy

    Directory of Open Access Journals (Sweden)

    Audronė Androšiūnaitė

    2013-04-01

    Full Text Available The article defines the concept of professional services and evaluates the extent, to which legal services could be understood as professional services. In addition, literature analysis in the relationship marketing is presented as well as conclusions on the method for the use of relationship marketing in the development of legal services marketing strategy. Strategies of professional services marketing are completely different from other services marketing because of relations with current clients and competitors, also – singularity of the professional services.Article in Lithuanian

  9. Micro Mobility Marketing

    DEFF Research Database (Denmark)

    Hosbond, Jens Henrik; Skov, Mikael B.

    2008-01-01

    Mobile marketing refers to marketing of services or goods using mobile technology and mobile marketing holds potentially great economical opportunities. Traditionally, mobile marketing has been viewed as mobility in the large taking place virtually anywhere, anytime. Further, research shows...... considerable number of studies on push-based SMS mobile marketing campaigns. This paper explores a related yet different form of mobile marketing namely micro mobility marketing. Micro mobility marketing denotes mobility in the small, meaning that promotion of goods takes place within a circumscribed location......, in our case a medium-sized retail supermarket. Two prototypes based on push and pull marketing strategies are implemented and evaluated. Taking outset in a synthesis of central issues in contemporary research on mobile marketing, we discuss their role in micro mobility marketing to point to similarities...

  10. The Quintessence of Marketing

    DEFF Research Database (Denmark)

    Bickhoff, Nils; Hollensen, Svend; Opresnik, Marc Oliver

    What actually is marketing? Many people think of marketing as only sales and advertising because every day we are bombarded with TV commercials, flyers, catalogues, sales calls, and commercial e-mail. However, selling and advertising are only one element of marketing. Today, marketing must...... be understood not in the old sense of making a sale but in a contemporary and holistic sense of satisfying customer needs. In this book the authors develop the Quintessential Marketing Arena by following the logic of the three major steps of the marketing process. Along this process they present the fourteen...... most important marketing instruments that occur during this process. Having read this book: - You will have a basic understanding of marketing and the process of marketing management - You will know the most important marketing instruments and how they interact - You can develop your own marketing plan...

  11. Defining Political Marketing

    DEFF Research Database (Denmark)

    Ormrod, Robert P.

    The aim of this working paper is to develop a definition of political marketing that builds on the political rather than commercial marketing literature. This aim is motivated by the need to make explicit our understanding of what political marketing is, a necessary exercise when discussing theory......, concepts and empirical methods in political marketing. We first present five existing definitions of political marketing that have been selected to represent advances in research from the origins of academic research into political marketing in the mid-1970’s to the present day. After this we discuss ‘wide......’ and ‘narrow’ interpretations of political marketing, the nature of the political marketing exchange, political relationship marketing and how one can integrate the stakeholder concept into an understanding of political marketing. Finally, we propose a definition of political marketing that differs from...

  12. Medical devices: US medical device regulation.

    Science.gov (United States)

    Jarow, Jonathan P; Baxley, John H

    2015-03-01

    Medical devices are regulated by the US Food and Drug Administration (FDA) within the Center for Devices and Radiological Health. Center for Devices and Radiological Health is responsible for protecting and promoting the public health by ensuring the safety, effectiveness, and quality of medical devices, ensuring the safety of radiation-emitting products, fostering innovation, and providing the public with accurate, science-based information about the products we oversee, throughout the total product life cycle. The FDA was granted the authority to regulate the manufacturing and marketing of medical devices in 1976. It does not regulate the practice of medicine. Devices are classified based on complexity and level of risk, and "pre-1976" devices were allowed to remain on the market after being classified without FDA review. Post-1976 devices of lower complexity and risk that are substantially equivalent to a marketed "predicate" device may be cleared through the 510(k) premarket notification process. Clinical data are typically not needed for 510(k) clearance. In contrast, higher-risk devices typically require premarket approval. Premarket approval applications must contain data demonstrating reasonable assurance of safety and efficacy, and this information typically includes clinical data. For novel devices that are not high risk, the de novo process allows FDA to simultaneously review and classify new devices. Devices that are not legally marketed are permitted to be used for clinical investigation purposes in the United States under the Investigational Device Exemptions regulation. Published by Elsevier Inc.

  13. Understanding medical device regulation.

    Science.gov (United States)

    Galgon, Richard E

    2016-12-01

    The purpose of this article is to provide a structural and functional understanding of the systems used for the regulation of medical devices in the USA and European Union (EU). Safe and effective anesthesia care depends heavily on medical devices, including simple, low risk devices to complex life-supporting and life-sustaining devices. In the USA and EU, the Food and Drug Administration and European Commission, respectively, provide regulatory oversight to ensure medical devices are reasonably safe and effective when used for their intended purposes. Unfortunately, practicing anesthesiologists generally have little or no understanding of how medical devices are regulated, nor do they have sufficient knowledge of available adverse event reporting systems. The US and EU medical device regulatory systems are similar in many ways, but differ in important ways too, which impacts the afforded level of safety and effectiveness assurance. In both systems, medical devices are classified and regulated on a risk basis, which fundamentally differs from drug regulation, where uniform requirements are imposed. Anesthesia providers must gain knowledge of these systems and be active players in both premarket and postmarket activities, particularly with regard to vigilance and adverse event/device failure reporting.

  14. Very heavily electron-doped CrSi2 as a high-performance high-temperature thermoelectric material

    Science.gov (United States)

    Parker, David; Singh, David J.

    2012-03-01

    We analyze the thermoelectric behavior, using first principles and Boltzmann transport calculations, of very heavily electron-doped CrSi2 and find that at temperatures of 900-1250 K and electron dopings of 1-4 × 1021 cm-3, thermopowers as large in magnitude as 200 μV K-1 may be found. Such high thermopowers at such high carrier concentrations are extremely rare, and suggest that excellent thermoelectric performance may be found in these ranges of temperature and doping.

  15. Data on metals biomonitoring in the body of schoolchildren in the vicinity of a heavily industrialized site

    Directory of Open Access Journals (Sweden)

    Raheleh Kafaei

    2017-06-01

    Full Text Available This data is obtained from analyzing the concentration of metals include Al, Co, Cr, Cu, Fe, Mo, Pb, and Zn in the urine of schoolchildren in Asalouyeh city in vicinity to a heavily industrialized site and comparison with a reference city. The significance of sex groups on urine metal level was evaluated through this data. The urinary content of metals was measured by inductively coupled plasma atomic emission spectroscopy (ICP-OES. Statistical analyze of data were done by Mann–Whitney test. The herein presented date could beneficial for health assessment of gas and petrochemical companies.

  16. Generic Market Models

    NARCIS (Netherlands)

    R. Pietersz (Raoul); M. van Regenmortel

    2005-01-01

    textabstractCurrently, there are two market models for valuation and risk management of interest rate derivatives, the LIBOR and swap market models. In this paper, we introduce arbitrage-free constant maturity swap (CMS) market models and generic market models featuring forward rates that span

  17. Veterinary practice marketeer.

    Science.gov (United States)

    Phillips, Justin

    2015-01-24

    Justin Phillips is marketing manager at White Cross Vets and the Veterinary Marketing Association's (VMA's) Young Veterinary Marketeer of the Year. Here, he describes what he does and why he believes other practices should embrace marketing to improve their quality and client care. British Veterinary Association.

  18. Marketing Human Resource Development.

    Science.gov (United States)

    Frank, Eric, Ed.

    1994-01-01

    Describes three human resource development activities: training, education, and development. Explains marketing from the practitioners's viewpoint in terms of customer orientation; external and internal marketing; and market analysis, research, strategy, and mix. Shows how to design, develop, and implement strategic marketing plans and identify…

  19. Marketing Counseling: Caveat Emptor.

    Science.gov (United States)

    Stadler, Holly A.

    1988-01-01

    Responds to Wittman's previous article on counseling and marketing by questioning whether marketing is a justifiable means to a worthwhile end. Examines language of marketing, juxtaposes marketing and counseling metaphors to highlight conflicting philosophies, and concludes that counselors should not abandon philosophical traditions of their…

  20. Destination Marketing and Management

    OpenAIRE

    KOCKOVÁ, Jitka

    2009-01-01

    Work presents the theoretical aspects of destination management and marketing. It defines the destination management and sustainable development of tourism. The work is applied to destination management and destination marketing in region Sokolovsko. For this destiaci is proposed marketing strategy and marketing mix.

  1. Hospital marketing revisited.

    Science.gov (United States)

    Costello, M M

    1987-05-01

    With more hospitals embracing the marketing function in their organizational management over the past decade, hospital marketing can no longer be considered a fad. However, a review of hospital marketing efforts as reported in the professional literature indicates that hospitals must pay greater attention to the marketing mix elements of service, price and distribution channels as their programs mature.

  2. Labor market segmentation

    OpenAIRE

    Berndt Christian

    2017-01-01

    This contribution to the International Encyclopedia of Geography is a reinterpretation of labor market segmentation theories mapping the evolution of this perspective on labor markets and using the findings of the care market project to reflect on the rising importance of female migrant labor in the domestic sphere and the question of diversity and inequalities in the labor market.

  3. Marketing your expertise.

    Science.gov (United States)

    Czaplewski, L M

    1999-01-01

    Marketing an existing or new venture is a vital part of business. For the nurse entrepreneur, marketing involves applying previously learned skills to new situations. The methods used to market a service may mean the difference between success and failure. Unfortunately many entrepreneurs think that because they have a great idea, clients will beat a path to their door. Marketing requires planning, creativity, time, and money. It is an ongoing process that must be evaluated regularly. When marketing achieves results, clients commit to using the entrepreneur's services and profits are realized. Basic marketing concepts are considered, and strategies for developing a workable marketing plan are presented.

  4. Latin America wind market assessment. Forecast 2013-2022

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2013-10-15

    Wind Power Activities by Country: Developers/Owners, Wind Plant Sizes, Wind Turbines Deployed, Commissioning Dates, Market Share, and Capacity Forecasts Latin American markets are a subject of intense interest from the global wind industry. Wind plant construction across Latin America is modest compared to the more established markets like the United States, Europe, and China, but it is an emerging market that is taking off at a rapid pace. The region has become the hottest alternative growth market for the wind energy industry at a time when growth rates in other markets are flat due to a variety of policy and macroeconomic challenges. Globalization is driving sustainable economic growth in most Latin American countries, resulting in greater energy demand. Wind is increasingly viewed as a valuable and essential answer to increasing electricity generation across most markets in Latin America. Strong wind resources, coupled with today's sophisticated wind turbines, are providing cost-effective generation that is competitive with fossil fuel generation. Most Latin American countries also rely heavily on hydroelectricity, which balances well with variable wind generation. Navigant Research forecasts that if most wind plants under construction with planned commissioning go online as scheduled, annual wind power installations in Latin America will grow from nearly 2.2 GW in 2013 to 4.3 GW by 2022. This Navigant Research report provides a comprehensive view of the wind energy market dynamics at play in Latin America. It offers a country-by-country analysis, outlining the key energy policies and development opportunities and barriers and identifying which companies own operational wind plants and which wind turbine vendors supplied those projects. Market forecasts for wind power installations, capacity, and market share in Latin America, segmented by country and company, extend through 2022. The report also offers an especially close analysis of Brazil and Mexico

  5. Trends in Internet Marketing

    OpenAIRE

    Panchanathan, Nitin

    2005-01-01

    Internet marketing involves the usage of the Internet to market and sell goods or services. In this thesis we wished to seek answers for the following questions with the help of web, email surveys taking into consideration consumer perspective, company perspective and 3rd party internet marketing agency perspective. Our survey sample was based on a small set of companies, consumers and internet marketing agencies. The survey results helped us in predicting the trends in internet marketing. We...

  6. CHILDREN AS TARGET MARKET

    OpenAIRE

    SOMESFALEAN Vasilica

    2012-01-01

    The purpose of this paper is to highlight the reasons that lead marketers to give greater importance to children, how to explain this increased potential that children have on the existing market and strategies that marketers and companies use in order to reach this market. To this end we analyzed a series of articles, studies and research conducted on the subject, with implications in psychology, sociology, but especially in marketing. The results obtained show very interesting issues regard...

  7. Diversity in marketing practice

    OpenAIRE

    Torres, Ann Marie

    2009-01-01

    Theory development in marketing has received periodic debate. In the spirit of reappraisal, this thesis endeavours to explain the nature of diversity in marketing practice found among firms and the manner in which marketing practice is related to organisational performance. The specific research goals are to explore: the nature of diversity in marketing practice, as linked to strategic archetypes; whether there is evidence of order in the diversity of marketing practice that can be linked to ...

  8. B2B marketing

    OpenAIRE

    Pospíšilová, Lucie

    2010-01-01

    The main goal of this bachelor thesis is to apply theoretical knowledge in B2B marketing to the example of marketing processes in a particular company, to evaluate the current situation of its activities with regard to B2B principles and to suggest relevant recommendations. The theoretical part focuses on specific characteristics of B2B marketing, describes its differences from marketing on consumer markets, deals with buying behaviour of organizations and specifies particular features of mar...

  9. Strategic Marketing Planning Audit

    OpenAIRE

    Violeta Radulescu

    2012-01-01

    Market-oriented strategic planning is the process of defining and maintaining a viable relationship between objectives, training of personnel and resources of an organization, on the one hand and market conditions, on the other hand. Strategic marketing planning is an integral part of the strategic planning process of the organization. For successful marketing organization to obtain a competitive advantage, but also to measure the effectiveness of marketing actions the company is required to ...

  10. A Marketing Case History Profile

    Science.gov (United States)

    Weirick, Margaret C.

