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Sample records for institute narcotic assessment

  1. Prescription of the High Risk Narcotics and Trading or Illicit Purchasing of High Risk Narcotics

    Directory of Open Access Journals (Sweden)

    Nicoleta-Elena Buzatu

    2012-05-01

    Full Text Available The present essay will analyze the offence of prescribing high risk narcotics and trading or illicit purchasing of high risk narcotics, as it was regulated - together with other offences - by Law no 143 of July 26, 2000 on preventing and fighting against the traffic and illicit consumption of narcotics. The same law defines the meaning of such a phrase “substances which are under national control” by mentioning the fact that they are the narcotics and their precursors listed in Annexes I-IV of the law. The analysis of the offence of prescribing the high risk narcotics and trading or illicit purchasing of high risk narcotics is following the already known structure mentioned in the doctrine and which consists of: object and subjects of the offence, its constituent content: the objective side with its material element, the immediate consequence and causality connections; the subjective side of the offence, as well as forms and modalities of these offences, and the applicable sanctions, of course.

  2. Assessment of the Impact of the Narcotics Market on the Regional Socio-Economic Development

    Directory of Open Access Journals (Sweden)

    Aleksey Nikolaevich Klevakin

    2018-03-01

    Full Text Available The article considers the market of narcotics as a part of the formal and informal economy. By narcotics, the author means psychoactive substances and plants containing them, which are banned, subject to control or non-prohibited, but have a psychophysical effect on human body. Drug-related psychoactive substances are classified according to the prohibition criterion and restrictions on a turnover with reference to the illegal (criminal or shadow economy. The author considers the illegal drug market as a latent self-organizing system of socio-economic relations of criminal and shadow nature. Such market is oriented towards the turnover of potentially illegal or dangerous psychoactive substances, which are prohibited or restricted for use in non-medical purposes. The analysis of the state and development of the drug situation on the territory of the entities of the Ural Federal District confirms the relevance of the problem of drug abuse. In recent years, the primary incidence of drug addiction and harmful drug use among the adolescents aged 15–17 have grown. Synthetic narcotics and psychotropic substances of high narcogenicity dominate in the current drug market. Over the past 5 years, the average cost of a single dose of drug remains virtually unchanged. This reflects the conditional balance of purchasing power and competition in the drug market. The disparity in the volume of seized cannabis drugs and the number of cannabinoid users observed by medical institutions suggests a high level of latency in this category of drug users. To assess the degree of negative impact of the drug market, the author proposes to use a method of calculating the socioeconomic costs of the consequences of drug addiction. The methodology is supplemented with tools for determining the number of psychoactive substances consumers on the basis of the mass of these substances withdrawn from illicit trafficking, using the concentration and recalculation coefficients

  3. Concurrent Validation of the Clinical Opiate Withdrawal Scale (COWS) and Single-Item Indices against the Clinical Institute Narcotic Assessment (CINA) Opioid Withdrawal Instrument

    Science.gov (United States)

    Tompkins, D. Andrew; Bigelow, George E.; Harrison, Joseph A.; Johnson, Rolley E.; Fudala, Paul J.; Strain, Eric C.

    2009-01-01

    Introduction The Clinical Opiate Withdrawal Scale (COWS) is an 11-item clinician-administered scale assessing opioid withdrawal. Though commonly used in clinical practice, it has not been systematically validated. The present study validated the COWS in comparison to the validated Clinical Institute Narcotic Assessment (CINA) scale. Method Opioid-dependent volunteers were enrolled in a residential trial and stabilized on morphine 30 mg given subcutaneously four times daily. Subjects then underwent double-blind, randomized challenges of intramuscularly administered placebo and naloxone (0.4 mg) on separate days, during which the COWS, CINA, and visual analog scale (VAS) assessments were concurrently obtained. Subjects completing both challenges were included (N=46). Correlations between mean peak COWS and CINA scores as well as self-report VAS questions were calculated. Results Mean peak COWS and CINA scores of 7.6 and 24.4, respectively, occurred on average 30 minutes post-injection of naloxone. Mean COWS and CINA scores 30 minutes after placebo injection were 1.3 and 18.9, respectively. The Pearson correlation coefficient for peak COWS and CINA scores during the naloxone challenge session was 0.85 (p<0.001). Peak COWS scores also correlated well with peak VAS self-report scores of bad drug effect (r=0.57, p<0.001) and feeling sick (r=0.57, p<0.001), providing additional evidence of concurrent validity. Placebo was not associated with any significant elevation of COWS, CINA, or VAS scores, indicating discriminant validity. Cronbach’s alpha for the COWS was 0.78, indicating good internal consistency (reliability). Discussion COWS, CINA, and certain VAS items are all valid measurement tools for acute opiate withdrawal. PMID:19647958

  4. Narcotics

    Science.gov (United States)

    ... of well-being by reducing tension, anxiety, and aggression. These effects are helpful in a therapeutic setting but contribute to the drugs ’ abuse. Narcotic/opioid use comes with a variety of ...

  5. Narcotic Use and Postoperative Doctor Shopping by Patients with Nephrolithiasis Requiring Operative Intervention: Implications for Patient Safety.

    Science.gov (United States)

    Kappa, Stephen F; Green, Elizabeth A; Miller, Nicole L; Herrell, Stanley D; Mitchell, Christopher R; Mir, Hassan R; Resnick, Matthew J

    2016-09-01

    We sought to determine perioperative patterns of narcotic use and the prevalence of postoperative doctor shopping among patients with nephrolithiasis requiring operative management. We retrospectively reviewed the records of consecutive patients residing in Tennessee who required ureteroscopy with laser lithotripsy for nephrolithiasis at a single institution from January to December 2013. Using the Tennessee CSMD (Controlled Substances Medication Database) patients were categorized by the number of postoperative narcotic providers. Doctor shopping behavior was identified as any patient seeking more than 1 narcotic provider within 3 months of surgery. Demographic and clinical characteristics associated with doctor shopping behavior were identified. During the study period 200 eligible patients underwent ureteroscopy with laser lithotripsy for nephrolithiasis, of whom 48 (24%) were prescribed narcotics by more than 1 provider after surgery. Compared to those receiving narcotics from a single provider, patients with multiple narcotic providers were younger (48.1 vs 54.2 years, p shopping is common among patients with nephrolithiasis who require operative management. Urologists should be aware of available registry data to decrease the likelihood of redundant narcotic prescribing. Copyright © 2016 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  6. Narcotic Drug and Marihuana Controls.

    Science.gov (United States)

    Miller, Donald E.

    As a background paper for the National Association of Student Personnel Administrators Drug Education Conference held in November, 1966, this paper focuses first on narcotic control in general, and second, on the reasons for insisting on marijuana control. Brief descriptions are given of the currently existing narcotics acts at federal and state…

  7. 15 CFR 265.37 - Narcotics and other drugs.

    Science.gov (United States)

    2010-01-01

    ... 15 Commerce and Foreign Trade 1 2010-01-01 2010-01-01 false Narcotics and other drugs. 265.37... other drugs. The possession, sale, consumption, or use on the site of narcotic or other drugs illegal... with respect to the possession, sale, consumption, or use of narcotic or other drugs. ...

  8. Perception and knowledge about narcotics among nurses

    Directory of Open Access Journals (Sweden)

    Desai Geetha

    2003-01-01

    Full Text Available Aim: To determine the extent to which nurses are able to correctly identify drugs as narcotics and to ascertain their perception of the addiction potential of opiates when used for pain management. Methods: A questionnaire was administered to 86 nurses who attended palliative care workshops in India. Findings: Only morphine (95%, heroin (71% and codeine (75% were correctly identified as narcotics by the majority of participants. Imipramine (34%, diazepam (20% and phenobarbitone (39% were wrongly classified as narcotics by many nurses. Dextropropoxyphene (11%, pentazocine (21%, buprenorphine (15% were correctly classified as narcotics by fewer than half the participants. Only 14% knew that that the frequency of psychological dependence due to use of morphine for cancer pain was less than 1%.

  9. Pain medications - narcotics

    Science.gov (United States)

    ... other medical problems does not itself lead to dependence. Store narcotics safely and securely in your home. ... help with constipation, drink more fluids, get more exercise, eat foods with extra fiber, and use stool ...

  10. Detection of narcotics with an immunoassay film badge

    International Nuclear Information System (INIS)

    Lukens, H.R.

    1993-01-01

    Efficient personnel performance, a major requirement for a safe nuclear industry, is jeopardized where personnel use narcotics. However, detection of narcotics at nuclear plants is a challenge. The unique specificity and sensitivity of an immunoassay has been implemented in the form of a small, dry immunoassay film badge (IFB) for the detection of vapors emitted by narcotics. The device is suitable as an area monitor, and its characteristics are suitable for use as a breath monitor for the detection of drug use

  11. The Effect of Intravenous Acetaminophen on Postoperative Pain and Narcotic Consumption After Vaginal Reconstructive Surgery: A Double-Blind Randomized Placebo-Controlled Trial.

    Science.gov (United States)

    Crisp, Catrina C; Khan, Madiha; Lambers, Donna L; Westermann, Lauren B; Mazloomdoost, Donna M; Yeung, Jennifer J; Kleeman, Steven D; Pauls, Rachel N

    This study aimed to determine the effect of intravenous acetaminophen versus placebo on postoperative pain, satisfaction with pain control, and narcotic use after vaginal reconstructive surgery. This was an institutional review board-approved, double-blind placebo-controlled randomized trial. Women scheduled for reconstructive surgery including vaginal hysterectomy and vaginal vault suspension were enrolled. Subjects received 1000 mg of intravenous acetaminophen or 100 mL placebo every 6 hours for 24 hours. Pain and satisfaction with pain control were assessed using visual analog scales and a numeric rating scale. Visual analog scales were collected at 18 and 24 hours postoperatively and at discharge. A sample size calculation determined 90 subjects would be required to detect a 30% reduction in postoperative narcotic use with 80% power and significance level of 0.05. One hundred subjects were enrolled. There were no differences in demographics or surgical data and no difference in narcotic consumption at multiple evaluation points. At 18 hours postoperative, median pain scores at rest were 27.0 (interquartile range, 35.0) for acetaminophen and 35.0 (interquartile range, 44.5) for placebo, finding no difference (P = 0.465). Furthermore, pain with activity and numeric rating scale-assessed pain scales were similar (P = 0.328; P = 0.597). Although satisfaction with pain control was high overall (91.5), no difference was noted. Patients undergoing vaginal reconstructive surgery receiving perioperative intravenous acetaminophen did not experience a decrease in narcotic requirements or postoperative pain when compared with placebo. Reassuringly, pain scores were low and satisfaction with pain control was high for all subjects. The general use of this medication is not supported in these surgical patients.

  12. New Challenges in the Narcotics World

    Directory of Open Access Journals (Sweden)

    Nicoleta-Elena Buzatu

    2011-05-01

    Full Text Available The consumption of narcotics is one of the problems the international world is confronted withnowadays; its direct or indirect effects lead to the conclusion that it represents a worrying phenomenon meantto be taken into account by the international programs of co-operation. In contrast with the mature population,the younger population is much more receptive to the new, much more attracted by new experiments and,consequently, by risks. The narcotics flagellum is one of the most complex, profound and dramaticphenomena met with in the contemporary world. Narcotization is the morbid habit of repeatedly taking andusing ever higher doses of more or less toxic substances able to generate a psychological and physicaladdiction to them. Unhappily due to the lack of information, people think that the illegal substances only –heroine, marijuana, cocaine, etc. – are considered drugs. Not long ago there appeared the so-called “mixes ofethno-botanical plants” that are perfectly legal, and many consumers have replaced narcotics - as marijuana,for example - with plant mixes. According to explanations given by the Ethno-botanical ExplanatoryDictionary, ethno-biology is a branch that studies the mutual relationship between man and plant. InRomania, ethno-botanical plants are sold under the generic names of “aroma therapeutic” or “ethnobotanical”plants. The numerous researches meant to decode the molecular and biochemical structure of theseherbs, the researchers found that consumers are described as facing hallucinogenic effects caused by somesynthetic substances - cannabinoids - added by manufacturers.

  13. 32 CFR 700.1138 - Responsibilities concerning marijuana, narcotics, and other controlled substances.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 5 2010-07-01 2010-07-01 false Responsibilities concerning marijuana, narcotics... concerning marijuana, narcotics, and other controlled substances. (a) All personnel shall endeavor to prevent and eliminate the unauthorized use of marijuana, narcotics and other controlled substances within the...

  14. 19 CFR 162.66 - Penalties for unlading narcotic drugs or marihuana without a permit.

    Science.gov (United States)

    2010-04-01

    ... 19 Customs Duties 2 2010-04-01 2010-04-01 false Penalties for unlading narcotic drugs or marihuana... Substances, Narcotics, and Marihuana § 162.66 Penalties for unlading narcotic drugs or marihuana without a permit. In every case where a narcotic drug or marihuana is unladen without a permit, the penalties...

  15. 78 FR 9997 - Additional Designations, Foreign Narcotics Kingpin Designation Act

    Science.gov (United States)

    2013-02-12

    ... the President to impose sanctions against significant foreign narcotics traffickers and their... controlled by significant foreign narcotics traffickers as identified by the President. In addition, the..., Rio Grande, Zacatecas 98400, Mexico; Matamoros, Tamaulipas, Mexico; Rio Grande, Zacatecas, Mexico; DOB...

  16. THE EFFECT OF ILLICIT TRADE IN NARCOTICS ON GLOBAL ECONOMY

    Directory of Open Access Journals (Sweden)

    ALASMARI Khaled

    2013-07-01

    Illicit markets especially those dealing with narcotics constitute grievous issues to the world’s economies, putting to test global safety, economic progress as well as security and many other aspects. Seemingly, illicit narcotics trade in the last decade – that is 2000 to 2011 underwent a significant boom, resulting from a wide spectrum of illegal drugs such as cocaine as well as heroin among many other hard drugs. In today’s global society, several concerns are emerging on the rise of illicit narcotics trade accompanied with organized crime, chiefly as major hindrances to consistent global economic progress. Apparently, some of the effects of illicit narcotics trade are that; this trade gradually turns upside down business rules, opening way for new unruly market players besides reconfiguring influence in global economics as well as politics. Surprisingly, the revenue from illegal drugs in 2011 alone was roughly 10% of the global GDP. Hence, exaggerating local economies’ incomes and triggering ceaseless conflicts among market players, while at the same time reducing legal business activities likewise disintegrating socioeconomic conditions. An empirical research method was adopted for this study, analyzing illicit trade in narcotics on the global arena as from 2000 to 2011 and its resultant effects. The research findings indicate that, illegal drugs trade particularly on the world economy besides growing at a high rate, it endangers the overall welfare of humans likewise the business environment. This is ostensibly because this trade has high chances of engrossing regional economies into illegal drugs business activities, causing them to neglect sustainable ethical businesses. Now, to effectively address negative economic issues related to illegal drugs trade, there is apparent need for integrated efforts from local as well as international authorities. Such efforts are chiefly to control not only the harmful effects resulting from the use of illicit

  17. The narcotic clinic in New Orleans, 1919-21.

    Science.gov (United States)

    Tallaksen, Amund

    2017-09-01

    This paper traces the history of the narcotic clinic in New Orleans, Louisiana, comparing its merits to a similar clinic in Shreveport. How do the clinics compare, and why did the Shreveport clinic operate for longer than its New Orleans counterpart? Qualitative analysis of contemporary medical journals and newspapers, as well as archival materials from the Narcotic Division. In addition, the records of Louisiana Governor John M. Parker, the papers of Dr Willis P. Butler in Shreveport, as well as the records of the Orleans Parish Medical Society have been utilized. The narcotic clinic in Shreveport benefited from strong local support, while the New Orleans clinic faced a more vocal opposition. In addition, the Shreveport clinic offered a broad array of services and was a pillar of the community; the New Orleans clinic was newly established and offered fewer services. It was especially the influx of out-of-state addicts that angered many New Orleanians, many of whom witnessed the addicts lined up in the French Quarter. The effectiveness of the narcotic clinics in Louisiana (1919-23) was influenced by local opinion. The New Orleans clinic faced a tougher political climate than its counterpart in Shreveport, and therefore proved less resilient in the face of federal opposition. © 2017 Society for the Study of Addiction.

  18. 19 CFR 162.65 - Penalties for failure to manifest narcotic drugs or marihuana.

    Science.gov (United States)

    2010-04-01

    ... or marihuana. 162.65 Section 162.65 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF... Substances, Narcotics, and Marihuana § 162.65 Penalties for failure to manifest narcotic drugs or marihuana. (a) Cargo or baggage containing unmanifested narcotic drugs or marihuana. When a package of regular...

  19. 31 CFR 598.309 - Narcotic drug; controlled substance; listed chemical.

    Science.gov (United States)

    2010-07-01

    ...; listed chemical. 598.309 Section 598.309 Money and Finance: Treasury Regulations Relating to Money and... SANCTIONS REGULATIONS General Definitions § 598.309 Narcotic drug; controlled substance; listed chemical. The terms narcotic drug, controlled substance, and listed chemical have the meanings given those terms...

  20. [Narcotic abuse in Jylland. A study based on narcotics and deaths of addicts examined at the Institute of Forensic Medicine, University of Aarhus during the period 1981-1988. 1. Narcotics].

    Science.gov (United States)

    Kaa, E

    1990-04-09

    On the basis of analysis of 1,879 samples of narcotics confiscated in Jutland and Funen during the period 1981-1988, the individual types of drugs are described as regards occurrence and quality. Cannabis and heroin were found in the illegal market during the entire period. Amphetamine was rarely observed prior to 1985 but comprised half of the illegal drugs examined in 1988. Cocaine was encountered in only 1% of the samples. Designer drugs were not seen. Heroin occurred relatively most frequently in Aarhus, Odense and Esbjerg while amphetamine and cannabis were found in all parts of Jutland and Funen. The samples of heroin and amphetamine varied greatly as regards strength and the types and quantities of cutting agents. The majority of the samples were adulterated and/or diluted with substances such as caffeine and phenazone and the sugars, glucose and lactose.

  1. "Transversus Abdominis Plane Blocks in Microsurgical Breast Reconstruction: Analysis of Pain, Narcotic Consumption, Length of Stay and Cost."

    Science.gov (United States)

    Salibian, Ara A; Frey, Jordan D; Thanik, Vishal D; Karp, Nolan S; Choi, Mihye

    2018-06-02

    Transversus abdominis plane (TAP) blocks are increasingly being utilized in microvascular breast reconstruction. The implications of TAP blocks on specific reconstructive, patient and institutional outcomes remain to be fully elucidated. Patients undergoing abdominally-based microvascular breast reconstruction from 2015-2017 were reviewed. Length of stay, complications, narcotic consumption, donor-site pain and hospital expenses were compared between patients that did and those that did not receive TAP blocks with liposomal bupivacaine. Outcomes were subsequently compared in patients with elevated body mass index (BMI). Fifty patients (43.9%) received TAP blocks (27 [54.0%] under ultrasound guidance) and 64 patients (56.1%) did not. Patients with TAP blocks had significantly decreased oral and total narcotic consumption (p=0.0001 and pconsumption and postoperative pain compared to patients without TAP blocks. Patients with BMIconsumption or length of stay between the TAP versus no TAP block groups. TAP blocks with liposomal bupivacaine significantly reduce oral and total postoperative narcotic consumption as well as donor-site pain in all patients after abdominally-based microvascular breast reconstruction without increasing hospital expenses. TAP blocks additionally significantly decrease length of stay in patients with BMI≥25.

  2. Early intravenous ibuprofen decreases narcotic requirement and length of stay after traumatic rib fracture.

    Science.gov (United States)

    Bayouth, Lilly; Safcsak, Karen; Cheatham, Michael L; Smith, Chadwick P; Birrer, Kara L; Promes, John T

    2013-11-01

    Pain control after traumatic rib fracture is essential to avoid respiratory complications and prolonged hospitalization. Narcotics are commonly used, but adjunctive medications such as nonsteroidal anti-inflammatory drugs may be beneficial. Twenty-one patients with traumatic rib fractures treated with both narcotics and intravenous ibuprofen (IVIb) (Treatment) were retrospectively compared with 21 age- and rib fracture-matched patients who received narcotics alone (Control). Pain medication requirements over the first 7 hospital days were evaluated. Mean daily IVIb dose was 2070 ± 880 mg. Daily intravenous morphine-equivalent requirement was 19 ± 16 vs 32 ± 24 mg (P pain scores were lower in the Treatment group (P rib fractures significantly decreases narcotic requirement and results in clinically significant decreases in hospital length of stay. IVIb therapy should be initiated in patients with traumatic rib fractures to improve patient comfort and reduce narcotic requirement.

  3. Comparison between narcotic 'receptors' in the guinea-pig ileum and the rat brain

    Energy Technology Data Exchange (ETDEWEB)

    Terenius, L [Uppsala Univ. (Sweden)

    1975-01-01

    The receptors, i.e., specific binding molecules, for narcotic analgesics in the guinea-pig ileum and rat brain have been compared. The relative affinities of a number of narcotics for the two receptors were very similar and discrimination between stereoisomeric agents was identical. The dissociation constants for dihydromorphine binding were 0.78 nM for the ileum and 1.4 nM for the brain receptor, respectively. There was a good correspondance between receptor affinities on the ileum preparation and the literature data on biologic activity on the isolated ileum. Codeine, diphenoxylate, difenoxine and loperamide, which are used clinically for the treatment of diarrhoea showed no selectivity against the ileum receptor. The two latter drugs had a very high receptor affinity and their lack of narcotic activity after oral administration is probably attributable to lack of penetration of the CNS. Receptor binding in both ileum and brain preparations was inhibited by N-ethylmaleimide, Triton X-100, trypsin and phospholipase C. There were small quantitative differences in sensitivity to these agents but it is difficult to assess whether this is because of real differences between the receptor molecules or attributable to secondary effects. As previously described for the brain receptor, the ileum receptor appeared to be present in a fraction enriched in plasma membranes.

  4. Efforts of Controlling Money Laundering of Narcotics Money in Saudi Arabia

    Directory of Open Access Journals (Sweden)

    Khaled A. ALASMARI

    2014-06-01

    Full Text Available Money laundering is a silent crime. Its goal is to cover up the source of large sums of money that criminals often gather from their criminal activities. This paper will analyze the situation of money laundering in narcotics as it applies in Saudi Arabia. To achieve this end, the paper will first define important terms such as money laundering and narcotics. It will then explain the relationship between money laundering, narcotics trade, and terrorism activities. This background information will form the base for analyzing the various efforts that the Saudi Arabia nation has in place for countering money laundering in narcotics trade. The paper will then explain the challenges facing these efforts, and the future of money laundering in Saudi Arabia. The largest criminal activity associated with money laundering is terrorism financing. The several terror attacks associated with Saudi Arabia’s terror groups like Al-Qaida have made the government realize the importance of curbing money laundering in an effort to counter terrorism. Thus, anti-money laundering strategies are set in place to address all the avenues of money laundering.

  5. [Evaluation of color perception in individuals addicted to narcotic substances in the Farnsworth-Munsell 100-Hue test].

    Science.gov (United States)

    Nadolska, Krystyna; Goś, Roman

    2016-12-22

    The aim of the study was to assess color perception in the Farnsworth-Munsell 100-Hue test in individuals addicted to narcotic substances, and to analyze the acquired color vision disorders, depending on the duration of addiction and abstinence. Ninety-five persons were qualified for the study. All the subjects were divided into 3 groups. Group I (drug addicts) comprised 45 individuals addicted to narcotic substances and nicotine. Group II (smokers) consisted of 30 individuals addicted only to nicotine, and group III (abstinents) included 20 individuals free of addictions. In all the study groups anamnesis, survey, standard ophthalmological examination and the Farnsworth-Munsell 100-Hue test were performed. In the Farnsworth-Munsell 100-Hue test the mean values of total error score (TES) for the purposes of the analysis, expressed in the values of square root (√TES), proved to be significantly higher in group I than in the two other groups (p colors. The Farnsworth-Munsell 100-Hue test proved useful in the detection and assessment of acquired dyschromatopsy induced by narcotic substances. The observed disorders appeared to be dependent on the duration of addiction and abstinence. Med Pr 2016;67(6):777-785. This work is available in Open Access model and licensed under a CC BY-NC 3.0 PL license.

  6. ACUTE NARCOTIC DRUG INTOXICATIONS: ETIOLOGY, SEX/AGE DISTRIBUTION AND CLINICAL OUTCOME

    Directory of Open Access Journals (Sweden)

    Petko Marinov

    2017-01-01

    Full Text Available Purpose: Poisoning with drugs is a serious medical and social problem worldwide. Retrospective analysis of acute poisoning with narcotic drugs had been performed in Varna region for 25 years (1991-2015. Material and Methods: The number of patients received hospital treatment after poisonings with narcotic substances was 677, which represented 3.9% of all acute exogenous intoxications. Results: Narcotic poisonings were more common in men – 546 (80.6%, than in women – 131 (19.4 %. The ratio male/ female was 4.17:1. The largest number of intoxications were in the age group up to 24 years – 1123 (66%, and only 2.65% of patients were over 45 years. Death was registered in 6 (0.9% patients.

  7. 14 CFR 91.19 - Carriage of narcotic drugs, marihuana, and depressant or stimulant drugs or substances.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 2 2010-01-01 2010-01-01 false Carriage of narcotic drugs, marihuana, and... OPERATING AND FLIGHT RULES General § 91.19 Carriage of narcotic drugs, marihuana, and depressant or... operate a civil aircraft within the United States with knowledge that narcotic drugs, marihuana, and...

  8. Overprescription of postoperative narcotics: a look at postoperative pain medication delivery, consumption and disposal in urological practice.

    Science.gov (United States)

    Bates, Cory; Laciak, Robert; Southwick, Andrew; Bishoff, Jay

    2011-02-01

    Prescription narcotic abuse is a significant social problem. Surplus medication following surgery is 1 source of prescription diversion. We assessed prescribing practices, consumption and disposal of prescribed narcotics after urological surgery. Surveys were administered to a 3-month consecutive sample of adult patients who underwent surgery performed by full and adjunct University of Utah Urology faculty. Surveys were performed 2 to 4 weeks postoperatively. With the exception of the investigators, prescribing physicians had no prior knowledge of the study. Data collected included perception of pain control, type and quantity of medication prescribed, quantity of leftover medication, refills needed, disposal instructions and surplus medication disposition. Overall 47% of 586 patients participated in the study. Hydrocodone was prescribed most commonly (63%), followed by oxycodone (35%), and 86% of the patients were satisfied with pain control. Of the dispensed narcotics 58% was consumed and 12% of patients requested refills. A total of 67% of patients had surplus medication from the initial prescription and 92% received no disposal instructions for surplus medication. Of those patients with leftover medication 91% kept the medication at home while 6% threw it in the trash, 2% flushed it down the toilet and less than 1% returned it to a pharmacy. Overprescription of narcotics is common and retained surplus medication presents a readily available source of opioid diversion. It appears that no entity on the prescribing or dispensing ends of prescription opioid delivery is fulfilling the responsibility to accurately educate patients on proper surplus medication disposal. Surgeons should analyze prescribing practices and consider decreasing the quantity of postoperative narcotics prescribed. Copyright © 2011 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  9. Afghanistan Narcotics: The Bigger Battle Toward Stabilization

    Science.gov (United States)

    2009-04-01

    composition of the region limit agricultural output and the availability of successful crops. Energy resources, precious metals, and gemstones are...narcotics industry. Afghanistan should consider oil, natural gas, coal, minerals, and gemstones as viable industrial options. Marketing of these

  10. Closed to reason: time for accountability for the International Narcotic Control Board

    Directory of Open Access Journals (Sweden)

    Small Dan

    2007-05-01

    International Harm Reduction Development Program (IHRD joined by former United Nations Special Envoy for HIV/AIDS in Africa, the respected Canadian statesman Stephen Lewis. The full report, "Closed to Reason: The International Narcotics Control Board and HIV/AIDS" is attached along [see Additional file 1] with a Russian translation of the key findings of the authors [see Additional files 2] as well as Russian and Chinese translations of this abstract [see Additional 3 and 4]. As the report makes very clear, the time to inject some accountability and reason into the INCB is now. Additional file 1 Closed to Reason: The International Narcotics Control Board and HIV/AIDS. Report by J. Csete and D. Wolfe of the Canadian HIV/AIDS Legal Network; International Harm Reduction Development Program (IHRD; Open Society Institute (OSI; 2007:1–32. Click here for file Additional file 2 Closed to Reason: The International Narcotics Control Board and HIV/AIDS Key Findings. Russian translation of key findings of the above report. Click here for file Additional file 3 "Closed to Reason": Time for Accountability for the International Narcotic Control Board. Russian translation of abstract of the above editorial. Click here for file Additional file 4 "Closed to Reason": Time for accountability for the International Narcotic Control Board. Chinese translation of abstract of the above editorial. Click here for file Howmany times must a man look up Before he can see the sky Yes and how many ears Must one man have Before he can hear people cry? Yes, and how many deaths Will it take till he knows That too many people have died? Bob Dylan

  11. Antecedents of narcotic use and addiction. A study of 898 Vietnam veterans.

    Science.gov (United States)

    Helzer, J E; Robins, L N; Davis, D H

    1976-02-01

    Previous studies of predictors of narcotic abuse have been retrospective and based on samples of long-term addicts obtained from legal or medical channels. There are several methodological problems in this approach. The present study is an attempt to test certain alleged predictors of narcotic use in a cohort of 898 Vietnam veterans. The design overcomes several of the methodological weaknesses of previous studies. Eight variables which have been reported as predictors of drug use or addiction in the drug literature were inquired about during a personal interview which included the premilitary life of each subject. The antecedent variables were socioeconomic background, inner city residence, psychiatric illness, broken home, race, employment history, education and antisocial history. Using information obtained from interviews and military records, we then tested the predictive value of each of these antecedents by comparing narcotic used and addiction in Vietman and use after Vietnam in men differing with respect to each antecedent. Results indicate that some of the variables were very poor, and others very good predictors of the various levels of narcotic involvement. The predictive value and overall importance of each of the variables we tested are discussed.

  12. 7 CFR 500.7 - Intoxicating beverages and narcotics.

    Science.gov (United States)

    2010-01-01

    ..., by a person under the influence of intoxicating beverages or a narcotic drug, is prohibited. (b... USNA property is prohibited. (c) The sale of alcoholic beverages on the grounds of the USNA is...

  13. Peptidase inhibitors reduce opiate narcotic withdrawal signs, including seizure activity, in the rat.

    Science.gov (United States)

    Pinsky, C; Dua, A K; LaBella, F S

    1982-07-15

    Narcotic withdrawal was precipitated by administration of naloxone in a low dose at 2 h after the final dose of morphine in a 9-day dependency-inducing schedule. Withdrawal was characterized by leaps, increased nocifensor activity and by cerebral cortical epileptiform activity, the latter not generally reported to be prominent in narcotic withdrawal. Single large doses of morphine did not provoke epileptiform activity at 2 h postinjection but did induce an acute opioid dependency wherein a moderately high dose of naloxone, ineffective in non-dependent rats, provoked upward leaping and electrocortical epileptiform activity. Pretreatment of the 9-day dependent rats with peptidase inhibitors, administered intracerebroventricularly, significantly reduced withdrawal severity including the epileptiform activity. We propose that peptidase inhibitors protect certain species of endogenous opioids and/or other neuropeptides that tend to suppress expression of the narcotic withdrawal syndrome. Furthermore, our findings suggest that epileptiform activity is a nascent form of cerebral activity hitherto largely unnoticed in narcotic withdrawal and that neuropeptides may be involved in certain epileptic states.

  14. Trace Contraband Detection Field-Test by the South Texas Specialized Crimes and Narcotics Task Force

    Energy Technology Data Exchange (ETDEWEB)

    Hannum, David W. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Contraband Detection Dept.; Shannon, Gary W. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States). Contraband Detection Dept.

    2006-04-01

    This report describes the collaboration between the South Texas Specialized Crimes and Narcotics Task Force (STSCNTF) and Sandia National Laboratories (SNL) in a field test that provided prototype hand-held trace detection technology for use in counter-drug operations. The National Institute of Justice (NIJ)/National Law Enforcement and Corrections Technology Center (NLECTC)/Border Research and Technology Center (BRTC) was contacted by STSCNTF for assistance in obtaining cutting-edge technology. The BRTC created a pilot project for Sandia National Laboratories (SNL) and the STSCNTF for the use of SNL’s Hound, a hand-held sample collection and preconcentration system that, when combined with a commercial chemical detector, can be used for the trace detection of illicit drugs and explosives. The STSCNTF operates in an area of high narcotics trafficking where methods of concealment make the detection of narcotics challenging. Sandia National Laboratories’ (SNL) Contraband Detection Department personnel provided the Hound system hardware and operational training. The Hound system combines the GE VaporTracer2, a hand-held commercial chemical detector, with an SNL-developed sample collection and preconcentration system. The South Texas Task force reported a variety of successes, including identification of a major shipment of methamphetamines, the discovery of hidden compartments in vehicles that contained illegal drugs and currency used in drug deals, and the identification of a suspect in a nightclub shooting. The main advantage of the hand-held trace detection unit is its ability to quickly identify the type of chemical (drugs or explosives) without a long lag time for laboratory analysis, which is the most common analysis method for current law enforcement procedures.

  15. Birth order and hospitalization for alcohol and narcotics use in Sweden.

    Science.gov (United States)

    Barclay, Kieron; Myrskylä, Mikko; Tynelius, Per; Berglind, Daniel; Rasmussen, Finn

    2016-10-01

    Previous studies have shown that birth order is an important predictor of later life health as well as socioeconomic attainment. In this study, we examine the relationship between birth order and hospitalization for alcohol and narcotics use in Sweden. We study the relationship between birth order and hospitalization related to alcohol and narcotics use before and after the age of 20 using Swedish register data for cohorts born 1987-1994. We apply Cox proportional hazard models and use sibling fixed effects, eliminating confounding by factors shared by the siblings. Before age 20 we find that later born siblings are hospitalized for alcohol use at a higher rate than first-borns, and there is a monotonic increase in the hazard of hospitalization with increasing birth order. Second-borns are hospitalized at a rate 47% higher than first-borns, and third-borns at a rate 65% higher. Similar patterns are observed for hospitalization for narcotics use. After age 20 the pattern is similar, but the association is weaker. These patterns are consistent across various sibling group sizes. Later born siblings are more likely to be hospitalized for both alcohol and narcotics use in Sweden. These birth order effects are substantial in size, and larger than the estimated sex differences for the risk of hospitalization related to alcohol and drug use before age 20, and previous estimates for socioeconomic status differences in alcohol and drug abuse. Copyright © 2016 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.

  16. Assessment Role of Participation in Narcotic Anonymous in Opiate Dependents during Abstinence

    Directory of Open Access Journals (Sweden)

    Hossien Zare

    2012-09-01

    Full Text Available Background: The activity level of Narcotics Anonymous group (NA is expanding in many countries, including Iran. Some research has confessed the benefits of 12-step NA approach compared with similar methods. In the present study, the role of regular participation of opioid addicts in the NA group was studied in terms of abstinence rate and compared with routine program of detoxification centers of the person Welfare Organization and Medical Sciences University. Materials and Methods: All addicts who attempted to quit in self-introducer clinical centers of Medical Sciences University and the Welfare Organization of Rafsanjan were suggested to participate and not to participate in NA, based on even and odd numbers, respectively. Among them, two equal 120-person (NA and control groups were selected, then evaluated every three months and followed up for 12 months. Their status was assessed through questionnaires, interviews, and morphine tests.Results: The purity rate of NA group with 8.49 months was significantly different with normal addicts in 5.19 months (p=0.001. The recurrence rate at 12 months was significantly lower in the NA group compared with the control group, calculated through independent t-test (p=0.001. Quitting history and addiction duration in the NA group was significantly higher than control group.Conclusion: The findings of the research support a better prognosis for participants of NA group. Further researches are recommended to provide useful clinical information for patients and professionals.

  17. Survey of the Effective Methods of Decreasing Demands of Narcotic Substances from the Viewpoint of Hamadan People

    Directory of Open Access Journals (Sweden)

    A.R. Rahimi

    2007-01-01

    Full Text Available Introduction & Objective: Addiction is a complex problem with different psychological, social and familial aspects, which strongly threaten the health of million people, and collapse the social and personal life. The aim of this study was to determine the effective methods of narcotic substances and decreasing demands from the viewpoint of Hamadan peopleMaterials & Methods: This research was a sectional-descriptive study. The participants consisted of 1456 individuals that were selected by stratified sampling. The data collected through a questionnaire consists of 3 parts; I. the demographic characteristics II. the questions about decreasing the demands and III. the questions related to the methods of narcotic substances campaign.Results: Outcome showed that 60.78% of the participants believe the best method to decrease demands to narcotic substances is the mass media and 51.92% believe to promote the religious believes and 44.5% to change people’s viewpoint about the narcotic substances. 78.85% agreed with using punishments on narcotics devisers and 40.1% agreed with punishment on users.Conclusion: From the viewpoint of Hamedan people mass media and religious believes effect in attitude of people about narcotic substances abuse and also they believed that punishment of users and opinion devisers were being useful.

  18. 21 CFR 1301.73 - Physical security controls for non-practitioners; compounders for narcotic treatment programs...

    Science.gov (United States)

    2010-04-01

    ...; compounders for narcotic treatment programs; manufacturing and compounding areas. 1301.73 Section 1301.73 Food... controls for non-practitioners; compounders for narcotic treatment programs; manufacturing and compounding... unauthorized persons may not enter or leave the area without his knowledge. (c) During the production of...

  19. The Efficacy of Foreign Assistance in Counter Narcotics

    Science.gov (United States)

    2013-03-01

    ACI Were Initiated. ...........................................................................................................15 Figure 3. Coffee ...Crop Reduction Components)...................................................................................25 Table 6. Colombian Coffee Prices in U.S...drug trafficking. Due to the covert nature of narcotics transactions, scholars are limited to estimations based on coca, poppy, and cannabis

  20. Risk Factors of Narcotic and Psychoactive Drugs Use among University and High School Student

    Directory of Open Access Journals (Sweden)

    Ali Kashi

    2010-05-01

    Full Text Available Aim: Today use of different banned substances such as narcotic, psychoactive and energetic drugs are social problem that has created worry in different levels of human societies. The aim of present study was examined the prevalence of use of narcotic and psychoactive drugs among high school and university students also identifying of risk factors associated with the use of this materials. Method: The population of this descriptive survey study was all students of high school and university of Khodabandeh city. By cluster random sampling 580 students of high school and university selected and questionnaires distributed among them. After eliminating incomplete questionnaires 480 students remained as research sample. Results: In consideration of selected sample the most important reasons of using of narcotics are: enjoying and curiosity, exposed to bad environment like addicted friends and families, joblessness, economic problems, lack of information and loss of affection. Conclusion: The analysis of the results indicated the high prevalence of narcotic and drugs use and necessity of codification of preventive programs for these people.

  1. Personality Disorders, Narcotics, and Stimulants; Relationship in Iranian Male Substance Dependents Population.

    Science.gov (United States)

    Noorbakhsh, Simasadat; Zeinodini, Zahra; Khanjani, Zeynab; Poorsharifi, Hamid; Rajezi Esfahani, Sepideh

    2015-06-01

    Individuals with certain personality disorders, especially the antisocial and borderline personality disorders, are more prone to substance use disorders. Regarding the importance of substance use disorders, this study aimed to explore the association between personality disorders and types of used drugs (narcotics and stimulants) in Iranian male substance users. The current study was a correlation study. We evaluated 285 male substance users and excluded 25 according to exclusion criteria. A total of 130 narcotic users and 130 stimulant users were recruited randomly in several phases from January 2013 to October 2013. All participants were referred to Substance Dependency Treatment Clinics in Tehran, Iran. Data collection process was accomplished by means of clinical interview based on DSM-V criteria for substance use disorders, Iranian version of addiction severity index (ASI), and Millon clinical multi-axial inventory-III (MCMI-III). Data were analyzed by SPSS 21 using Pearson correlation coefficient and regression, the. There was a significant correlation between stimulant use and histrionic personality disorder (P personality disorders (P histrionic, and narcissistic personality disorders (P personality disorders (P personality disorders, and narcotic and stimulants consumption (P personality disorder and narcotics (P personality disorders and types of used drugs were in accordance with the previous studies results. It is necessary to design appropriate treatment plans for medical treatment of those with personality disorders.

  2. Legal Position of School Personnel -- Drugs and Narcotics.

    Science.gov (United States)

    Shannon, Thomas A.

    California educators have been given broad discretionary powers to control students who misuse drugs or narcotics, and to develop drug education programs. This paper outlines and discusses legislation dealing with disciplinary actions against drug offenders, and delineates school responsibilities for developing and implementing effective drug…

  3. 30 CFR 57.20001 - Intoxicating beverages and narcotics.

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Intoxicating beverages and narcotics. 57.20001 Section 57.20001 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL MINE SAFETY AND HEALTH SAFETY AND HEALTH STANDARDS-UNDERGROUND METAL AND NONMETAL MINES...

  4. 30 CFR 56.20001 - Intoxicating beverages and narcotics.

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Intoxicating beverages and narcotics. 56.20001 Section 56.20001 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR METAL AND NONMETAL MINE SAFETY AND HEALTH SAFETY AND HEALTH STANDARDS-SURFACE METAL AND NONMETAL MINES Miscellaneous...

  5. Translations on Narcotics and Dangerous Drug No. 285

    Science.gov (United States)

    1977-02-17

    the odd exception, but in general the police seem to have a pretty sensible attitude towards addictive narcotics at least. I never hear any... Ciudad Universitaria. Guzman Maldonado said that he has been involved in drug traffic since 1967 when he entered Prepara- tory School No. 5 in Coapa

  6. 32 CFR 228.9 - Prohibition on narcotics and illegal substances.

    Science.gov (United States)

    2010-07-01

    ... DEFENSE (CONTINUED) MISCELLANEOUS SECURITY PROTECTIVE FORCE § 228.9 Prohibition on narcotics and illegal... cases where the drug is being used as prescribed for a patient by a licensed physician. ...

  7. 14 CFR 125.39 - Carriage of narcotic drugs, marihuana, and depressant or stimulant drugs or substances.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Carriage of narcotic drugs, marihuana, and depressant or stimulant drugs or substances. 125.39 Section 125.39 Aeronautics and Space FEDERAL AVIATION... AIRCRAFT Certification Rules and Miscellaneous Requirements § 125.39 Carriage of narcotic drugs, marihuana...

  8. 14 CFR 121.15 - Carriage of narcotic drugs, marihuana, and depressant or stimulant drugs or substances.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Carriage of narcotic drugs, marihuana, and depressant or stimulant drugs or substances. 121.15 Section 121.15 Aeronautics and Space FEDERAL AVIATION....15 Carriage of narcotic drugs, marihuana, and depressant or stimulant drugs or substances. If a...

  9. 14 CFR 133.14 - Carriage of narcotic drugs, marihuana, and depressant or stimulant drugs or substances.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Carriage of narcotic drugs, marihuana, and depressant or stimulant drugs or substances. 133.14 Section 133.14 Aeronautics and Space FEDERAL AVIATION... narcotic drugs, marihuana, and depressant or stimulant drugs or substances. If the holder of a certificate...

  10. 14 CFR 135.41 - Carriage of narcotic drugs, marihuana, and depressant or stimulant drugs or substances.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Carriage of narcotic drugs, marihuana, and depressant or stimulant drugs or substances. 135.41 Section 135.41 Aeronautics and Space FEDERAL AVIATION... PERSONS ON BOARD SUCH AIRCRAFT General § 135.41 Carriage of narcotic drugs, marihuana, and depressant or...

  11. 14 CFR 141.18 - Carriage of narcotic drugs, marijuana, and depressant or stimulant drugs or substances.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Carriage of narcotic drugs, marijuana, and depressant or stimulant drugs or substances. 141.18 Section 141.18 Aeronautics and Space FEDERAL AVIATION... General § 141.18 Carriage of narcotic drugs, marijuana, and depressant or stimulant drugs or substances...

  12. Terrorism and Drug Trafficking: Technologies for Detecting Explosives and Narcotics

    Science.gov (United States)

    1996-09-01

    The General Accounting Office (GAO) examined information on explosives and narcotics detection technologies that are available or under development. This report discusses (1) funding for those technologies, (2) characteristics and limitations of avai...

  13. Performance Assessment Institute-NV

    Energy Technology Data Exchange (ETDEWEB)

    Lombardo, Joesph [Univ. of Nevada, Las Vegas, NV (United States)

    2012-12-31

    The National Supercomputing Center for Energy and the Environment’s intention is to purchase a multi-purpose computer cluster in support of the Performance Assessment Institute (PA Institute). The PA Institute will serve as a research consortium located in Las Vegas Nevada with membership that includes: national laboratories, universities, industry partners, and domestic and international governments. This center will provide a one-of-a-kind centralized facility for the accumulation of information for use by Institutions of Higher Learning, the U.S. Government, and Regulatory Agencies and approved users. This initiative will enhance and extend High Performance Computing (HPC) resources in Nevada to support critical national and international needs in "scientific confirmation". The PA Institute will be promoted as the leading Modeling, Learning and Research Center worldwide. The program proposes to utilize the existing supercomputing capabilities and alliances of the University of Nevada Las Vegas as a base, and to extend these resource and capabilities through a collaborative relationship with its membership. The PA Institute will provide an academic setting for interactive sharing, learning, mentoring and monitoring of multi-disciplinary performance assessment and performance confirmation information. The role of the PA Institute is to facilitate research, knowledge-increase, and knowledge-sharing among users.

  14. Transcultural use of narcotic water lilies in ancient Egyptian and Maya drug ritual.

    Science.gov (United States)

    Emboden, W A

    1981-01-01

    Comparisons are made between ancient ritual uses of the flowers of Nymphaea (Nymphaeaceae) in Maya and Egyptian civilizations. Recurrent motifs encountered in the art of both of these ancient civilizations suggests that the role fo the water lily was that of a narcotic (psychodysleptic) used to mediate ecstasis among a priestly caste. Relevant literature is reviewed as are chemical data. Elements in the complex belief systems of these two civilizations need to be reinterpreted in view of the use of two water lilies as ritual narcotics. The species implicated are Nymphaea caerulea Sav., in Egypt, and N. ampla DC., among the Maya.

  15. SELF ASSESSMENT AND INSTITUTIONAL ASSESSMENT IN THE CONTEXT OF HIGHER EDUCATION

    Directory of Open Access Journals (Sweden)

    Dumara Coutinho Tokunaga Sameshima

    2015-03-01

    Full Text Available Institutional Assessment is a comprehensive action, radical mobilizing and engaging the institution as a whole. Process is not indifferent or neutral. Instead, take advantage reaffirms values considered positive, the judge denies negative, their social relationships and work involved in all aspects of academic life and institutional (Newton Balzan and José Dias Sobrinho. As pointed out by the authors of the text, the institutional assessment is a challenge for managers in the field. In this sense this study addresses the understanding of Institutional Assessment and investigation procedure, that explicitly and reveal the subject institution's social reality prevailing in its various dimensions, identifying their points of excellence, their focus create obstacles, pointing paths and prospects for institutional development. The process of self-assessment meets the desire of institutions to maintain the provision of quality services and meet legislation on Institutional Assessment, specifically the Law. 10861/2004 which regulates the National Assessment of Higher Education - SINAES. The author's desire to emphasize that institutions of higher learning, being recognized as educational institutions, research and extension to provide excellence in education, training people competent, ethical and socially committed to the real exercise of citizenship.

  16. 78 FR 5562 - Additional Designations, Foreign Narcotics Kingpin Designation Act

    Science.gov (United States)

    2013-01-25

    ... FLORES, Fausto Isidro). 4. MEZA FLORES DRUG TRAFFICKING ORGANIZATION, Mexico [SDNTK]. Dated: January 17... Director of the Federal Bureau of Investigation, the Administrator of the Drug Enforcement Administration... providing goods or services in support of, the international narcotics trafficking activities of a person...

  17. 76 FR 5858 - Additional Designations, Foreign Narcotics Kingpin Designation Act

    Science.gov (United States)

    2011-02-02

    ... ORGANIZATION/DRUG TRAFFICKING ORGANIZATION (a.k.a. ``JOUMAA MLO/DTO''); Beirut, Lebanon; Maicao, Colombia... Investigation, the Administrator of the Drug Enforcement Administration, the Secretary of Defense, the Secretary... support of, the international narcotics trafficking activities of a person designated pursuant to the...

  18. 77 FR 71480 - Additional Designations, Foreign Narcotics Kingpin Designation Act

    Science.gov (United States)

    2012-11-30

    ... controlled by significant foreign narcotics traffickers as identified by the President. In addition, the... IBARRA, Mayela), Calle Lago de La Doga 5312, Tijuana, Baja California, Mexico; DOB 24 Feb 1961; POB Coahuila, Mexico; Passport 99020046985 (Mexico); R.F.C. CAIM610224 (Mexico) (individual) [SDNTK]. 2...

  19. 76 FR 58562 - Additional Designations, Foreign Narcotics Kingpin Designation Act

    Science.gov (United States)

    2011-09-21

    ... controlled by significant foreign narcotics traffickers as identified by the President. In addition, the..., Jalisco, Mexico; Plaza Del Sol Local 28, Zona R, Guadalajara, Jalisco, Mexico; Paseo Del Heliotropo 3426, Monraz, Guadalajara, Jalisco, Mexico; DOB 09 Aug 1955; POB Jalisco, Mexico; Citizen Mexico; Nationality...

  20. Effect of narcotics on membrane-bound mitochondrial processes in fish

    DEFF Research Database (Denmark)

    Vergauwen, Lucia; Nørgaard Schmidt, Stine; Michiels, Ellen

    and endoplasmic reticulum membrane are known to closely interact with the cell membrane, we hypothesize that narcotics can be further partitioned into these organelle membranes where they can disrupt essential membrane-bound processes. The electron transport chain (ETC) is an example of a crucial mitochondrial...

  1. Organic solvent-induced changes in membrane geometry in human SH-SY5Y neuroblastoma cells - a common narcotic effect?

    NARCIS (Netherlands)

    Meulenberg, C.J.W.; de Groot, A.; Westerink, R.H.S.; Vijverberg, H.P.M.

    2016-01-01

    Exposure to organic solvents may cause narcotic effects. At the cellular level, these narcotic effects have been associated with a reduction in neuronal excitability caused by changes in membrane structure and function. In order to critically test whether changes in membrane geometry contribute to

  2. An ethnobotanical study of medicinal plants with narcotic, sedative and analgesic effects in west of Iran.

    Science.gov (United States)

    Saki, K; Bahmani, M; Rafieianb-Kopaei, M D; Asadollahi, K; Emaneini, M; Taherikalani, M

    2016-01-01

    The first step for identification of medicinal plants and their therapeutic effects is to determine their use by local people, traditional medicine books and personal experiences. The aim of this study was to document the medicinal plants used as analgesic, sedative or narcotic agents by local residents of Dehloran, Iran. Interviews conducted with 53 informants (38 male and 15 female) revealed that a total of 32 medicinal plants belonging to 22 families are used in Dehloran as narcotic, sedative and analgesic agents. The most utilized plant families were Asteraceae, Rosaceae and Fabaceae. Approximately 74% of the utilized plants was attributed to herbs, followed by trees (13%) and shrubs (13%). Sixty-six percent of the medicinal plants used in the study area were perennial and the rest were annual or biannual. The most widely used plant parts were flowers (34%) followed by leaves (24%) and fruits (14%). Thirty-nine percent of the medicinal plants were used as sedatives, 39% as analgesics, and 24% as narcotics. Recommended plants in this study can be good candidates for further clinical and laboratory trials on diseases that are associated with pain, suffering, stress and depression. They also can be used to develop new sedative, narcotic and analgesic drugs.

  3. Narcotic smuggling and radiography of the gastrointestinal tract

    International Nuclear Information System (INIS)

    Pamilo, M.; Suoranta, H.; Suramo, I.

    1986-01-01

    The gastrointestinal tract is being used to an increasing extent as a route for smuggling narcotics. Small, swallowed packages overwrapped with condoms or other materials are usually not detected by the customs authorities. Conventional abdominal radiography may indicate foreign bodies surrounded by a characteristic thin layer of gas and located in the gastrointestinal tract. Some short case histories, and the radiologic findings in four heroin 'body packers' are presented. (orig.)

  4. Counter Measures Criminal Act Of Narcotics

    Directory of Open Access Journals (Sweden)

    Mohammad Arief Amrullah

    2017-03-01

    Full Text Available Narcotics crimes that are part of organized crime are essentially one of crimes against development and crimes against social welfare that are central to national and international concerns and concerns. It is very reasonable, given the scope and dimensions so vast, that its activities contain features as organized crime, white-collar crime, corporate crime, and transnational crime. In fact, by means of technology can be one form of cyber crime. Based on such characteristics, the impacts and casualties are also very wide for the development and welfare of the community. It can even weaken national resilience.

  5. 78 FR 62946 - Additional Designations, Foreign Narcotics Kingpin Designation Act

    Science.gov (United States)

    2013-10-22

    ... significant foreign narcotics traffickers as identified by the President. In addition, the Secretary of the...; R.F.C. PAPA751109870 (Mexico); C.U.R.P. PAPA751109HNEDSL04 (Mexico) (individual) [SDNTK] (Linked To... No. 279, Supermanzana 50, Manzana 14, Lote 17, Residencial San Angel, Cancun, Quintana Roo, Mexico...

  6. 78 FR 47828 - Additional Designations, Foreign Narcotics Kingpin Designation Act

    Science.gov (United States)

    2013-08-06

    ... significant foreign narcotics traffickers as identified by the President. In addition, the Secretary of the..., Colonia Centro, Culiacan, Sinaloa 80000, Mexico; DOB 21 Dec 1941; POB Sinaloa, Mexico; nationality Mexico; citizen Mexico; R.F.C. NUBA411221867 (Mexico); C.U.R.P. NUBA411221HSLXDN05 (Mexico) (individual) [SDNTK...

  7. 75 FR 64781 - Additional Designations, Foreign Narcotics Kingpin Designation Act

    Science.gov (United States)

    2010-10-20

    ... framework for the President to impose sanctions against significant foreign narcotics traffickers and their...., Martin L. Guzman 259-3, Colonia Villa de Cortes, Delegacion Benito Juarez, Mexico City, Mexico; Folio Mercantil No. 325909 (Mexico); (ENTITY) [BPI-SDNTK] 2. TATES DESARROLLO, S.A. DE C.V., Mexico City, Mexico...

  8. Terrorism and Drug Trafficking: Responsibilities for Developing Explosives and Narcotics Detection Technologies

    Science.gov (United States)

    1997-04-01

    This report discusses (1) the roles, responsibilities, and authority of : agencies that establish policy, provide funds or oversee funding requests, : and develop explosives and narcotics detection technologies; : (2) mechanisms used to coordinate th...

  9. 78 FR 70630 - Additional Designations, Foreign Narcotics Kingpin Designation Act

    Science.gov (United States)

    2013-11-26

    ... providing goods or services in support of, the international narcotics trafficking activities of a person... fax-on-demand service at (202) 622-0077. Background The Kingpin Act became law on December 3, 1999..., Zacatecas, Mexico; nationality Mexico; Tax ID No. 06796108238 (Mexico); C.U.R.P. LOHM611211HZSZRG11 (Mexico...

  10. 77 FR 74915 - Additional Designations, Foreign Narcotics Kingpin Designation Act

    Science.gov (United States)

    2012-12-18

    .... jurisdiction, owned or controlled by significant foreign narcotics traffickers as identified by the President... Enrique; DOB 25 Mar 1980; POB Culiacan, Sinaloa, Mexico; C.U.R.P. EUEJ800325HSLSSR02 (Mexico) (individual... GUTIERREZ, Julio Cesar, Calle Platon 268, Col. Paso Blanco, Ocotlan, Jalisco, Mexico; DOB 03 Oct 1981; POB...

  11. Translations on Narcotics and Dangerous Drugs, Number 288

    Science.gov (United States)

    1977-03-10

    activities, especially the scope of their drug sales and distribution activities. The Interpol agents also confiscated two pickup trucks, one Izuzu l...Barnett Va- lenzuela, and Eduardo Esquer Alvarado, 35-years old, resident of 79 Educacion Street of this city. Barnett Valenzuela owns the drugs and... especially of the urban lower classes, of a broad and concrete discussion on the problems of the use and abuse of alco- hol, hallucinogens and narcotics

  12. Translations on Narcotics and Dangerous Drugs, Number 291

    Science.gov (United States)

    1977-03-23

    northern region down to Bangkok as can be seen by the decrease in narcotics prices in parts of the country like Chiang Mai . We must praise the Border...the deputy rector of Chiang Mai University. I think that this project will proceed without any difficulty. CSO: 5300 17 THAILAND UNIVERSITY...ANTINARCOTICS CENTER--A new antinarcotics centre has been set up in Chiang Mai to deal with the suppression of drug trafficking in the north, the

  13. Greater number of narcotic analgesic prescriptions for osteoarthritis is associated with falls and fractures in elderly adults.

    Science.gov (United States)

    Rolita, Lydia; Spegman, Adele; Tang, Xiaoqin; Cronstein, Bruce N

    2013-03-01

    To evaluate the changes in types of medications prescribed for pain before and after withdrawal of certain selective cyclooxygenase 2 (COX-2) inhibitors in 2004 and to determine whether there was an association with fall events in elderly adults with a diagnosis of osteoarthritis (OA). A nested case-control design using electronic medical records compiled between 2001 and 2009. Electronic medical records for care provided in an integrated health system in rural Pennsylvania over a 9-year period (2001-09), the midpoint of which rofecoxib and valdecoxib were pulled from the market. Thirteen thousand three hundred fifty-four individuals aged 65 to 89 with a diagnosis of OA. The incidence of falls and fractures was examined in relation to analgesics prescribed: narcotics, COX-2 inhibitors, and nonsteroidal anti-inflammatory drugs (NSAIDs). The comparison sample of individuals who did not fall was matched 3:1 with those who fell according to age, sex, and comorbidity. Narcotic analgesic prescriptions were associated with a significantly greater risk of falls and fractures. The likelihood of experiencing a fall/fracture was higher in participants prescribed narcotic analgesics than those prescribed a COX-2 inhibitor (odds ratio (OR) = 3.3, 95% confidence interval (CI) = 2.5-4.3) or NSAID (OR = 4.1, 95% CI = 3.7-4.5). Use of narcotic analgesics is associated with risk of falls and fractures in elderly adults with OA, an observation that suggests that the current guidelines for the treatment of pain, which include first-line prescription of narcotics, should be reevaluated. © 2013, Copyright the Authors Journal compilation © 2013, The American Geriatrics Society.