    1978-01-01

    A current marketing plan from Temple University illustrates many marketing techniques, including those dealing with enrollment objectives, market objectives, demographic characteristics of Temple students, market share analysis, and the marketing plan. Specific guidelines are provided. (LBH)

  11. Features of the band structure and conduction mechanisms in the n-HfNiSn semiconductor heavily doped with Ru

    Energy Technology Data Exchange (ETDEWEB)

    Romaka, V. A., E-mail: vromaka@polynet.lviv.ua [National Academy of Sciences of Ukraine, Pidstrygach Institute for Applied Problems in Mechanics and Mathematics (Ukraine); Rogl, P. [Universität Wien, Institut für Physikalische Chemie (Austria); Romaka, V. V. [National University Lvivska Politekhnika (Ukraine); Stadnyk, Yu. V. [Ivan Franko National University of Lviv (Ukraine); Korzh, R. O.; Krayovskyy, V. Ya. [National University Lvivska Politekhnika (Ukraine); Horyn, A. M. [Ivan Franko National University of Lviv (Ukraine)

    2014-12-15

    The crystal and electronic structure and energy and kinetic properties of the n-HfNiSn semiconductor heavily doped with a Ru acceptor impurity are investigated in the temperature and Ru concentration ranges T = 80–400 K and N{sub A}{sup Ru} ≈ 9.5 × 10{sup 19}−5.7 × 10{sup 20} cm{sup −3} (x = 0–0.03), respectively. The mechanism of structural-defect generation is established, which changes the band gap and degree of compensation of the semiconductor and consists in the simultaneous concentration reduction and elimination of donor structural defects by means of the displacement of ∼1% of Ni atoms from the Hf (4a) positions, the generation of acceptor structural defects upon the substitution of Ru atoms for Ni atoms in the 4c positions, and the generation of donor defects in the form of vacancies in the Sn (4b) positions. The calculated electronic structure of HfNi{sub 1−x}Ru{sub x}Sn is consistent with the experiment. The results obtained are discussed within the Shklovsky-Efros model for a heavily doped and compensated semiconductor.

  12. Features of the band structure and conduction mechanisms of n-HfNiSn semiconductor heavily Lu-doped

    Energy Technology Data Exchange (ETDEWEB)

    Romaka, V. A., E-mail: vromaka@polynet.lviv.ua [National Academy of Sciences of Ukraine, Pidstryhach Institute for Applied Problems of Mechanics and Mathematics (Ukraine); Rogl, P. [Universitet Wien, Institut für Physikalische Chemie (Austria); Romaka, V. V. [National University “Lvivs’ka Politekhnika” (Ukraine); Kaczorowski, D.; Stadnyk, Yu. V. [Polish Academy of Sciences, Institute of Low Temperature and Structure Research (Poland); Korzh, R. O.; Krayovskyy, V. Ya.; Kovbasyuk, T. M. [National University “Lvivs’ka Politekhnika” (Ukraine)

    2015-03-15

    The crystal and electronic structures, energy, kinetic, and magnetic characteristics of n-HfNiSn semiconductor heavily doped with a Lu acceptor impurity in the ranges T = 80–400 K and N{sub A}{sup Lu} ≈ 1.9 × 10{sup 20}−1.9 × 10{sup 21} cm{sup −3} (x = 0.01–0.10) at H ≤ 10 kG is studied. The nature of the structural-defect generation mechanism leading to changes in the band gap and the degree of semiconductor compensation is determined. Its essence is the simultaneous reduction and elimination of donor-type structural defects due to the displacement of ∼1% of Ni atoms from the Hf (4a) site, the generation of acceptor-type structural defects by substituting Ni atoms with Lu atoms at the 4c site, and the generation of donor-type defects such as vacancies at the Sn (4b) site. The results of calculations of the electronic structure of Hf{sub 1−x}Lu{sub x}NiSn are in agreement with experimental data. The results are discussed within the model of a heavily doped and compensated Shklovskii-Efros semiconductor.

  13. Romanian Market Researches in Global Market Context

    Directory of Open Access Journals (Sweden)

    Victor Danciu

    2006-05-01

    Full Text Available Market research is a powerful industry, whose value reached 21,5 billion USD in 2004. Market studies expenses are mostly concentrated in Europe (45% and in USA (37%. The market shares of the Top 10 companies were above fifty per cent of the research market’s turnover. As a young, modest market, which is 0,84% of the global expenses value, Romania was the global leader in terms of growth, in 2004. With an asymmetric demand and a relatively concentrated offer, the Romanian research market may have a spectacular development in the future, if the obstacles for the customers and research companies are surpassed. If so, the pressures following the UE’s entry of Romania and the evolution of customers needs and expectations will speed up the growth of the market research.

  14. Labour market dynamics in a heterogeneous market

    OpenAIRE

    Gorter, C.; de Larquier, G.

    1999-01-01

    This paper develops a flow model in a dual labour market with heterogeneous workers and heterogeneous jobs that allows for upward mobility or promotion flows via the internal market and demotion or deskilling flows through the state of unemployment. Dynamic impulse-responses analyses are used to examine the effects of labour market policies that aim to generate institutional changes in the wage bargaining process, make job creation less costly or job matching more efficiently to reduce unempl...

  15. Market Efficiency in Indian Stock Market

    OpenAIRE

    Sahani, Rishi

    2009-01-01

    In this era, efficient market hypothesis has become a very important theory for all the investors who wish to hold or plan to have an international diversified portfolio. As today, all the world economies and markets are globally getting connected, and investors have all the opportunities to invest internationally, so the understanding of market efficiency concept is gaining greater importance for all kinds of investors. In this research I have test the weak form hypothesis and random walk hy...

  16. Abortion - medical

    Science.gov (United States)

    ... womb (uterus). There are different types of medical abortions: Therapeutic medical abortion is done because the woman has ... Therapeutic medical abortion; Elective medical abortion; Induced abortion; Nonsurgical abortion

  17. Markets for reactor-produced non-fission radioisotopes

    Energy Technology Data Exchange (ETDEWEB)

    Bennett, R.G.

    1995-01-01

    Current market segments for reactor produced radioisotopes are developed and reported from a review of current literature. Specific radioisotopes studied in is report are the primarily selected from those with major medical or industrial markets, or those expected to have strongly emerging markets. Relative market sizes are indicated. Special emphasis is given to those radioisotopes that are best matched to production in high flux reactors such as the Advanced Test Reactor (ATR) at the Idaho National Engineering Laboratory or the High Flux Isotope Reactor (HFIR) at the Oak Ridge National Laboratory. A general bibliography of medical and industrial radioisotope applications, trends, and historical notes is included.

  18. Direct marketing and market communication process

    Directory of Open Access Journals (Sweden)

    Jovović Sanja

    2007-01-01

    Full Text Available Direct marketing is marketing which demands immediate reply. That reply can be an order, a request for an additional information, a registration, a telephone call or a visit. This work presents direct marketing as the most contemporary method of company communications with environs. A concept of direct marketing is made and aimed for complete identification of existing customers and for finding out potential customers. Mail, printed documents e-mail and new medias are used as modern communications channels. It is especially emphasizes the Internet as an important media.

  19. Price discovery in dual-class shares across multiple markets

    DEFF Research Database (Denmark)

    Fernandes, Marcelo; Scherrer, Cristina

    We extend the standard price discovery analysis to estimate the information share of dual-class shares across domestic and foreign markets. By examining both common and preferred shares, we aim to extract information not only about the fundamental value of the firm, but also about the dual...... the innovations, the standard information share measure depends heavily on the ordering we attribute to prices in the system. To remain agnostic about which are the leading share class and market, one could for instance compute some weighted average information share across all possible orderings...... or trading platform conveys more information about shocks in the fundamental price. As such, our procedure yields a single measure of information share, which is invariant to the ordering of the variables in the system. Simulations of a simple market microstructure model show that our information share...

  20. Self-Assembled Formation of Well-Aligned Cu-Te Nano-Rods on Heavily Cu-Doped ZnTe Thin Films

    National Research Council Canada - National Science Library

    Liang, Jing; Cheng, Man Kit; Lai, Ying Hoi; Wei, Guanglu; Yang, Sean Derman; Wang, Gan; Ho, Sut Kam; Tam, Kam Weng; Sou, Iam Keong

    2016-01-01

    ... reported. We found an interesting self-assembled formation of crystalline well-aligned Cu-Te nano-rods near the surface of heavily Cu-doped ZnTe thin films grown via the molecular beam epitaxy technique...

  1. Review of segmentation process in consumer markets

    Directory of Open Access Journals (Sweden)

    Veronika Jadczaková

    2013-01-01

    Full Text Available Although there has been a considerable debate on market segmentation over five decades, attention was merely devoted to single stages of the segmentation process. In doing so, stages as segmentation base selection or segments profiling have been heavily covered in the extant literature, whereas stages as implementation of the marketing strategy or market definition were of a comparably lower interest. Capitalizing on this shortcoming, this paper strives to close the gap and provide each step of the segmentation process with equal treatment. Hence, the objective of this paper is two-fold. First, a snapshot of the segmentation process in a step-by-step fashion will be provided. Second, each step (where possible will be evaluated on chosen criteria by means of description, comparison, analysis and synthesis of 32 academic papers and 13 commercial typology systems. Ultimately, the segmentation stages will be discussed with empirical findings prevalent in the segmentation studies and last but not least suggestions calling for further investigation will be presented. This seven-step-framework may assist when segmenting in practice allowing for more confidential targeting which in turn might prepare grounds for creating of a differential advantage.

  2. 7 CFR 1218.11 - Market or marketing.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Market or marketing. 1218.11 Section 1218.11 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING... Market or marketing. (a) Marketing means the sale or other disposition of blueberries in any channel of...

  3. Financial Crisis Now Striking Home for School Districts: Project Delays, Worries About Cash Flow Result of Tight Credit Markets

    Science.gov (United States)

    Davis, Michelle R.

    2008-01-01

    This article reports that the crisis besetting U.S. and world financial markets is hitting school districts hard, as they struggle to float the bonds needed for capital projects, borrow money to ensure cash flow, and get access to investment funds locked up in troubled institutions. Some schools districts depend heavily on borrowed money to pay…

  4. 78 FR 59391 - Self-Regulatory Organizations; The NASDAQ Stock Market LLC; Notice of Filing and Immediate...

    Science.gov (United States)

    2013-09-26

    ... equipment to receive the market data. It will allow the same low latency delivery to those unable to invest... regulatory requirement is unnecessary. Just as NASDAQ and its vendor invest heavily to offer CME data, NASDAQ... incrementally higher than fiber optics-based solutions due to the expense of the wireless equipment, cost of...

  5. PRODUCT EFFICIENCY IN THE SPANISH AUTOMOBILE MARKET

    Directory of Open Access Journals (Sweden)

    González, Eduardo

    2013-01-01

    Full Text Available This paper evaluates product efficiency in the Spanish automobile market. We use non parametric frontier techniques in order to estimate product efficiency scores for each model. These scores reflect the minimum price for which each car could be sold, given the bundle of tangible features it offers in comparison to the best-buy models. Unlike previous research, we use discounted prices which have been adjusted by car dealerships to meet sale targets. Therefore, we interpret the efficiency scores as indicators of the value of the intangible features of the brand. The results show that Audi, Volvo, Volkswagen and Mercedes offer the greatest intangible value, since they are heavily overpriced in terms of price/product ratios. Conversely, Seat, Kia, Renault and Dacia are the brands that can be taken as referent in terms of price/product ratios.

  6. Marketing with limited budget

    OpenAIRE

    Smirnova, Daria

    2017-01-01

    The purpose of this research-based thesis was to get an idea how managers of two small resembling hotels of a specific region deal with marketing process with a limited budget. In addition, the aim of the thesis was to examine if hotel managers who were interviewed perceive marketing only in the way of ‘promotion’ rather than marketing research, marketing mix and marketing environment theories. It was also found out if hotel managers of those hotels consider marketing as a key to successful h...

  7. THE FRACTAL MARKET HYPOTHESIS

    Directory of Open Access Journals (Sweden)

    FELICIA RAMONA BIRAU

    2012-05-01

    Full Text Available In this article, the concept of capital market is analysed using Fractal Market Hypothesis which is a modern, complex and unconventional alternative to classical finance methods. Fractal Market Hypothesis is in sharp opposition to Efficient Market Hypothesis and it explores the application of chaos theory and fractal geometry to finance. Fractal Market Hypothesis is based on certain assumption. Thus, it is emphasized that investors did not react immediately to the information they receive and of course, the manner in which they interpret that information may be different. Also, Fractal Market Hypothesis refers to the way that liquidity and investment horizons influence the behaviour of financial investors.

  8. Multisided Media Markets

    DEFF Research Database (Denmark)

    Lindstädt, Nadine

    Media markets recently have been identified as multisided markets. The application of the theory of multisided markets provides a better understanding of such markets. It enriched the hitherto economic approach and led to new insights and perspectives especially for the antitrust authorities when...... evaluating competition constraints and mergers. This paper reviews the theory of multisided markets and subsequently applies it to media markets. Finally the paper draws attention to the new perspectives and insights the theory provides but also brings open research questions to light....

  9. Market Design in Chinese Market Places

    NARCIS (Netherlands)

    B. Krug (Barbara); H. Hendrischke (Hans)

    2012-01-01

    textabstractThe Market Design (MD) approach to institutional analysis provides the analytical tools to evaluate endogenous institution building in local market places irrespective of the institutional setting of the national economy. Implicit in this analysis of endogenous institution building at

  10. A MARKETING STRATEGY ON PHOTOVOLTAIC MARKET

    OpenAIRE

    Coita Dorin Cristian

    2008-01-01

    Photovoltaic is an increasingly important energy technology. Deriving energy from the sun offers numerous environmental benefits. It is an extremely clean energy source, and few other power-generating technologies have as little environmental impact as photovoltaic. In this article we explored some dimensions of photovoltaic market and suggested a marketing strategy for solar panels manufacturers

  11. A MARKETING STRATEGY ON PHOTOVOLTAIC MARKET

    Directory of Open Access Journals (Sweden)

    Coita Dorin Cristian

    2008-05-01

    Full Text Available Photovoltaic is an increasingly important energy technology. Deriving energy from the sun offers numerous environmental benefits. It is an extremely clean energy source, and few other power-generating technologies have as little environmental impact as photovoltaic. In this article we explored some dimensions of photovoltaic market and suggested a marketing strategy for solar panels manufacturers

  12. AUTOMOTIVE MARKET- FROM A GENERAL TO A MARKET SEGMENTATION APPROACH

    National Research Council Canada - National Science Library

    Liviana Andreea Niminet

    2014-01-01

    Automotive market and its corresponding industry are undoubtedly of outmost importance and therefore proper market segmentation is crucial for market players, potential competitors and customers as well...