  14. Institutional Assessment of Environmentally Oriented Subsoil Use

    Directory of Open Access Journals (Sweden)

    Irina Gennadyevna Polyanskaya

    2017-06-01

    Full Text Available The article solves two relevant problems related to the implementation of the institutional assessment of environmentally oriented subsoil use: 1 the definition of the ‘environmental security’ and 2 the determination of the development level of institutional bases of environmentally oriented subsoil use including the institutional capacity of subsoil use and institutional capacity of environmental security. The article shows an analysis of the existing definitions of “environmental security” and offers the own one. Despite the significant national and foreign experience in the institutional capacity assessment of various processes, there are still some difficulties in defining and measuring the institutional capacity. We eliminate these difficulties by employing 1 original factors, previously identified, and the content of the “institutional capacity” term; 2 quality characteristics for the institutional capacity assessment of the process regulated at the macroeconomic level, and 3 a consistent methodological tool for the institutional assessment of environmentally oriented subsoil use. The study is based on the hypothesis of the necessity of legal and discreet state intervention in the process of subsoil use. Therefore, we identify the evaluation indicator of state regulation in the environmentally oriented subsoil use as the institutional capacity level calculated by using the fuzzy-set theory. As a result, the institutional capacity levels of the environmentally oriented subsoil use have been defined for both the transport corridor «Arctic-Central Asia» and for the countries composing it. The obtained values of the assessment of institutional capacity levels of the environmentally oriented subsoil use can serve as a basis for identifying the vector of its increase

  15. 77 FR 63418 - Additional Designations, Foreign Narcotics Kingpin Designation Act

    Science.gov (United States)

    2012-10-16

    ... significant foreign narcotics traffickers as identified by the President. In addition, the Secretary of the..., Zapopan, Jalisco C.P. 45238, Mexico; Cancun, Quintana Roo, Mexico; R.F.C. SRC-080222-274 (Mexico) [SDNTK..., Guadalajara, Jalisco C.P. 44130, Mexico; R.F.C. UNI-031118-2I6 (Mexico) [SDNTK]. In addition, OFAC is...

  16. 77 FR 14592 - Additional Designations, Foreign Narcotics Kingpin Designation Act

    Science.gov (United States)

    2012-03-12

    ... controlled by significant foreign narcotics traffickers as identified by the President. In addition, the...''), DOB 13 Aug 1961; POB Culiacan, Sinaloa, Mexico; citizen Mexico; nationality Mexico; C.U.R.P. ZAGJ610813HSLMRS05 (Mexico) (individual) [SDNTK] Entities 2. ZARKA DE MEXICO S.A. DE C.V., Miguel Hidalgo No. 348 Pte...

  17. JUVENILE CRIMES CONNECTED WITH NARCOTICS AND PSYCHOTROPIC SUBSTANCES TRAFFICKING: CRIMINOLOGICAL ASPECTS

    Directory of Open Access Journals (Sweden)

    Ms. Irina V. Tseveleva

    2016-06-01

    Full Text Available The article deals with criminological aspects of juvenile crime in the narcotics and psychotropic substances trafficking. The authors analyzed the main reasons of committing these crimes by teenagers. The proposals for the prevention of minors’ criminal behavior in drug trafficking are drafted.

  18. The Effectiveness of the Training of Problem-Solving and Decision-Making Skills on the Reduction of Addicts’ Positive Attitudes to Narcotics

    Directory of Open Access Journals (Sweden)

    Farxaneh Bahrami

    2013-05-01

    Full Text Available Aim: The purpose of this study was to examine the effect of the training of problem-solving and decision-making skills on the reduction of addicts’ positive attitudes to narcotics. Method: The design of this study was experimental design namely: pre and post test with control group. The population included all addicts referring to Sanandaj self-report centers (500 addicts. By random sampling, 60 addicts were selected and completed the attitude questionnaire to narcotics use. Each of experimental groups was under problem-solving and decision-making skills training for ten 90 minute sessions. No training given to control group. Results: After training, two experimental groups significantly had lower levels of positive attitude to narcotics use. No difference was observed between two experimental groups. Conclusion: The results of this study indicated that the training of problem-solving and decision-making skills can reduce the addicts’ positive attitudes to narcotics.

  19. 78 FR 53191 - Additional Designations, Foreign Narcotics Kingpin Designation Act

    Science.gov (United States)

    2013-08-28

    ... significant foreign narcotics traffickers as identified by the President. In addition, the Secretary of the...) of the Kingpin Act. 1. PARRA SANCHEZ, Mario; DOB 11 Nov 1970; POB Culiacan, Sinaloa, Mexico; C.U.R.P. PASM701111HSLRNR07 (Mexico) (individual) [SDNTK] (Linked To: BUENOS AIRES SERVICIOS, S.A. DE C.V.; Linked To...

  20. Development of a portable preconcentrator/ion mobility spectrometer system for the trace detection of narcotics

    Energy Technology Data Exchange (ETDEWEB)

    Parmeter, J.E.; Custer, C.A.

    1997-08-01

    This project was supported by LDRD funding for the development and preliminary testing of a portable narcotics detection system. The system developed combines a commercial trace detector known as an ion mobility spectrometer (IMS) with a preconcentrator originally designed by Department 5848 for the collection of explosives molecules. The detector and preconcentrator were combined along with all necessary accessories onto a push cart, thus yielding a fully portable detection unit. Preliminary testing with both explosives and narcotics molecules shown that the system is operational, and that it can successfully detect drugs as marijuana, methamphetamine (speed), and cocaine based on their characteristics IMS signatures.

  1. 21 CFR 1304.31 - Reports from manufacturers importing narcotic raw material.

    Science.gov (United States)

    2010-04-01

    ... therefrom. (g) All in-process inventories should be expressed in terms of end-products and not precursors... following information shall be submitted for each type of narcotic raw material (quantities are expressed as... opium, crude alkaloids and other derivatives (quantities are expressed as grams of anhydrous base or...

  2. Opium and Afghanistan: Reassessing U.S. Counter-Narcotics Strategy

    Science.gov (United States)

    2007-03-30

    and effective governance of Afghanistan.”3 This paper examines the nature of the opium problem in Afghanistan and analyzes the current strategy to...Opium is also refined for use in legal prescription painkillers such as OxyContin and Vicodin.14 However, Australia and France currently produce about...is simply inadequate to carry out an effective counter-narcotics campaign. While some regions of Afghanistan are relatively stable and free of

  3. Tamper-resistant prescription forms for narcotics in France:should we generalise them?

    Science.gov (United States)

    Daveluy, Amélie; Sauvaget, Lucie; Bastien, Angela; Lapeyre-Mestre, Maryse; Collin, Cédric; Richard, Nathalie; Haramburu, Françoise

    2018-03-27

    In France, prescription of narcotics must be written on a tamper-resistant prescription form with specific technical particularities. Dosage and daily dose of medicines shall be written out entirely in letters. These prescription forms are also mandatory for buprenorphine, clorazepate, clonazepam, tianeptine, buccal midazolam and zolpidem owing to traffic, abuse or diversion. In 2012, to assess the use of standard and tamper-resistant prescription forms and the acceptability of the generalization of the latter to all medicines, a national opinion survey was performed, with a postal questionnaire, within 3 randomized samples of 1,500 prescribers (physicians, dentists and midwives). Of the 403 participating prescribers (participation rate of 26.8%), 373 were physicians, 14 dentists and 16 midwives. Tamper-resistant prescription forms were used by 76.2% of prescribers, but only by 5.1% in a computerised version, whereas, for standard prescription forms, 61% used computer assisted prescription software. The main reason was the inability of the prescription software to print these forms or to respect the mandatory prescription rules for narcotics. Theft and falsification of prescriptions had ever occurred (working life). Most prescribers (62.5%) were against the generalization of tamper-resistant prescription forms. Those in favour were for a generalization to all medicines (65%) and not only to psychotropic agents. Generalization of tamper-resistant prescription forms is not a consensual solution to prevent medicines' diversion. Some prescribers alluded to the possibility of dematerialisation and electronic transmission of prescription forms, which could avoid theft, forgery or falsification. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  4. THE PREVENTION, ERADICATION, MISUSE, AND ILLICIT NAR-COTICS CIRCULATION SOCIALIZATION PROGRAM FOR STU-DENTS IN BANDUNG CITY (SOSIALISASI PROGRAM PENCEGAHAN, PEMBERANTAS, PENYALAHGUNAAN, DAN PEREDARAN GELAP NARKOTIKA BAGI PELAJAR DI KOTA BANDUNG

    Directory of Open Access Journals (Sweden)

    arkita Vierza Bella

    2018-02-01

    Full Text Available Abstract. The Prevention, Eradication, Misuse, and Illicit Narcotics Circulation Socializa-tion Program was a program held by the Indonesia’s National Narcotics Agency (BNN of West Java Province to grow a sense against narcotics and to create a narcotics-free environment. Alt-hough this program has been implemented, the use of narcotics continues to increase every year, especially among students. This research aimed to discover the correlations between the Preven-tion, Eradication, Misuse, and Illicit Narcotics Circulation socialization program from Indone-sia’s National Narcotics Agency (BNN of West Java Province in terms of the socialization mes-sage, the credibility of the instructor, and the socialization method with the students’ attitude in Bandung against the danger of narcotics. This research used the correlational method through Rank Spearman (rs hypothesis test with the descriptive and inferential analysis technique. The result of this research showed that there is a strong relation between the Prevention, Eradication, Misuse, and Illicit Narcotics Circulation (P4GN socialization program from Indonesia’s National Narcotics Agency (BNN of West Java Province and the students’ attitude in Bandung against the danger of narcotics. Abstrak. Sosialisasi Program Pencegahan, Pemberantasan, Penyalahgunaan, dan Peredaran Gelap Narkotika (P4GN merupakan sosialisasi yang dilakukan oleh Badan Nasional Narkotika Provinsi Jawa Barat guna menumbuhkan sikap menolak narkoba dan menciptakan ling-kungan bebas narkoba, walaupun sosialisasi ini telah dilakukan tetapi penggunaan narkotika terus saja meningkat setiap tahunnya khususnya di kalangan pelajar. Penelitian ini bertujuan untuk mengetahui hubungan antara sosialisasi program Pencegahan, Pemberantasan, Penyalahgunaan, dan Peredaran Gelap Narkotika (P4GN Badan Nasional Narkotika Provinsi Jawa Barat dilihat dari segi pesan penyuluhan, kredibilitas penyuluh, dan metode penyuluhan dengan sikap

  5. Standing Up a Narcotic Confirmation Laboratory for the Russian Federation Ministry of Defense Nuclear Personnel Reliability Program

    International Nuclear Information System (INIS)

    Lukyanenko, Victor; Eisele, Gerhard R.; Coates, Cameron W.

    2010-01-01

    Through a cooperative effort between the U. S. Department of Energy and the Russian Federation (RF) Ministry of Defense (MOD) a Personnel Reliability Program (PRP) for the nuclear handlers within the RF MOD has been implemented. A key element in the RF MOD PRP is the detection and confirmation of narcotic use in subject military and civilian personnel. This paper describes the process of narcotics screening and testing in the RF MOD and explains the confirmation process once screening has shown a positive result. Issues of laboratory certification, employee certification, employee training, sample chain-of-custody, and equipment needs will be addressed.

  6. The IHO as Actor The case of cannabis and the Single Convention on Narcotic Drugs 1961

    Directory of Open Access Journals (Sweden)

    James H. Mills

    2016-12-01

    Full Text Available After the Second World War the United Nations (UN assumed the role of the League of Nations in formulating and operating the international regulatory framework for narcotic drugs. It gathered masses of information from across countries and continents while acting as both a forum and an agent for the emergence of agreed approaches to a heterodox array of substances. This article will examine the story of the inclusion of cannabis in the 1961 Single Convention on Narcotic Drugs. It will argue that in the years after 1945, it was officials at the UN and the WHO that played crucial roles in shaping opinions of the drug and in securing its place in the Convention.

  7. Literary investigation on the origin of poppy and other narcotics Research Articles

    Directory of Open Access Journals (Sweden)

    Lim Chung San

    2009-06-01

    Full Text Available Objectives : This study was performed to developing orally administered analgesics and locally injected pharmacopuncture analgesics like opioids. Methods : Literary investigation on the origin of poppy (Papaver somniferum L and other narcotics was conducted to examine the potential of developing orally administered analgesics and locally injected pharmacopuncture analgesics. Opium is a gum-like mass derived from air-dried white fluid of immature fruit of the poppy. Opium contains approximately 20 types of alkaloids including morphine, codeine, thebaine, papaverine and others. Natural opioids and synthetic alkaloid derivatives are the constituents of opioid analgesics and their effects and side-effects depend on the peculiarities of receptors. An extreme caution is required in the selection of proper dosage, proper analgesic types, and indications for successful pain management. Results and Discussion : With the enactment of "Narcotic control protocol", herbs such as cannibis and poppy are no longer available for use by Korean medicine doctors, and these doctors are faced with difficulty in managing severe pain in the clinical environment. A systematic consideration is inevitable for overcoming the limitation on these analgesics.

  8. Howard Hughes Medical Institute dose assessment survey

    International Nuclear Information System (INIS)

    O'Brien, S.L.; McDougall, M.M.; Barkley, W.E.

    1996-01-01

    Biomedical science researchers often express frustration that health physics practices vary widely between individual institutions. A survey examining both internal and external dose assessment practices was devised and mailed to fifty institutions supporting biomedical science research. The results indicate that health physics dose assessment practices and policies are highly variable. Factors which may contribute to the degree of variation are discussed. 2 tabs

  9. Early predictors of narcotics-dependent patients in the emergency department

    Directory of Open Access Journals (Sweden)

    Wei-Che Lee

    2013-06-01

    Full Text Available It is not unusual that narcotics-dependent patients fulfill their medical requirements in the emergency department (ED. The behavior of these patients varies, and their manifestations and predictors are still not fully studied. We performed this retrospective study by prospectively collecting data on patients with suspected drug dependence who were undiagnosed at first and then treated for some kind of reported pain at the ED. Patients who were confirmed to have narcotics dependence were compared with control patients in a ratio of 1:3 matching for age, gender, disease, and clinical diagnoses. From January 2006 to October 2009, 26 of 223 patients treated for pain were found to be drug dependent (12 males and 14 females. The average dose of narcotics used was higher than the control group [3.23 ± 1.14 vs. 1.12 ± 0.36, p < 0.001, confidence interval (CI: 1.648–2.583]. Numbers of patients making unscheduled returns to the ED within 24 hours were significant [24/26 vs. 8/78, p ≤ 0.001, odds ratio (OR 105.00, 95% CI 20.834–529.175]. In addition, patients showing aggressive attitudes were significant (17/26 vs. 2/78, p < 0.001, OR 71.78, 95% CI 14.206–362.663. In the case group, six of them told the physician that they were allergic to medicines other than the particular one they wanted, and three of the six presented injuries that were reported to be in the same (or repeated place for unscheduled returns, which were not found in the control group. In this study, some behaviors were commonly observed in the at-risk group. These patients were prone to manifest some types of symptoms and behaviors, such as uncontrolled pain with three doses of analgesics, aggressive attitude, returning to the ED within 24 hours with the complaint of the same severe pain, repeating the same injury, claiming allergy to other analgesics, and asking for certain analgesics. All these behaviors should alert the physician to suspect a drug-seeking problem.

  10. Calculation of absorption parameters for selected narcotic drugs in the energy range from 1 keV to 100 GeV

    Science.gov (United States)

    Akman, Ferdi; Kaçal, Mustafa Recep; Akdemir, Fatma; Araz, Aslı; Turhan, Mehmet Fatih; Durak, Rıdvan

    2017-04-01

    The total mass attenuation coefficients (μ/ρ), total molecular (σt,m), atomic (σt,a) and electronic (σt,e) cross sections, effective atomic numbers (Zeff) and electron density (NE) were computed in the wide energy region from 1 keV to 100 GeV for the selected narcotic drugs such as morphine, heroin, cocaine, ecstasy and cannabis. The changes of μ/ρ, σt,m, σt,a, σt,e, Zeff and NE with photon energy for total photon interaction shows the dominance of different interaction process in different energy regions. The variations of μ/ρ, σt,m, σt,a, σt,e, Zeff and NE depend on the atom number, photon energy and chemical composition of narcotic drugs. Also, these parameters change with number of elements, the range of atomic numbers in narcotic drugs and total molecular weight. These data can be useful in the field of forensic sciences and medical diagnostic.

  11. E-Assessment: Institutional Development Strategies and the Assessment Life Cycle

    Science.gov (United States)

    Tomas, Carmen; Borg, Michaela; McNeil, Jane

    2015-01-01

    E-assessment is an umbrella term that comprises a complex array of tools of varying capacities. This paper focuses on the topic of e-assessment from the perspective of its strategic institutional development in higher education. The paper argues that research on e-assessment has been dominated by a focus on investigating benefits of use and…

  12. Frequency of neonatal abstinence syndrome (NAS and type of the narcotic substance in neonates born from drug addicted mothers

    Directory of Open Access Journals (Sweden)

    Fatemeh Nayeri

    2015-02-01

    Full Text Available Abstract Background and objective: NAS is a combination of signs and symptoms that due to physical and mental dependency, develops in neonates born from drug addicted mothers. The onset of NAS varies in accordance with the type, amount, frequency and duration of substance used. Because of diverse and unclear pattern of substance abuse in Iranian addicted pregnant mothers in comparison with western countries, this multi-center study has been designed to evaluate NAS in neonates born from drug addicted mothers. Material and method: A cross sectional study was carried out on newborns of narcotic addicted mothers during the first six months of 2008. The newborn’s status and clinical signs were checked by physical examination and scored by the Finnegan scoring system. Results: In this study 100 neonates born from narcotic addicted mothers were examined; the most used narcotic was crack (36%. 60% of neonates showed signs of NAS. The most prevalent signs of NAS were increased muscle tonicity (60%/7, irritability (59%/6 and increased moro reflex (51%/8. Neonates born from crack abusers, in comparison with other drugs, were significantly at risk of NAS (100% vs.87%, p

  13. Personality Disorders, Narcotics, and Stimulants; Relationship in Iranian Male Substance Dependents Population

    OpenAIRE

    Noorbakhsh, Simasadat; Zeinodini, Zahra; Khanjani, Zeynab; Poorsharifi, Hamid; Rajezi Esfahani, Sepideh

    2015-01-01

    Background: Individuals with certain personality disorders, especially the antisocial and borderline personality disorders, are more prone to substance use disorders. Objectives: Regarding the importance of substance use disorders, this study aimed to explore the association between personality disorders and types of used drugs (narcotics and stimulants) in Iranian male substance users. Patients and Methods: The current study was a correlation study. We evaluated 285 male substance users and ...

  14. Assessment Leaders' Perspectives of Institutional Cultures of Assessment: A Delphi Study

    Science.gov (United States)

    Fuller, Matthew; Henderson, Susan; Bustamante, Rebecca

    2015-01-01

    Institutional cultures of assessment are praised as beneficial to student learning. Yet, extant studies have not explored the theoretical foundations and pragmatic approaches to shaping cultures of assessment. The researchers used the Delphi method to explore 10 higher education assessment leaders' attitudes and theoretical perspectives regarding…

  15. Upaya Badan Narkotika Nasional Dalam Menyelesaikan Perkara Pidana Narkotika Menurut Sistem Peradilan Pidana Di Indonesia

    OpenAIRE

    Arba, Gadang Laksa

    2017-01-01

    Narcotics crime is a crime fought by countries in the world that is marked by the international Conventions of Narcotics. The Government's efforts in dealing with narcotics crime are in the form of "Law Enforcement" or law enforcement, namely the birth of Law Number 35 Year 2009 on Narcotics in Narcotics Act is listed government institution authorized in combating narcotics crime that is National Narcotics Agency . Article 64 paragraph (1) of Law Number 35 Year 2009 oncerning Narcotics Establ...

  16. AN ADDRESS DELIVERED BEFORE SCOPE'S CONFERENCE FOR EDUCATORS ON NARCOTICS AND SMOKING. (TITLE SUPPLIED).

    Science.gov (United States)

    RICE, JULIUS T.

    A SHORT HISTORY OF NARCOTICS USAGE IS PRESENTED. THE TERM DRUG DEPENDENCE IS BEING SUBSTITUTED FOR DRUG ADDICTION AND DRUG HABITUATION. THE ADVANTAGES AND DISADVANTAGES OF VARIOUS ANTIDOTES FOR OPIATES ARE DESCRIBED. THE EFFECTS OF LSD AND MARIJUANA ON PHYSICAL AND MENTAL PROCESSES ARE DESCRIBED. THE USE OF LSD FOR MEDICAL PURPOSES IS DISCUSSED.…

  17. Institutional Consequences of Quality Assessment

    Science.gov (United States)

    Joao Rosa, Maria; Tavares, Diana; Amaral, Alberto

    2006-01-01

    This paper analyses the opinions of Portuguese university rectors and academics on the quality assessment system and its consequences at the institutional level. The results obtained show that university staff (rectors and academics, with more of the former than the latter) held optimistic views of the positive consequences of quality assessment…

  18. The experience of childbrith in first-time mothers who received narcotic analgesics during the first stage of labour

    Directory of Open Access Journals (Sweden)

    L. Jantjes

    2007-09-01

    Full Text Available This research has focused on the birthing experience of first-time mothers who received the narcotic analgesic combination of Pethidine and Hydroxyzine during the first stage of labour. A qualitative research methodology was used to collect data. Unstructured interviews were held with first-time mothers to obtain accounts of their experience of childbirth. These narrations were audio-taped while the participants were still being cared for in the postnatal ward of the hospital where delivery took place. Nine interviews were conducted with first-time mothers who gave birth normally vaginally after a normal pregnancy and who received a narcotic analgesic in the first stage of labour. The transcribed interviews were analyzed using Tesch’s method of descriptive analysis (in Creswell, 1994:115.

  19. EFFECT OF HIV PREVENTION AND TREATMENT PROGRAM ON HIV AND HCV TRANSMISSION AND HIV MORTALITY AT AN INDONESIAN NARCOTIC PRISON.

    Science.gov (United States)

    Nelwan, Erni J; Indrati, Agnes K; Isa, Ahmad; Triani, Nurlita; Alam, Nisaa Nur; Herlan, Maria S; Husen, Wahid; Pohan, Herdiman T; Alisjahbana, Bachti; Meheus, Andre; Van Crevel, Reinout; van der Ven, Andre Jam

    2015-09-01

    Validated data regarding HIV-transmission in prisons in developing countries is scarce. We examined sexual and injecting drug use behavior and HIV and HCV transmission in an Indonesian narcotic prison during the implementation of an HIV prevention and treatment program during 2004-2007 when the Banceuy Narcotic Prison in Indonesia conducted an HIV transmission prevention program to provide 1) HIV education, 2) voluntary HIV testing and counseling, 3) condom supply, 4) prevention of rape and sexual violence, 5) antiretroviral treatment for HIV-positive prisoners and 6) methadone maintenance treatment. During a first survey that was conducted between 2007 and 2009, new prisoners entered Banceuy Narcotics Prison were voluntary tested for HIV and HCV-infection after written informed consent was obtained. Information regarding sexual and injecting risk behavior and physical status were also recorded at admission to the prison. Participants who tested negative for both HIV and HCV during the first survey were included in a second survey conducted during 2008-2011. During both surveys, data on mortality among HIV-seropositive patients were also recorded. All HIV-seropositive participants receive treatment for HIV. HIV/ AIDS-related deaths decreased: 43% in 2006, 18% in 2007, 9% in 2008 and 0% in 2009. No HIV and HCV seroconversion inside Banceuy Narcotic Prison were found after a median of 23 months imprisonment (maximum follow-up: 38 months). Total of 484.8 person-years observation was done. Participants reported HIV transmission risk-behavior in Banceuy Prison during the second survey was low. After implementation of HIV prevention and treatment program, no new HIV or HCV cases were detected and HIV-related mortality decreased.

  20. Enhancing Institutional Assessment Efforts through Qualitative Methods

    Science.gov (United States)

    Van Note Chism, Nancy; Banta, Trudy W.

    2007-01-01

    Qualitative methods can do much to describe context and illuminate the why behind patterns encountered in institutional assessment. Alone, or in combination with quantitative methods, they should be the approach of choice for many of the most important assessment questions. (Contains 1 table.)

  1. Institutional Assessment: A Framework for Strengthening ...

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

    It is a working document for assessing institutional capacity — ready to be tested in ... in the Department of Administration and Policy Studies, McGill University, and a partner ... Sharing opportunities for innovation in climate change adaptation.

  2. Long-term usage of narcotic analgesics by chronic intractable noncancer pain patients in Taiwan from 2003 to 2012

    Directory of Open Access Journals (Sweden)

    I-Chen Cheng

    2016-09-01

    Conclusion: To decrease malaise and addiction in patients with CINCP, Taiwan's physicians need more education on narcotic analgesics, and greater professional cooperation to develop therapeutic guidelines that will improve pain care for patients with CINCP.

  3. Kyiv institutional buildings sector energy efficiency program: Technical assessment

    Energy Technology Data Exchange (ETDEWEB)

    Secrest, T.J.; Freeman, S.L. [Pacific Northwest National Lab., Richland, WA (United States); Popelka, A. [Tysak Engineering, Acton, MA (United States); Shestopal, P.A.; Gagurin, E.V. [Agency for Rational Energy Use and Ecology, Kyiv (Ukraine)

    1997-08-01

    The purpose of this assessment is to characterize the economic energy efficiency potential and investment requirements for space heating and hot water provided by district heat in the stock of state and municipal institutional buildings in the city of Kyiv. The assessment involves three activities. The first is a survey of state and municipal institutions to characterize the stock of institutional buildings. The second is to develop an estimate of the cost-effective efficiency potential. The third is to estimate the investment requirements to acquire the efficiency resource. Institutional buildings are defined as nonresidential buildings owned and occupied by state and municipal organizations. General categories of institutional buildings are education, healthcare, and cultural. The characterization activity provides information about the number of buildings, building floorspace, and consumption of space heating and hot water energy provided by the district system.

  4. Preoperative intravenous ibuprofen does not influence postoperative narcotic use in patients undergoing elective hernia repair: a randomized, double-blind, placebo controlled prospective trial

    Directory of Open Access Journals (Sweden)

    Sparber LS

    2017-07-01

    Full Text Available Lauren S Sparber,1 Christine SM Lau,1,2 Tanya S Vialet,1 Ronald S Chamberlain1–4 1Department of Surgery, Saint Barnabas Medical Center, Livingston, NJ, USA; 2Saint George’s University School of Medicine, Grenada, West Indies; 3Department of Surgery, Banner MD Anderson Cancer Center, Gilbert, AZ, USA; 4Department of Surgery, New Jersey Medical School, Rutgers University, Newark, NJ, USA Introduction: Inguinal and umbilical hernia repairs are among the most common surgical procedures performed in the US. Optimal perioperative pain control regimens remain challenging and opioid analgesics are commonly used. Preoperative nonsteroidal anti-inflammatory drug (NSAID administration has been shown to reduce postoperative narcotic requirements. This study sought to evaluate the efficacy of perioperative intravenous (IV ibuprofen on postoperative pain level and narcotic use in patients undergoing open or laparoscopic inguinal and/or umbilical hernia repair.Methods: A single center, randomized, double-blind placebo-controlled trial involving patients ≥18 years undergoing inguinal and/or umbilical hernia repair was performed. Patients were randomized to receive 800 mg of IV ibuprofen or placebo preoperatively. Outcomes assessed included postoperative pain medication required and visual analog scale (VAS pain scores.Results: Forty-eight adult male patients underwent inguinal and/or umbilical hernia repair. Patients receiving IV ibuprofen used more oxycodone/acetaminophen (32% vs 13% and IV hydromorphone (12% vs 8.7%, and fewer combinations of pain medications (44% vs 65.2% in the first two postoperative hours compared to placebo (p=0.556. The IV ibuprofen group had more patients pain free (28% vs 8.7%, p=0.087 and lower VAS scores (3.08±2.14 vs 3.95±1.54, p=0.134 at 2 hours postoperatively, compared to the placebo group, however, this was not statistically significant. Similar pain levels at 1, 3, and 7 days, postoperative and similar use of rescue

  5. ASSESSMENT OF SOCIO-ORIENTED POLICY IN BANKING INSTITUTIONS OF UKRAINE

    Directory of Open Access Journals (Sweden)

    Lunkina Tatyana

    2018-01-01

    Full Text Available Introduction. In today’s globalized conditions, the question of socially responsible business and the formation of an appropriate concept and policies for managing it are more relevant. Scientists are investigating this issue in two aspects, namely, from a theoretical and practical point of view. The first aspect is the study of the essence of CSR, the conduct of entrepreneurial activity, the functioning mechanism of the market principles in this concept, the definition of the place of social orientation in modern conditions. The second aspect is the study of practical positions, the separation of this concept from the standpoint of warning and risk management, assessment of the level of social responsibility and summing up the rating, summarizing all the results, as well as the establishment of a standard that will regulate such relationships. But, in our opinion, the implementation of such socially-oriented moments is not possible without identifying a certain number of indicators, reflecting the real situation and the impact of social factors on the banking institutions. This explains the relevance of studying the assessment of socially-oriented policies of banking institutions. Purpose. The purpose of this article is to determine the approaches to the assessment of socially-oriented policies of banking institutions, as well as to determine the place of rating assessment in the current conditions of the functioning of institutions and organizations. Results. The article describes approaches of socially-oriented banking policy in Ukraine. A quantitative approach is drawn, which directly includes the assessment of the level of social investment through the conduct of socially responsible activities by banking institutions. The qualitative approach according to which social reports and social ratings are compiled is investigated. The social indicators that influence the formation of a socially oriented political management system by business

  6. 14 CFR 137.23 - Carriage of narcotic drugs, marihuana, and depressant or stimulant drugs or substances.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Carriage of narcotic drugs, marihuana, and depressant or stimulant drugs or substances. 137.23 Section 137.23 Aeronautics and Space FEDERAL AVIATION... drugs, marihuana, and depressant or stimulant drugs or substances. If the holder of a certificate issued...

  7. ANALISIS IMPLIKASI UU 35/2009 DAN UU 36/2009 DALAM PENGEMBANGAN STRATEGI KEBIJAKAN PENCEGAHAN DAN TERAPI PENYALAHGUNAAN NARKOTIKA PSIKOTROPIKA DAN ZAT ADIKTIF (NAPZA DI INDONESIA

    Directory of Open Access Journals (Sweden)

    Siti Isfandari

    2012-11-01

    Full Text Available Background: Substance use disorder is serious problem nationally and globally, although its controlling effort is more considered as criminal rather than health matters. This probably due to the tight regulation of the substance which make illegal use of it is considered as law violation. Commitment of Indonesian government is very strong by setting up aNational Narcotics Bureau (BNN as coordinating and implementing body on narcotics related activities, including therapy and rehabilitation. There are at least five ministries involved in narcotics related activities. However there is different level of the narcotics office in each ministries, reflected their prioirty. Narcotics laws No. 35/2009 provides MOH the right to receive report from therapy and rehabilitation institutions. However it is not clearly stated that MOH is the only resposible body for such report, which meant that Narcotics bureau could also receive the report from its district branches in provinces which previously under the Provincial office. This article reviews the implementation of Narcotics Law No. 35/2009 and Health Law No. 36/2009 for narcotic patients ini DKI, DIY, Jabar, Jatim dan Bali. Methods: The objective is to provide inputs for prevention and treatment policy development to stirr more sinergism and coordinated among related institution. Results: The review identified that narcotic Law UU 35/2009 stated Provincial Narcotic Bureau (BNP as part of BNN, not part of provincial institution as it used to be. This imply that BNP could have power to regulate treatment and rehabilitation. Provinces need law regulation for coordination between BNP and other provincial institutions, such as health office. social affair office, primary health care and district/provincial hospitals. Health financing is the most important issue whtch need clear regulation because involving several stakeholders, such as ministry of health, BNN, governor and ministry of human affairs. Key words

  8. Applications of Monte Carlo technique in the detection of explosives, narcotics and fissile material using neutron sources

    International Nuclear Information System (INIS)

    Sinha, Amar; Kashyap, Yogesh; Roy, Tushar; Agrawal, Ashish; Sarkar, P.S.; Shukla, Mayank

    2009-01-01

    The problem of illicit trafficking of explosives, narcotics or fissile materials represents a real challenge to civil security. Neutron based detection systems are being actively explored worldwide as a confirmatory tool for applications in the detection of explosives either hidden inside a vehicle or a cargo container or buried inside soil. The development of a system and its experimental testing is a tedious process and to develop such a system each experimental condition needs to be theoretically simulated. Monte Carlo based methods are used to find an optimized design for such detection system. In order to design such systems, it is necessary to optimize source and detector system for each specific application. The present paper deals with such optimization studies using Monte Carlo technique for tagged neutron based system for explosives and narcotics detection hidden in a cargo and landmine detection using backscatter neutrons. We will also discuss some simulation studies on detection of fissile material and photo-neutron source design for applications on cargo scanning. (author)

  9. Multiplexed detection of metabolites of narcotic drugs from a single latent fingermark.

    Science.gov (United States)

    Hazarika, Pompi; Jickells, Sue M; Wolff, Kim; Russell, David A

    2010-11-15

    An immunoassay based technique is used for the detection of psychoactive substances in the sweat deposited within fingermarks of a narcotic drug user. Magnetic particles functionalized with antimorphine and antibenzoylecgonine antibodies were used for the detection of a metabolite of heroin (morphine) and a metabolite of cocaine (benzoylecgonine), respectively. The drug metabolites were detected individually as well as simultaneously from a single fingermark. The images of the fingermarks obtained using brightfield and fluorescence microscopy were of high evidential quality with resolution to enable identification of an individual in addition to providing information on drug usage.

  10. Effectiveness of narcotics anonymous training programs in personality characters in substance abuse patients

    Directory of Open Access Journals (Sweden)

    Namat Sotodeh Asl

    2013-03-01

    Full Text Available Introduction: Substance abuse is one of the most common disorders that exert a high impact on the life of patients and their families. There are many treatment methods for Addiction. The purpose of the present study was to determine the effects of narcotics anonymous (NA program on personality characters in substance abuse patients.Materials and Methods: This quasi experimental design was performed on 100 patients with substance abuse disorders that they had been randomly selected from those patients who were referred to psychiatric clinics and counseling centers in Esfehan in 2008. Then, the subjects were equally divided into two groups; experimental and control. All the patients carried out Eysenk test prior to any intervention and also a demographic questionnaire were filled out by all the subjects. Then, Eysenk test was performed on all the patients following the intervention. Changing in personality character in the experimental group (before and after the intervention was compared with those of the control group. Results: The findings showed that narcotic program has significant effects on personality characters of experimental group to substance abuse in post test, but these effects are not significant in control group.Conclusion: According to the findings of this work, we suggest the effectiveness of NA program in changing personality characters of the patients with substance abuse

  11. Frequency of Pathological Changes in Lungs of Bodies with Positive Postmortem Toxicology Results for Narcotics and Psychotropic Substances

    Directory of Open Access Journals (Sweden)

    Babak Mostafazadeh

    2017-01-01

    Full Text Available Background: The pattern of drug abuse in Iran has dramatically changed in recent years, turning from the traditional opioids [opium, opium dross, and refined opium dross (Shireh] into drugs with newer forms. The present study is aimed at investigating the frequency of pathological changes in the lungs of bodies with positive postmortem toxicology results for narcotics and psychotropic substances autopsied in the forensic dissection hall of Tehran, Iran [the Iranian Legal Medicine Organization (LMO]. Methods: The present study is a cross-sectional descriptive study. The sample consisted of 153 bodies, which had been referred to the LMO with positive results in postmortem toxicology for narcotics and psychotropic substances. Results: We found that narcotic drugs and psychotropic substances were used more in men than women. Moreover, the average age of death due to drug use was 36 years old. In addition, methamphetamine was the mostly-used type of substances, and smoking was the most widely used method to use the drugs. Besides, the dominant consistency and color of the lungs of half of the bodies investigated were elastic brown-gray. Moreover, the most common pathologic changes observed in the lungs of the bodies investigated were congestion and edema. Conclusion: Given the prevalence of pathological changes in the lungs of the examined bodies and congestion, edema, and pulmonary hemorrhage, the results of the present study can be particularly effective in determining the drug use and the resultant death in the absence of any previous records and/or a negative result of toxicology.

  12. United States Counter-narcotics Policies towards Burma, and How the Illegal Myanmar Regime is Manipulating Those Policies to Commit Ethnic Genocide

    National Research Council Canada - National Science Library

    Hochstedler, Robert A

    2006-01-01

    US counter-narcotic policies towards Burma have possessed a singular-focus. In other words, they have been based on the traditional bilateral triumvirate strategies of eradication, education, and interdiction...

  13. Assessment of anatomical knowledge: Approaches taken by higher education institutions.

    Science.gov (United States)

    Choudhury, Bipasha; Freemont, Anthony

    2017-04-01

    Assessment serves the primary function of determining a student's competence in a subject. Several different assessment formats are available for assessing anatomical skills, knowledge and understanding and, as assessment can drive learning, a careful selection of assessments can help to engender the correct deep learning facility required of the safe clinical practitioner. The aim of this review was to survey the published literature to see whether higher education institutions are taking an andragogical approach to assessment. Five databases (EMBASE, ERIC, Medline, PubMed, and Web of Knowledge) were searched using standardized search terms with two limits applied (English language, and 2000 to the present). Among the 2,094 papers found, 32 were deemed suitable for this review. Current literature on assessment can be categorized into the following themes: assessment driven learning, types of assessments, frequency of assessments, and use of images in assessments. The consensus is to use a variety of methods, written and practical, to assess anatomical knowledge and skill in different domains. Institutions aim for different levels of Bloom's taxonomy for students at similar stages of their medical degree. Formative assessments are used widely, in differing formats, with mostly good effects on the final examination grade. In conclusion, a wide variety of assessments, each aimed at a different level of Bloom's taxonomy, are used by different institutions. Clin. Anat. 30:290-299, 2017. © 2017 Wiley Periodicals, Inc. © 2017 Wiley Periodicals, Inc.

  14. Reduced postoperative pain scores and narcotic use favor per-oral endoscopic myotomy over laparoscopic Heller myotomy.

    Science.gov (United States)

    Docimo, Salvatore; Mathew, Abraham; Shope, Alexander J; Winder, Joshua S; Haluck, Randy S; Pauli, Eric M

    2017-02-01

    Per-oral endoscopic myotomy (POEM) is a less invasive therapy for achalasia with a shorter hospitalization but with similar short- and long-term outcomes as a laparoscopic Heller myotomy (LHM). Previous literature comparing POEM to LHM has focused primarily on postoperative outcome parameters such as complications, dysphagia scores and gastro-esophageal reflux severity. This study specifically compares postoperative pain following POEM to pain following LHM, the current gold-standard operation. A retrospective review of all patients undergoing POEM or LHM for achalasia was performed from 2006 to 2015. Data collection included demographics, comorbidities, length of stay (LOS) and pain scores (arrival to the recovery room, 1 h postoperative, average first 24 h and upon discharge). Statistical analysis was performed using Student's t test and Chi-square test. Forty-four POEM patients and 122 LHM patients were identified. The average age (52.2 ± 20.75 vs 50.9 ± 17.89 years, p = 0.306) and BMI (28.1 ± 7.62 vs 27.6 ± 7.07 kg/m 2 , p = 0.824) did not differ between the POEM and LHM groups, respectively; however, the American Society of Anesthesiology scores were higher in the POEM patients (2.43 ± 0.62 vs 2.11 ± 0.71, p = 0.011). There were no differences in rates of smoking, diabetes, cardiac disease or pulmonary disease. The average pain scores upon arrival to the recovery room and 1 h postoperatively were lower in the POEM group (2.3 ± 3.014 vs 3.61 ± 3 0.418, p = 0.025 and 2.2 ± 2.579 vs 3.46 ± 3.063, p = 0.034, respectively). There was no difference in the average pain score over the first 24 h (2.7 ± 2.067 vs 3.29 ± 1.980, p = 0.472) or at the time of discharge (1.6 ± 2.420 vs 2.09 ± 2.157, p = 0.0657) between the POEM and LHM groups. After standardizing opioid administration against 10 mg of oral morphine, the POEM group used significantly less narcotics that the LHM group (35.8 vs 101.8 mg, p < 0

  15. Metrics-based assessments of research: incentives for 'institutional plagiarism'?

    Science.gov (United States)

    Berry, Colin

    2013-06-01

    The issue of plagiarism--claiming credit for work that is not one's own, rightly, continues to cause concern in the academic community. An analysis is presented that shows the effects that may arise from metrics-based assessments of research, when credit for an author's outputs (chiefly publications) is given to an institution that did not support the research but which subsequently employs the author. The incentives for what is termed here "institutional plagiarism" are demonstrated with reference to the UK Research Assessment Exercise in which submitting units of assessment are shown in some instances to derive around twice the credit for papers produced elsewhere by new recruits, compared to papers produced 'in-house'.

  16. Recent advances in immunosensor for narcotic drug detection

    Science.gov (United States)

    Gandhi, Sonu; Suman, Pankaj; Kumar, Ashok; Sharma, Prince; Capalash, Neena; Suri, C. Raman

    2015-01-01

    Introduction: Immunosensor for illicit drugs have gained immense interest and have found several applications for drug abuse monitoring. This technology has offered a low cost detection of narcotics; thereby, providing a confirmatory platform to compliment the existing analytical methods. Methods: In this minireview, we define the basic concept of transducer for immunosensor development that utilizes antibodies and low molecular mass hapten (opiate) molecules. Results: This article emphasizes on recent advances in immunoanalytical techniques for monitoring of opiate drugs. Our results demonstrate that high quality antibodies can be used for immunosensor development against target analyte with greater sensitivity, specificity and precision than other available analytical methods. Conclusion: In this review we highlight the fundamentals of different transducer technologies and its applications for immunosensor development currently being developed in our laboratory using rapid screening via immunochromatographic kit, label free optical detection via enzyme, fluorescence, gold nanoparticles and carbon nanotubes based immunosensing for sensitive and specific monitoring of opiates. PMID:26929925

  17. The Ultimum Remedium Principle In The Context Of Criminal Punishment Against Children As An Actor Of Narcotics Crime

    Directory of Open Access Journals (Sweden)

    Syachdin

    2015-08-01

    Full Text Available Abstract Drug abuse has grown over the days with significant development. Narcotics crime actually not only brings individual actors but tends to be a criminal offense syndicate or covert organization over the worlds. In this case the syndicate allegedly not only brings perpetrators of adults but feared the actors who are categorized as a child in accordance with the applicable laws. On the other side children occupy a special place in the law. Basic philosophy of the treatment of juvenile delinquents is for the best interests of the child but the fact that peoples behavior lately is very alarming how society is so easy to judge people suspected as perpetrators of criminal acts. The objective of this research is to understand the essence of the ultimum remedium principle as the basis for criminal punishment in the Indonesian criminal system in order to understand how the crisis is influencing drug phenomenon and drugs users lives and the extent of their impact on the settlement of narcotics crime against children as an offender. The outcomes of the research indicate that the Law No. 11 of 2012 regarding the Criminal Justice System for Juvenile Delinquency Rules of the Supreme Court of the Republic of Indonesia No. 4 of 2014 on Guidelines for Diversion and Law No. 35 of 2009 regarding Narcotics Crime have been given the freedom and legitimacy to the judge to apply the principle of ultimum remedium in handling cases of children in conflict with the law. As it turns out in practice however the ultimum remedium principle is rarely applied and tends to be overlooked in the process of juvenile justice.

  18. NEW INSTITUTIONAL ECONOMICS FRAMEWORK FOR ASSESSING AND IMPROVING AGRARIAN ORGANIZATIONS

    Directory of Open Access Journals (Sweden)

    H. Bachev

    2013-08-01

    Full Text Available We incorporate interdisciplinary New Institutional and Transaction Costs Economics and suggest a framework for assessing efficiency of farms and agrarian organizations. Our new approach includes: study of farm and agrarian organizations as governing rather than production structure; assessment of comparative efficiency of alternative market, contract, internal, and hybrid modes of governance; analysis of level of transaction costs and their institutional, behavioral, dimensional, technological and natural factors; determination of criteria of farm efficiency and its effective boundaries; specification of economic role of government and needs for public interventions in agrarian sector; assessment of comparative efficiency of alternative forms of public involvement.

  19. Intranasal Ketamine Administration for Narcotic Dose Decrement in Patients Suffering from Acute Limb Trauma in Emergency Department: a Double-Blind Randomized Placebo-Controlled Trial

    Directory of Open Access Journals (Sweden)

    Ali Mohammadshahi

    2018-04-01

    Full Text Available Introduction: pain management is an important and challenging issue in emergency medicine. Despite the conduct of several studies on this topic, pain is still handled improperly in many cases. Objective: This study investigated the effectiveness of low-dose IN ketamine administration in reducing the need for opiates in patients in acute pain resulting from limb injury. Method: This randomized, double-blind, placebo-controlled trial was conducted to assess the possible effect of low-dose intranasal (IN ketamine administration in decreasing patients' narcotic need. Patients in emergency department suffering from acute isolated limb trauma were included. One group of patients received 0.5 mg/kg intravenous morphine sulfate and 0.02 ml/kg IN ketamine. The other group received the same dose of morphine sulfate and 0.02 ml/kg IN distilled water. Pain severity was measured using the 11 points numerical rating scale at 0, 10, 30, 60, 120, and 180 minutes. Results: Ninety-one patients with mean age of 31.62 ± 9.13 years were enrolled (54.9% male. The number of requests for supplemental medication was significantly lower in patients who received ketamine (12 patients (30% than those who received placebo (27 patients (67.5% (p = 0.001. Conclusion: It is likely that low-dose IN ketamine is effective in reducing the narcotic need of patients suffering from acute limb trauma.

  20. Accountability Feedback Assessments for Improving Efficiency of Nuclear Regulatory Institutions

    International Nuclear Information System (INIS)

    Lavarenne, J.

    2016-01-01

    The Fukushima-Daiichi Disaster demonstrated the need of assessing and strengthening institutions involved in nuclear safety, including the accountability of nuclear regulators. There are a few problems hindering the path towards a greater understanding of systems of accountability, the ensemble of mechanisms holding to account the nuclear regulator on behalf of the public. There is no consensus on what it should deliver and no systematic method of assessment exists. This poster proposes a definition of an effective accountability system and a method of assessment of institutions based on defence in depth concepts and inspired from risk-assessment techniques used in the nuclear industry. Finally it presents a simple Monte-Carlo simulation that illustrates the inner workings of the method of assessment and shows the kind of results it will be able to supply. (author)

  1. Assessing Learning Quality: Reconciling Institutional, Staff and Educational Demands.

    Science.gov (United States)

    Biggs, John

    1996-01-01

    Two frameworks for educational assessment distinguished, which is quantitative, adequate for construing some kinds of learning, and qualitative, which is more appropriate for most objectives in higher education. The paper argues that institutions implicitly encourage quantitative assessment, thus encouraging a surface approach to learning although…

  2. The State of Assessment in Maryland: Responses from Postsecondary Institutions.

    Science.gov (United States)

    Gilbert, Melissa Kesler; And Others

    This study describes the state of postsecondary assessment in Maryland, identifies cognitive or noncognitive areas assessed, investigates perceptions about the role of the institutional researcher in assessment activities, and analyzes information to guide the formation of an assessment consortium. The paper serves as a case study of the types of…

  3. Comparison of results for morphine urinalyses by radioimmunoassay and thin-layer chromatography in a narcotic clinic setting.

    Science.gov (United States)

    Kokoski, R J; Jain, M

    1975-03-01

    Radioimmunoassay (RIA) and thin-layer chromatography (TLC) were compared for morphine detection in an actual narcotic clinic setting. A choice of urines from all those screened by TLC allowed a critical comparison as to actual use or non-use of narcotic drugs, rather than a sampling at random in which the question of possible false positives or negatives cannot be conclusively answered. Although RIA is more sensitive than TLC, its advantage is apparent only in those cases where urine specimens are difficult to obtain frequently regularly or where the use of morphine is suspected by the positive identification of quinine in urine that was morphine-negative by TLC. In a selected group of negative and positive specimens chosen without conscious bias, the two methods gave consistently similar results, indicating that the modified TLC method provided a few or no false positives or negatives if the negatives were from those cases that were not positive anytime up to 3-4 days before urine collection. We conclude that RIA can be of significant value as a supplement to a TLC screening program, without sacrificing the many advantages that TLC has to offer.

  4. Rubric Authoring Tool Supporting Cognitive Skills Assessment across an Institution

    Science.gov (United States)

    Simper, Natalie

    2018-01-01

    This paper explores a method to support instructors in assessing cognitive skills in their course, designed to enable aggregation of data across an institution. A rubric authoring tool, "BASICS" (Building Assessment Scaffolds for Intellectual Cognitive Skills) was built as part of the Queen's University Learning Outcomes Assessment (LOA)…

  5. Neglected simultaneous bilateral femoral neck fractures secondary to narcotic drug abuse treated by bilateral one-staged hemiarthroplasty: a case report

    Directory of Open Access Journals (Sweden)

    Vahedi Ehsan

    2010-06-01

    Full Text Available Abstract Simultaneous bilateral femoral neck fractures are extremely rare and associated with various conditions. Up to now Most cases had correlations with major trauma, repetitive minor trauma, seizure, parathyroid or renal dysfunction, anti-epileptic medications, seizure, etc. A 28-year-old addict man referred to us with a 10-year history of narcotic drug abuse and history of 8 months bilateral groin pain. He admitted with displaced bilateral femoral neck fracture. Because of long duration of this condition and osteonecrosis revealed on bone scan, one-staged bilateral hip hemiarthroplasty was done. A good function was noted after surgery to 4-month follow up. Up to now, have not be founded in the literature that a case of bilateral femoral neck fracture associated with narcotic drug abuse. Because of negative effects of opium or smoking on bone tissues, a simple bone pain should aware us about the risk of stress or fatigue fracture.

  6. Risk assessment in infrastructure in educational institution: A study in Malaysia

    Science.gov (United States)

    Rasdan Ismail, Ahmad; Adilah Hamzah, Noor; Kamilah Makhtar, Nor; Azhar Mat Daud, Khairul; Zulkarnaen Khidzir, Nik; Husna Che Hassan, Nurul; Arifpin Mansor, Muhamad

    2017-10-01

    This particular study was conducted to assess the hazard exposure in education institution and to highlight the possible risk level available. The assessment utilised is Hazard Identification, Risk Assessment and Risk Control (HIRARC). There was a 2008’s form in order to determine the risk level of the hazard. There were over 111 of education institutions were selected around Malaysia to perform this assessment. Area chosen for each institution was office, playing field, canteen, classroom, toilet and drainage. By referring HIRARC Guideline 2008, the determination of risk rank is measure based on the formula likelihood multiply severity and the rank need to refer from risk matrix standard. There are several hazard have be found and shows the high, medium and low of risk level. The higher level of risk was discussed in the study which is hazard found in playing field and hazard in office. There several hazard that need to be control by education management to avoid increase of case accident in Education Sector, Malaysia. As conclusion, the exposure hazard among the staff and educators is high and further action and control are needed. Further study need to explore the best recommendation for control measure of the hazard exposed by education institution.

  7. Institutional Assessment

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

    Many approaches can and have helped research institutions in the developing .... There are many good texts on project and program evaluation, not to ...... has challenged managers and students of organizational development for decades.

  8. Self-Assessment of Distance Education Institutions: Identification of Parameters for Programme Assessment.

    Science.gov (United States)

    Rausaria, R. R.; Lele, Nalini A.

    2002-01-01

    Identifies and explains the parameters relevant for self-assessment and accreditation of programs in distance mode institutions. Discusses general perspectives on quality; defining quality in higher education and in open learning and distance education modes; organization structure of open universities; measurement of quality; parameters for…

  9. Using PANDA (Preventing the Abuse of Tobacco, Narcotics, Drugs, and Alcohol) in a Baltimore City Head Start Setting: A Preliminary Study.

    Science.gov (United States)

    Belcher, Harolyn M. E.; Lockhart, Paula J.; Perkins-Parks, Susan; McNally, Margaret

    2000-01-01

    Describes an evaluation of a substance abuse prevention curriculum, Preventing the Abuse of Tobacco, Narcotics, Drugs, and Alcohol (PANDA), taught to African American Head Start preschool students, examining changes in children's self-concept following participation. Overall, students demonstrated significantly improved self-concept, and PANDA…

  10. Teachers' Attitudes toward Assessment of Student Learning and Teacher Assessment Practices in General Educational Institutions: The Case of Georgia

    Science.gov (United States)

    Kitiashvili, Anastasia

    2014-01-01

    The aim of this article is to study teachers' attitudes toward assessment of students' learning and their assessment practices in Georgia's general educational institutions. Georgia is a country in the South Caucasus with a population of 4.5 million people, with 2300 general educational institutions and about 559,400 students. The research…

  11. Environmental impact assessment in higher education institutions in East Africa: the case of Rwanda.

    Science.gov (United States)

    Kabera, Telesphore

    2017-03-01

    Due to the pressure on limited resources produced by a growing population and due to a decade of war, Rwanda is facing a major problem in environmental protection. Because of such problems, it seems only reasonable that environment-related courses should play an important role in the curricula of institutions of higher learning. The main aim of this research is to present a comprehensive picture of Environmental Impact Assessment (EIA) integration in graduate and undergraduate programs in Rwandese higher education institutions and to make recommendations for its improvement. During this study, two surveys were conducted: the first survey targeted Environmental Impact Assessment lecturers and the second survey was for Environmental Impact Assessment practitioners (including EIA certified experts and competent authorities). The study found that Environmental Impact Assessment is not well established in these institutions and it is not taught in some programs; civil engineering, for example, has no Environmental Impact Assessment courses. Recommendations to improve EIA education are proposed, such as requiring that a common core course in Environmental Impact Assessment be made available in Rwandese higher learning institutions.

  12. Assessment and determinants of aggression in a forensic psychiatric institution in Hong Kong, China.

    Science.gov (United States)

    Chan, Oliver; Chow, Kavin Kit-wan

    2014-12-15

    Institutional aggression in forensic psychiatric setting is an under-researched subject, despite the magnitude of the problem. No studies have been conducted on the assessment of risk and the examination of predictors of aggression among the Chinese forensic psychiatric population. Our study aimed to examine the determinants of aggression in the only forensic psychiatric institution in Hong Kong, and to test the psychometric properties of a risk-assessment instrument, the Dynamic Appraisal of Situational Aggression (DASA). We recruited a representative sample of 530 consecutively admitted detainees. Qualified nurses completed two risk-assessment instruments, the DASA and the Brøset Violence Checklist (BVC), once daily during the participants׳ first 14 days of admission. Aggressive incidents were recorded using the revised Staff Observation Aggression Scale (SOAS-R), and participants׳ data were collected for multivariate analyses. We showed that female gender, diagnoses of personality disorder and substance-related disorder, and admission at other correctional institutions were associated with institutional aggression. Aggression was perpetrated by 17.7% of the participants, and the DASA was demonstrated to have good psychometric properties in assessing and predicting aggressive incidents. Our findings preliminarily support the use of daily in-patient risk-assessment and affirm the role of dynamic factors in institutional aggression. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  13. Involvement of Russian Organized Crime Syndicates, Criminal Elements in the Russian Military, and Regional Terrorist Groups in Narcotics Trafficking in Central Asia, the Caucasus, and Chechnya

    National Research Council Canada - National Science Library

    Curtis, Glenn E

    2002-01-01

    ... (Armenia, Azerbaijan, and Georgia), and in Chechnya. The purpose of the report is to reveal the role of Russian organized crime and Central Asian terrorist organizations in narcotics trafficking in those areas...

  14. Infants of Narcotic Addicted Mothers: Developmental Status, Maternal Care, Home Environments and Interventive Efforts During the First Three Months of Life.

    Science.gov (United States)

    Derrick, Sara M.; Hock, Ellen

    This study compared infants born to narcotic addicted mothers with infants born to nonaddicted mothers and described the potential of an intervention program. Infants of five addicted women were matched with infants of five nonaddicted women on the basis of age and socioeconomic class of the mothers and on the basis of gestational ages, birth…

  15. Studies on effective atomic numbers for photon energy absorption and electron density of some narcotic drugs in the energy range 1 keV-20 MeV

    Science.gov (United States)

    Gounhalli, Shivraj G.; Shantappa, Anil; Hanagodimath, S. M.

    2013-04-01

    Effective atomic numbers for photon energy absorption ZPEA,eff, photon interaction ZPI,eff and for electron density Nel, have been calculated by a direct method in the photon-energy region from 1 keV to 20 MeV for narcotic drugs, such as Heroin (H), Cocaine (CO), Caffeine (CA), Tetrahydrocannabinol (THC), Cannabinol (CBD), Tetrahydrocannabivarin (THCV). The ZPEA,eff, ZPI,eff and Nel values have been found to change with energy and composition of the narcotic drugs. The energy dependence ZPEA,eff, ZPI,eff and Nel is shown graphically. The maximum difference between the values of ZPEA,eff, and ZPI,eff occurs at 30 keV and the significant difference of 2 to 33% for the energy region 5-100 keV for all drugs. The reason for these differences is discussed.

  16. Detection of Stimulants and Narcotics by Liquid Chromatography-Tandem Mass Spectrometry and Gas Chromatography-Mass Spectrometry for Sports Doping Control.