  13. Evaluating social marketing programs.

    Science.gov (United States)

    1988-01-01

    Contraceptive social marketing programs (CSM) which use commercial marketing techniques and distribution networks to sell contraceptives at subsidized prices, have become an important source of contraceptives in many developing countries. However, research is needed to determine the extent to which CSM programs are recruiting new users or simply serving as an alternate source for those who already use contraceptives. 1st begun in India in 1967, today CSM programs are selling contraceptives in more than 20 countries, mostly selling condoms because they do not require medical supervision or usually have to be registered with governments as a pharmaceutical product. Most also sell oral contraceptives. Advertising is used to promote the program, both brand and generic, about family planning and the advantages of small families. In some countries only generic promotion is permitted. A CSM program begins with research on the marketplace and needs of potential customers, including baseline studies, group discussions, and personal interviews. Monitoring is done by market research on usage, acceptability and adequacy of distribution. Focus groups and surveys are also used. Evaluation methodologies are similar to those used in program planning and monitoring, including consumer intercept surveys and tracking studies. Program impact is an area often neglected, probably because of the unusual relationship between the private and public sectors that occurs in CSM. Couple-years of protection is the common measurement of impact, estimated from sales data (13 cycles of pills or 100 condoms or doses of spermicide/year is assumed to prevent conception). This method can be used to assess the contributions of different methods and distribution systems and to compare their cost-effectiveness by calculating the cost per couple-year of protection provided. Limitations on this measurement method are inability to discriminate sporadic use from careful compliance; sales may be substitutes

  14. Peculiarities of marketing communications in cultural marketing

    Directory of Open Access Journals (Sweden)

    Daniel Gardan

    2016-09-01

    Full Text Available Extending the application of marketing science specific concepts and principles in various sectors would not have been possible without their gradual evolution, in terms of customization and differentiation tailored for a specific field. This phenomenon regarding marketing evolution in terms of both extensively and intensively way, led to the emergence and consolidation of a set of concepts adapted also for cultural products and services market, or in other words for culture “consumption”. This article highlights a number of marketing communications specific elements, derived from the peculiarities of modern culture consumer and the latest technologies interference in the creation and delivery of cultural products and services. Given the high degree of consumer involvement in relation to the needs that underlie consumption of cultural products and services, as well as the dimension specific for an artistic act in some cases, marketing communications has to respond to particular challenges in the process of building customer-provider relationship.

  15. Market Competition and Efficient Cooperation

    NARCIS (Netherlands)

    Brandts, J.; Riedl, Arno

    2016-01-01

    We find that in market-partners, market experience has adverse effects on the efficiency of cooperation on both market-winner and market-loser pairs. In market-strangers, pairs of market-winners manage to cooperate more efficiently. These results indicate that it is not market experience per se that

  16. Successful Chemotherapy with Nab-Paclitaxel in a Heavily Treated Non-Small Cell Lung Cancer Patient: A Case Report

    Directory of Open Access Journals (Sweden)

    Mikiko Ishihara

    2014-06-01

    Full Text Available Non-small cell lung cancer (NSCLC accounts for the majority of all lung cancers. A 69-year-old female with postoperatively recurrent NSCLC was treated weekly with nanoparticle-albumin-bound paclitaxel (nab-paclitaxel monotherapy every 4 weeks as a tenth line chemotherapy, and stable disease was achieved by seven cycles of this regimen. The patient developed grade 4 neutropenia and grade 3 leukopenia, but none of the other toxicities, including febrile neutropenia and peripheral neuropathy, were severe, and thus she was able to tolerate this salvage chemotherapy. To our knowledge this is the first report of the efficacy of nab-paclitaxel monotherapy in a heavily treated NSCLC patient.

  17. Soft X-ray angle-resolved photoemission spectroscopy of heavily boron-doped superconducting diamond films

    Directory of Open Access Journals (Sweden)

    T. Yokoya, T. Nakamura, T. Matushita, T. Muro, H. Okazaki, M. Arita, K. Shimada, H. Namatame, M. Taniguchi, Y. Takano, M. Nagao, T. Takenouchi, H. Kawarada and T. Oguchi

    2006-01-01

    Full Text Available We have performed soft X-ray angle-resolved photoemission spectroscopy (SXARPES of microwave plasma-assisted chemical vapor deposition diamond films with different B concentrations in order to study the origin of the metallic behavior of superconducting diamond. SXARPES results clearly show valence band dispersions with a bandwidth of ~23 eV and with a top of the valence band at gamma point in the Brillouin zone, which are consistent with the calculated valence band dispersions of pure diamond. Boron concentration-dependent band dispersions near the Fermi level (EF exhibit a systematic shift of EF, indicating depopulation of electrons due to hole doping. These SXARPES results indicate that diamond bands retain for heavy boron doping and holes in the diamond band are responsible for the metallic states leading to superconductivity at low temperature. A high-resolution photoemission spectroscopy spectrum near EF of a heavily boron-doped diamond superconductor is also presented.

  18. Replacing Heavily Damaged Teeth by Third Molar Autotransplantation With the Use of Cone-Beam Computed Tomography and Rapid Prototyping.

    Science.gov (United States)

    Verweij, Jop P; Anssari Moin, David; Wismeijer, Daniel; van Merkesteyn, J P Richard

    2017-09-01

    This article describes the autotransplantation of third molars to replace heavily damaged premolars and molars. Specifically, this article reports on the use of preoperative cone-beam computed tomographic planning and 3-dimensional (3D) printed replicas of donor teeth to prepare artificial tooth sockets. In the present case, an 18-year-old patient underwent autotransplantation of 3 third molars to replace 1 premolar and 2 molars that were heavily damaged after trauma. Approximately 1 year after the traumatic incident, autotransplantation with the help of 3D planning and rapid prototyping was performed. The right maxillary third molar replaced the right maxillary first premolar. The 2 mandibular wisdom teeth replaced the left mandibular first and second molars. During the surgical procedure, artificial tooth sockets were prepared with the help of 3D printed donor tooth copies to prevent iatrogenic damage to the actual donor teeth. These replicas of the donor teeth were designed based on the preoperative cone-beam computed tomogram and manufactured with the help of 3D printing techniques. The use of a replica of the donor tooth resulted in a predictable and straightforward procedure, with extra-alveolar times shorter than 2 minutes for all transplantations. The transplanted teeth were placed in infraocclusion and fixed with a suture splint. Postoperative follow-up showed physiologic integration of the transplanted teeth and a successful outcome for all transplants. In conclusion, this technique facilitates a straightforward and predictable procedure for autotransplantation of third molars. The use of printed analogues of the donor teeth decreases the risk of iatrogenic damage and the extra-alveolar time of the transplanted tooth is minimized. This facilitates a successful outcome. Copyright © 2017 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

  19. THE SPORT MARKETING MANAGEMENT MODEL

    OpenAIRE

    Alexandru Lucian MIHAI

    2015-01-01

    Sport marketing involves marketing fundamentals applied in one industry, the sport business industry. The development of sport marketing fundamentals is therefore based on basic marketing principles. The practice and activities of sport marketing are also based on basic marketing activities, but are modified and adapted to the sport business industry. Therefore, sport marketing is based on its primary and parent discipline - marketing. Sport marketing is one of the most important function...

  20. [Mobile applications for the health sector: apps to support scientific information and medical practice].

    Science.gov (United States)

    Poltronieri, Elisabetta; Barbaro, Annarita; Gentili, Donatella; Napolitani, Federica

    2013-01-01

    The market of mobile applications (apps) and wireless technology infrastructures is rapidly widening and diversifying to better meet users' needs. Over the last few years, the use of mobile technologies and applications has been increasingly expanding in many professional fields. Research and academic institutions, hospitals, and drug companies are heavily investing in this sector, also in Italy, even though the offer seems to be still limited at the moment. As far as the industry of scientific publishing is concerned, the main Italian publishing groups show an increasing interest in developing apps aiming at spreading their own products, following the example of international publishing companies. The purpose of this paper is to provide a general overview of the mobile applications and services available in the domain of scientific information relating to health disciplines and medical practice, especially within the Italian context. This study intends to inform professionals and users in the health sector about the benefits offered by the mobile technology, and to help them to become familiar with these tools. The two main online markets (iTunes and Google Play) have been analysed; search engines for apps and Italian STM publishers' websites have also been considered. Within this fast moving scenery, innovation is supported by the pressing demand for mobile access technology which has increased enormously. Not surprisingly, the most promising target of mobile technology is represented by scientific information tools relating to health.

  1. Marketing management : De essentie

    NARCIS (Netherlands)

    Kotler, P.J.; Keller, K.; Robben, H.S.J.

    2010-01-01

    'Marketingmanagement, de essentie' biedt een volledige introductie in modern marketingmanagement. De nieuwste concepten en onderzoeksresultaten komen aan bod. Zo wordt veel aandacht besteed aan holistische marketing en is de impact van technologische ontwikkelingen op hedendaagse marketing in deze

  2. Measuring marketing effectiveness.

    Science.gov (United States)

    Gluckman, J; Michaelis, T

    1987-09-01

    The most frequent question about the marketing function in hospitals today is, What are we getting for our money? To answer this, marketing directors must convince the board first of the need for marketing, then of marketing's effectiveness. To measure marketing effectiveness, some basic needs are a staff, equipment, cooperation between departments, utilization data, and a research budget. Some steps to be followed include developing a marketing data base--consisting of demographic projections, demand projections, and market share--testing a marketing strategy through experimentation, documenting the expected results and measurement techniques, and calculating the expected return on investments. In dealing with those "impossible-to-measure" cases, such as a physician who is not advertising but finds that a competitor is, a decision tree can help determine whether to advertise and how much to spend by indicating what the return on investment might be.

  3. Market News Price Dataset

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Real-time price data collected by the Boston Market News Reporter. The NOAA Fisheries' "Fishery Market News" began operations in New York City on February 14, 1938....

  4. Natural and political markets

    DEFF Research Database (Denmark)

    Tryggestad, Kjell

    2003-01-01

    of knowledge production continued, transforming given technicalknowledge in unexpected ways. Technical knowledge also became a negotiated outcome during thetransfer of FMS. Hence, when market transaction takes place, knowledge it self can be transformed,and with it, the conditions for conducting the market...... factor markets. The paper develops the notion of political markets by drawing upon anempirical case that reconstructs the chain of events related to the transfer of flexible manufacturingsystems (FMS). The case account for the various actors and institutions involved in the technologytransfer, including...... the firms on both sides of the market, the government, the engineering-scientists,the economists, the union representatives and the machinists.It is argued that Natural markets is a special case of political markets in which technologies andhybrid entities and identities produce both the Natural market...

  5. Marketing Youth Services.

    Science.gov (United States)

    Dimick, Barbara

    1995-01-01

    Marketing techniques in youth services are useful for designing programs, collections, and services and for determining customer needs. The marketing mix--product, place, price, and practice--provides a framework for service analysis. (AEF)

  6. Moderní marketing

    OpenAIRE

    Koblásová, Jana

    2008-01-01

    The publication shows summary of the historical development of marketing and the latest marketing methods of 21st century. This work assesses households' access to selected information and communication technologies, and proposes a business opportunity in the area of multimedia.

  7. The President As Marketer

    Science.gov (United States)

    Bickford, Robert I.

    1978-01-01

    Advocates a marketing orientation to community college management as demonstrated by the successful implementation of four-state (service, promotion, delivery, and evaluation) marketing plan at Prince George's Community College in Washington D.C. (TP)

  8. Sustainability Marketing Commitment

    DEFF Research Database (Denmark)

    Tollin, Karin; Bech Christensen, Lars

    2017-01-01

    Corporate sustainability is an important strategy and value orientation for marketing, but scarce research addresses the organizational drivers and barriers to including it in companies’ marketing strategies and processes. The purpose of this study is to determine levels of commitment to corporate...... sustainability in marketing, processes associated with sustainability marketing commitment, drivers of sustainability marketing at the functional level of marketing, and its organizational context. Using survey data from 269 managers in marketing, covering a broad range of industries in Sweden and Denmark, we...... took a structural modelling approach to examine construct relationships, mediation, and moderation effects. Overall, the findings show that marketing capabilities associated with the innovation of new products, services, and business models constitute a strong driver to leverage sustainability...

  9. Why We Need Marketing.

    Science.gov (United States)

    Harper, Nancy

    1984-01-01

    An interview with Philip Kotler, the Harold T. Martin Professor of Marketing at Northwestern University, is presented. Three approaches to marketing are identified: product-oriented, hard-sell, and building satisfaction in a long-term clientele. (MLW)

  10. Pharmaceutical market in Serbia

    National Research Council Canada - National Science Library

    Dickov, Veselin

    2012-01-01

    Marketing concept formed around the focus on the consumers, their needs, wants and demands, evolves in the case of pharmaceutical into a care of the complex interest of constituents generating demand on this market and #8211...

  11. THE MEDICAL AND WELLNESS TOURISM PERCEPTION IN ROMANIA

    Directory of Open Access Journals (Sweden)

    Soare Ionica

    2013-12-01

    Full Text Available Tourism or geriatric-medical and wellness tourism are market segments that lately have registered significant increases. The need to define, organize, and promote these sectors. This item is intended to synthesize developments and challenges market growth wellness and medical tourism. For the industry spa these developments may represent an opportunity to take full advantage of wellness and medical tourism.