    Science.gov (United States)

    Ahrens, Brian D; Kucherova, Yulia; Butch, Anthony W

    2016-01-01

    Sports drug testing laboratories are required to detect several classes of compounds that are prohibited at all times, which include anabolic agents, peptide hormones, growth factors, beta-2 agonists, hormones and metabolic modulators, and diuretics/masking agents. Other classes of compounds such as stimulants, narcotics, cannabinoids, and glucocorticoids are also prohibited, but only when an athlete is in competition. A single class of compounds can contain a large number of prohibited substances and all of the compounds should be detected by the testing procedure. Since there are almost 70 stimulants on the prohibited list it can be a challenge to develop a single screening method that will optimally detect all the compounds. We describe a combined liquid chromatography-tandem mass spectrometry (LC-MS/MS) and gas chromatography-mass spectrometry (GC-MS) testing method for detection of all the stimulants and narcotics on the World Anti-Doping Agency prohibited list. Urine for LC-MS/MS testing does not require sample pretreatment and is a direct dilute and shoot method. Urine samples for the GC-MS method require a liquid-liquid extraction followed by derivatization with trifluoroacetic anhydride.

  17. Piroxicam and Doxepin—An Alternative to Narcotic Analgesics in Managing Advanced Cancer Pain

    Science.gov (United States)

    Cohn, L.; Machado, Antonio F.; Bier, Robert; Cohn, Marthe

    1988-01-01

    To provide an effective continuum of the relief of severe carcinomatous pain with minimal side reactions, we initiated treatment with piroxicam (60 to 120 mg per day) and doxepin hydrochloride (25 to 225 mg per day). Of 30 patients presenting with severe pain of cancer of various origins, 7 continued to death with piroxicam and doxepin therapy. An additional 17 were successfully treated for 6 to 66 weeks with therapy reported here but, as disease progressed, required supplemental narcotics. The remaining six abandoned the use of piroxicam due to complications of therapy, which ranged from diarrhea to gastric perforation; serious complications were associated with patients' failure to adhere to a prescribed regimen of sucralfate. Therapy with piroxicam and doxepin proved to be safe and efficacious. PMID:3363962

  18. Penetrating Disease, Narcotic Use, and Loop Ostomy Are Associated with Ostomy and IBD-related Complications After Ostomy Surgery in Crohn's Disease Patients.

    Science.gov (United States)

    Hirsch, Ayal; Yarur, Andres J; Dezheng, Hou; Rodriquez, Dylan; Krugliak Cleveland, Noa; Ali, Tauseef; Hurst, Roger D; Umanskiy, Konstantin; Hyman, Neil; Colwell, Janice; Rubin, David T

    2015-10-01

    For medically refractory or obstructive Crohn's disease (CD), ostomy surgery remains an important therapeutic option. Outcomes and complications of this approach have not been well described in the era of biological therapies. Our study aims to characterize CD patients undergoing ostomy creation and assess outcome predictors. We performed a retrospective chart review of CD patients who underwent ostomy creation in our center from 2011 to 2014. Data collected include patient demographics, detailed disease- and surgery-related variables, and clinical outcomes after 26 weeks of follow-up. Of the 112 patients, 54 % were female, the median age was 39 years (range 19-78), the median disease duration was 13 years (range 0-50), 54 % had ileo-colonic disease, 55 % had stricturing phenotype, and 59 % had perianal disease. Sixty-two percent received end ostomies, and 38 % received loop ostomies. The leading indications for surgery were stricturing, fistulizing, and perianal disease (35 %). Forty-three (38 %) patients had 76 major complications, including dehydration (22 cases), intra-abdominal infection (16), and obstruction (14). Increased major postoperative complications correlated with penetrating disease (p = 0.02, odds ratio [OR] = 5.52, 95 % confidence interval [CI] = 1.25-24.42), the use of narcotics before surgery (p = 0.04, OR = 2.54, 95 % CI = 1.02-6.34), and loop ostomies (p = 0.004, OR = 4.2, 95 % CI = 1.57-11.23). Penetrating phenotype, the use of narcotics before surgery, and loop ostomies are associated with major complications in CD patients undergoing ostomy creation. These findings may influence risk management of CD patients needing ostomies.

  19. Kyiv institutional buildings sector energy efficiency program: Lending and implementation assessment

    Energy Technology Data Exchange (ETDEWEB)

    Secrest, T.J.; Freeman, S.L. [Pacific Northwest National Lab., Richland, WA (United States); Popelka, A. [Tysak Engineering, Acton, MA (United States); Shestopal, P.A.; Gagurin, E.V. [Agency for Rational Energy Use and Ecology, Kyiv (Ukraine)

    1997-08-01

    The government of Ukraine, through the State Committee of Energy Conservation (State Committee), is considering the implementation of energy efficiency measures in state and municipal institutional buildings in the city of Kyiv. The State Committee entered into a Memorandum of Cooperation with the US Department of Energy (DOE) to conduct an assessment of the institutional buildings sector efficiency potential. This assessment will be used to support a potential loan by the World Bank for implementing a buildings efficiency improvement program in Kyiv. This report provides an assessment of the options for structuring the lending scenarios and the implementation of the program. Components to the lending structure are options for the disbursement of funds, options for the loan service, and other financial options and considerations. Program implementation includes management structures, reporting, installation activities, and post-installation activities such as training and verification.

  20. Drug take back in Hawai'i: partnership between the University of Hawai'i Hilo College of Pharmacy and the Narcotics Enforcement Division.

    Science.gov (United States)

    Ma, Carolyn S; Batz, Forrest; Juarez, Deborah Taira; Ladao, Lani C

    2014-01-01

    Unused/unwanted medications in households and patient care facilities expose vulnerable populations, including children, elders, and pets, to potential harm through inadvertent ingestion, as well as the potential for theft and assault. Hawai'i Administrative Rules prohibit the return of any prescription medications to retail pharmacies after dispensing. The Hawai'i Narcotics Enforcement Division (NED) partnered with the University of Hawai'i at Hilo Daniel K. Inouye College of Pharmacy (CoP) in eleven Drug Take Back events throughout the state. Most participants heard of the events via newspaper and television marketing. The most common methods of medication disposal are via trash or down household drains. Over 8,000 lbs of unused/unwanted medications was collected, identified and logged from 2011 through 2012. The majority of returned drugs were non-controlled substances (90%). Commonly returned medications included prescription cardiac medications such as simvastatin and lisinopril, non-prescription analgesics such as aspirin and ibuprofen, and dietary supplements such as vitamins and iron. Commonly returned controlled substance medications included narcotics such as hydrocodone/acetaminophen combinations and oxycodone, and sedative hypnotics such as zolpidem and lorazepam.

  1. Impact of body mass index on surgical outcomes, narcotics consumption, and hospital costs following anterior cervical discectomy and fusion.

    Science.gov (United States)

    Narain, Ankur S; Hijji, Fady Y; Haws, Brittany E; Kudaravalli, Krishna T; Yom, Kelly H; Markowitz, Jonathan; Singh, Kern

    2018-02-01

    OBJECTIVE Given the increasing prevalence of obesity, more patients with a high body mass index (BMI) will require surgical treatment for degenerative spinal disease. In previous investigations of lumbar spine pathology, obesity has been associated with worsened postoperative outcomes and increased costs. However, few studies have examined the association between BMI and postoperative outcomes following anterior cervical discectomy and fusion (ACDF) procedures. Thus, the purpose of this study was to compare surgical outcomes, postoperative narcotics consumption, complications, and hospital costs among BMI stratifications for patients who have undergone primary 1- to 2-level ACDF procedures. METHODS The authors retrospectively reviewed a prospectively maintained surgical database of patients who had undergone primary 1- to 2-level ACDF for degenerative spinal pathology between 2008 and 2015. Patients were stratified by BMI as follows: normal weight (costs. Regression analyses were controlled for preoperative demographic and procedural characteristics. RESULTS Two hundred seventy-seven patients were included in the analysis, of whom 20.9% (n = 58) were normal weight, 37.5% (n = 104) were overweight, 24.9% (n = 69) were obese I, and 16.6% (n = 46) were obese II-III. A higher BMI was associated with an older age (p = 0.049) and increased comorbidity burden (p = 0.001). No differences in sex, smoking status, insurance type, diagnosis, presence of neuropathy, or preoperative VAS pain scores were found among the BMI cohorts (p > 0.05). No significant differences were found among these cohorts as regards operative time, intraoperative blood loss, length of hospital stay, and number of operative levels (p > 0.05). Additionally, no significant differences in postoperative narcotics consumption, VAS score improvement, complication rates, arthrodesis rates, reoperation rates, or total direct costs existed across BMI stratifications (p > 0.05). CONCLUSIONS Patients with a

  2. Suspected alcohol and addictive narcotic use were more at risk to severe head injury

    Directory of Open Access Journals (Sweden)

    Woro Riyadina

    2012-07-01

    Support System for Injury Surveillance”. Data collected by abstraction of medical records by trained personnel using registry form in patients who had hospitalized in 3 hospitals from January to August 2010. Severe head injury classified by the Glasgow Coma Scale (GCS score 3-9 diagnosed severe head injury, 10-12 moderate head injury and 13-15 mild head injury. Results: Out of 450 injured patients, 36 patients (8% who had severe head injuries. Patient who was suspected alcohol and addictive narcotic use had nearly 5-fold increase the risk in severe head injury [adjusted odds ratio (ORa=4.77; 95% confidence interval (CI=1.04-21.75] compared to not suspected. Patient who was referred had a 5.5-fold increase the risk in severe head injury (ORa=5.50; 95% CI=2.28-13.27 compared with not referred. Injured person due to traffic accident than other type of accident had 3-fold increase the risk of severe head injury (ORa=3.43; 95% CI=1.14-10.32. Conclusion: Suspected alcohol or addictive narcotic was the highest risk to severe head injury. Campaign against alcohol and addictive narcotic should be done to prevent head injury severity. (Health Science Indones 2011;34-40

  3. Accountability feedback assessments for improving efficiency of nuclear regulatory institutions

    International Nuclear Information System (INIS)

    Lavarenne, Jean; Shwageraus, Eugene; Weightman, Michael

    2016-01-01

    The Fukushima-Daiichi Accident demonstrated the need of assessing and strengthening institutions involved in nuclear safety, including the accountability of regulators. There are a few problems hindering the path towards a greater understanding of accountability systems, the ensemble of mechanisms holding to account the nuclear regulator on behalf of the public. There is no consensus on what it should deliver and no systematic assessment method exists. This article proposes a method of assessing institutions based on defence in depth concepts and inspired from risk-assessment techniques used for nuclear safety. As a first step in testing the proposal, it presents a simple Monte-Carlo simulation, illustrating some of the workings of the method of assessment and demonstrating the kind of results it will be able to supply. This on-going work will assist policy-makers take better informed decisions about the size, structure and organisation of a nuclear regulator and the cost-effective funding of its accountability system. It will assist in striking a balance between efficiency and resilience of regulatory decision-making processes. It will also promote the involvement of stakeholders and allow them to have a more meaningful impact on regulatory decisions, thereby enhancing the robustness of the regulatory system and potentially trust and confidence. - Highlights: •A general introduction to regulatory accountability is given. •A definition of an effective accountability system is proposed. •A method to assess accountability systems is proposed. •A simplified simulation of a regulatory system demonstrates the method’s capabilities.

  4. Assessing the scientific research productivity of a Brazilian healthcare institution: a case study at the heart institute of São Paulo, Brazil

    Directory of Open Access Journals (Sweden)

    Beatriz Helena Tess

    2009-06-01

    Full Text Available INTRODUCTION: The present study was motivated by the need to systematically assess the research productivity of the Heart Institute (InCor, Medical School of the University of São Paulo, Brazil. OBJECTIVE: To explore methodology for the assessment of institutional scientific research productivity. MATERIALS AND METHODS: Bibliometric indicators based on searches for author affiliation of original scientific articles or reviews published in journals indexed in the databases Web of Science, MEDLINE, EMBASE, LILACS and SciELO from January 2000 to December 2003 were used in this study. The retrieved records were analyzed according to the index parameters of the journals and modes of access. The number of citations was used to calculate the institutional impact factor. RESULTS: Out of 1253 records retrieved from the five databases, 604 original articles and reviews were analyzed; of these, 246 (41% articles were published in national journals and 221 (90% of those were in journals with free online access through SciELO or their own websites. Of the 358 articles published in international journals, 333 (93% had controlled online access and 223 (67% were available through the Capes Portal of Journals. The average impact of each article for InCor was 2.224 in the period studied. CONCLUSION: A simple and practical methodology to evaluate the scientific production of health research institutions includes searches in the LILACS database for national journals and in MEDLINE and the Web of Science for international journals. The institutional impact factor of articles indexed in the Web of Science may serve as a measure by which to assess and review the scientific productivity of a research institution.

  5. Fast analysis of narcotic drugs by optical chemical imaging

    International Nuclear Information System (INIS)

    Fisher, Michal; Bulatov, Vallery; Schechter, Israel

    2003-01-01

    A new technique is proposed for fast detection, identification and imaging of narcotic drugs in their solid phase. This technique, which requires only a tiny sample of a few microns, is based on microscopic chemical imaging. Minor sample preparation is required, and results are obtained within seconds. As far as we know, this is the most sensitive detection system available today for solid drugs. The technique can be applied for fast analysis of minute drug residues, and therefore is of considerable importance for forensic applications. It is shown that identification of drug traces in realistic matrixes is possible. Two main methods were applied in this study for detection of drugs and drug derivatives. The first method was based on direct detection and chemical imaging of the auto-fluorescence of the analyzed drugs. This method is applicable when the analyzed drug emits fluorescence under the experiment conditions, such as lysergic acid diethylamide (known as LSD). The second method was used for obtaining chemical imaging of drugs that do not fluoresce under the experiment conditions. In these cases fluorescent labeling dyes were applied to the examined samples (including the drug and the matrix). Both methods are simple and rapid, and require minor or no sample preparation at all. Detection limits are very low in the picogram range

  6. The experience of childbrith in first-time mothers who received narcotic analgesics during the first stage of labour.

    Science.gov (United States)

    Jantjes, L; Strümpher, J; Kotzé, W J

    2007-06-01

    This research has focused on the birthing experience of first-time mothers who received the narcotic analgesic combination of Pethidine and Hydroxyzine during the first stage of labour. A qualitative research methodology was used to collect data. Unstructured interviews were held with first-time mothers to obtain accounts of their experience of childbirth. These narrations were audio-taped while the participants were still being cared for in the postnatal ward of the hospital where delivery took place. Nine interviews were conducted with first-time mothers who gave birth normally vaginally after a normal pregnancy and who received a narcotic analgesic in the first stage of labour. The transcribed interviews were analyzed using Tesch's method of descriptive analysis (in Creswell, 1994:115). Four themes with sub-themes emerged from the analysis. The participants reported on the physical experience of labour and described experiencing a lot of pain for which analgesics were given. They also described how these drugs dulled the pain but made them sleepy and unable to cooperate with the midwives. They described their emotional experiences, which included joy and happiness as well as anxiety, anger and despondence. They also reported that they were not sufficiently informed about labour and child-birth. In the last theme they described the methods they used to help them cope with labour including distracting techniques, leaning on a supportive person or praying. Guidelines to help midwives overcome these problems were developed.

  7. A comparative assessment of endogenous water institutional change

    Science.gov (United States)

    Pande, Saket; Ersten, Maurits

    2013-04-01

    This paper builds the theory of endogenous institutional change, first proposed by Greif and Laitin (2004), for water scarce regions in context of water institutions. The current emphasis on environmental change, including hydrological change, largely ignores the adaptation of human societies to change. Humans have mostly been considered as boundary conditions or parameters of the dynamics of hydrological change and are not considered as conduits of feedbacks. Nonetheless, the dynamical representation of hydrological change with feedbacks between various components of a system is assuring since it is reminiscent of processual ecological anthropology(Orlove, 1980), except that individual decision making is absent. This paper proposes to consider selected dryland basins of the world, to conceptualize proxies of water relevant socio-economic organisation, such as spatial scales of upstream-downstream cooperation in water use, synthesized over time and then proposes a comparative assessment to test regularities predicted by an extension of river game theory (Ambec and Ehlers, 2008; van der Brink et al, 2012) to endogenous institutional change. References: Orlove, B. S. (1980). Ecological Anthropology. Annual Review of Anthropology, Vol. 9 (1980), pp. 235-273. Greif. A. and D. D. Laitin (2004). A Theory of Endogenous Institutional Change. American Political Science Review, Vol. 98, No. 4 November 2004. Ambec, S. and L. Ehlers (2008). Sharing a river amongst satiable agents. Games and Economic Behavior, 64, 35-50. Van der Brink, G. van der Laan and N. Moes (2012). Fair agreements for sharing international rivers with multiple springs and externalities. Journal of Environmental Economics and Management, 63, 388-403.

  8. Drug Take Back in Hawai‘i: Partnership Between the University of Hawai‘i Hilo College of Pharmacy and the Narcotics Enforcement Division

    Science.gov (United States)

    Batz, Forrest; Juarez, Deborah Taira; Ladao, Lani C

    2014-01-01

    Unused/unwanted medications in households and patient care facilities expose vulnerable populations, including children, elders, and pets, to potential harm through inadvertent ingestion, as well as the potential for theft and assault. Hawai‘i Administrative Rules prohibit the return of any prescription medications to retail pharmacies after dispensing. The Hawai‘i Narcotics Enforcement Division (NED) partnered with the University of Hawai‘i at Hilo Daniel K. Inouye College of Pharmacy (CoP) in eleven Drug Take Back events throughout the state. Most participants heard of the events via newspaper and television marketing. The most common methods of medication disposal are via trash or down household drains. Over 8,000 lbs of unused/unwanted medications was collected, identified and logged from 2011 through 2012. The majority of returned drugs were non-controlled substances (90%). Commonly returned medications included prescription cardiac medications such as simvastatin and lisinopril, non-prescription analgesics such as aspirin and ibuprofen, and dietary supplements such as vitamins and iron. Commonly returned controlled substance medications included narcotics such as hydrocodone/acetaminophen combinations and oxycodone, and sedative hypnotics such as zolpidem and lorazepam. PMID:24470984

  9. Assessment of the NASA Astrobiology Institute

    Science.gov (United States)

    2008-01-01

    Astrobiology is a scientific discipline devoted to the study of life in the universe--its origins, evolution, distribution, and future. It brings together the physical and biological sciences to address some of the most fundamental questions of the natural world: How do living systems emerge? How do habitable worlds form and how do they evolve? Does life exist on worlds other than Earth? As an endeavor of tremendous breadth and depth, astrobiology requires interdisciplinary investigation in order to be fully appreciated and examined. As part of a concerted effort to undertake such a challenge, the NASA Astrobiology Institute (NAI) was established in 1998 as an innovative way to develop the field of astrobiology and provide a scientific framework for flight missions. Now that the NAI has been in existence for almost a decade, the time is ripe to assess its achievements. At the request of NASA's Associate Administrator for the Science Mission Directorate (SMD), the Committee on the Review of the NASA Astrobiology Institute undertook the assignment to determine the progress made by the NAI in developing the field of astrobiology. It must be emphasized that the purpose of this study was not to undertake a review of the scientific accomplishments of NASA's Astrobiology program, in general, or of the NAI, in particular. Rather, the objective of the study is to evaluate the success of the NAI in achieving its stated goals of: 1. Conducting, supporting, and catalyzing collaborative interdisciplinary research; 2. Training the next generation of astrobiology researchers; 3. Providing scientific and technical leadership on astrobiology investigations for current and future space missions; 4. Exploring new approaches, using modern information technology, to conduct interdisciplinary and collaborative research among widely distributed investigators; and 5. Supporting outreach by providing scientific content for use in K-12 education programs, teaching undergraduate classes, and

  10. A proposed assessment method for image of regional educational institutions

    Directory of Open Access Journals (Sweden)

    Kataeva Natalya

    2017-01-01

    Full Text Available Market of educational services in the current Russian economic conditions is a complex of a huge variety of educational institutions. Market of educational services is already experiencing a significant influence of the demographic situation in Russia. This means that higher education institutions are forced to fight in a tough competition for high school students. Increased competition in the educational market forces universities to find new methods of non-price competition in attraction of potential students and throughout own educational and economic activities. Commercialization of education places universities in a single plane with commercial companies who study a positive perception of the image and reputation as a competitive advantage, which is quite acceptable for use in strategic and current activities of higher education institutions to ensure the competitiveness of educational services and educational institution in whole. Nevertheless, due to lack of evidence-based proposals in this area there is a need for scientific research in terms of justification of organizational and methodological aspects of image use as a factor in the competitiveness of the higher education institution. Theoretically and practically there are different methods and ways of evaluating the company’s image. The article provides a comparative assessment of the existing valuation methods of corporate image and the author’s method of estimating the image of higher education institutions based on the key influencing factors. The method has been tested on the Vyatka State Agricultural Academy (Russia. The results also indicate the strengths and weaknesses of the institution, highlights ways of improving, and adjusts the efforts for image improvement.

  11. Demographic characteristics and clinical predictors of patients discharged from university hospital-affiliated pain clinic due to breach in narcotic use contract.

    Science.gov (United States)

    Chakrabortty, Shushovan; Gupta, Deepak; Rustom, David; Berry, Hussein; Rai, Ajit

    2014-01-01

    The current retrospective study was completed with the aim to identify demographic characteristics and clinical predictors (if any) of the patients discharged from our pain clinic due to breach in narcotic use contract (BNUC). Retrospective patient charts' review and data audit. University hospital-affiliated pain clinic in the United States. All patient charts in our pain clinic for a 2-year period (2011-2012). The patients with BNUC were delineated from the patients who had not been discharged from our pain clinic. Pain characteristics, pain management, and substance abuse status were compared in each patient with BNUC between the time of admission and the time of discharge. The patients with BNUC discharges showed significant variability for the discharging factors among the pain physicians within a single pain clinic model with this variability being dependent on their years of experience and their proactive interventional pain management. The patients with BNUC in our pain clinic setting were primarily middle-aged, obese, unmarried males with nondocumented stable occupational history who were receiving only noninterventional pain management. Substance abuse, doctor shopping, and potential diversion were the top three documented reasons for BNUC discharges. In 2011-2012, our pain clinic discharged 1-in-16 patients due to breach in narcotic use contract.

  12. Effectiveness of Hope Therapy on Reducing Depressive Symptoms and Preventing of Relapse in Cure-Seeker Women with Dependency to Narcotic Drugs

    OpenAIRE

    Akram S Raesian; Mahmood Golzari; Ahmad Borjali

    2011-01-01

    Introduction: The aim of the present research was the investigation of the effectiveness of hope therapy on reduction of the degree of depression symptoms and prevention of relapse in cure-seeker women with dependency to narcotic drugs. Method: In semi-experimental research method 20 clients who diagnosed as substance abuse disorder that completed detoxification period successfully, and they were scored more than 14 in depression symptoms (Beck depression questionnaire, second edition) select...

  13. Assessing a Historically Hispanic Serving Institution Internationalization Process

    Directory of Open Access Journals (Sweden)

    Flavia Iuspa

    2014-09-01

    Full Text Available This article presents a qualitative study conducted at a Historically Hispanic Serving Institution (HHSI to further the understanding of its internationalization decision-making process. The study uses the Internationalization Cube model to review the institution’s internal processes and policies toward internationalization and assess how its international activities align with its internationalization efforts. The Internationalization Cube, an eight-cell model, permits the positioning of Institutions of Higher Education (IHEs based on the analysis of its three dimensions and respective subcategories: policy, support, and implementation. The International Dimension Index (IDI and the Item Relevancy Index (IRI were also used to determine the level of alignment between the HHSI position on the Internationalization Cube and its international activities. The study finds that the HHSI is on Position 6 on the Internationalization Cube (priority policy, one-sided support, and systematic/structure implementation, and exhibits all the international activities considered indicators of internationalization but attention is needed to foreign language, international students, study abroad, faculty movement and involvement in international projects. The study concludes that an association exists between the institution’s position on the Internationalization Cube and its international activities, and adjustments in the institution’s policy, support, and implementation dimensions will be required to advance its position on the Internationalization Cube making its internationalization process more sustainable. This study makes a contribution to addressing the need to assess an IHE by presenting a holistic organizational framework instead of a fragmented international activities organizational analysis.

  14. IMPLEMENTATION OF DRUG ADDICTS RIGHT TO HEALTH PROTECTION (SEPARATE ASPECTS).

    Science.gov (United States)

    Shevchuk, O; Rzhevska, O; Korop, O; Pyliuha, L

    2018-03-01

    The purpose of the research is to analyze specific problems of the realization of the right to protect the health of people who take narcotic drugs or psychotropic substances. To achieve this goal, statistics have been analyzed on the number of people using narcotic drugs or psychotropic substances (including drug-addicted children) placed on medical records and the number of their applications for medical care. It has been found out that people in this category often face a denial of medical care that causes extremely strong physical and mental suffering. The analysis of the understanding of the legal design of the «right to health care» in the scientific literature, national legislation and international legal documents was made. State institutions and local authorities providing «the right to health care» of people taking narcotic or psychotropic drugs are singled out. The absence of grounds for restricting the right to protect the health of people who take narcotic or psychotropic drugs who are not registered is justified. In the course of the research, it was found out that people who take narcotic drugs or psychotropic substances are more likely than other patients to need medical assistance and, when requesting the right to health care, face a number of problems that require immediate solution: incomplete provision of quality free medical care; unimplementation of rehabilitation programs for such categories of patients; the lack of the right of children who take narcotic drugs or psychotropic substances to make their own decisions at the age of 14 and apply to public health institutions for the treatment of drug addiction; violations of the continuity of SMT programs and their absence in penal institutions for drug dependent people. It was proposed to introduce a number of changes in the relevant normative legal acts.

  15. ADMINISTRATIVE AND ORGANIZATIONAL ASPECTS OF FUNCTIONING OF THE SYSTEM OF AVAILABILITY NARCOTIC AND PSYCHOTROPIC MEDICINAL PREPARATIONS FOR PATIENTS WHO NEED THEM

    Directory of Open Access Journals (Sweden)

    I. A. Kaminskaya

    2016-01-01

    Full Text Available Narcotic drugs and psychotropic substances still remain indispensable in medicine. One of the top priorities of health care is to ensure the required availability of this group of drugs. The development of an effective system which can ensure crucially important availability of narcotic and psychotropic agents to people who need them for medical purposes must rely on the identification and analysis of the nature and specificity of the problems related to them as well as the ways of solving these problems. ThePurpose of the Study was to explore the constituents of the system ensuring medicinal availability of narcotic and psychotropic agents and to identify the factors hindering the availability of this group of medicinal agents.Materials and Methods. The study involved the systematic review analysis of the scientific publications and guidance  documents regulating various aspects of activities involving the turnover of controlled drugs, and the results of surveys and interviews in which medical and pharmaceutical professionals were engaged. The study employed the methods of content analysis, logical and functional analysis, etc.Results and Discussion. The system of narcotic and psychotropic drug (NPD availability for patients who need them is currently going through reforms which have been conditioned by low accessibilty of these drugs when used for medical purposes. Those engaged in the drug supply system including medical and pharmaceutical professionals point out that excessive bureaucratization of the system of NPD supply and availability, complexity of documentation and paperwork reporting thedrug flow, costliness of these activities, and strict liability account for low availability of such drugs. To ensure the rights of the citizens to relieve pain due to diseases or medical interventions, a number of changes in the laws and regulations have been made. They have simplified the requirements for NPD

  16. Production technology readiness assessment of surfactant in the research center for Chemistry-Indonesian Institute of Sciences

    Science.gov (United States)

    Setiawan, Arief Ameir Rahman; Sulaswatty, Anny

    2017-11-01

    The common problem faced by the institution working on research, innovation and technology development is lack of quantitative measures to determine the technology readiness of research. No common communication language between R & D Institutions and industry about the level of preparedness of a research resulting a barrier to technology diffusion interaction. This lack of connection between R & D institutes with industry may lead to "sluggishness" occurs in innovating. For such circumstance, assessing technology readiness of research is very important. One of wide spread methods for the assessment is Technology Readiness Level (TRL, also known as Technometer), which is introduced by NASA (National Aeronautics and Space Administration). TRL is a general guide that provides an overview of maturity level of a technology. This study aims to identify and demonstrate the implementation of TRL to assess a number of surfactant researches in the Research Center for Chemistry, Indonesian Institute of Sciences. According to the assessment, it has been obtained the surfactant recommended for further development towards commercialization of R & D results, i.e. Glycerol Mono Stearate (GMS), which has reached the level of TRL 7.

  17. Constructing post-carbon institutions: Assessing EU carbon reduction efforts through an institutional risk governance approach

    International Nuclear Information System (INIS)

    LaBelle, Michael

    2012-01-01

    This paper examines three different governance approaches the European Union (EU) and Member States (MS) are relying on to reach a low carbon economy by 2050. Current governance literature explains the operational methods of the EU's new governance approach to reduce carbon emissions. However, the literature neglects to account for the perceived risks that inhibit the roll-out of new low carbon technology. This article, through a novel approach, uses a grounded theoretical framework to reframe traditional risk literature and provides a connection to governance literature in order to assess the ability of EU governance mechanisms to reduce carbon emissions. The empirical research is based on responses from European energy stakeholders who participated in a Delphi method discussion and in semi-structured interviews; these identified three essential requirements for carbon emissions to be reduced to near zero by 2050: (1) an integrated European energy network, (2) carbon pricing and (3) demand reduction. These features correspond to institutionalized responses by the EU and MS: the Agency for the Cooperation of Energy Regulators (ACER); European Union Emission Trading Scheme (EU ETS) and energy efficiency directives and policies integrated into existing MS institutions. The theoretical and empirical findings suggest that governance by facilitation (energy efficiency) fails to induce significant investment and new policy approaches and cannot be relied on to achieve requisite reductions in demand. Governance by negotiation (ACER) and governance by hierarchy (EU ETS) do reduce risks and may encourage the necessary technological uptake. The term ‘risk governance’ is used to explain the important role governance plays in reducing risks and advancing new technology and thereby lowering carbon emissions in the energy sector. - Highlights: ► This article assesses the role of EU institutions in reducing carbon emissions by 2050. ► Empirical research is based on Delphi

  18. Drug Take Back in Hawai‘i: Partnership Between the University of Hawai‘i Hilo College of Pharmacy and the Narcotics Enforcement Division

    OpenAIRE

    Ma, Carolyn S; Batz, Forrest; Juarez, Deborah Taira; Ladao, Lani C

    2014-01-01

    Unused/unwanted medications in households and patient care facilities expose vulnerable populations, including children, elders, and pets, to potential harm through inadvertent ingestion, as well as the potential for theft and assault. Hawai‘i Administrative Rules prohibit the return of any prescription medications to retail pharmacies after dispensing. The Hawai‘i Narcotics Enforcement Division (NED) partnered with the University of Hawai‘i at Hilo Daniel K. Inouye College of Pharmacy (CoP) ...

  19. Transactions in Desire: Media Imaginings of Narcotics and Terrorism in Indonesia

    Directory of Open Access Journals (Sweden)

    Jeff Lewis

    2010-09-01

    Full Text Available The relationship between Australia (an outpost of Anglo-western culture and Indonesia (the world's most populous Muslim nation has always been precarious. Much of the Australian media and political 'mediasphere' have contributed to the destabilisation of this relationship, most particularly as many media professionals reduce complex transcultural and transnational engagement to simple and essentialised cultural dichotomies. This limited vision is evident in the popular media's treatment of two significant politico-cultural issues: regional terrorism and the trade in illicit narcotics. Within a context of the global war on terror and Islamic attacks in Bali, much of the Australian popular media and public have been particularly agitated by the conviction and death sentencing of a group of Australians (the Bali Nine who had attempted to smuggle heroin out of Indonesia. This article examines the interrelationship between drug trafficking and regional security in South East Asia, most specifically as the issues have been conflated through transnational politics and the Australian media. The article concludes that these issues have a common trajectory within the momentum of globalisation and the cultural imaginaries created through the modern mediasphere.

  20. Transactions in desire : media imaginings of narcotics and terrorism in Indonesia

    Directory of Open Access Journals (Sweden)

    Lewis, Jeff

    2010-01-01

    Full Text Available The relationship between Australia (an outpost of Anglo-western culture and Indonesia (the world's most populous Muslim nation has always been precarious. Much of the Australian media and political 'mediasphere' have contributed to the destabilisation of this relationship, most particularly as many media professionals reduce complex transcultural and transnational engagement to simple and essentialised cultural dichotomies. This limited vision is evident in the popular media's treatment of two significant politico-cultural issues: regional terrorism and the trade in illicit narcotics. Within a context of the global war on terror and Islamic attacks in Bali, much of the Australian popular media and public have been particularly agitated by the conviction and death sentencing of a group of Australians (the Bali Nine who had attempted to smuggle heroin out of Indonesia. This article examines the interrelationship between drug trafficking and regional security in South East Asia, most specifically as the issues have been conflated through transnational politics and the Australian media. The article concludes that these issues have a common trajectory within the momentum of globalisation and the cultural imaginaries created through the modern mediasphere.

  1. Institutional Effectiveness Plan: Assessing Effectiveness To Improve Service and Increase Accountability.

    Science.gov (United States)

    Quinley, John W.; And Others

    This institutional effectiveness plan for Central Piedmont Community College (CPCC) is designed to serve as the blueprint by which assessment activities are undertaken and results disseminated throughout the college. First, Chapter One provides an overview of CPCC's self-study planning process, indicating that a 33-member task force comprised of…

  2. Quality Assessment of Diabetes Online Patient Education Materials from Academic Institutions

    Science.gov (United States)

    Dorcely, Brenda; Agarwal, Nitin; Raghuwanshi, Maya

    2015-01-01

    Objective: The purpose of this study was to assess and compare the readability of type 2 diabetes online patient education materials from academic institutions in the northeast USA and the American Diabetes Association. Many US residents utilise the Internet to obtain health information. Studies have shown that online patient education materials…

  3. Impacts of the use of institutional controls on risk assessments at Department of Energy facilities

    International Nuclear Information System (INIS)

    White, R.K.; Swindle, D.W. Jr.; Redfearn, A.; King, A.D.; Shaw, R.A.

    1992-01-01

    The United States Environmental Protection Agency (EPA), in the National Oil and Hazardous Waste Pollution Contingency Plan (NCP), has determined that institutional controls cannot be applied when determining baseline human health risks from exposure to contaminants present at a hazardous waste site. Environmental restoration activities at DOE-OR/ER sites are primarily driven by the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA). Therefore, the report focuses on the approaches and assumptions relating to institutional controls under CERCLA. In order to demonstrate the implications of the use of institutional controls at DOE facilities, this report summarizes the approaches and results of the recent baseline risk assessment for Solid Waste Storage Area 6 at Oak Ridge National Laboratory. The report concludes with possible options on the use of institutional controls at DOE-OR/ER sites. This report summarizes some of the major issues related to the use of institutional controls at hazardous waste sites under the auspices of DOE-OR/ER. In particular, the report addresses the impacts that assumptions regarding institutional controls have on the results and interpretation of the risk assessment, [in both the Remedial Investigation (RI) and the FS] and provides a case study from an actual DOE site

  4. How to Assess Transformative Performance towards Sustainable Development in Higher Education Institutions

    Science.gov (United States)

    Mader, Clemens

    2012-01-01

    This article highlights the role of sustainability appraisal for Higher Education Institutions (HEIs). Traditional HEI appraisal systems lack a way to assess the integration of sustainability principles reflecting societal needs with the consequences of research, education and management of HEIs. Two appraisal systems are discussed. The Austrian…

  5. Comparing Acceptance and Commitment Group Therapy and 12-Steps Narcotics Anonymous in Addict’s Rehabilitation Process: A Randomized Controlled Trial

    Directory of Open Access Journals (Sweden)

    Manoochehr Azkhosh

    2016-12-01

    Full Text Available Objective: Substance abuse is a socio-psychological disorder. The aim of this study was to compare the effectiveness of acceptance and commitment therapy with 12-steps Narcotics Anonymous on psychological well-being of opiate dependent individuals in addiction treatment centers in Shiraz, Iran.Method: This was a randomized controlled trial. Data were collected at entry into the study and at post-test and follow-up visits. The participants were selected from opiate addicted individuals who referred to addiction treatment centers in Shiraz. Sixty individuals were evaluated according to inclusion/ exclusion criteria and were divided into three equal groups randomly (20 participants per group. One group received acceptance and commitment group therapy (Twelve 90-minute sessions and the other group was provided with the 12-steps Narcotics Anonymous program and the control group received the usual methadone maintenance treatment. During the treatment process, seven participants dropped out. Data were collected using the psychological well-being questionnaire and AAQ questionnaire in the three groups at pre-test, post-test and follow-up visits. Data were analyzed using repeated measure analysis of variance.Results: Repeated measure analysis of variance revealed that the mean difference between the three groups was significant (P<0.05 and that acceptance and commitment therapy group showed improvement relative to the NA and control groups on psychological well-being and psychological flexibility.Conclusion: The results of this study revealed that acceptance and commitment therapy can be helpful in enhancing positive emotions and increasing psychological well-being of addicts who seek treatment.

  6. How should we assess knowledge translation in research organizations; designing a knowledge translation self-assessment tool for research institutes (SATORI).

    Science.gov (United States)

    Gholami, Jaleh; Majdzadeh, Reza; Nedjat, Saharnaz; Nedjat, Sima; Maleki, Katayoun; Ashoorkhani, Mahnaz; Yazdizadeh, Bahareh

    2011-02-22

    The knowledge translation self-assessment tool for research institutes (SATORI) was designed to assess the status of knowledge translation in research institutes. The objective was, to identify the weaknesses and strengths of knowledge translation in research centres and faculties associated with Tehran University of Medical Sciences (TUMS). The tool, consisting of 50 statements in four main domains, was used in 20 TUMS-affiliated research centres and departments after its reliability was established. It was completed in a group discussion by the members of the research council, researchers and research users' representatives from each centre and/or department. The mean score obtained in the four domains of 'The question of research', 'Knowledge production', 'Knowledge transfer' and 'Promoting the use of evidence' were 2.26, 2.92, 2 and 1.89 (out of 5) respectively.Nine out of 12 interventional priorities with the lowest quartile score were related to knowledge transfer resources and strategies, whereas eight of them were in the highest quartile and related to 'The question of research' and 'Knowledge production'. The self-assessment tool identifies the gaps in capacity and infrastructure of knowledge translation support within research organizations. Assessment of research institutes using SATORI pointed out that strengthening knowledge translation through provision of financial support for knowledge translation activities, creating supportive and facilitating infrastructures, and facilitating interactions between researchers and target audiences to exchange questions and research findings are among the priorities of research centres and/or departments.

  7. An Institutional Assessment of Ethnic Conflict in China

    Science.gov (United States)

    2008-12-01

    from minority groups is forecasted under the institutional theory of ethnic conflict. Institutional theorists assert that when minorities are...outcome however, does align with the predictions made under an institutional theory of ethnic conflict. Two, during the Great Leap Forward and Cultural...intended. However, this exact response from minority groups is forecasted under the institutional theory of ethnic conflict. Institutional theorists

  8. Reflective (Ac) Counting: Institutional Research, Evaluation, & Assessment in a Time of Cholera

    Science.gov (United States)

    Heinecke, Walter F.

    2011-01-01

    Institutional researchers (IR) and assessment professionals in higher education are living in interesting and challenging times, one might say in times of crisis. As federal and state coffers have shrunk in a time of rising costs of higher education, university budgets are tightening while at the same time calls for accountability are increasing…

  9. Knowledge loss risk assessment in Institute for Nuclear Research Pitesti, Romania

    International Nuclear Information System (INIS)

    Apostol, Minodora; Constantin, Marin; Balaceanu, Victoria

    2009-01-01

    This paper presents a method developed in Institute for Nuclear Research Pitesti for knowledge loss risk assessment in nuclear sector, in order to obtain a risk map at departmental and organizational level, by analyzing each position/people. The method starts from the classical method for knowledge loss risk assessment but takes into account the INR characteristics, the particularities of Romanian nuclear market and the difficulties of the classical method to estimate correctly the risk at the job level. A short description of the classical method of knowledge loss risk assessment, the improved method by introducing five new parameters for risk factor of vacant job are presented, how this last method has been applied in some departments from INR Pitesti and the preliminary risk matrix for knowledge loss at organization level is discussed. (authors)

  10. Continued development of a portable widefield hyperspectral imaging (HSI) sensor for standoff detection of explosive, chemical, and narcotic residues

    Science.gov (United States)

    Nelson, Matthew P.; Gardner, Charles W.; Klueva, Oksana; Tomas, David

    2014-05-01

    Passive, standoff detection of chemical, explosive and narcotic threats employing widefield, shortwave infrared (SWIR) hyperspectral imaging (HSI) continues to gain acceptance in defense and security fields. A robust and user-friendly portable platform with such capabilities increases the effectiveness of locating and identifying threats while reducing risks to personnel. In 2013 ChemImage Sensor Systems (CISS) introduced Aperio, a handheld sensor, using real-time SWIR HSI for wide area surveillance and standoff detection of explosives, chemical threats, and narcotics. That SWIR HSI system employed a liquid-crystal tunable filter for real-time automated detection and display of threats. In these proceedings, we report on a next generation device called VeroVision™, which incorporates an improved optical design that enhances detection performance at greater standoff distances with increased sensitivity and detection speed. A tripod mounted sensor head unit (SHU) with an optional motorized pan-tilt unit (PTU) is available for precision pointing and sensor stabilization. This option supports longer standoff range applications which are often seen at checkpoint vehicle inspection where speed and precision is necessary. Basic software has been extended to include advanced algorithms providing multi-target display functionality, automatic threshold determination, and an automated detection recipe capability for expanding the library as new threats emerge. In these proceedings, we report on the improvements associated with the next generation portable widefield SWIR HSI sensor, VeroVision™. Test data collected during development are presented in this report which supports the targeted applications for use of VeroVision™ for screening residue and bulk levels of explosive and drugs on vehicles and personnel at checkpoints as well as various applications for other secure areas. Additionally, we highlight a forensic application of the technology for assisting forensic

  11. San Juanico Hybrid System Technical and Institutional Assessment: Preprint

    Energy Technology Data Exchange (ETDEWEB)

    Corbus, D.; Newcomb, C.; Yewdall, Z.

    2004-07-01

    San Juanico is a fishing village of approximately 120 homes in the Municipality of Comondu, Baja California. In April, 1999, a hybrid power system was installed in San Juanico to provide 24-hour power, which was not previously available. Before the installation of the hybrid power system, a field study was conducted to characterize the electrical usage and institutional and social framework of San Juanico. One year after the installation of the hybrid power system a''post-electrification'' study was performed to document the changes that had occurred after the installation. In December of 2003, NREL visited the site to conduct a technical assessment of the system.

  12. Institutional capacity for health systems research in East and Central African schools of public health: experiences with a capacity assessment tool.

    Science.gov (United States)

    Jessani, Nasreen; Lewy, Daniela; Ekirapa-Kiracho, Elizabeth; Bennett, Sara

    2014-06-02

    Despite significant investments in health systems research (HSR) capacity development, there is a dearth of information regarding how to assess HSR capacity. An alliance of schools of public health (SPHs) in East and Central Africa developed a tool for the self-assessment of HSR capacity with the aim of producing institutional capacity development plans. Between June and November 2011, seven SPHs across the Democratic Republic of Congo, Ethiopia, Kenya, Rwanda, Tanzania, and Uganda implemented this co-created tool. The objectives of the institutional assessments were to assess existing capacities for HSR and to develop capacity development plans to address prioritized gaps. A mixed-method approach was employed consisting of document analysis, self-assessment questionnaires, in-depth interviews, and institutional dialogues aimed at capturing individual perceptions of institutional leadership, collective HSR skills, knowledge translation, and faculty incentives to engage in HSR. Implementation strategies for the capacity assessment varied across the SPHs. This paper reports findings from semi-structured interviews with focal persons from each SPH, to reflect on the process used at each SPH to execute the institutional assessments as well as the perceived strengths and weaknesses of the assessment process. The assessment tool was robust enough to be utilized in its entirety across all seven SPHs resulting in a thorough HSR capacity assessment and a capacity development plan for each SPH. Successful implementation of the capacity assessment exercises depended on four factors: (i) support from senior leadership and collaborators, (ii) a common understanding of HSR, (iii) adequate human and financial resources for the exercise, and (iv) availability of data. Methods of extracting information from the results of the assessments, however, were tailored to the unique objectives of each SPH. This institutional HSR capacity assessment tool and the process for its utilization

  13. Physics Competence Assessment in Engineering Higher Education Institution

    Directory of Open Access Journals (Sweden)

    A. F. An

    2015-01-01

    Full Text Available In designing the undergraduate programmes, a development of objectified procedures to assess students and graduates’ level of skills and learning outcomes aimed at achieving the ultimate goals of training is an important task for Higher Education Institutions (HEI.The purpose of this work is to develop a description of the physics course objectives differentiated according to levels of learning achievements for engineering HEI, as well as the assessment procedures and diagnostic means associated with this description to specify and define the degree of their achievement.The taxonomy of levels to master learning content is proposed and tested. Its aim is to assess rapidly a degree of achieved objectives i.e. meeting requirements for student and graduate’s competences in physics. Classification is given according to which the reproductive activity is a manifestation of the levels of recognition, reproduction and reproductive use of knowledge while the productive activity is an ability to use previously learned information, methods of action for the new scenarios, situations, conditions. The paper presents content of the main features of learning the study materials in physics at each taxonomic level. It offers a developed package of assessment materials based on traditional (tests, training tasks and competence-oriented control methods (professionally oriented and case studies, integrative assignments. The paper proves that when designing the diagnostic means it is expedient to take into consideration the analysis results of the expert assessments that the physics course curricular elements are of significance for fundamental and ideological studies and successful learning of the module of professional disciplines. It also shows that there is a need to use the content of typical tasks in disciplines of professional cycle of the undergraduate programme.The proposed approaches and results can serve as a basis for teaching improvement in physics

  14. Maintenance self-assessments - An INPO [Institute of Nuclear Power Operation] perspective

    International Nuclear Information System (INIS)

    Subalusky, W.T.

    1990-01-01

    In March 1987, all nuclear utilities in the US were requested by the Institute of Nuclear Power Operations (INPO) to perform a self-assessment of their maintenance programs. The goal of these self-assessments was to have each station identify any existing problem areas in maintenance in clear and sufficient detail to determine the root causes of the problems and to provide a foundation for subsequent corrective actions. The self-assessments were to be performed by each nuclear station using the INPO document Guidelines for the Conduct of Maintenance at Nuclear Power Stations. By December 1987, 72 of 74 stations had completed the self-assessments, and by the middle of 1988, all stations had completed this systematic review of their maintenance programs. As part of an industry plan to ensure continued improvements in maintenance, INPO is following up on the effectiveness of these self-assessments during the course of plant evaluation visits. This presentation briefly reviews the approaches to self-assessment of the station's maintenance programs, some of the lessons learned from this effort, and the results, to date, of INPO follow-up efforts in this area

  15. Paradigms for Assessment of Organizational Climate in a Public Research Institute

    Directory of Open Access Journals (Sweden)

    Jorge Luiz Knupp Rodrigues

    2016-06-01

    Full Text Available This study aimed to identify the factors relevant to assessment of organizational climate of a Public Institute for Research in the area of C&T, with headquarters located in Vale do Paraiba Paulista considering their specific characteristics and the perception of its employers for the characteristics of this work environment. This is a quantitative, exploratory descriptive, taking the form of survey. The Institution research participant has 1.075 active employers and the sample used in data collection were 149 respondents in which a questionnaire was administered, whose data were statistically analyzed. It was found the stability of the instrument through Cronbach's Alpha Test, which indicated the reliability of the survey responses and the tests Kaiser-Meyer-Olkin – KMO and Bartlett’s Sphericity indicated that the factor analysis could be used in this mass data. The technique of factor analysis was applied and the results showed that 10 clusters of issues/indicators are suitable for this study. After analyzing the clusters were identified the following factors as relevant for climate study: Identity and Security, Autonomy, Achievement and Satisfaction with Work, Professional Development, Commitment and Teamwork, Leadership, Salary, Interaction, and Satisfaction with Institution Organizational Structure. This work reached its goal and its outcome encourages further studies on the subject, and provides subsidies for the development of a tool to search appropriate to the specific organizational climate of the institution concerned.

  16. Institutional Design for Strategic Environmental Assessment on Urban Economic and Social Development Planning in China

    International Nuclear Information System (INIS)

    Song Guojun; Zhou Li; Zhang Lei

    2011-01-01

    The National Economic and Social Development Plans (NESDPs) of cities in China, given their comprehensive, integrated and strategic nature, have significant and profound impacts on the development of cities and their embedded ecological environments. Strategic Environmental Assessments (SEAs) on city NESDPs have the potential to improve environmental policy integration at strategic level and to safeguard the sustainable development of cities. However, these plans are normally exempted from the current SEA requirement in China. We argue that it is more feasible to apply SEAs on city NESDPs before SEAs are expanded to higher level NESDPs in China. This article attempts to propose a China-specific institutional design for SEAs on city NESDPs based on experiments in selected cities and within the current legal framework. To obtain a holistic view about the long-term development of cities, more qualitative and descriptive analysis-based assessment methods should be adopted to broaden participation, to encourage the exchange of information and to reach consensus. - Highlights: → National Economic and Social Development Plans for Cities (NESDPs) in China is a very popular and significant decision made by municipal government. → We propose a institutional framework to conduct strategic environmental assessment to NESDPs. → The key features of the institutional framework are the independent SEA approval committee and a professional consulting agency.

  17. An Attempt to Assess the Quantitative Impact of Institutions on Economic Growth and Economic Development

    Directory of Open Access Journals (Sweden)

    Próchniak Mariusz

    2014-10-01

    Full Text Available This study aims at assessing to what extent institutional environment is responsible for worldwide differences in economic growth and economic development. To answer this question, we use an innovative approach based on a new concept of the institutions-augmented Solow model which is then estimated empirically using regression equations. The analysis covers 180 countries during the 1993-2012 period. The empirical analysis confirms a large positive impact of the quality of institutional environment on the level of economic development. The positive link has been evidenced for all five institutional indicators: two indices of economic freedom (Heritage Foundation and Fraser Institute, the governance indicator (World Bank, the democracy index (Freedom House, and the EBRD transition indicator for post-socialist countries. Differences in physical capital, human capital, and institutional environment explain about 70-75% of the worldwide differences in economic development. The institutions-augmented Solow model, however, performs slightly poorer in explaining differences in the rates of economic growth: only one institutional variable (index of economic freedom has a statistically significant impact on economic growth. In terms of originality, this paper extends the theoretical analysis of the Solow model by including institutions, on the one hand, and shows a comprehensive empirical analysis of the impact of various institutional indicators on both the level of development and the pace of economic growth, on the other. The results bring important policy implications.

  18. Groundwater assessment in water resources management at Nuclear and Energy Research Institute, Brazil

    Energy Technology Data Exchange (ETDEWEB)

    Soares, Sabrina M.V.; Marques, Joyce R.; Monteiro, Lucilena R.; Stellato, Thamiris B.; Silva, Tatiane B.S.C.; Faustino, Mainara G.; Silva, Douglas B. da; Cotrim, Marycel E.B.; Pires, Maria Aparecida F., E-mail: sabrinamoura@usp.br, E-mail: joyce.marques@usp.br, E-mail: luciremo@uol.com.br, E-mail: thamistellato@gmail.com, E-mail: tatianebscs@live.com, E-mail: mainarag@usp.br, E-mail: douglas.sbatista@yahoo.com.br, E-mail: mecotrim@ipen.br, E-mail: mapires@ipen.br [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), Sao Paulo, SP (Brazil)

    2015-07-01

    To comply with the guidelines for environmental control and legal requirements, the Nuclear and Energy Research Institute (IPEN/ CNEN - Brazil/ SP) performs the Environmental Monitoring Program for Chemical Stable Compounds (PMA-Q) since 2007, in attendance to the Term for the Adjustment of Conduct (TAC) signed between IPEN and the Brazilian Institute of Environment and Renewable Natural Resources (IBAMA). The PMA-Q program includes the assessment of the IPEN's wastewater released in water body, and the groundwater assessment, which is carried out in nine monitoring wells. In groundwater is analyzed, by ion chromatography, species regulated by CONAMA 396/08 [01] fluoride, chloride, nitrite-N, nitrate-N, sulfate, sodium, potassium, ammonium, magnesium and calcium, besides other parameters. Furthermore, based on legal requirements, each year the program is reviewed and improvement actions are planned and implemented. Therefore, the integrated monitoring of groundwater should provide information on the quality and dynamics of the aquifer compared to seasonal variations and anthropogenic effects. Thus, this study intends to evaluate the chemical features of the institute groundwater, evaluating the database of the monitoring program from 2011 to 2014, for the ions chloride, nitrate-N, sulfate, sodium, potassium, magnesium, calcium and bicarbonate, using these information diagrams will be developed for the characterization of the wells. This assessment will be essential to support the control actions of environmental pollution and the management of water resources. Making possible the establishment of groundwater Quality Reference Figures (QRF), according to the CONAMA 396/08 [01] rating, in order to demonstrate that the activities developed at IPEN are not affecting on the aquifer features. (author)

  19. Assessing Readiness for Integration of Electronic Learning into Business Education Programmes in Tertiary Institutions in Ebonyi State

    Science.gov (United States)

    Nwagwu, Lazarus; Azih, Nonye

    2015-01-01

    The study was conducted to assess readiness for integration of electronic learning into business education programmes in tertiary institutions in Ebonyi State. Two research questions and two hypotheses guided the study. The population was 37 business education lecturers and 748 Business Education Students in tertiary institutions that offer…

  20. Assessment of technology generating institutions in biotechnology ...

    African Journals Online (AJOL)

    The study was carried out in Southeastern agro-ecological zones of Nigeria. Questionnaire was used to collect data from a sample of forty-three heads of departments from research institutes and universities involved in biotechnology research. Results of the study revealed that some of the institutions have been involved in ...

  1. 20 CFR 404.1538 - What we mean by approved institutions or facilities.

    Science.gov (United States)

    2010-04-01

    ... persons for treatment of drug addiction or alcoholism; (c) State licensed or certified care providers; (d... Joint Commission for the Accreditation of Healthcare Organizations (JCAHO) for the treatment of drug... self-help drug addiction or alcoholism recovery programs (e.g., Alcoholics Anonymous or Narcotics...

  2. Are impact assessment procedures actually promoting sustainable development? Institutional perspectives on barriers and opportunities found in the Swedish committee system

    International Nuclear Information System (INIS)

    Nykvist, Bjoern; Nilsson, Mans

    2009-01-01

    Impact assessment frameworks are gaining increasing attention as a procedure to integrate sustainability concerns in European and national policy-making. The gap between political visions on sustainable development and the reality of policy-making is, however, still pronounced, and a very limited range and scope of available assessment methods are used in practice. This study examines why this pattern prevails, in this case within the Swedish Committees of Inquiry, with a focus on institutional factors determining the function of Impact Assessments. The findings suggest that assessment procedures have little value when not accompanied by clear specific instructions on priorities. A range of institutional constraints emerge in the interface between policy makers and knowledge providers in committees. Dominant professional, organisational, and disciplinary cultures constrain the assessment, and socio-economic priorities are by tradition most important. Based on our analysis, we conclude that to enhance the potential for integrating sustainability concerns, it seems less fruitful to develop more advanced and complex assessment frameworks and models than strengthening institutional arenas for social learning. Such arenas should be; defined by a broad mandate and instructions, characterised by key personal skills and resources, and build institutional capacity for a range of stakeholders to engage with them

  3. Assessment of building maintenance management practices of higher education institutions in Niger State - Nigeria

    Directory of Open Access Journals (Sweden)

    Ofide Blessing

    2015-12-01

    Full Text Available Higher education institutions face immediate pressure to preserve existing building facilities within the campuses and enhance the capacity of their higher education system to address growing demands of an increasing influx of students and academic activities. There is no doubt that dilapidated and unhealthy buildings in a decaying environment depresses the quality of life and contributes in some measure to antisocial behaviours. The buildings of higher education institutions in Nigeria only receive top management attention when there is a problem. Hence, the paper assessed the building maintenance management practices of 6 higher institutions available (2 universities, 2 polytechnics and 2 colleges of education in Niger State. This was done by interviewing the Directors of Works of the 6 institutions using a structured interview method. The study revealed that there was no maintenance manual in any of the Works Department of the higher education institution, no user satisfaction survey has ever been conducted and none of the institutions had a computerised maintenance management system (CMMS in place. In addition to these, corrective maintenance was mostly adopted and there was inadequate staffing of the field operatives. All these shortcomings might be responsible for the backlog of maintenance work experienced in the institutions studied. A proactive maintenance system should be put in place, CMMS should be adopted to enhance effective maintenance work, and top management should be enlightened on the imperative of maintenance among other issues competing for funds within the institutions and be more flexible in allocation of resources to enhance maintenance works.

  4. Institutional constraints on alternative water for energy: a guidebook for regional assessments

    Energy Technology Data Exchange (ETDEWEB)

    1980-11-01

    Basic information is presented about the legal, political, and social constraints faced by energy developers in the acquisition of water from underground, irrigation return flow, municipal waste, and saline sources. It is a guide to those institutional constraints which are general and pronounced enough to be important for regional assessments. First, attention was focused on the acquisition phase of the water use cycle. Second, constraints were analyzed primarily from a regional, rather than state-by-state, perspective. Emphasis was placed generally on the West - particularly the synfuel-rich Rocky Mountain states, the East, and Mid-West, in that order. Alaska and Hawaii were not surveyed. Third, the study focuses on the constraints associated with groundwater, municipal waste, irrigation return flow, and sea water, in that order. The phrase, institutional constraints, as used in the study, means legal, social, economic, and political restrictions, requirements, circumstances, or conditions that must be anticipated or responded to in order to acquire water for energy development. The study focuses primarily on legal constraints and secondarily on political constraints, because they tend to encompass or reflect other forms of institutional constraints.

  5. Drug Abuse in the New York City Schools. A Report of the Select Committee on Narcotics Abuse and Control, House of Representatives, Ninety-Fifth Congress, Second Session (August 30-September 1, 1978).

    Science.gov (United States)

    Congress of the U.S., Washington, DC.

    The January 1977 hearing by the U.S. House Select Committee on Narcotics Abuse and Control mandated three days of further hearings in 1978. The focus was upon New York city schools, but reflected many similar situations in other urban school systems according to the committee's judgement. The committee also found that alcohol and marihuana usage…

  6. Assessing institutional capacities to adapt to climate change: integrating psychological dimensions in the Adaptive Capacity Wheel

    Science.gov (United States)

    Grothmann, T.; Grecksch, K.; Winges, M.; Siebenhüner, B.