  12. Seniorský marketing

    OpenAIRE

    Vojtová, Markéta

    2009-01-01

    The thesis "Marketing of Elderly People" follow up on the issue of marketing focused on the generation aged over fifty years. Describes the specifics of this generation in the context of the consumer behavior. In the practical part of the thesis is conducted marketing research dedicated to consumables behavior of seniors in regard to Internet commerce. For marketing research was used questionnaire. Analysis of the results obtained information on the relationship of seniors to Internet trading...

  13. Marketing Planning: Feeniks Koulu

    OpenAIRE

    Raut, Biranjan

    2013-01-01

    Degree Thesis “Marketing Planning: Feeniks Koulu” demonstrates structured marketing planning process with the help of case company “Feeniks Koulu”. The central idea of Thesis is to come up with systematic marketing plan following structured process. Thesis employs qualitative research methodology following inductive reasoning approach. Thesis, initiates by outlining theoretical planning methods, which then is materialized into marketing plan with the help of empirical research. Discussion and...

  14. Sport event marketing plan

    Directory of Open Access Journals (Sweden)

    Gašović Milan

    2007-01-01

    Full Text Available A marketing plan details how an event organization will compete in the marketplace in terms of its service offerings, promotions and evaluation. During the first stage of the marketing plan process, a number of its consumers (current, former and prospective and competitors. Marketing objectives are developed and implemented using an action plan. The marketing plan objectives are evaluated using an objective-discrepancy approach to determine the extent to which they were attained.

  15. Ekologický marketing

    OpenAIRE

    Neznaj, Radek

    2009-01-01

    The work addresses issues of ecological marketing, specifically focuses on the marketing mix of organic products. The intention is to point out guidelines and outline options that may be the potential of products development in line with environmental objectives and the enterprise. The work is divided into three parts. The first part briefly shows the evolution of marketing and its current form, including current trends and events that led to the emergence of ecological marketing. This sectio...

  16. Social media influencer marketing

    OpenAIRE

    Isosuo, Heli

    2016-01-01

    The marketing field is changing simultaneously with the digital world. Social media is getting more and more important to marketers, and there is a need to stand out in the social media noise. Social media influencer marketing could be a good alternative to other types of marketing. A need from the consignor and the interest of the author were the motivations for conducting the study. Sääskilahti Consulting has a social media influencer network Somevaikuttajat, which is offering social media ...

  17. Are All Marketers Liars ?

    OpenAIRE

    Sunanto, Sandra

    2006-01-01

    Today, consumers demand higher levels of quality, reliability, and durability of product A marketer must understand consumer's expectations and try to satisfy those and retain the consumer's loyalty.The shift from golden age of marketing to post age creates new challenge for marketer because consumers do not trust television commercials anymore. In this age consumers love being told a storyTo tell a story marketer must understand what is a great story. A great story must true, authentic, trus...

  18. Culture in Services Marketing

    OpenAIRE

    Mitchell, Malcolm

    2006-01-01

    This research features both theoretical and empirical work underlining the potential value of marketing to contribute to commercial performance. The theory draws from those authors who have been predominant in promoting the concept of a market orientation as an antecedent to organisational success. The marketing culture paradigm is introduced and developed to specifically consider the area of services marketing. The empirical investigation concludes that there is an acknowledged appreciation ...

  19. Paying for Market Quality

    DEFF Research Database (Denmark)

    Anand, Amber; Tanggaard, Carsten; Weaver, Daniel G.

    2009-01-01

    Many financial markets, including electronic limit order markets, assign designated liquidity providers (LPs). We study the experience of the Stockholm Stock Exchange, where listed firms contract directly with LPs. Our analysis offers insights regarding situations where designated liquidity...... of contracted liquidity provision. The evidence indicates that liquidity providers trade against market movements, and in times of wide spreads. On balance, firms contracting with LPs experience a decreased cost of capital, and significant improvements in market quality and price discovery....

  20. Dynamics of Markets

    Science.gov (United States)

    McCauley, Joseph L.

    2004-06-01

    Standard texts and research in economics and finance ignore the absence of evidence from the analysis of real, unmassaged market data to support the notion of Adam Smith's stabilizing Invisible Hand. In stark contrast, this text introduces a new empirically-based model of financial market dynamics that explains the volatility of prices options correctly and clarifies the instability of financial markets. The emphasis is on understanding how real markets behave, not how they hypothetically 'should' behave.

  1. Health care: development of data for a marketing approach.

    Science.gov (United States)

    Stitt, V J

    1985-06-01

    Marketing in health care is a relatively new process. It is a business tool that can serve a very useful purpose. Health care management has become aware of the usefulness of marketing in long-range planning. Through a well-thought-out marketing plan, the provider will not be leaving the future to chance. A well-conceived, patient-oriented, competitor-aware marketing plan should place the medical practice at a strategic advantage as the health care industry joins other industries in the competitive marketplace for the consumer's dollar.The ever-increasing political and regulatory environment that the health care field is undergoing emphasizes the need for the inclusion of marketing skills, such as cost containment, in the medical curriculum. It should be the obligation of the training facilities as well as medical societies to respond to this need by providing the education that will enable black providers to survive in this competitive environment.

  2. Community Pharmacy Marketing: Strategies for Success

    Directory of Open Access Journals (Sweden)

    Jennifer L. Rodis, Pharm.D., B.C.P.S.

    2011-01-01

    Full Text Available Purpose: As community pharmacies are implementing increasingly more clinical services they are faced with a new challenge of marketing these services. This article discusses The Ohio State University College of Pharmacy Clinical Partners Program’s (Clinical Partners experiences in marketing clinical services to patients, barriers encountered through these experiences, and presents suggestions for future marketing of services.Experience: Clinical Partners developed two targeted marketing projects and evaluated impact on patient enrollment in services. In January 2008, the pharmacy ran a series of radio advertisements, newspaper print advertisements, and face to face marketing in the community with the focus of each being patient care services. During this project five individuals expressed interest in Clinical Partners’ services. Four indicated that they heard about Clinical Partners through the radio ad and one through the pharmacy website, though none chose to enroll in services. In 2009 Clinical Partners focused on marketing MTM in the form of a comprehensive medication review to current patients already enrolled in its anticoagulation management service. Following a three month period, 6 patients (8% of the 71 patients receiving the marketing intervention chose to enroll in MTM. Four additional patients have enrolled in MTM since conclusion of the project.Discussion: These projects and a review of available literature revealed barriers that pharmacies encounter when marketing clinical services to patients in an outpatient setting including patients’ unawareness of the role a pharmacist can play outside dispensing medications, patients’ belief they do not need clinical services, and patients’ unwillingness to pay a pharmacist out of pocket for services.Future Implications: To overcome these identified challenges, community pharmacies should consider integration of marketing techniques such as tailoring marketing to a target

  3. Community Pharmacy Marketing: Strategies for Success

    Directory of Open Access Journals (Sweden)

    Kristina D. Wood

    2011-01-01

    Full Text Available Purpose: As community pharmacies are implementing increasingly more clinical services they are faced with a new challenge of marketing these services. This article discusses The Ohio State University College of Pharmacy Clinical Partners Program's (Clinical Partners experiences in marketing clinical services to patients, barriers encountered through these experiences, and presents suggestions for future marketing of services. Experience: Clinical Partners developed two targeted marketing projects and evaluated impact on patient enrollment in services. In January 2008, the pharmacy ran a series of radio advertisements, newspaper print advertisements, and face to face marketing in the community with the focus of each being patient care services. During this project five individuals expressed interest in Clinical Partners' services. Four indicated that they heard about Clinical Partners through the radio ad and one through the pharmacy website, though none chose to enroll in services. In 2009 Clinical Partners focused on marketing MTM in the form of a comprehensive medication review to current patients already enrolled in its anticoagulation management service. Following a three month period, 6 patients (8% of the 71 patients receiving the marketing intervention chose to enroll in MTM. Four additional patients have enrolled in MTM since conclusion of the project. Discussion: These projects and a review of available literature revealed barriers that pharmacies encounter when marketing clinical services to patients in an outpatient setting including patients' unawareness of the role a pharmacist can play outside dispensing medications, patients' belief they do not need clinical services, and patients' unwillingness to pay a pharmacist out of pocket for services. Future Implications: To overcome these identified challenges, community pharmacies should consider integration of marketing techniques such as tailoring marketing to a target population

  4. Marketing : de essentie

    NARCIS (Netherlands)

    Paul van der Hoek; Gary Armstrong; Ton Borchert; Philip Kotler

    2013-01-01

    Het betreft hier de Nederlandse bewerking van het boek Marketing: an introduction van Philip Kotler en Gary Armstrong. Topmarketeers hebben allemaal dezelfde missie: de klant centraal stellen in de marketing. Hedendaagse marketing draait volledig om het creëren van klantwaarde en het opbouwen van

  5. LINKAGES MARKETING AND TRADE

    Directory of Open Access Journals (Sweden)

    Ljiljana Stošić Mihajlović

    2014-04-01

    Full Text Available In contemporary economic theory and practice is very important and it's present concept triangle "market- marketing-commerce." First of all, the importance of the connection between these three categories, and then in the key roles they have in marketing channels. This paper discussed the bond that exists between these categories.

  6. Future Electricity Markets

    DEFF Research Database (Denmark)

    Pinson, Pierre

    2015-01-01

    The changing face of energy production in Europe necessitates a rethink in the way that electricity markets are structured. The ‘5s’ (Future Electricity Markets) project is a multi-disciplinary project that is looking to challenge the current approach to the design and operation of electricity...... markets as penetration of renewable energy sources increases...

  7. Managing Nonprofit Marketing.

    Science.gov (United States)

    Johnson, Dennis L.

    1979-01-01

    Nonprofit marketing is an extension of the planning and management process, and a necessary new skill for the community college manager. Management must teach marketing concepts to faculty and all college personnel and communicate their role in the marketing process of the institution for a successful program. (RC)

  8. Markets and Institutional Capacity

    DEFF Research Database (Denmark)

    Ingemann, Jan Holm

    2010-01-01

    Adequate explanations concerning the introduction of production and consumption of organic food in Denmark imply the necessity to engage a certain understanding of markets. Markets should subsequently not be seen as entities nor places but as complex relations between human actors. Further......, the establishment, maintenance and development of markets are depending on the capacity of the actors to enter into continuous and enhancing interplay....

  9. Romanticizing the Market

    DEFF Research Database (Denmark)

    Johnsen, Christian Garmann

    2016-01-01

    is echoed in post-bureaucratic management literature. Comparing Rousseau's romanticization of nature with what I call the romanticization of markets, I show how the post-bureaucratic management literature employs the logic of market rationalism to generate a managerial pedagogy that installs the market...

  10. Economy, market and chain

    NARCIS (Netherlands)

    Sukkel, W.; Hommes, M.

    2009-01-01

    In their pursuit of growth and professionalisation, the Dutch organic sector focuses primarily on market development. But how do you stimulate the market for organic foods? This is the subject of many research projects concerning market, consumer preferences and the supply chain. These projects

  11. Non-Market Valuation

    Science.gov (United States)

    Thomas P. Holmes

    2003-01-01

    In addition to commodities such as timber, forest ecosystems provide an array of goods and services that are not priced in markets but maintain, to a large degree, the characteristics of public goods (non-rivalry and non-excludability). Markets do not recognize scarcity of non-market resources and cannot be relied upon to allocate these resources to their highest and...

  12. Mexico : Capital Market Development

    OpenAIRE

    International Monetary Fund; World Bank

    2013-01-01

    Securities markets in Mexico are orderly and relatively innovative; however, corporate markets lag behind those in comparator countries. The government bond market accounts for the bulk of the fixed-income segment, and is well developed and active. While financial savings rates have been growing, little has been transformed into long-term investments. Most of the savings remain in traditio...

  13. MARKETING MIX IN SPORT

    Directory of Open Access Journals (Sweden)

    Srećko Novaković

    2011-03-01

    Full Text Available Marketing mix'' along the term of life cycle has robbed the trademark for the conception of marketing and the market direction of company, corporations and institutions. Essence marketing-mixa is in the simultaneous determining of the target market group of consumer (the buyer or stays the public and specially prepared and the coordinated impact of elements mixa, and this is the product, price, distributions and graduation ceremonies. Given that is mix combinations of verified variables, companies he use in order to would achieve are wished the scope sales on the target market. In the wider context significant influence of environment on the chosen structure marketing-mixa have not only technological, economic and competitive services already and socially-owned, legislative, legal and political services. From those reasons chant the marketing -mixa occasionally replaces expression are coordinated term acts on the market. Elements marketing-mix-and at sport marketings same are as well as at marketings every other activity. They contain the sportively product and the service, appreciate the sport product and services, distribution of sport product and services and the promotion of sport product and services.

  14. Introduction to Agricultural Marketing.

    Science.gov (United States)

    Futrell, Gene; And Others

    This marketing unit focuses on the importance of forecasting in order for a farm family to develop marketing plans. It describes sources of information and includes a glossary of marketing terms and exercises using both fundamental and technical methods to predict prices in order to improve forecasting ability. The unit is organized in the…

  15. Rewards for Good Marketing

    Science.gov (United States)

    Germain, Carol Anne, Ed.

    2009-01-01

    Many professional library associations and affiliates "strongly encourage" the marketing of libraries and their wares. These organizations present awards, certificates, and monetary enticements to honor outstanding marketing programs. For most individuals or teams who are already working on and implementing marketing programs, the added effort of…

  16. Marketing and design management.

    OpenAIRE

    Bruce, Margaret; Cooper, Rachel

    1997-01-01

    This title looks at the interface between marketing and design management, with particular focus on product development and corporate communications. It considers such issues as the role of design in the organisation, new product strategies and the effectiveness of the marketing/design relationship. Cases cover retail, services and industrial products in order to assess best practice in design management for marketing.

  17. The unregulated probiotic market.

    Science.gov (United States)

    de Simone, Claudio

    2018-01-25

    This narrative review provides an overview of the current regulation of probiotics, with a focus on those used for the dietary management of medical conditions (Medical Foods). The probiotic market has grown rapidly, both for foods and supplements intended to enhance wellness in healthy individuals, and for preparations for the dietary management of disease. Regulation of probiotics varies between regions. Unless they make specific disease-related health claims, probiotics are regulated as food supplements and regulation is focused on the legitimacy of any claims, rather than efficacy, safety and quality. Many properties of probiotics are strain-specific, and safety and efficacy findings associated to specific formulations should not be generalized to other probiotic products. Manufacturing processes, conditions and ingredients are important determinants of product characteristics and changes to manufacturing are likely to give rise to a product not identical to the "original" in efficacy and safety if proper measures and controls are not taken. Current trademark law and the lack of stringent regulation of probiotic manufacturing mean that the trademark owner can commercialize any formulation under the same brand, even if significantly different from the original. These regulatory deficits may have serious consequences for patients where probiotics are used as part of clinical guideline-recommended management of serious conditions such as inflammatory bowel diseases, and may make doctors liable for prescribing a formulation not previously tested for safety and efficacy. Current regulation of probiotics is inadequate to protect consumers and doctors, especially when probiotics are aimed at the dietary management of serious conditions. Copyright © 2018 AGA Institute. Published by Elsevier Inc. All rights reserved.

  18. Determinants of Marketing Performance: Innovation, Market Capabilities and Marketing Performance

    Directory of Open Access Journals (Sweden)

    Naili Farida

    2016-04-01

    Full Text Available This research aim to analyze causality influence between innovations, market capability, social modal, entrepreneurs oriented into marketing performance. Organizational innovations is a basic focus on Total  Quality Management. Innovation has a role to technological development and competitive economy environment. The sample technique used is Purpusive sampling amount 58 respondent owner of Batik Small Medium Enterprise known as UKM.  Small businesses have small medium or medium can grow and develop so that it is able to increase its product and sustainability efforts on the creative industry. The technique analysis used is Parsial Least Square (PLS, this result shows entrepreneur orientation doesn’t influence into market capability and social modal, innovation has positive influence and significance into market capability and marketing performance. This results shows innovation has important role in advantaging market capability while influencing to increase marketing performance of Small Medium Enterprise known as UKM. Penelitian ini bertujuan untuk menganalisis pengaruh kausalitas antara inovasi, kemampuan pasar, modal sosial, pengusaha berorientasi ke kinerja pemasaran. Inovasi organisasi adalah dasar TQM. Inovasi mempunyai peran pentinga dalam pengembangan teknologi dan lingkungan yang penuh persaingan. Teknik sampel yang digunakan adalah Purposive Sampling jumlah 58 pemilik responden dari Batik Kecil Menengah dikenal sebagai UKM. UKM dapat tumbuh dan berkembang melalui industri kreatif. Teknik analisis yang digunakan adalah Parsial Least Square (PLS, hasil ini menunjukkan orientasi entrepreneur tidak mempengaruhi ke kemampuan pasar dan modal sosial, inovasi berpengaruh positif dan signifikan dalam kemampuan pasar dan kinerja pemasaran. Hal ini menyebabkan menunjukkan inovasi memiliki peran penting dalam advantaging kemampuan pasar sementara yang mempengaruhi untuk meningkatkan kinerja pemasaran Kecil Menengah dikenal sebagai UKM.

  19. MARKETING CHARACTERISTICS OF INSURANCE MARKET IN UKRAINE

    Directory of Open Access Journals (Sweden)

    А. Sabirova

    2014-03-01

    Full Text Available The current state of the insurance market of Ukraine in the post-crisis period, by comparison with the pre-crisis was investigated in the paper. The insurance market in the pre-crisis period grew rapidly, but was unable to withstand the economic crisis and suffered a crushing blow. The economic crisis of 2008-2009 led to a decrease of the demand for financial services in general and insurance services in particular. The lack of development of the insurance market created high barriers for responding and adapting to changes that occurred during the crisis.

  20. Regional trade and border markets between Niger, Benin and Nigeria

    DEFF Research Database (Denmark)

    Walther, Olivier; Tenikué, Michel; Kuepié, Mathias

    The objective of this methodological paper is to identify a number of products or sectors whose trade is relevant for border regions in West Africa. Focusing on Niger, Benin and Nigeria, we start with contextualising the importance of border markets by quantifying the changes in the relative values...... and volumes of imports and exports passing through border posts. In a second step, we determine which are the products most commonly found among the imports and exports of the border posts. The study shows that seven products are recognised as being heavily imported, subject to significant trade from large...

  1. [Digital marketing: what place does it have in blood donation?].

    Science.gov (United States)

    Guedj, A

    2013-05-01

    Blood transfusion arose from the actions of medical doctors and has to answer to the increasing evolution of the blood product. To answer this vital need, marketing intervenes with the implementation of strategy and a multi-channel campaign. The emergence, acquisition and evolution of new information technologies in today's society require that marketing and communication professionals use of digital marketing in their relational initiatives and the promotion of the gift of life. Copyright © 2013. Published by Elsevier SAS.

  2. Future market bioplastics; Zukunftsmarkt Biokunststoffe

    Energy Technology Data Exchange (ETDEWEB)

    Beucker, Severin [Borderstep Institut fuer Innovation und Nachhaltigkeit, Berlin (Germany); Marscheider-Weidemann, Frank [Fraunhofer-Institut fuer Systemtechnik und Innovationsforschung (ISI), Karlsruhe (Germany)

    2007-12-15

    Bioplastics based on renewable resources like e.g. starch, celluloses or lactic acid are considered one way to reduce environmental impacts, oil consumption and increase the use of agricultural feedstocks. Some of the newly developed materials based on biotechnology even have properties that make them superior to regular plastics; they can, e.g. be breathable, printable and antistatic. Bioplastics can be used for different applications ranging from foils, injection moulding, extrusion or functional polymers. They can have a short or a long lifespan depending on the material or the compound used to produce them. Many bioplastics are partially or completely biodegradable. After their use they can be degraded mostly into water and carbon dioxide by fungi, bacteria or enzymes. This makes bioplastics also a candidate for reducing carbon dioxide emissions although energy is needed to produce and harvest the raw materials as well as for the manufacturing processes involved. The possible environmental effects and impacts of bioplastics have not yet been completely assessed and understood. Bioplastics could combine the potential to increase resource efficiency and reduce environmental effects, but further research is necessary before conclusions and recommendations can be made for this new class of materials. The share of bioplastics in the world's plastics market is relatively small at the moment. Approx. 350,000 tonnes of bioplastics were produced in 2006. This is equivalent to approx. 0.2 % of the plastics produced worldwide. Experts believe the market for bioplastics will grow at a rate of 25 - 30 % in the near future and reach the one million tonne mark by the year 2010 and could even raise to 3 million tonnes per year by 2020. In the short and medium term, the development of the market for bioplastics strongly depends on following factors: - Development of crude oil price: The market potential for bioplastics is heavily dependent on the crude oil price. Under the

  3. Marketing strategy for private housing market in Thailand

    OpenAIRE

    Limcharoen, P.

    2005-01-01

    Marketing is an important part of a business strategy. A company develops a marketing strategy to match their resources and capabilities to customer's changing needs and wants, at a profit. This paper presents the marketing strategy of housing companies in the high-end market segment of Thai private housing market. The framework includes the 4Ps marketing mix and relationship marketing. The 4Ps marketing mix concerns product, price, promotion and place element of house products and services w...

  4. Pharmaceutical marketing research and the prescribing physician.

    Science.gov (United States)

    Greene, Jeremy A

    2007-05-15

    Surveillance of physicians' prescribing patterns and the accumulation and sale of these data for pharmaceutical marketing are currently the subjects of legislation in several states and action by state and national medical associations. Contrary to common perception, the growth of the health care information organization industry has not been limited to the past decade but has been building slowly over the past 50 years, beginning in the 1940s when growth in the prescription drug market fueled industry interest in understanding and influencing prescribing patterns. The development of this surveillance system was not simply imposed on the medical profession by the pharmaceutical industry but was developed through the interactions of pharmaceutical salesmen, pharmaceutical marketers, academic researchers, individual physicians, and physician organizations. Examination of the role of physicians and physician organizations in the development of prescriber profiling is directly relevant to the contemporary policy debate surrounding this issue.

  5. Marketing in developing countries.

    Science.gov (United States)

    Pickering, A H

    1979-10-27

    I fully support the views of Mr. Chetley of War on Want on the marketing of infant foods in developing countries (Oct. 6, p. 747). My experience of eight years medical work in West Africa prompts me to broaden the debate. Advertising and promotional practices used by many European and American pharmaceutical companies are in many instances directed primarily to the non-professional and often poorly educated general public and appear to be geared simply to achieve the maximum volume of sales. Likewise, the cynical disregard of cigarette manufacturers for the dangers of smoking is very apparent in the way in which advertising and promotional campaigns are conducted in developing countries. Fifteen years ago cigarettes were largely imported items but now, certainly in one major West African country, there is a large and flourishing tobacco industry which appears to be run primarily by European interests and which is obviously not there for the health benefit of the people. Is it not a sad reflection on the morality of the society in which we live that, while striving to control unethical and undesirable practices at home, we make little or no effort to regulate those practices abroad when profit is the objective?

  6. REGIONAL DYNAMICS ORGANIZATION OF URBAN LABOR MARKETS: AN ANALYSIS FROM THE LABOR MARKETS IN THE TOWNS OF MICRO-REGION OF SANTA CRUZ DO SUL (RS

    Directory of Open Access Journals (Sweden)

    Marco Andre Cadoná

    2015-09-01

    Full Text Available The article analyzes how regional development dynamics affect the organization of labor markets, but also the working conditions of people living labor. Taking as empirical reference research conducted in towns of micro-region of Santa Cruz do Sul (RS, whose economy is heavily dependent on tobacco agro-industrial production, attentive to how regional particularities contribute to defining the forms of employability and the use of force-of-work, but also and even the forms of unemployment. Keywords: Regional dynamics. Labor market. Employment. Unemployment. Working conditions.

  7. Customer relations data aids marketing efforts.

    Science.gov (United States)

    Werronen, H J

    1988-08-01

    A customer relations information system can help improve a hospital's marketing performance. With such a system, the author writes, a medical center can easily redirect its information systems away from the traditional transaction-oriented approach toward the building of long-lasting relationship with customers.

  8. Etika Marketing Syariah

    Directory of Open Access Journals (Sweden)

    Luqman Nurhisam

    2017-12-01

    Full Text Available Marketing activities (marketing which is the activity of distributing goods and services ranging from producers to the hands of consumers. In this case there are some fundamental questions that encompass marketing activities (marketing; ranging from what is marketed, who is marketing, to how goods and services are marketed through the activities of marketing functions such as purchase, sales, transportation, and so forth. The problem that arises then is, most of the producers/the company with the marketers (marketers who do not consider the moral and ethical aspects of marketing the products they offer, the most important for them is how to make the products they offer acceptable and successful and control the market share. Especially if the marketer is pressed by the target company that must be achieved and the bonus will be obtained, then to achieve the target, not infrequently a marketer doing various ways, to the point of crashing the signs and ethics that have been established in religion. This study aims to analyze how the ethical aspect in the concept and practice in marketing (marketing sharia by the company / producer of goods and services. The research method used in this research is descriptive qualitative analysis, using linguistic or language approach that is describe the concept and structure of marketing language as it is. From this study it can be concluded that the majority of scholars allow the concepts and practices in sharia marketing, seen from the process of creation, the process of bidding, as well as the process of change of value (value in sharia marketing there should be no things that conflict with the principles that exist in sharia. As long as it can be guaranteed, and deviation of principles in sharia does not occur in any transaction inside marketing, it can be allowed in syarak. As well as in the ethical aspect has also fulfilled the spiritual elements that are spiritual based, the divinity is sourced from the

  9. International Market Analysis

    DEFF Research Database (Denmark)

    Sørensen, Olav Jull

    2009-01-01

    The review presents the book International Market Analysis: Theories and Methods, written by John Kuiada, professor at Centre of International Business, Department of Business Studies, Aalborg University. The book is refreshingly new in its way of looking at a classical problem. It looks at market...... analysis from the point of vie of ways of thinking about markets. Furthermore, the book includes the concept of learning in the analysis of markets og how the way we understand business reality influneces our choice of methodology for market analysis....

  10. [Healthcare marketing elements].

    Science.gov (United States)

    Ameri, Cinzia; Fiorini, Fulvio

    2014-01-01

    Marketing puts its foundation on a few key concepts: need-demand, product-service, satisfaction, exchange, market, or business structure manufacturing / supply. The combination of these elements allows you to build an effective marketing strategy. Crucial in this respect is to remember the Porter matrix, which shows that for a correct analysis of the relevant market is necessary to refer to the "five forces at play", ie: customers, competitors, new entrants and substitutes threat. Another key lever for proper marketing oriented approach is the continuous and constant monitoring of the application, anticipating their dissatisfactions.

  11. UK Higher Education Viewed through the Marketization and Marketing Lenses

    Science.gov (United States)

    Nedbalová, Eva; Greenacre, Luke; Schulz, John

    2014-01-01

    This paper uses the Economic Market mechanisms and the 4P Marketing Mix as lenses to review the context of UK higher education (HE) and to explore the relationship between the market and marketing disciplines and practice. Four Economic Market mechanisms--autonomy, competition, price and information--are contrasted with the four Ps of marketing:…

  12. 7 CFR 1212.14 - Market or marketing.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Market or marketing. 1212.14 Section 1212.14 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING..., Promotion, Consumer Education, and Industry Information Order Definitions § 1212.14 Market or marketing. (a...

  13. 7 CFR 1206.12 - Market or marketing.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Market or marketing. 1206.12 Section 1206.12 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING... INFORMATION Mango Promotion, Research, and Information Order Definitions § 1206.12 Market or marketing...

  14. Comparative analysis of crayfish marketing in selected markets of ...

    African Journals Online (AJOL)

    The study was on comparative analysis of crayfish marketing in some selected markets of Akwa Ibom and Abia states of Nigeria. It specifically looked at market integration, costs and return, marketing margin, marketing efficiency and factors influencing marketing efficiency in both states. Data were collected from 60 ...