    2013-12-01

    Several case studies show that social factors like institutions, perceptions and social capital strongly affect social capacities to adapt to climate change. Together with economic and technological development they are important for building social capacities. However, there are almost no methodologies for the systematic assessment of social factors. After reviewing existing methodologies we identify the Adaptive Capacity Wheel (ACW) by Gupta et al. (2010), developed for assessing the adaptive capacity of institutions, as the most comprehensive and operationalised framework to assess social factors. The ACW differentiates 22 criteria to assess 6 dimensions: variety, learning capacity, room for autonomous change, leadership, availability of resources, fair governance. To include important psychological factors we extended the ACW by two dimensions: "adaptation motivation" refers to actors' motivation to realise, support and/or promote adaptation to climate; "adaptation belief" refers to actors' perceptions of realisability and effectiveness of adaptation measures. We applied the extended ACW to assess adaptive capacities of four sectors - water management, flood/coastal protection, civil protection and regional planning - in northwestern Germany. The assessments of adaptation motivation and belief provided a clear added value. The results also revealed some methodological problems in applying the ACW (e.g. overlap of dimensions), for which we propose methodological solutions.

  7. The victorian institute of sports assessment - achilles questionnaire (visa-a) - a reliable tool for measuring achilles tendinopathy

    DEFF Research Database (Denmark)

    Iversen, Jonas Vestergård; Bartels, Else Marie; Langberg, Henning

    2012-01-01

    Achilles tendinopathy (AT) is a common pathology and the aetiology is unknown. For valid and reliable assessment The Victorian Institute of Sports Assessment has designed a self-administered Achilles questionnaire, the VISA-A. The aim of the present study was to evaluate VISA-A as an outcome...

  8. Hydraulic and Condition Assessment of Existing Sewerage Network: A Case Study of an Educational Institute

    Science.gov (United States)

    Sourabh, Nishant; Timbadiya, P. V.

    2018-04-01

    The hydraulic simulation of the existing sewerage network provides various information about critical points to assess the deteriorating condition and help in rehabilitation of existing network and future expansion. In the present study, hydraulic and condition assessment of existing network of educational Institute (i.e. Sardar Vallabhbhai National Institute of Technology-Surat, Gujarat, India), having an area of 100 ha and ground levels in range of 5.0-9.0 m above mean sea level, has been carried out using sewage flow simulation for existing and future scenarios analysis using SewerGEMS v8i. The paper describes the features of 4.79 km long sewerage network of institute followed by network model simulation for aforesaid scenarios and recommendations on improvement of the existing network for future use. The total sewer loads for present and future scenarios are 1.67 million litres per day (MLD) and 3.62 MLD, considering the peak factor of 3 on the basis of population. The hydraulic simulation of the existing scenario indicated depth by diameter (d/D) ratio in the range of 0.02-0.48 and velocity range of 0.08-0.53 m/s for existing network for present scenario. For the future scenario, the existing network is needed to be modified and it was found that total of 11 conduits (length: 464.8 m) should be replaced to the next higher diameter available, i.e., 350 mm for utilization of existing network for future scenario. The present study provides the methodology for condition assessment of existing network and its utilization as per guidelines provided by Central Public Health and Environmental Engineering Organization, 2013. The methodology presented in this paper can be used by municipal/public health engineer for the assessment of existing sewerage network for its serviceability and improvement in future.

  9. Return to Galileo? The Inquisition of the International Narcotic Control Board.

    Science.gov (United States)

    Small, Dan; Drucker, Ernest

    2008-05-07

    Nearly 400 years after Galileo Galilei of Florence was arraigned and convicted of suspected heresy by the ten member Congregation of the Holy Office (Inquisition), the International Narcotic Control Board (INCB) is similarly inserting itself into matters pertaining to innovations in healthcare and the public health response to addiction throughout the world. Like that earlier Inquisition of 1633 that convicted Galileo of heresy for holding that the sun is the centre of the universe with the earth revolving around it (in contradiction to church doctrine of the time) the INCB and its thirteen-member panel, now rails against any evidence out of sync with the established doctrine of the war on drugs--particularly those innovations in public health called harm reduction. The latest healthcare and harm reduction practices to attract the ire of the INCB Inquisition are elements of Canada's most effective and innovative measures to minimize the harms of drugs in Vancouver--supervised injection facilities and, recently, the potential establishment of supervised inhalation rooms--along with the long established practice of providing safer mouthpieces for pulmonary inhalation in British Columbia. This is particularly significant as it comes in the midst of a crucial battle between municipal and provincial authorities in BC with the federal government in Ottawa, which seems determined to undermine all the most effective HR programs that are the result of years of steady local and governmental support in Vancouver and now threatens to derail all these programs and spread doubt about their usefulness despite the overwhelmingly positive findings of serous research.

  10. Return to Galileo? The Inquisition of the International Narcotic Control Board

    Directory of Open Access Journals (Sweden)

    Small Dan

    2008-05-01

    Full Text Available Abstract Nearly 400 years after Galileo Galilei of Florence was arraigned and convicted of suspected heresy by the ten member Congregation of the Holy Office (Inquisition, the International Narcotic Control Board (INCB is similarly inserting itself into matters pertaining to innovations in healthcare and the public health response to addiction throughout the world. Like that earlier Inquisition of 1633 that convicted Galileo of heresy for holding that the sun is the centre of the universe with the earth revolving around it (in contradiction to church doctrine of the time the INCB and its thirteen-member panel, now rails against any evidence out of sync with the established doctrine of the war on drugs – particularly those innovations in public health called harm reduction. The latest healthcare and harm reduction practices to attract the ire of the INCB Inquisition are elements of Canada's most effective and innovative measures to minimize the harms of drugs in Vancouver – supervised injection facilities and, recently, the potential establishment of supervised inhalation rooms – along with the long established practice of providing safer mouthpieces for pulmonary inhalation in British Columbia. This is particularly significant as it comes in the midst of a crucial battle between municipal and provincial authorities in BC with the federal government in Ottawa, which seems determined to undermine all the most effective HR programs that are the result of years of steady local and governmental support in Vancouver and now threatens to derail all these programs and spread doubt about their usefulness despite the overwhelmingly positive findings of serous research.

  11. Assessing the Library Homepages of COPLAC Institutions for Section 508 Accessibility Errors: Who's Accessible, Who's Not, and How the Online WebXACT Assessment Tool Can Help

    Science.gov (United States)

    Huprich, Julia; Green, Ravonne

    2007-01-01

    The Council on Public Liberal Arts Colleges (COPLAC) libraries websites were assessed for Section 508 errors using the online WebXACT tool. Only three of the twenty-one institutions (14%) had zero accessibility errors. Eighty-six percent of the COPLAC institutions had an average of 1.24 errors. Section 508 compliance is required for institutions…

  12. Assessing institutional capacities to adapt to climate change - integrating psychological dimensions in the Adaptive Capacity Wheel

    Science.gov (United States)

    Grothmann, T.; Grecksch, K.; Winges, M.; Siebenhüner, B.

    2013-03-01

    Several case studies show that "soft social factors" (e.g. institutions, perceptions, social capital) strongly affect social capacities to adapt to climate change. Many soft social factors can probably be changed faster than "hard social factors" (e.g. economic and technological development) and are therefore particularly important for building social capacities. However, there are almost no methodologies for the systematic assessment of soft social factors. Gupta et al. (2010) have developed the Adaptive Capacity Wheel (ACW) for assessing the adaptive capacity of institutions. The ACW differentiates 22 criteria to assess six dimensions: variety, learning capacity, room for autonomous change, leadership, availability of resources, fair governance. To include important psychological factors we extended the ACW by two dimensions: "adaptation motivation" refers to actors' motivation to realise, support and/or promote adaptation to climate. "Adaptation belief" refers to actors' perceptions of realisability and effectiveness of adaptation measures. We applied the extended ACW to assess adaptive capacities of four sectors - water management, flood/coastal protection, civil protection and regional planning - in North Western Germany. The assessments of adaptation motivation and belief provided a clear added value. The results also revealed some methodological problems in applying the ACW (e.g. overlap of dimensions), for which we propose methodological solutions.

  13. Institutional analysis for energy policy

    Energy Technology Data Exchange (ETDEWEB)

    Morris, F.A.; Cole, R.J.

    1980-07-01

    This report summarizes principles, techniques, and other information for doing institutional analyses in the area of energy policy. The report was prepared to support DOE's Regional Issues Identification and Assessment (RIIA) program. RIIA identifies environmental, health, safety, socioeconomic, and institutional issues that could accompany hypothetical future scenarios for energy consumption and production on a regional basis. Chapter 1 provides some theoretical grounding in institutional analysis. Chapter 2 provides information on constructing institutional maps of the processes for bringing on line energy technologies and facilities contemplated in RIIA scenarios. Chapter 3 assesses the institutional constraints, opportunities, and impacts that affect whether these technologies and facilities would in fact be developed. Chapters 4 and 5 show how institutional analysis can support use of exercises such as RIIA in planning institutional change and making energy policy choices.

  14. 75 FR 62892 - Massachusetts Institute of Technology Research Reactor Environmental Assessment and Finding of No...

    Science.gov (United States)

    2010-10-13

    ... NUCLEAR REGULATORY COMMISSION [Docket No. 50-020; NRC-2010-0313] Massachusetts Institute of Technology Research Reactor Environmental Assessment and Finding of No Significant Impact Correction In notice document 2010-24809 beginning on page 61220 in the issue of Monday, October 4, 2010, make the...

  15. Tiger Team Assessment of the National Institute for Petroleum and Energy Research

    International Nuclear Information System (INIS)

    1992-05-01

    This report documents the Tiger Team Assessment of the National Institute for Petroleum and Energy Research (NIPER) and the Bartlesville Project Office (BPO) of the Department of Energy (DOE), co-located in Bartlesville, Oklahoma. The assessment investigated the status of the environmental, safety, and health (ES ampersand H) programs of the two organizations. The Tiger Team Assessment was conducted from April 6 to May 1, 1992, under the auspices of DOE's Office of Special Projects (OSP) in the Office of the Assistant Secretary for Environment, Safety and Health (EH). The assessment was comprehensive, encompassing environmental, safety, and health issues; management practices; quality assurance; and NIPER and BPO self-assessments. Compliance with Federal, state, and local regulations; DOE Orders; best management practices; and internal IITRI requirements was assessed. In addition, an evaluation was conducted of the adequacy and effectiveness of BPO and IITRI management of the ES ampersand H and self-assessment processes. The NIPER/BPO Tiger Team Assessment is part of a larger, comprehensive DOE Tiger Team Independent Assessment Program planned for DOE facilities. The objective of the initiative is to provide the Secretary with information on the compliance status of DOE facilities with regard to ES ampersand H requirements, root causes for noncompliance, adequacy of DOE and contractor ES ampersand H management programs, response actions to address the identified problem areas, and DOE-wide ES ampersand H compliance trends and root causes

  16. Direct assessment as a measure of institutional effectiveness in a dental hygiene distance education program.

    Science.gov (United States)

    Olmsted, Jodi L

    2014-10-01

    This ten-year, longitudinal examination of a dental hygiene distance education (DE) program considered student performance on standard benchmark assessments as direct measures of institutional effectiveness. The aim of the study was to determine if students face-to-face in a classroom with an instructor performed differently from their counterparts in a DE program, taking courses through the alternative delivery system of synchronous interactive television (ITV). This study used students' grade point averages and National Board Dental Hygiene Examination scores to assess the impact of ITV on student learning, filling a crucial gap in current evidence. The study's research population consisted of 189 students who graduated from one dental hygiene program between 1997 and 2006. One hundred percent of the institution's data files for these students were used: 117 students were face-to-face with the instructor, and seventy-two received instruction through the ITV system. The results showed that, from a year-by-year perspective, no statistically significant performance differences were apparent between the two student groups when t-tests were used for data analysis. The DE system examined was considered effective for delivering education if similar performance outcomes were the evaluation criteria used for assessment.

  17. Factsheets for the (eco)toxicological risk assessment strategy of the National Institute of Public Health and the Environment (RIVM)

    NARCIS (Netherlands)

    Luttik R; Raaij MTM van; CSR

    2001-01-01

    Eight fact sheets describing risk assessment methods used at the Centre of Substances and Risk assessment (CSR) of the National Institute for Public Health and the Environment (RIVM) are presented here with the main aim of promoting greater transparency in the risk assessment methods used at the

  18. Raising the Institutional Research Profile: Assessing the Context and Expanding the Use of Organizational Frames

    Science.gov (United States)

    Parmley, Kelli A.

    2009-01-01

    Institutional researchers can extend their dexterity in assessing the decision-making process at a university by developing a more robust array of organizational frames. The application of four organizational frames (structural frame, human resource frame, political frame, and symbolic frame) "deepens one's appreciation and understanding of…

  19. On analgesic and narcotic plants: Pliny and his Greek sources, the history of a complex graft.

    Science.gov (United States)

    Bonet, Valérie

    2014-01-01

    Grafting is an important concept in the study of Pliny the Elder, who is a compiler of written sources. We intend to examine how this grafting works in Pliny's discussion of analgesic and narcotic plants, especially the most famous: opium poppy, henbane, mandrake, and hound's berry. We will study Pliny's use of Greek sources and ask how he took up his predecessors' works while integrating the changes that took place during the centuries in the diagnosis and treatment of pain. This cultural graft remains elusive because we do not have access to all of Pliny's Greek sources. When Pliny speaks about these plants, he sometimes copies out information, adding or removing details, and occasionally makes significant mistakes. The graft was particularly difficult in this case because these analgesic plants were considered so special and poisonous that they were sometimes rejected or even condemned. Nevertheless, we can say that this cultural graft succeeded, despite some obstacles, because Pliny assimilated and adapted these old Greek materials to his own time, society, and project.

  20. The concept and tasks of the basic method of investigation of crimes related to illegal trafficking narcotic drugs

    Directory of Open Access Journals (Sweden)

    Chistova L.E.

    2017-04-01

    Full Text Available the article substantiates the need to develop a basic methodology for investigating crimes related to illicit trafficking in narcotic drugs due to the fact that these crimes are inextricably linked, interdependent and can not be carried out separately from each other in principle. The existing separate private methods develop recommendations for the investigation of specific types of crimes, for example, only smuggling of these funds or their sale and they are not connected with each other. In this regard, it is not possible to trace the whole cycle of criminal activity from the introduction of controlled means to illicit trafficking prior to their sale. Therefore, the basic methodology for investigating such crimes will allow us to trace the whole chain of criminal acts and to reveal all the circumstances that affect the full and objective investigation of such crimes.

  1. An assessment of health related quality of life in a male prison population in Greece associations with health related characteristics and characteristics of detention.

    Science.gov (United States)

    Togas, Constantinos; Raikou, Maria; Niakas, Dimitris

    2014-01-01

    Prisoners constitute a group with increased health and social care needs. Although implementing policies that aim at improving outcomes within this population should be a priority area, studies that attempt to assess health outcomes and health related quality of life (HRQoL) in this population are limited. To assess HRQoL in a prison population in Greece and to explore the relationship between HRQoL and a set of individual sociodemographic and health related characteristics and characteristics of detention. A cross-sectional study involving 100 male prisoners was conducted in the prison of Corinth in Greece. HRQoL was assessed through the use of the SF-36 and the EQ-5D. The mean physical and mental summary scores of the SF-36 were 55.33 and 46.82, respectively. The EQ-VAS mean score was 76.41%, while the EQ-5D index was 0.72. Multivariate analysis identified a statistical relationship between HRQoL and the conditions of detention, controlling for the effect of sociodemographic characteristics, morbidity, and mental problems. The use of narcotics in particular is significantly associated with lower HRQoL. Implementation of policies that aim at preventing the use of narcotics within the prison environment is expected to contribute to improved HRQoL in this population.

  2. A model for Southern Mediterranean research institute self-assessment: a SWOT analysis-based approach to promote capacity building at Theodor Bilharz Research Institute in Cairo (Egypt).

    Science.gov (United States)

    Ghinolfi, Davide; El Baz, Hanan G; Borgonovi, Elio; Radwan, Amr; Laurence, Ola; Sayed, Hanan A; De Simone, Paolo; Abdelwadoud, Moaz; Stefani, Alessandro; Botros, Sanaa S; Filipponi, Franco

    2014-01-01

    THEBERA is a project funded by the European Union (EU), as an ERA-WIDE FP7 project, aiming to strengthen the Theodor Bilharz Research Institute (TBRI) capacities. A SWOT (strength/weakness/opportunities/threats) analysis of human, structural and organisational existing resources was performed in light of an extensive analysis of liver disease research and clinical management in Egypt, for a full understanding of TBRI needs. Strength and weakness features were identified and analysed, so were actions to be implemented and targets to be accomplished, to develop a business plan gathering the required critical mass (political, scientific, industrial, social) to select investment priorities, to sacrifice non-strategic areas of research, to promote national and international connections and industrial innovations, to update diagnostics and research device technologies and clinical management processes at European levels, to implement fundraising activities, to organise and properly assess training activities for young researchers, physicians, nurses, and technicians. Research institute self assessment is a priority need for sustainable capacity building and for future build-up of a competent health care research institute. Sustainable capacity building strategies must be designed on needs assessment, involving salient requirements: clear strategy, leverage of administrative capacities, industrial support and connections, systematised training programmes and enhancement of mobility of health care staff implemented within ill-defined boundaries and continuously re-evaluated with multiple feedback loops in order to build a complex, adaptable and reliable system based on value. Copyright © 2014 Arab Journal of Gastroenterology. Published by Elsevier B.V. All rights reserved.

  3. Consumer default risk assessment in a banking institution

    Science.gov (United States)

    Costa e Silva, Eliana; Lopes, Isabel Cristina; Correia, Aldina; Faria, Susana

    2016-12-01

    Credit scoring is an application of financial risk forecasting to consumer lending. In this study, statistical analysis is applied to credit scoring data from a financial institution to evaluate the default risk of consumer loans. The default risk was found to be influenced by the spread, the age of the consumer, the number of credit cards owned by the consumer. A lower spread, a higher number of credit cards and a younger age of the borrower are factors that decrease the risk of default. Clients receiving the salary in the same banking institution of the loan have less chances of default than clients receiving their salary in another institution. We also found that clients in the lowest income tax echelon have more propensity to default.

  4. Environmental management assessment of the National Institute for Petroleum and Energy Research

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1994-08-01

    This report documents the results of the environmental management assessment of the National Institute for Petroleum and Energy Research (NIPER), located in Bartlesville, Oklahoma. The assessment was conducted August 15-26, 1994, by the DOE Office of Environmental Audit (EH-24), located within the Office of Environment, Safety and Health. The assessment included reviews of documents and reports, as well as inspections and observations of selected facilities and operations. Further, the team conducted interviews with management and staff from the Bartlesville Project Office (BPO), the Office of Fossil Energy (FE), the Pittsburgh Energy Technology Center (PETC), state and local regulatory agencies, and BDM Oklahoma (BDM-OK), which is the management and operating (M&O) contractor for NIPER. Because of the transition from a cooperative agreement to an M&O contract in January 1994, the scope of the assessment was to evaluate (1) the effectiveness of BDM-OK management systems being developed and BPO systems in place and under development to address environmental requirements; (2) the status of compliance with DOE Orders, guidance, and directives; and (3) conformance with accepted industry management practices. An environmental management assessment was deemed appropriate at this time in order to identify any systems modifications that would provide enhanced effectiveness of the management systems currently under development.

  5. Personality Patterns in Narcotics Anonymous Members versus Individuals with Addiction Receiving Methadone Maintenance Therapy.

    Science.gov (United States)

    Akhondzadeh, Shahin; Shabrang, Moslem; Rezaei, Omid; Rezaei, Farzin

    2014-07-01

    Therapeutic interventions can be classified into two distinct approaches: abstinent and maintenance method. Currently, there are no clear criteria for referring addicted patients to one of these modalities. We aimed to compare the personality characteristics of individuals with addiction who attended narcotics anonymous sessions with those who received methadone maintenance therapy. This was a cross- sectional study. The participants were NA members and patients who were undergoing methadone maintenance treatment in outpatient clinics. Using the randomized cluster sampling method, 200 individuals with opioid dependence were selected (each group 100 persons). Data were collected through a demographic questionnaire and the five-factor personality inventory (NEO-FFI). Comparison of the mean scores of NEO-PPI in the two groups was performed by independent t test, and qualitative variables were compared using the Chi-square test. We found a significant difference between the MMT and NA groups with respect to neuroticism, extroversion, and agreeableness. No significant difference was found in the subscales of conscientious and openness. People who regularly attended the NA sessions had lower neuroticism and higher agreeableness than patients who were under the maintenance modality. Whether this is the cause or effect of attending NA sessions requires future large-scale cohort studies.

  6. Personality Patterns in Narcotics Anonymous Members versus Individuals with Addiction Receiving Methadone Maintenance Therapy.

    Directory of Open Access Journals (Sweden)

    Shahin Akhondzadeh

    2014-09-01

    Full Text Available Therapeutic interventions can be classified into two distinct approaches: abstinent and maintenance method. Currently, there are no clear criteria for referring addicted patients to one of these modalities. We aimed to compare the personality characteristics of individuals with addiction who attended narcotics anonymous sessions with those who received methadone maintenance therapy.This was a cross- sectional study. The participants were NA members and patients who were undergoing methadone maintenance treatment in outpatient clinics. Using the randomized cluster sampling method, 200 individuals with opioid dependence were selected (each group 100 persons. Data were collected through a demographic questionnaire and the five-factor personality inventory (NEO-FFI. Comparison of the mean scores of NEO-PPI in the two groups was performed by independent t test, and qualitative variables were compared using the Chi-square test.We found a significant difference between the MMT and NA groups with respect to neuroticism, extroversion, and agreeableness. No significant difference was found in the subscales of conscientious and openness.People who regularly attended the NA sessions had lower neuroticism and higher agreeableness than patients who were under the maintenance modality. Whether this is the cause or effect of attending NA sessions requires future large-scale cohort studies.

  7. Impact of a Cross-Institutional Assessment Designed to Shape Future IT Professionals

    Directory of Open Access Journals (Sweden)

    Grace Tan

    2015-06-01

    Full Text Available IT graduates need a suite of technical competencies and soft skills married with an understanding of the social and business contexts of the systems that they build. To instill in students an awareness of current IT industry practice coupled with the broader impact of their discipline in society, academics from Victoria University and Federation University initiated an across-institutional collaboration. The initiative resulted in a common formative assessment task undertaken by teams of students enrolled in each institution’s professional development units. An initial survey of students was undertaken prior to the assessment task. The survey queried students’ perceptions of a broad range of professional attitudes and skill sets needed by IT professionals when compared to non-skilled workers. Upon the completion of the assessment task, students were surveyed again as to their perceptions of the importance of personal skills, technical competencies, professional and team working skills, workplace knowledge, and cultural awareness for their future professional lives. Comparisons of both surveys’ results revealed that the cohort had a greater appreciation of technical abilities and team-working skills post the assessment task.

  8. Small Modular Reactors: Institutional Assessment

    Energy Technology Data Exchange (ETDEWEB)

    Joseph Perkowski, Ph.D.

    2012-06-01

    ? Objectives include, among others, a description of the basic development status of “small modular reactors” (SMRs) focused primarily on domestic activity; investigation of the domestic market appeal of modular reactors from the viewpoints of both key energy sector customers and also key stakeholders in the financial community; and consideration of how to proceed further with a pro-active "core group" of stakeholders substantially interested in modular nuclear deployment in order to provide the basis to expedite design/construction activity and regulatory approval. ? Information gathering was via available resources, both published and personal communications with key individual stakeholders; published information is limited to that already in public domain (no confidentiality); viewpoints from interviews are incorporated within. Discussions at both government-hosted and private-hosted SMR meetings are reflected herein. INL itself maintains a neutral view on all issues described. Note: as per prior discussion between INL and CAP, individual and highly knowledgeable senior-level stakeholders provided the bulk of insights herein, and the results of those interviews are the main source of the observations of this report. ? Attachment A is the list of individual stakeholders consulted to date, including some who provided significant earlier assessments of SMR institutional feasibility. ? Attachments B, C, and D are included to provide substantial context on the international status of SMR development; they are not intended to be comprehensive and are individualized due to the separate nature of the source materials. Attachment E is a summary of the DOE requirements for winning teams regarding the current SMR solicitation. Attachment F deserves separate consideration due to the relative maturity of the SMART SMR program underway in Korea. Attachment G provides illustrative SMR design features and is intended for background. Attachment H is included for overview

  9. What Is Marihuana?

    Science.gov (United States)

    Todays Educ, 1969

    1969-01-01

    Part of "Students and Drug Abuse, prepared by the Public Information Branch and Center for Studies of Narcotic and Drug Abuse, National Institute of Mental Health, in cooperation with the staff of Today's Education.

  10. 31 CFR 536.409 - Credit extended and cards issued by U.S. financial institutions.

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Credit extended and cards issued by U... NARCOTICS TRAFFICKING SANCTIONS REGULATIONS Interpretations § 536.409 Credit extended and cards issued by U... any existing credit agreements, including, but not limited to, charge cards, debit cards, or other...

  11. 31 CFR 598.409 - Credit extended and cards issued by U.S. financial institutions.

    Science.gov (United States)

    2010-07-01

    ... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Credit extended and cards issued by U... NARCOTICS KINGPIN SANCTIONS REGULATIONS Interpretations § 598.409 Credit extended and cards issued by U.S... existing credit agreements, including, but not limited to, charge cards, debit cards, or other credit...

  12. A Short Assessment of Select Remediation Issues at the Russian Research Center-Kurchatov Institute, Moscow, Russia

    International Nuclear Information System (INIS)

    Gephart, Roy E.

    2007-01-01

    At the invitation of the National Academies, Roy Gephart traveled to Russia with an eight-member U.S. team during June, 2008 to participate in a workshop hosted by the National Academies and the Russian Academy of Sciences on radiation contamination and remediation issues in the former Soviet Union. Cleanup problems were assessed by the American participants for six Russian sites: Kurchatov Institute, Lakes 10 and 11 at Mayak, Andreev Bay, Krasnokamensk Mining Enterprise (Siberia), Almaz Mining Enterprise (North Caucasus), and one site for testing peaceful nuclear explosions. Roy lead the Russian Research Center-Kurchatov Institute review session and wrote an assessment of key cleanup issues. Kurchatov is the leading institute in the Former Soviet Union devoted to military and civilian nuclear programs. Founded in 1943 in the outskirts of Moscow, this 100 hectare site of nearly undeveloped, prime real estate is now surrounded by densely populated urban and business districts. Today there are growing concerns over the public safety and environmental security of the site resulting from increasingly obsolete nuclear facilities and a legacy of inadequate waste management practices that resulted in contaminant releases and challenging remediation problems. In addition, there is growing concern over the presence of nuclear facilities within urban areas creating potential targets for terrorist attacks.

  13. Assessment of the quality of service provided by a national regulatory institution

    Directory of Open Access Journals (Sweden)

    Adetunji, O.

    2013-05-01

    Full Text Available Government institutions need to assess how well they meet the needs of their customers, and what their customers think about the quality of the services they provide. This is aligned with the Batho Pele principle of the South African government. The SERVQUAL scale, augmented with a qualitative survey, was used to determine how the National Home Builders Registration Council (NHBRC is perceived by its clients, which key factors drive such perceptions, and whether the perceptions are consistent across the different client groups of this regulatory institution. The complementary role of qualitative data in illuminating issues driving quantitative results is highlighted. Service quality scores are computed for the NHBRC. The convergence of opinions of different customer groups was studied using correlation analysis. The significance of service quality perception gaps was tested using the multivariate analysis of variance, and the reliability of the SERVQUAL scale was examined using exploratory factor analysis. It was observed that by improving the feedback mechanism of the NHBRC, their clients customer service quality perceptions could be enhanced.

  14. A comparison of intraoperative morphine sulfate and methadone hydrochloride on postoperative visual analogue scale pain scores and narcotic requirements.

    Science.gov (United States)

    Laur, D F; Sinkovich, J; Betley, K

    1995-02-01

    Morphine sulfate and methadone hydrochloride exhibit very different half-lives but are described as having an analgesic potency of one. The use of a drug like methadone may provide prolonged and constant analgesia in the perioperative setting. This double-blinded investigation used methadone and morphine intraoperatively and measured pain scores and narcotic requirements in the first 24 hours postoperatively. Thirty American Society of Anesthesiology (ASA) patients, physical status I through III, between the ages of 18 to 65 years were scheduled for orthopedic surgery and randomly assigned to receive morphine or methadone at 0.30 mg/kg. Fifteen patients received morphine and fifteen patients received methadone. There was no significant difference between the two groups in terms of age, height, weight, and ASA status. No statistically significant difference was observed among the two groups between the amount of analgesic requirements postoperatively or in the visual analogue scale pain score.

  15. China's policies on greening financial institutions: assessment and outlook

    NARCIS (Netherlands)

    Mol, A.P.J.