  15. Marketing in the Emerging Markets of Islamic Countries

    DEFF Research Database (Denmark)

    Marinov, Marin Alexandrov

    Among the limited publications on marketing in emerging markets this book focuses on regional specifics of Islamic Countries and the appropriate approaches for reaching their markets with effective and efficient marketing strategies. Marketing in the Emerging Markets of Islamic Countries...... is of great value to students, researchers, practioners, policy makers and all interested in this exciting region....

  16. Modeling Dynamic Effects of the Marketing Mix on Market Shares

    NARCIS (Netherlands)

    D. Fok (Dennis); R. Paap (Richard); Ph.H.B.F. Franses (Philip Hans)

    2003-01-01

    textabstractTo comprehend the competitive structure of a market, it is important to understand the short-run and long-run effects of the marketing mix on market shares. A useful model to link market shares with marketing-mix variables, like price and promotion, is the market share attraction model.

  17. Social marketing: the family planning experience.

    Science.gov (United States)

    El-ansary, A I; Kramer Oe, J

    1973-07-01

    The authors explore social marketing applications in the Louisiana model of statewide program for family planning. The marketing concept has 4 major elements: 1) consumer orientation; 2) social process; 3) integrated effort; 4) profitable operation. Success of program and continued growth are the results of defining services needed by consumer; determining market target; taking services to customer; and emphasizing concept of selling family planning rather than giving free birth control method. Another important facet is the recognition of many participants--community agencies, the church, the American Medical Association, funding sources, and hospitals. This project used anyaltical marketing tools and defined services as human services rather than the narrow family planning services. It also extended activities to multinational environment and adapted the product offering to meet these needs.

  18. Advisory board approves Pakistan SMC marketing plan.

    Science.gov (United States)

    1986-01-01

    Under a 2-year contract funded by the US Agency for International Development, PSI Marketing Associates is providing technical assistance for the development of a social marketing project in Pakistan. The national launch of a new condom, Sathi, is planned for 1987. This new social marketing of contraceptives project emphasizes child spacing and will use the slogan, "Until you want another child." As a result of the Pakistan Government's generic family planning advertising and promotion campaigns, there is a high degree of public awareness of contraception. However, this awareness is not reflected in levels of contraceptive use. A 3-month test market for Sathi (which means "companion") will take place in 2 areas representative of Pakistan's socioeconomic and ethnic composition. All printed materials (including posters, stickers, mobiles, and shop signs) will use the Sathi logo--2 birds flying into the sun. Other project materials include a 1-minute video and pamphlets for consumers, dealers, and medical professionals.

  19. Operationalizing strategic marketing.

    Science.gov (United States)

    Chambers, S B

    1989-05-01

    The strategic marketing process, like any administrative practice, is far simpler to conceptualize than operationalize within an organization. It is for this reason that this chapter focused on providing practical techniques and strategies for implementing the strategic marketing process. First and foremost, the marketing effort needs to be marketed to the various publics of the organization. This chapter advocated the need to organize the marketing analysis into organizational, competitive, and market phases, and it provided examples of possible designs of the phases. The importance and techniques for exhausting secondary data sources and conducting efficient primary data collection methods were explained and illustrated. Strategies for determining marketing opportunities and threats, as well as segmenting markets, were detailed. The chapter provided techniques for developing marketing strategies, including considering the five patterns of coverage available; determining competitor's position and the marketing mix; examining the stage of the product life cycle; and employing a consumer decision model. The importance of developing explicit objectives, goals, and detailed action plans was emphasized. Finally, helpful hints for operationalizing the communication variable and evaluating marketing programs were provided.

  20. Managing hybrid marketing systems.

    Science.gov (United States)

    Moriarty, R T; Moran, U

    1990-01-01

    As competition increases and costs become critical, companies that once went to market only one way are adding new channels and using new methods - creating hybrid marketing systems. These hybrid marketing systems hold the promise of greater coverage and reduced costs. But they are also hard to manage; they inevitably raise questions of conflict and control: conflict because marketing units compete for customers; control because new indirect channels are less subject to management authority. Hard as they are to manage, however, hybrid marketing systems promise to become the dominant design, replacing the "purebred" channel strategy in all kinds of businesses. The trick to managing the hybrid is to analyze tasks and channels within and across a marketing system. A map - the hybrid grid - can help managers make sense of their hybrid system. What the chart reveals is that channels are not the basic building blocks of a marketing system; marketing tasks are. The hybrid grid forces managers to consider various combinations of channels and tasks that will optimize both cost and coverage. Managing conflict is also an important element of a successful hybrid system. Managers should first acknowledge the inevitability of conflict. Then they should move to bound it by creating guidelines that spell out which customers to serve through which methods. Finally, a marketing and sales productivity (MSP) system, consisting of a central marketing database, can act as the central nervous system of a hybrid marketing system, helping managers create customized channels and service for specific customer segments.

  1. Strategic market segmentation

    Directory of Open Access Journals (Sweden)

    Maričić Branko R.

    2015-01-01

    Full Text Available Strategic planning of marketing activities is the basis of business success in modern business environment. Customers are not homogenous in their preferences and expectations. Formulating an adequate marketing strategy, focused on realization of company's strategic objectives, requires segmented approach to the market that appreciates differences in expectations and preferences of customers. One of significant activities in strategic planning of marketing activities is market segmentation. Strategic planning imposes a need to plan marketing activities according to strategically important segments on the long term basis. At the same time, there is a need to revise and adapt marketing activities on the short term basis. There are number of criteria based on which market segmentation is performed. The paper will consider effectiveness and efficiency of different market segmentation criteria based on empirical research of customer expectations and preferences. The analysis will include traditional criteria and criteria based on behavioral model. The research implications will be analyzed from the perspective of selection of the most adequate market segmentation criteria in strategic planning of marketing activities.

  2. User-Generated Marketing

    DEFF Research Database (Denmark)

    Trzaskowski, Jan

    2011-01-01

    This article discusses legal implications for businesses which engage in viral marketing. In the wake of the adoption of social media such as Facebook and YouTube, viral marketing has become much cheaper, which in combination with an increased trust in other people’s opinions makes viral marketing...... very efficient and widespread. The article focuses on EU legislation concerning identification of marketing, unsolicited commercial messages, and marketing buzz. The nature and quality of the business’ encouragement of private individuals to spread its marketing material is essential in determining...... whether the business is liable for activities carried out by private individuals. The Unfair Commercial Practices Directive adopts a tradition of applying an average-consumer-test, which in the light of the low-cost communication platforms utilised for viral marketing is likely to lead to lawful deception...

  3. Marketing Management Elements

    Science.gov (United States)

    Costoiu, M.; Ioana, A.; Semenescu, A.; Marcu, D.

    2016-11-01

    The article takes as a starting point several complementary definitions of marketing. Also present several key points related to marketing policy: defining the position that the company will occupy on the market with respect to competition, fixing the image with what will approach the market, achieving a balance between turnover rates profit and expenses as a condition for the survival of the company. In below article it is proposed an original concept of marketing management. This concept takes into consideration on the one hand correlations between company position in the market definition and on the other hand the image received by customers. The ultimate goal of this original concept of marketing management is to ensure an effective balance between: the turnover rate of profit and expenses of the company.

  4. Functional Food Marketing - The Hungarian Market Case

    OpenAIRE

    Szabolcs Nagy

    2010-01-01

    In Hungary, a growing number of consumers have recently recognized the importance of healthy eating habits in disease prevention. As health is one of the most important terminal values of Hungarian consumers, functional foods are likely to have a bright future and their market is expected to grow significantly in the coming years. In this paper, the main driving forces of the growth of the functional food market, the consumption patterns of functional foods, up-to-date product trends, the rel...

  5. Tourism Marketing: A Service Marketing perspective

    OpenAIRE

    Kannan, Srinivasan

    2009-01-01

    Tourism is a service sector which earns a substantial foreign exchange to developing countries. In India, Kerala is one of the important destination for the international tourists with its unique nature beauty with backwaters, mountains and beaches. To make the tourism a great success one has to take advantage of the modern technology to full extent. Present paper is an attempt to market tourism by adapting the service marketing approach for achieving great success.

  6. [Community marketing of contraceptives].

    Science.gov (United States)

    Urrutia, J M

    1987-09-01

    The 5-year-old community contraceptive distribution program developed by PROFAMILIA, Colombia's private family planning organization, has given excellent results, but several cost-effectiveness comparisons with social marketing programs have suggested that commercial distribution programs are superior. The community contraceptive distribution program has a high content of information and education activities, which produced significant increases in knowledge and use of contraception in the communities covered. It has been a fundamental support for the social marketing program, creating much of the demand for contraceptive products that the social marketing program has filled. The social marketing program has given good results in terms of volume of sales and in cost-effectiveness since 1976, prompting calls for replacement of the community contraceptive distribution program by the social marketing program in those sectors where knowledge and use of contraception have achieved acceptable levels. An experiment in the Department of Santander in 1984 and 1985 gave very favorable results, suggesting that community contraceptive distribution programs should be replaced by social marketing programs in all more developed markets. But economic problems in 1985 and the decision of manufacturers to decrease the profit margin for PROFAMILIA jeopardized the social marketing program. The community distribution program covered about 20% of the market. Reduced profits in the social marketing program threatened its continued expansion, at the same time that potential demand was growing because of increases in the fertile aged population and increased use of contraception. To meet the need, PROFAMILIA combined the community contraceptive distribution and social marketing programs into a new entity to be called community marketing. The strategy of the community marketing program will be to maintain PROFAMILIA's participation in the market and aid the growth of demand for

  7. Swedish electricity market 1996

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-11-01

    The organization of the Swedish electricity market has been in a state of continual change since the electricity market reform was started in the early 1990s. The conditions for the development of the electricity market have changed since the new Electricity Act came into force on 1 January 1996. The purpose of the reform is to introduce greater competition on the electricity market and provide the consumers with greater freedom of choice and, by open trade in electricity, to create the conditions for more efficient pricing. Being the central energy authority, the Swedish National Board for Industrial and Technical Development, NUTEK, was entrusted by the Government with the task of following developments on the Swedish electricity market. The Network Authority, which has the supervisory function for the new electricity market, were entrusted by the Government with the task of following developments on the Swedish electricity market and regularly compiling and reporting current market information. The new electricity market has now been operative for ten months. The Network Authority has submitted to the Government a detailed report entitled `Developments on the electricity market`, dealing with the experience gained from the electricity market reform. The purpose of the publication is to provide the players on the electricity market - the decision makers, the media and the general public - with comprehensive and easily accessible information on the market conditions. The publication includes summaries of information on electricity production and use in recent years, the structure of the electricity market from the perspective of a player, electricity trade in Sweden and in northern Europe, electricity prices in Sweden and other countries, and the impact of the electricity sector on the environment

  8. Religious Market and Market as Religion

    Directory of Open Access Journals (Sweden)

    Jung Mo Sung

    2014-06-01

    Full Text Available The theory of the religious market begins with the observation of religious pluralism and comes to the conclusion that, in this situation, religion becomes a matter of personal or family choice and it is established a situation of competition among religions subordinated to the logic of the market economy. Thus, religions reduced to the sphere of private life can no longer perform the traditional role of religions in legitimizing the whole social order. This article analyzes the thesis of the subordination of religion to the logic of the market economy and puts forward the hypothesis that the traditional function of the religion of "absolutizing the relative and legitimizing the arbitrary" is exercised today by the capitalist market system itself; and, because of that, the logic of the market economy has become the "natural” way of thinking today, even to think about religion. To this purpose, it dialogues mainly with the thought of P. Berger, P. Bourdieu, M. Weber, W. Benjamin, K. Marx, F. Hinkelammert and H. Assmann, showing how the theme of faith in and sacralization of market appears in discourses of economists.

  9. The nature of sports marketing

    OpenAIRE

    Bühler, André; Nufer, Gerd; Rennhak, Carsten

    2006-01-01

    Sports marketing has established itself over the last three decades not only as a very special form of marketing but also as an own subject of research. However, it is quite surprising that the nature of sports marketing is relatively unknown as different definitions of sports market-ing indicate. Indeed, a generally accepted definition does not exist to date and opinions about the nature of sports marketing differ widely. This paper examines the nature of sports market-ing and therefore seek...

  10. A marketing approach to nursing administration--Part 2.

    Science.gov (United States)

    Alward, R R

    1983-04-01

    Marketing has been defined as effectively managing exchange relationships with an organization's markets or constituencies[1]. To apply a marketing approach to nursing administration, an awareness of all divisional relationships that involve the exchange of values must be developed. The interactions of the nursing division with the larger health care organization, patient population, medical staff, community, and other markets are very complex. Identifying markets with similar needs, preferences, perceptions, attitudes, and behaviors is essential because each segment requires different marketing strategies, tactics, and goals. After defining present and potential markets, the nurse administrator must ask what is valued and exchanged by each segment. A marketing information and research program can provide the data necessary to analyze the needs and preferences of the nursing markets as well as the nursing organization's capabilities and deficits. Part 1 concluded with a description of the qualitative and quantitative phases of a marketing information program. Part 2 explores the management phase, in which research information is translated into strategies and tactics designed to meet the needs of identified market segments. Potential problems the nursing administrator may face in implementing a marketing approach are discussed.

  11. FRM: ADVANCED FOREST PRODUCTS MARKETING

    African Journals Online (AJOL)

    user

    ABSTRACT. The study assessed and evaluated the marketing and utilization of Prosopis Africana condiment in Makurdi metropolis. Four major markets where prosopis condiment is sold in Makurdi were randomly selected for this study. The markets are wurukum market, north bank market, modern market and high level ...

  12. Line managers as marketers.

    Science.gov (United States)

    Rynne, T J

    1986-09-01

    Many hospital administrators and boards of directors, having overcome their initial opposition to advertising and hired a marketing professional, are wondering why their marketing programs have not accomplished all that they had hoped. The answer lies in their perception of who is responsible for marketing. Marketing is not a specialty separate from the disciplines of management--it is a basic management skill. Its goal is to satisfy the customer by providing products and services that meet the customer's needs, wants, and preferences. Line managers must understand the hospital's customers and make the critical day-to-day differences in satisfying them. They are the hospital's front-line marketers, and the marketing department's role is to support them in this function. The marketing department should develop the line managers' marketing skills by furnishing them with the appropriate tools: formats, models, examples, and instructions. In addition, the marketing staff should provide such specialized services as marketing research, ad agency management, and development of communications.

  13. Medical marijuana

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000899.htm Medical marijuana To use the sharing features on this ... have legalized marijuana for medical use. How Does Medical Marijuana Work? Medical marijuana may be: Smoked Vaporized ...

  14. Theoretical investigation of the formation of basal plane stacking faults in heavily nitrogen-doped 4H-SiC crystals

    Energy Technology Data Exchange (ETDEWEB)

    Taniguchi, Chisato; Ichimura, Aiko [School of Science and Technology, Kwansei Gakuin University, 2-1 Gakuen, Sanda, Hyogo 669-1337 (Japan); Ohtani, Noboru, E-mail: ohtani.noboru@kwansei.ac.jp [School of Science and Technology, Kwansei Gakuin University, 2-1 Gakuen, Sanda, Hyogo 669-1337 (Japan); Research and Development Center for SiC Materials and Processes, Kwansei Gakuin University, 2-1 Gakuen, Sanda, Hyogo 669-1337 (Japan); Katsuno, Masakazu; Fujimoto, Tatsuo; Sato, Shinya; Tsuge, Hiroshi; Yano, Takayuki [Advanced Technology Research Laboratories, Nippon Steel & Sumitomo Metal Corporation, 20-1 Shintomi, Futtsu, Chiba 293-8511 (Japan)

    2016-04-14

    The formation of basal plane stacking faults in heavily nitrogen-doped 4H-SiC crystals was theoretically investigated. A novel theoretical model based on the so-called quantum well action mechanism was proposed; the model considers several factors, which were overlooked in a previously proposed model, and provides a detailed explanation of the annealing-induced formation of double layer Shockley-type stacking faults in heavily nitrogen-doped 4H-SiC crystals. We further revised the model to consider the carrier distribution in the depletion regions adjacent to the stacking fault and successfully explained the shrinkage of stacking faults during annealing at even higher temperatures. The model also succeeded in accounting for the aluminum co-doping effect in heavily nitrogen-doped 4H-SiC crystals, in that the stacking fault formation is suppressed when aluminum acceptors are co-doped in the crystals.

  15. Increasing costs due to ocean acidification drives phytoplankton to be more heavily calcified: optimal growth strategy of coccolithophores.

    Directory of Open Access Journals (Sweden)

    Takahiro Irie

    Full Text Available Ocean acidification is potentially one of the greatest threats to marine ecosystems and global carbon cycling. Amongst calcifying organisms, coccolithophores have received special attention because their calcite precipitation plays a significant role in alkalinity flux to the deep ocean (i.e., inorganic carbon pump. Currently, empirical effort is devoted to evaluating the plastic responses to acidification, but evolutionary considerations are missing from this approach. We thus constructed an optimality model to evaluate the evolutionary response of coccolithophorid life history, assuming that their exoskeleton (coccolith serves to reduce the instantaneous mortality rates. Our model predicted that natural selection favors constructing more heavily calcified exoskeleton in response to increased acidification-driven costs. This counter-intuitive response occurs because the fitness benefit of choosing a better-defended, slower growth strategy in more acidic conditions, outweighs that of accelerating the cell cycle, as this occurs by producing less calcified exoskeleton. Contrary to the widely held belief, the evolutionarily optimized population can precipitate larger amounts of CaCO(3 during the bloom in more acidified seawater, depending on parameter values. These findings suggest that ocean acidification may enhance the calcification rates of marine organisms as an adaptive response, possibly accompanied by higher carbon fixation ability. Our theory also provides a compelling explanation for the multispecific fossil time-series record from ∼200 years ago to present, in which mean coccolith size has increased along with rising atmospheric CO(2 concentration.

  16. NuSTAR and XMM-Newton Observations of Luminous, Heavily Obscured, WISE-Selected Quasars at z ~ 2

    DEFF Research Database (Denmark)

    Stern, D.; Lansbury, G. B.; Assef, Roberto J.

    2014-01-01

    faintly detected by XMM-Newton. A third source was observed only with XMM-Newton, yielding a faint detection. The X-ray data require gas column densities N(H)>1e24 /cm2, implying the sources are extremely obscured, consistent with Compton-thick, luminous quasars. The discovery of a significant population......We report on a NuSTAR and XMM-Newton program that has observed a sample of three extremely luminous, heavily obscured WISE-selected AGN at z~2 in a broad X-ray band (0.1 - 79 keV). The parent sample, selected to be faint or undetected in the WISE 3.4um (W1) and 4.6um (W2) bands but bright at 12um...... L(sun). The corresponding intrinsic, unobscured hard X-ray luminosities are L(2-10)~4e45 erg/s for typical quasar templates. These are amongst the most luminous AGN known, though the optical spectra rarely show evidence of a broad-line region and the selection criteria imply heavy obscuration even...

  17. Phytoextraction of Nitrogen and Phosphorus by Crops Grown in a Heavily Manured Dark Brown Chernozem under Contrasting Soil Moisture Conditions.

    Science.gov (United States)

    Agomoh, Ikechukwu; Hao, Xiying; Zvomuya, Francis

    2017-04-25

    Repeated uptake of excess nutrients by crops in soils with a long history of manure application may be a viable option for reducing the nutrient levels. In this greenhouse study, we examined the effectiveness of six 40-day cycles of barley, canola, corn, oat, pea, soybean, and triticale, all grown under two moisture regimes (100% and 50% soil field capacity, SFC), at extracting nitrogen (N) and phosphorus (P) from a Dark Brown Chernozem that had received 180 Mg ha(-1) (wet wt.) of beef cattle feedlot manure annually for 38 years. Repeated cropping resulted in an overall decrease in dry matter yield (DMY). The decrease in N and P uptake relative to Cycle 1 was fastest for the cereal grains and less pronounced for the two legumes. However, cumulative N and P uptake values were significantly greater for corn than the other crops under both moisture regimes. The reduction in soil N and P was greater under the 100% than the 50% SFC. These results indicate that repeated cropping can be a useful management practice for reducing N and P in a heavily manured soil. The extent of reduction will be greater for crops with high biomass production under adequate moisture supply.

  18. Evolution of carbon distribution and mechanical properties during the static strain ageing of heavily drawn pearlitic steel wires

    Energy Technology Data Exchange (ETDEWEB)

    Lamontagne, A. [Univ Lyon, INSA Lyon, MATEIS – UMR CNRS 5510, Bât. St Exupéry, 25 Avenue Jean Capelle, F-69621 Villeurbanne Cedex (France); Massardier, V., E-mail: veronique.massardier@insa-lyon.fr [Univ Lyon, INSA Lyon, MATEIS – UMR CNRS 5510, Bât. St Exupéry, 25 Avenue Jean Capelle, F-69621 Villeurbanne Cedex (France); Sauvage, X. [University of Rouen, GPM, UMR CNRS 6634, BP 12, Avenue de l’Université, 76801 Saint-Etienne du Rouvray (France); Kléber, X. [Univ Lyon, INSA Lyon, MATEIS – UMR CNRS 5510, Bât. St Exupéry, 25 Avenue Jean Capelle, F-69621 Villeurbanne Cedex (France); Mari, D. [Institute of Condensed Matter Physics, Ecole Polytechnique Fédérale de Lausanne, Station 3, Lausanne CH-1015 (Switzerland)

    2016-06-14

    The static strain ageing of heavily cold-drawn pearlitic steel wires was investigated using both global techniques and local techniques (Atom Probe Tomography (APT)), in order to highlight how the cold-drawn destabilized microstructure returns to a more stable state during post-drawing treatments between 20 °C and 150 °C. The global techniques (thermoelectric power, differential scanning calorimetry) clearly showed that ageing occurs in three successive ageing stages and is due to a redistribution of the carbon atoms coming from the strain-induced cementite dissolution. The first ageing stage was unambiguously attributed to the carbon segregation to the defects, while the second and third stages were interpreted as being due to the precipitation of intermediate carbides (2nd stage) and cementite (3rd stage). The true strain was not found to significantly affect the ageing kinetics and mechanisms but appeared to play a role in the amount of carbon atoms involved in the different ageing stages. APT analyses confirmed that ageing is governed by the carbon depletion of strain-induced supersaturated ferrite. The strengthening mechanisms associated with the different ageing stages were also discussed.

  19. Carfilzomib, lenalidomide and dexamethasone in patients with heavily pretreated multiple myeloma: A phase 1 study in Japan.

    Science.gov (United States)

    Suzuki, Kenshi; Ri, Masaki; Chou, Takaaki; Sugiura, Isamu; Takezako, Naoki; Sunami, Kazutaka; Ishida, Tadao; Izumi, Tohru; Ozaki, Shuji; Shumiya, Yoshihisa; Ota, Kenji; Iida, Shinsuke

    2017-03-01

    This is the first study in which the carfilzomib, lenalidomide and dexamethasone (KRd) regimen was evaluated in heavily pretreated multiple myeloma. This study is a multicenter, open-label phase 1 study of KRd in Japanese patients with relapsed or refractory multiple myeloma (RRMM) patients. The objectives were to evaluate the safety, tolerability, efficacy and pharmacokinetics of the regimen. Carfilzomib was administrated intravenously over 10 min on days 1, 2, 8, 9, 15 and 16 of a 28-day cycle. In cycle 1, the dosage for days 1 and 2 was 20 mg/m(2) , followed by 27 mg/m(2) . Lenalidomide and dexamethasone were administered at 25 mg (days 1-21) and 40 mg (days 1, 8, 15 and 22), respectively. Twenty-six patients were enrolled. Patients had received a median of four prior regimens and 88.5% and 61.5% received previous bortezomib and lenalidomide, respectively. High-risk cytogenetics were seen in 53.8% of patients. The overall response rate was 88.5%. A higher rate of hyperglycemia was observed than in a previous carfilzomib monotherapy study, but this was attributed to dexamethasone. Carfilzomib pharmacokinetics were not affected by lenalidomide and dexamethasone. The KRd regimen was well tolerated and showed efficacy in Japanese RRMM patients. © 2017 The Authors. Cancer Science published by John Wiley & Sons Australia, Ltd on behalf of Japanese Cancer Association.

  20. Increasing costs due to ocean acidification drives phytoplankton to be more heavily calcified: optimal growth strategy of coccolithophores.

    Science.gov (United States)

    Irie, Takahiro; Bessho, Kazuhiro; Findlay, Helen S; Calosi, Piero

    2010-10-15

    Ocean acidification is potentially one of the greatest threats to marine ecosystems and global carbon cycling. Amongst calcifying organisms, coccolithophores have received special attention because their calcite precipitation plays a significant role in alkalinity flux to the deep ocean (i.e., inorganic carbon pump). Currently, empirical effort is devoted to evaluating the plastic responses to acidification, but evolutionary considerations are missing from this approach. We thus constructed an optimality model to evaluate the evolutionary response of coccolithophorid life history, assuming that their exoskeleton (coccolith) serves to reduce the instantaneous mortality rates. Our model predicted that natural selection favors constructing more heavily calcified exoskeleton in response to increased acidification-driven costs. This counter-intuitive response occurs because the fitness benefit of choosing a better-defended, slower growth strategy in more acidic conditions, outweighs that of accelerating the cell cycle, as this occurs by producing less calcified exoskeleton. Contrary to the widely held belief, the evolutionarily optimized population can precipitate larger amounts of CaCO(3) during the bloom in more acidified seawater, depending on parameter values. These findings suggest that ocean acidification may enhance the calcification rates of marine organisms as an adaptive response, possibly accompanied by higher carbon fixation ability. Our theory also provides a compelling explanation for the multispecific fossil time-series record from ∼200 years ago to present, in which mean coccolith size has increased along with rising atmospheric CO(2) concentration.

  1. Miscellaneous additives can enhance plant uptake and affect geochemical fractions of copper in a heavily polluted riparian grassland soil.

    Science.gov (United States)

    Rinklebe, Jörg; Shaheen, Sabry M

    2015-09-01

    The problem of copper (Cu) pollution in riverine ecosystems is world-wide and has significant environmental, eco-toxicological, and agricultural relevance. We assessed the suitability and effectiveness of application rate of 1% of activated charcoal, bentonite, biochar, cement kiln dust, chitosan, coal fly ash, limestone, nano-hydroxyapatite, organo-clay, sugar beet factory lime, and zeolite as soil amendments together with rapeseed as bioenergy crop as a possible remediation option for a heavily Cu polluted floodplain soil (total Cu=3041.9mgkg(-1)) that has a very high proportion of sorbed/carbonate fraction (484.6mgkg(-1)) and potential mobile fraction of Cu (1611.9mgkg(-1)). Application changed distribution of Cu among geochemical fractions: alkaline materials lead to increased carbonate bounded fraction and the acid rhizosphere zone might cause release of this Cu. Thus, mobilization of Cu and uptake of Cu by rapeseed were increased compared to the control (except for organo-clay) under the prevailing conditions. Copyright © 2015 Elsevier Inc. All rights reserved.

  2. Breakdown of single spin-fluid model in the heavily hole-doped superconductor CsFe2As2

    Science.gov (United States)

    Zhao, D.; Li, S. J.; Wang, N. Z.; Li, J.; Song, D. W.; Zheng, L. X.; Nie, L. P.; Luo, X. G.; Wu, T.; Chen, X. H.

    2018-01-01

    Although Fe-based superconductors are correlated electronic systems with multiorbital, previous nuclear magnetic resonance (NMR) measurement suggests that a single spin-fluid model is sufficient to describe its spin behavior. Here, we first observed the breakdown of single spin-fluid model in a heavily hole-doped Fe-based superconductor CsFe2As2 by site-selective NMR measurement. At high-temperature regime, both Knight shift and nuclear spin-lattice relaxation at 133Cs and 75As nuclei exhibit distinct temperature-dependent behavior, suggesting the breakdown of the single spin-fluid model in CsFe2As2 . This is ascribed to the coexistence of both localized and itinerant spin degree of freedom at 3 d orbitals, which is consistent with the orbital-selective Mott phase. With decreasing temperature, the single spin-fluid behavior is recovered below T*˜75 K due to a coherent state among 3 d orbitals. The Kondo liquid scenario is proposed to understand the low-temperature coherent state.

  3. Becoming an Educational Leader--Exploring Leadership in Medical Education

    Science.gov (United States)

    Bolander Laksov, Klara; Tomson, Tanja

    2017-01-01

    Research on educational leadership emphasizes the importance of having institutional leaders heavily involved with advanced instructional programming. Best practices for developing educational leadership in higher education health care and medical faculties have to be better understood. Within the framework of a seminar series, researchers and…

  4. From Servicescape to Loyalty in the Medical Tourism Industry: A Medical Clinic’s Service Perspective

    Science.gov (United States)

    Koo, Dong-Woo; Shin, Dong-Jin; Lee, Sae-Mi

    2017-01-01

    Medical tourism organizations have increasingly recognized that loyalty makes a medical clinic a marketing success. To increase understanding of the importance of medical clinics, this study examined the roles of servicescapes, emotions, and satisfaction in the development of customer loyalty toward medical clinics and destination. Data were collected among international medical tourists visiting Korea. Results identified that dimensions of medical clinics’ servicescape (ie, medical clinic environment, medical treatment, staff, and doctor) influenced emotions and satisfaction among international medical tourists. Also, positive emotions and the 2 dimensions of satisfaction with a medical clinic and doctor mediate the influence of medical clinics’ servicescapes on 2 types of loyalty (the medical clinic and Korea for medical care). Overall, these findings indicate that the interrelationship of servicescapes, positive emotion, and satisfaction is essential in influencing international medical tourists’ loyalty to a medical clinic. PMID:29233057

  5. FinTech Market Development Perspectives

    Directory of Open Access Journals (Sweden)

    Kalmykova Ekaterina

    2016-01-01

    Full Text Available Fast development of technologies has led to emergence of the new market – FinTech – which is very attractive for investors today. By now this market has a great number of different concepts: P2P-crediting, E-wallets, Bitcoins, mPOS-acquiring, T-commerce, mobile banks, etc. Many of these tools have already heavily entered our ordinary life. People can obtain any credits through special services on the Internet from other users without participation of banks, pay by credit card using mobile devices, and get information about expenses and incomes according to the card anywhere in the world. Users do not need to go to banks anymore and to spend their time for credit arrangements, currency exchange, to look for ATMs to remove cash. Purchases on the Internet can be paid not only in rubles, but also in new digital currency. These tools make life easier, however, they pose a serious threat for banks. Now, bank institutions should create more convenient and utility services for the clients to keep clients. Therefore, bank and credit systems start to change actively.

  6. European Sugar Market – Impact of Quota System

    Directory of Open Access Journals (Sweden)

    Irena Benešová

    2015-01-01

    Full Text Available The European agricultural market has been criticized for its heavy regulations and subsidization. The sugar market is one of the most regulated ones; however, this will change radically in 2017 when the current system of production quotas will end. The aim of this paper is to present the basic characteristics of the EU quota sugar market. The analysis identifies the main drivers of EU sugar market and their position within the EU sugar market. The paper identifies especially those drivers/companies/alliances which take control over the EU sugar production realized under the quota production system. The paper also highlights the level of EU sugar market concentration and also identifies those countries and companies which are the main leaders in the sugar production area realized under the quota system. Based on the results deriving from the paper, it is possible to characterize the EU sugar market as a heavily concentrated one – nearly 75% (10 mil. tonnes of the quota is controlled by five multinational companies only; these companies are operating more than 50% of all the available sugar plants located in the EU. These multinational alliances are also in control of the production capacities of their subsidiaries. In most countries, this causes serious problems as the given quota is controlled by one or two producers only. The EU sugar market is extremely concentrated especially if we take into consideration the location of each alliance’s headquarters. The majority of production capacities are under (the control of especially German and French companies. These two countries are also the main beneficiaries in relation to the EU sugar production quota system.

  7. Social marketing program sales.

    Science.gov (United States)

    1987-01-01

    This table presents data on social marketing program sales for projects that provide more than 5000 couple-years of protection. Cited are social marketing programs in Bangladesh, Costa Rica, Egypt, El Salvador, Guatemala, Honduras, India, Indonesia, Jamaica, Nepal, Pakistan, Peru, and Sri Lanka. Included in the table are data on program funding, product sales (generally condoms, pills, and foaming tablets), and couple-years of protection provided. Among the social marketing programs reporting particularly high couple-years of protection levels are the Bangladesh Family Planning Social Marketing Program (1,165,100), the Egyptian Family Planning Association's Family for the Future Program (732,200), India's Nirodh Marketing Program (2,225,000), and Pakistan's Social Marketing Contraceptive Program (280,000).

  8. Marketing Innovations in Croatia

    Directory of Open Access Journals (Sweden)

    Ljiljana Božić

    2011-06-01

    Full Text Available The purpose of this paper is to analyze the introduction of marketing innovations by companies in Croatia. This study provides an insight into the innovativeness with regard to the introduction of marketing innovations. It explores the presence of marketing innovations in general and the introduction of four types of marketing innovation (significant changes to the aesthetic design or packaging, new media or techniques for product promotion, new methods for product placement or sales channels and new methods of pricing goods or services. The changes in all four elements of the marketing mix are described. The paper also explores the extent to which the introduction of marketing innovation is related to the companies that introduce other types of innovations.

  9. Markets, Bodies, Rhythms

    DEFF Research Database (Denmark)

    Borch, Christian; Bondo Hansen, Kristian; Lange, Ann-Christina

    2015-01-01

    This article explores the relationship between bodily rhythms and market rhythms in two distinctly different financial market configurations, namely the open-outcry pit (prevalent especially in the early 20th century) and present-day high-frequency trading. Drawing on Henri Lefebvre's rhythmanaly......This article explores the relationship between bodily rhythms and market rhythms in two distinctly different financial market configurations, namely the open-outcry pit (prevalent especially in the early 20th century) and present-day high-frequency trading. Drawing on Henri Lefebvre...... of financial markets, it also suggests that high-frequency trading in particular might produce new types of market rhythms that, contra Lefebvre, do not revolve around traders' bodies....

  10. Understanding political market orientation

    DEFF Research Database (Denmark)

    Ormrod, Robert P.; Henneberg, Stephan C.

    This article develops a conceptual framework and measurement model of political market orientation that consists of attitudinal and behavioural constructs. The article reports on perceived relationships among different behavioral aspects of political market orientation and the attitudinal...... influences of such behavior. The study includes structural equation modeling to investigate several propositions. While the results show that political parties need to focus on several different aspects of market-oriented behavior, especially using an internal and external orientation as cultural antecedents......, a more surprising result is the inconclusive effect of a voter orientation on market-oriented behaviours. The article discusses the findings in the context of the existing literature in political marketing and commercial market orientation....

  11. Tibetan Minzu Market

    DEFF Research Database (Denmark)

    Brox, Trine

    2017-01-01

    In downtown Chengdu a pocket of Tibetan culture has sprung up: a Tibetan market where Tibetans and Han Chinese meet to buy and sell ethnic minority products. Pointing to how Tibetan migration to Chengdu has contributed to the growth of a vibrant ‘minzu market’ attracting Tibetan and Han Chinese...... merchants, customers, Buddhist devotees, and voyeurs, this article presents novel understandings of the ethnic goods market in urban Chengdu. The article first explores the growth of the market, which is the result of a history of political and economic reforms, increased mobility, and religious revival....... Second, it maps the market infrastructure according to the ethnicity of the shopkeepers and the commodities that are traded. Although there is still a clear ethnic division in the market, this article also documents the emergence of Han Chinese market participation in forms of trade that have...

  12. Integral or integrated marketing

    Directory of Open Access Journals (Sweden)

    Davčik Nebojša

    2006-01-01

    Full Text Available Marketing theorists and experts try to develop business efficient organization and to get marketing performance at higher, business integrated level since its earliest beginnings. The core issue in this paperwork is the dialectic and practical approach dilemma should we develop integrated or integral marketing approach in the organization. The presented company cases as well as dialectic and functional explanations of this dilemma clearly shows that integrated marketing is narrower approach than integral marketing if we take as focal point new, unique and completed entity. In the integration the essence is in getting different parts together, which do not have to make necessary the new entity. The key elements in the definition of the integral marketing are necessity and holistic, e.g. necessity to develop new, holistic entity.

  13. The Corporate Marketing Department

    DEFF Research Database (Denmark)

    Ritter, Thomas; Eggert, Andreas; Münkhoff, Eva

    Corporate marketing has been downsized or eliminated in many firms. At the same time, firms that still own a corporate marketing department struggle with organizing and positioning their commercial front‐end. The question arises whether firms need a corporate marketing department, and if so, how...... it can best add value to the firm. Based on a qualitative study among B2B companies, we develop a conceptual framework highlighting the various parental roles through which corporate marketing can contribute to overall firm and business unit performance. In addition, we identify five gaps that restrain...... successful outcomes of corporate marketing activities. In sum, our framework provides important insights on how to successfully organize corporate marketing activities....

  14. Morals and markets.

    Science.gov (United States)

    Falk, Armin; Szech, Nora

    2013-05-10

    The possibility that market interaction may erode moral values is a long-standing, but controversial, hypothesis in the social sciences, ethics, and philosophy. To date, empirical evidence on decay of moral values through market interaction has been scarce. We present controlled experimental evidence on how market interaction changes how human subjects value harm and damage done to third parties. In the experiment, subjects decide between either saving the life of a mouse or receiving money. We compare individual decisions to those made in a bilateral and a multilateral market. In both markets, the willingness to kill the mouse is substantially higher than in individual decisions. Furthermore, in the multilateral market, prices for life deteriorate tremendously. In contrast, for morally neutral consumption choices, differences between institutions are small.

  15. The Marketing Mix Revisited: Towards the 21st Century Marketing

    OpenAIRE

    Constantinides, Efthymios

    2006-01-01

    The paper assesses the current standing of the 4Ps Marketing Mix framework as the dominant marketing management paradigm and identifies market developments, environmental changes, and trends, as well as changing academic attitudes likely to affect the future of the Mix as theoretical concept and also the favourite management tool of marketing practitioners. It reviews the criticism on the 4Ps emanating from five traditional marketing areas - Consumer Marketing, Relationship Marketing, Service...

  16. Upgrading of smallholder agro-food production in Africa: the role of lead firm strategies and new markets

    DEFF Research Database (Denmark)

    Fold, Niels; Larsen, Marianne Nylandsted

    2011-01-01

    to rectify the heavily biased policy focus on standard compliance with the purpose of strengthening smallholder incorporation and upgrading in retailer-driven strands of global value chains ending in the North. Instead, markets in the South and in emerging economies may function as a training ground...... of the co-existing collaboration and intensified rivalry between lead firms within the same chain. The other is caused by new opportunities and challenges stemming from increased requirements on retailer-driven markets in the North and expansion of new markets in the South. The paper points out the need...

  17. Marketing Globalisation – Polish Market Experience

    Directory of Open Access Journals (Sweden)

    Robert Nowacki

    2007-09-01

    Full Text Available The beginning of the 21st century has been yielded with an acceleration of transformations occurring in economies of the whole world. These changes relate to all the areas of economic life functioning. The most important manifestation thereof is a reinforcement of competitive phenomena. Among the most important reasons for such a state of affairs, there is mentioned globalisation. The course of its processes forces the organisation operating in the market to undertake adaptive actions. One of them is reorientation of marketing activities. The need to modify the previous marketing concepts results, first of all, from far reaching alterations in the sphere of consumption, just triggered by globalisationís impact. These trends are noticed in all the markets, also in the Polish one. The foreign enterprises operating in it more and more often use the concept of global marketing. This makes us to have reflection on what is the real effectiveness of such actions and what are the possibilities to form oneís competitive position owing to that. The article constitutes an attempt to provide answers to these questions.

  18. Registration of medical devices

    Directory of Open Access Journals (Sweden)

    Bobby George

    2010-01-01

    Full Text Available Globally the medical device (MD market has been growing quite rapidly over the past decade. The regulatory framework for pharmaceuticals and devices differ substantially. The regulatory authorities in different regions of the world recognize different classes of medical devices (MDs, based on their design complexity, their use characteristics, and their potential for harm, if misused. With the vast majority of MDs in developing countries being imported, the respective governments need to put in place policies & regulations to address all elements related to MDs, ranging from its development, manufacturing, registration to post-marketing obligations & disposal so that public can have access to high quality, safe & affordable products for appropriate use. This article highlights current regulations pertaining to registration of MDs in India, in light of those existing in Global Harmonization Task Force (GHTF member countries & Association of Southeast Asian Nations (ASEAN countries.

  19. The health marketing mix

    OpenAIRE

    Pralea, A. R.

    2011-01-01

    The well-known marketing mix of the commercial sector has found its application and has been developing in the non-profit sector. In most of the cases, the techniques and tools of commercial marketing are used to change behaviours in order to achieve social good. The targeted behaviours range widely from environmental ones to health related behaviours. The aim of the current paper is to highlight some of the characteristics of the marketing mix when applied to change health related behaviours...

  20. The marketization of accountancy

    OpenAIRE

    Picard, Claire-France

    2015-01-01

    The 1980s were marked by the introduction of marketing expertise into the accounting field as an influential area of knowledge. Previously disregarded and even formally forbidden by the profession, marketing initiatives became essential for the advancement of an increasingly profit-centered practice. Within just a few years, marketing became an obligatory passage point within accountancy in order to attract and maintain clientele, recruit qualified staff, and retain competent employees. Based...