    2017-01-01

    Environmental protection and sustainability have a complex relationship with finances and financial institutions. Financial institutions such as banks, pension funds and insurance companies, are increasingly seen as of vital importance for reaching environmental and sustainability goals. Initially,

  16. DRUGS – “WAY” OF LIFE

    Directory of Open Access Journals (Sweden)

    Anna Nowacka

    2010-12-01

    Full Text Available This article refers to the phenomenon of an increasing number of people abusing drugs in the 20th century. In addition to the natural types of narcotics there are many other semi-synthetic and fully synthetic substances made available to the market by chemical and pharmaceutical industries. The use of narcotics and psychoactive substances usually causes adverse and often irreversible health effects. In Department of Laboratory Diagnostics of the Institute of Occupational Medicine and Environmental Health in Sosnowiec tests for presence of drugs are among routinely conducted analyses. The presence of drugs has been revealed in 898 cases between the years 2004 and 2008. On top of the list of the most frequently detected narcotics were: amphetamine, cannabis, opiates, methamphetamine and cocaine. At the same time the most popular psychoactive substances are atropine, scopolamine and psilocybin. Additionally, the laboratory analyses indicated in many cases the presence of derivatives of benzodiazepines, trycyclic antidepressants and alcohol. Regional Centre of Acute Intoxication in Sosnowiec, Poland, hospitalized 78 patients due to overdose of drugs, narcotics or psychoactive substances as a result of experimenting with such substances. Half of the hospitalized cases patients have tried to commit suicide; one of the attempts has led to death. According to patients’ history their problems with reaching out for the use of psychoactive substances and narcotics were mainly caused by socio-psychological disorders.

  17. Cracking the Code: Assessing Institutional Compliance with the Australian Code for the Responsible Conduct of Research

    Science.gov (United States)

    Morris, Suzanne E.

    2010-01-01

    This paper provides a review of institutional authorship policies as required by the "Australian Code for the Responsible Conduct of Research" (the "Code") (National Health and Medical Research Council (NHMRC), the Australian Research Council (ARC) & Universities Australia (UA) 2007), and assesses them for Code compliance.…

  18. Organizational Cultural Assessment of the Solar Energy Research Institute

    Energy Technology Data Exchange (ETDEWEB)

    None

    1991-06-01

    An Organizational Cultural Assessment (OCA) was performed at the Solar Energy Research Institute (SERI) by administering an Organizational Culture Survey (OCS) that queried employees on the subjects of organizational culture, various aspects of communications, employee commitment, work group cohesion, coordination of work, environmental concerns, hazardous nature of work, safety and overall job satisfaction. The purpose of the OCS is to measure in a quantitative and objective way the notion of culture;'' that is, the values, attitudes, and beliefs of the individuals working within the organization. In addition, through the OCS, a broad simple of individuals can be reached that would probably not be interviewed or observed during the course of a typical assessment. The OCS also provides a descriptive profile of the organization at one point in time that can then be compared to a profile taken at a different point in time to assess changes in the culture of the organization. All data from the OCS is presented in group summaries, by division, supervisory level, and staff classification. Statistically significant differences between groups are identified and discussed. The most notable finding which emerges from the OCA conducted at SERI is that it is a very homogeneous organization as indicated by the few statistically significant differences found between divisions/offices, staff classifications, and supervisory levels. The results also indicate SERI to be an organization which places a large amount of emphasis on those behaviors which are considered constructive'' (i.e., Humanistic-Encouraging, Affiliative, Achievement, Self-Actualizing) and, although to a lesser extent, on those behaviors which could be regarded as passive/defensive'' (i.e., Approval, Conventional, Dependent, Avoidance). 9 refs., 11 figs., 6 tabs.

  19. Assessing Victory: How to Identify the Correct Measures of Success in Counterinsurgency Warfare - The Case of the FARC in Colombia

    Science.gov (United States)

    2013-09-01

    morphine addiction, while Europeans valued its hunger- and fatigue suppressing qualities. Famously, the original recipe for Coca - Cola included coca ...resulted in the 1914 Harrison Narcotics Tax Act, which outlawed cocaine, as well as narcotics, such as opium. Coca - Cola had already changed its formula... coca cultivators who receive protection, as well as coerced support from civilians who may prefer the Colombian Government to the insurgents, but

  20. An Assessment of Health Related Quality of Life in a Male Prison Population in Greece Associations with Health Related Characteristics and Characteristics of Detention

    Directory of Open Access Journals (Sweden)

    Constantinos Togas

    2014-01-01

    Full Text Available Background. Prisoners constitute a group with increased health and social care needs. Although implementing policies that aim at improving outcomes within this population should be a priority area, studies that attempt to assess health outcomes and health related quality of life (HRQoL in this population are limited. Aim. To assess HRQoL in a prison population in Greece and to explore the relationship between HRQoL and a set of individual sociodemographic and health related characteristics and characteristics of detention. Methods. A cross-sectional study involving 100 male prisoners was conducted in the prison of Corinth in Greece. HRQoL was assessed through the use of the SF-36 and the EQ-5D. Results. The mean physical and mental summary scores of the SF-36 were 55.33 and 46.82, respectively. The EQ-VAS mean score was 76.41%, while the EQ-5D index was 0.72. Multivariate analysis identified a statistical relationship between HRQoL and the conditions of detention, controlling for the effect of sociodemographic characteristics, morbidity, and mental problems. The use of narcotics in particular is significantly associated with lower HRQoL. Conclusions. Implementation of policies that aim at preventing the use of narcotics within the prison environment is expected to contribute to improved HRQoL in this population.

  1. Assessment of Malaysia Institutional radioactive waste management

    International Nuclear Information System (INIS)

    Syed Hakimi Sakuma; Nik Marzukee; Ibrahim Martibi

    1996-01-01

    A complete inventory of radioactive wastes from different source bas been set up in Malaysia. Wastes from external agencies were sent to the National Radioactive Waste Management Center at MINT for final disposal. MINT has been collecting information on the accumulated wastes received since 1982. Assessment of radioactive waste management in Malaysia has been conducted based on the inventory record. The information in the inventory include description of users, type volume, characteristics of the wastes; and the current and accumulated activities of the radioisotopes in the wastes forms while storing. The records indicate that there is a significant increase in the volume of wastes from medical and industrial applications. The category of users varies; there are about 270 industrial users, about 60 in medical fields and 13 in research institutes and universities. Major users generating sealed source wastes for the industrial sector are services, manufacturing and consumer companies; including government department and universities. It is estimated that by the year 2005, approximately a total accumulated processed waste package volume for disposal will be between 210-215 m sup 3. This estimate includes low level and intermediate level wastes. From this study, future waste management activities in Malaysia can be planned with proper policy decision, treatment conditioning, storage and disposal facilities. This will enable radioactive wastes to be kept under control and their potential impact on man and the environment to be minimal

  2. Specifics of Chemical Toxilogical Analyses in the Russian Federation for the Purpose of Identification of Narcotics in Biological Matters

    Energy Technology Data Exchange (ETDEWEB)

    Coates, Cameron W [ORNL; Eisele, Gerhard R [ORNL

    2011-01-01

    The Russian Federation (RF) is committed to implementing a comprehensive drug testing program under its Personnel Reliability Program (PRP) for military personnel involved in handling sensitive nuclear materials. This commitment leads to a number of mandatory requirements for the laboratory conducting the confirmation testing to ensure the legitimacy and integrity of the testing process. These requirements are established by the RF Duma to ensure that individuals conducting these tests have adequate training, certifications, and experience to conduct narcotic confirmation tests. This paper describes the facility requirements and personnel qualifications needed for conducting comprehensive drug abuse confirmation testing. Details regarding the personnel training and laboratory experience in the theory and practice of analytical forensic toxicology of drugs of abuse will be presented, as well as the facility requirements for the laboratory conducting such tests. Chain-of-custody, from sample receipt through completion of testing, reporting of results, and continuing until final disposition of specimens will be addressed.

  3. Horticultural auctions in The Netherlands: A transition from 'price discovery' institution to 'marketing' institution

    NARCIS (Netherlands)

    Meulenberg, M.T.G.

    1989-01-01

    This paper depicts the evolution of Dutch auctions during the past hundred years from a "price discovery" institution to a "marketing" institution, focusing on price discovery. A conceptual framework is proposed to assess the suitablility of marketing management by agricultural marketing

  4. Factsheets for the (eco)toxicological risk assessment strategy of the National Institute for Public Health and the Environment, Part VI

    NARCIS (Netherlands)

    Janssen PJCM; Burg W ter; Pelgrom SMGJ; Fleuren R; SIR; SEC

    2007-01-01

    This report contains four factsheets describing risk assessment methods used at the Centre for Substances and Integral Risk Assessment (SIR) and the Expert Centre for Substances (SEC) of the National Institute for Public Health and the Environment (RIVM). The first three factsheets concern human

  5. Factors Influencing Attendance and Success on the Institute of Environmental Management and Assessment Associate Membership Certificate Course

    Science.gov (United States)

    Draper, Fiona; Oltean-Dumbrava, Crina; Tizaoui, Chedly; Newbury, Brian

    2011-01-01

    The Institute of Environmental Management and Assessment (IEMA) Associate Certificate in Environmental Management course is designed to raise the professional competence of aspiring and existing environmental practitioners. Successful completion entitles the individual to become an associate IEMA member. A dedicated evaluation model was developed…

  6. Citations to papers from Brazilian institutions: a more effective indicator to assess productivity and the impact of research in graduate programs

    Directory of Open Access Journals (Sweden)

    R. Meneghini

    2011-08-01

    Full Text Available A recent assessment of 4400 postgraduate courses in Brazil by CAPES (a federal government agency dedicated to the improvement of the quality of and research at the postgraduate level stimulated a large amount of manifestations in the press, scientific journals and scientific congresses. This gigantic effort to classify 16,400 scientific journals in order to provide indicators for assessment proved to be puzzling and methodologically erroneous in terms of gauging the institutions from a metric point of view. A simple algorithm is proposed here to weigh the scientometric indicators that should be considered in the assessment of a scientific institution. I conclude here that the simple gauge of the total number of citations accounts for both the productivity of scientists and the impact of articles. The effort spent in this exercise is relatively small, and the sources of information are fully accessible. As an exercise to estimate the value of the methodology, 12 institutions of physics (10 from Brazil, one from the USA and one from Italy have been evaluated.

  7. Measuring research impact in medical research institutes: a qualitative study of the attitudes and opinions of Australian medical research institutes towards research impact assessment frameworks.

    Science.gov (United States)

    Deeming, Simon; Reeves, Penny; Ramanathan, Shanthi; Attia, John; Nilsson, Michael; Searles, Andrew

    2018-03-16

    The question of how to measure, assess and optimise the returns from investment in health and medical research (HMR) is a highly policy-relevant issue. Research Impact Assessment Frameworks (RIAFs) provide a conceptual measurement framework to assess the impact from HMR. The aims of this study were (1) to elicit the views of Medical Research Institutes (MRIs) regarding objectives, definitions, methods, barriers, potential scope and attitudes towards RIAFs, and (2) to investigate whether an assessment framework should represent a retrospective reflection of research impact or a prospective approach integrated into the research process. The wider objective was to inform the development of a draft RIAF for Australia's MRIs. Purposive sampling to derive a heterogeneous sample of Australian MRIs was used alongside semi-structured interviews with senior executives responsible for research translation or senior researchers affected by research impact initiatives. Thematic analysis of the interview transcriptions using the framework approach was then performed. Interviews were conducted with senior representatives from 15 MRIs. Participants understood the need for greater research translation/impact, but varied in their comprehension and implementation of RIAFs. Common concerns included the time lag to the generation of societal impacts from basic or discovery science, and whether impact reflected a narrow commercialisation agenda. Broad support emerged for the use of metrics, case study and economic methods. Support was also provided for the rationale of both standardised and customised metrics. Engendering cultural change in the approach to research translation was acknowledged as both a barrier to greater impact and a critical objective for the assessment process. Participants perceived that the existing research environment incentivised the generation of academic publications and track records, and often conflicted with the generation of wider impacts. The potential to

  8. The impact of green stormwater infrastructure installation on surrounding health and safety.

    Science.gov (United States)

    Kondo, Michelle C; Low, Sarah C; Henning, Jason; Branas, Charles C

    2015-03-01

    We investigated the health and safety effects of urban green stormwater infrastructure (GSI) installments. We conducted a difference-in-differences analysis of the effects of GSI installments on health (e.g., blood pressure, cholesterol and stress levels) and safety (e.g., felonies, nuisance and property crimes, narcotics crimes) outcomes from 2000 to 2012 in Philadelphia, Pennsylvania. We used mixed-effects regression models to compare differences in pre- and posttreatment measures of outcomes for treatment sites (n=52) and randomly chosen, matched control sites (n=186) within multiple geographic extents surrounding GSI sites. Regression-adjusted models showed consistent and statistically significant reductions in narcotics possession (18%-27% less) within 16th-mile, quarter-mile, half-mile (P<.001), and eighth-mile (P<.01) distances from treatment sites and at the census tract level (P<.01). Narcotics manufacture and burglaries were also significantly reduced at multiple scales. Nonsignificant reductions in homicides, assaults, thefts, public drunkenness, and narcotics sales were associated with GSI installation in at least 1 geographic extent. Health and safety considerations should be included in future assessments of GSI programs. Subsequent studies should assess mechanisms of this association.

  9. From local development policies to strategic planning-Assessing continuity in institutional coalitions.

    Science.gov (United States)

    Mazzeo Rinaldi, Francesco

    2016-06-01

    In the last two decades, EU policies have had a fundamental role in orienting regional/local development. The objective of this work is set in this context as it intends to analyze the local development programs activated in Sicily in the last three programming periods. The main aim is to explore whether the EU partnership principle influenced cooperation among local actors, assessing the continuity of local institutional coalition in managing different local development programs within the regional development policy system. We focus, in particular, on Strategic Plans (SP) promoted in Sicily in the transition phase between the 2000-2006 and the 2007-2013 periods. Copyright © 2016 Elsevier Ltd. All rights reserved.

  10. 76 FR 39318 - Controlled Substances and List I Chemical Registration and Reregistration Fees

    Science.gov (United States)

    2011-07-06

    ... the Drug Addiction Treatment Act, permitting qualified physicians to treat narcotic dependence with... Future National Results on Adolescent Drug Use: Overview of Key Findings, 2010,'' Institute for Social... (SAMHSA) on emergency room visits. According to their latest data, ``Drug Abuse Warning Network (DAWN...

  11. INL Sitewide Institutional Controls Annual Report FY2006

    Energy Technology Data Exchange (ETDEWEB)

    W. L. Jolley

    2006-08-01

    This document reports the results of the fiscal year 2006 institutional controls assessment at Comprehensive Environmental Response, Compensation, and Liability Act sites at the Idaho National Laboratory. These activities are described in the INEEL Sitewide Institutional Control Plan. Inspections were performed by Long-term Stewardship Program personnel with representatives of the various facilities. The assessments showed that the various institutional control measures in place across the Idaho National Laboratory Site are functioning as intended. Information in the Idaho National Engineering and Environmental Laboratory Comprehensive Facilities and Land Use Plan was reviewed as part of the annual assessment and was revised as needed to reflect the current status of the institutional control sites.

  12. Social justice in education: how the function of selection in educational institutions predicts support for (non)egalitarian assessment practices.

    Science.gov (United States)

    Autin, Frédérique; Batruch, Anatolia; Butera, Fabrizio

    2015-01-01

    Educational institutions are considered a keystone for the establishment of a meritocratic society. They supposedly serve two functions: an educational function that promotes learning for all, and a selection function that sorts individuals into different programs, and ultimately social positions, based on individual merit. We study how the function of selection relates to support for assessment practices known to harm vs. benefit lower status students, through the perceived justice principles underlying these practices. We study two assessment practices: normative assessment-focused on ranking and social comparison, known to hinder the success of lower status students-and formative assessment-focused on learning and improvement, known to benefit lower status students. Normative assessment is usually perceived as relying on an equity principle, with rewards being allocated based on merit and should thus appear as positively associated with the function of selection. Formative assessment is usually perceived as relying on corrective justice that aims to ensure equality of outcomes by considering students' needs, which makes it less suitable for the function of selection. A questionnaire measuring these constructs was administered to university students. Results showed that believing that education is intended to select the best students positively predicts support for normative assessment, through increased perception of its reliance on equity, and negatively predicts support for formative assessment, through reduced perception of its ability to establish corrective justice. This study suggests that the belief in the function of selection as inherent to educational institutions can contribute to the reproduction of social inequalities by preventing change from assessment practices known to disadvantage lower-status student, namely normative assessment, to more favorable practices, namely formative assessment, and by promoting matching beliefs in justice principles.

  13. Multi-Institutional Validation of an OSATS for the Assessment of Cystoscopic and Ureteroscopic Skills.

    Science.gov (United States)

    Argun, Omer Burak; Chrouser, Kristin; Chauhan, Sanket; Monga, Manoj; Knudsen, Bodo; Box, Geoffrey N; Lee, David I; Gettman, Matthew T; Poniatowski, Lauren H; Wang, Qi; Reihsen, Troy E; Sweet, Robert M

    2015-10-01

    We evaluated the internal and construct validity of an assessment tool for cystoscopic and ureteroscopic cognitive and psychomotor skills at a multi-institutional level. Subjects included a total of 30 urology residents at Ohio State University, Columbus, Ohio; Penn Presbyterian Medical Center, Philadelphia, Pennsylvania; and Mayo Clinic, Rochester, Minnesota. A single external blinded reviewer evaluated cognitive and psychomotor skills associated with cystoscopic and ureteroscopic surgery using high fidelity bench models. Exercises included navigation, basketing and relocation; holmium laser lithotripsy; and cystoscope assembly. Each resident received a total cognitive score, checklist score and global psychomotor skills score. Construct validity was assessed by calculating correlations between training year and performance scores (both cognitive and psychomotor). Internal validity was confirmed by calculating correlations between test components. The median total cognitive score was 91 (IQR 86.25, 97). For psychomotor performance residents had a median total checklist score of 7 (IQR 5, 8) and a median global psychomotor skills score of 21 (IQR 18, 24.5). Construct validity was supported by the positive and statistically significant correlations between training year and total cognitive score (r = 0.66, 95% CI 0.39-0.82, p = 0.01), checklist scores (r = 0.66, 95% CI 0.35-0.84, p = 0.32) and global psychomotor skills score (r = 0.76, 95% CI 0.55-0.88, p = 0.002). The internal validity of OSATS was supported since total cognitive and checklist scores correlated with the global psychomotor skills score. In this multi-institutional study we successfully demonstrated the construct and internal validity of an objective assessment of cystoscopic and ureteroscopic cognitive and technical skills, including laser lithotripsy. Copyright © 2015 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  14. Multi-Institutional Sharing of Electronic Health Record Data to Assess Childhood Obesity.

    Directory of Open Access Journals (Sweden)

    L Charles Bailey

    Full Text Available To evaluate the validity of multi-institutional electronic health record (EHR data sharing for surveillance and study of childhood obesity.We conducted a non-concurrent cohort study of 528,340 children with outpatient visits to six pediatric academic medical centers during 2007-08, with sufficient data in the EHR for body mass index (BMI assessment. EHR data were compared with data from the 2007-08 National Health and Nutrition Examination Survey (NHANES.Among children 2-17 years, BMI was evaluable for 1,398,655 visits (56%. The EHR dataset contained over 6,000 BMI measurements per month of age up to 16 years, yielding precise estimates of BMI. In the EHR dataset, 18% of children were obese versus 18% in NHANES, while 35% were obese or overweight versus 34% in NHANES. BMI for an individual was highly reliable over time (intraclass correlation coefficient 0.90 for obese children and 0.97 for all children. Only 14% of visits with measured obesity (BMI ≥95% had a diagnosis of obesity recorded, and only 20% of children with measured obesity had the diagnosis documented during the study period. Obese children had higher primary care (4.8 versus 4.0 visits, p<0.001 and specialty care (3.7 versus 2.7 visits, p<0.001 utilization than non-obese counterparts, and higher prevalence of diverse co-morbidities. The cohort size in the EHR dataset permitted detection of associations with rare diagnoses. Data sharing did not require investment of extensive institutional resources, yet yielded high data quality.Multi-institutional EHR data sharing is a promising, feasible, and valid approach for population health surveillance. It provides a valuable complement to more resource-intensive national surveys, particularly for iterative surveillance and quality improvement. Low rates of obesity diagnosis present a significant obstacle to surveillance and quality improvement for care of children with obesity.

  15. Pain Relievers: MedlinePlus Health Topic

    Science.gov (United States)

    ... Health) ClinicalTrials.gov: Narcotics (National Institutes of Health) Journal Articles References and abstracts from MEDLINE/PubMed (National ... Concentration Before Giving Acetaminophen to Infants (Food and Drug Administration) ... Related Health Topics Chronic Pain Medicines Opioid Abuse and Addiction Over-the-Counter Medicines Pain Other ...

  16. Financial Support for Institutional Research, 1969-70.

    Science.gov (United States)

    Pieper, W. C., Jr.

    The Association for Institutional Research conducted a survey of all institutions of higher education in the U.S. and Canada in order to assess the number, size, and financial support of institutional research offices. Data were requested for the 1969-70 academic year. This report is based on the responses of 1,444 institutions that returned the…

  17. Does advanced cryotherapy reduce pain and narcotic consumption after knee arthroplasty?

    Science.gov (United States)

    Thienpont, Emmanuel

    2014-11-01

    Cryotherapy has been used to enhance recovery after orthopaedic surgery. Several cooling devices are available but few can guarantee a fixed temperature during a prolonged time and therefore have been criticized. The arrival of new advanced cryotherapy devices made it possible to test the effect of prolonged cooling on rehabilitation after joint replacement. The hypotheses of this randomized controlled trial (RCT) were that advanced cryotherapy devices compared with cold packs result in (1) better postoperative pain control resulting in a lower consumption of narcotics; (2) better early ROM; and (3) less postoperative bleeding and swelling. A priori sample size calculation had determined that to detect a difference of 2 points on the VAS, a sample size of 50 subjects per group at followup would be required, given a study power of 80%. One hundred sixteen patients were included and randomly allocated to receive advanced cryotherapy (n=58) or use of cold packs (n=58). The primary outcomes for the study were to evaluate pain with the VAS and analgesics consumption. Secondary outcomes were postoperative ROM, swelling, and blood loss. One hundred (50 in each group) patients had complete data available for analysis. No statistically significant differences in VAS, need for analgesics, nor in secondary outcomes were observed, except for substantially reduced flexion at 6 weeks in the advanced cryotherapy group (114° versus 120°). Advanced cryotherapy with a continuous temperature for a prolonged period does not deliver expected results of superior early recovery after knee arthroplasty. Greater sample sizes are required to fully determine significant differences between the two techniques for these study parameters. Immobilization of the knee in extension during the prolonged cryotherapy session resulted in lower active flexion at 6 weeks after surgery for the advanced cryotherapy group. Advanced cryotherapy should not be used in fast track knee arthroplasty if the

  18. The efficacy of a lidocaine-infused pain pump for postoperative analgesia following elective augmentation mammaplasty or abdominoplasty.

    Science.gov (United States)

    Chavez-Abraham, Victor; Barr, Jason S; Zwiebel, Paul C

    2011-08-01

    Postoperative pain management following aesthetic plastic surgery traditionally has been achieved by systemic administration of several narcotic pain medications. Because this method can lead to undesirable side effects such as sedation, nausea, vomiting, and respiratory depression, a more efficacious method of postoperative analgesia with fewer side effects needs to be implemented in outpatient cosmetic surgery. From March of 2003 until December of 2008, 690 patients underwent augmentation mammaplasty and 215 patients underwent abdominoplasty. All of these patients were equipped with an elastomeric continuous infusion pump postoperatively and were prescribed oral narcotics. Prior to 2003, patients were prescribed only oral narcotics postoperatively. A retrospective chart review of patients before and after implementation of the pain pump was undertaken to review the perceived pain patients experienced postoperatively with and without the pump. The self-administration of oral narcotics was also assessed. Patients equipped with the pain pump experienced a statistically significant decrease in perceived pain compared to those without the pump (augmentation mammaplasty: 2.27 vs. 3.68, p use of the oral narcotic Vicodin™ at 72 h postoperatively (5 mg hydrocodone/500 mg acetaminophen, Abbott Laboratories, Abbott Park, IL) (augmentation mammaplasty: 26.5 mg/2650 mg vs. 49 mg/4900 mg, p reduce both the amount of pain patients experience and the quantity of narcotics used postoperatively.

  19. An Assessment of Institutional Capacity for Integrated Landscape Management in Eastern Cameroon.

    Science.gov (United States)

    Brown, H Carolyn Peach

    2018-07-01

    Landscape approaches have become prominent in efforts to address issues of conservation and development through bringing together different actors and sectors, to reconcile diverse land uses, and promote synergies. Some have suggested that integrated landscape management approaches are consistent with the goals of REDD+ and offer a strategy to address multiple goals of climate change mitigation, biodiversity conservation, maintenance of ecosystem services, and socio-economic development. Institutional or governance arrangements have been shown to be a critical component in influencing outcomes in landscapes. Using diverse methodologies, this study investigated the capacity of institutions to support the planning, implementation, and resource mobilization needed to integrate climate change mitigation, conservation, and livelihood goals in a forest mosaic landscape in East Cameroon. Results showed that diverse institutions are present in the landscape, including institutions of relevant government agencies, local government, local non-government, the private sector, and hybrid institutions of conservation, development and research institutions. However, the overall institutional capacity for integrated landscape planning and management in the study area is limited, although some institutions exhibit increased capacity in some areas over others. Multiple strategies can be employed to build the necessary human, financial, and leadership capacity, and facilitate the institutional planning and coordination that is foundational to multi-stakeholder landscape governance. Given the complexity of integrating climate change mitigation, conservation and livelihood goals in a landscape, building such institutional capacity is a long term endeavour that requires sustained effort and ongoing financial, technical and human resource support.

  20. Threat Assessment and Targeted Violence at Institutions of Higher Education: Implications for Policy and Practice Including Unique Considerations for Community Colleges

    Science.gov (United States)

    Bennett, Laura; Bates, Michael

    2015-01-01

    This article provides an overview of the research on targeted violence, including campus violence, and the implications for policy and practice at institutions of higher education. Unique challenges of threat assessment in the community college setting are explored, and an overview of an effective threat assessment policy and team at William…

  1. The Federal Health Office in 1990. An information brochure

    International Nuclear Information System (INIS)

    1991-01-01

    The Federal Health Office is the central research institution in the Federal Republic of Germany in the public health sector. Its task is to recognize and assess health hazards, contain such hazards within the framework of its legal competencies, and to provide scientific advice also on such health hazards as arise from the environment. The FHO's research activities are in the fields of health protection and consumer health protection, environmental hygiene, drug safety, and preventive medicine. - Executive tasks have been conferred on the Federal Health Office under the law on drugs and narcotic drugs, epidemics, particides and the use of chemicals, and genetic engineering. (orig./UT) [de

  2. Advanced Product Development for Combat Casualty Care at the U.S. Army Institute of Surgical Research

    Science.gov (United States)

    2010-04-01

    soldiers (22). These results were in contrast to concerns that ketamine, a psychoactive drug , would increase PTSD development. Later work showed that...problem. As the most important step to this process, research products, devices, drugs , techniques and practice guidelines are fielded to implement...Anesthesia (URODA) in decreasing narcotic consumption and opioid dependence in burned soldiers. Within our burn center, increased and improved

  3. Sustainability in Canadian Post-Secondary Institutions: The Interrelationships among Sustainability Initiatives and Geographic and Institutional Characteristics

    Science.gov (United States)

    Beveridge, Dan; McKenzie, Marcia; Vaughter, Philip; Wright, Tarah

    2015-01-01

    Purpose: This paper aims to report on a census of high-level sustainability initiatives at all accredited post-secondary institutions in Canada by documenting the institutions that have undertaken sustainability assessments, have signed one or more sustainability declarations, have sustainability offices or officers or have sustainability…

  4. Mind the gap in SEA: An institutional perspective on why assessment of synergies amongst climate change mitigation, adaptation and other policy areas are missing

    International Nuclear Information System (INIS)

    Vammen Larsen, Sanne; Kørnøv, Lone; Wejs, Anja

    2012-01-01

    This article takes its point of departure in two approaches to integrating climate change into Strategic Environmental Assessment (SEA): Mitigation and adaptation, and in the fact that these, as well as the synergies between them and other policy areas, are needed as part of an integrated assessment and policy response. First, the article makes a review of how positive and negative synergies between a) climate change mitigation and adaptation and b) climate change and other environmental concerns are integrated into Danish SEA practice. Then, the article discusses the implications of not addressing synergies. Finally, the article explores institutional explanations as to why synergies are not addressed in SEA practice. A document analysis of 149 Danish SEA reports shows that only one report comprises the assessment of synergies between mitigation and adaptation, whilst 9,4% of the reports assess the synergies between climate change and other environmental concerns. The consequences of separation are both the risk of trade-offs and missed opportunities for enhancing positive synergies. In order to propose explanations for the lacking integration, the institutional background is analysed and discussed, mainly based on Scott's theory of institutions. The institutional analysis highlights a regulatory element, since the assessment of climate change synergies is underpinned by legislation, but not by guidance. This means that great focus is on normative elements such as the local interpretation of legislation and of climate change mitigation and adaptation. The analysis also focuses on how the fragmentation of the organisation in which climate change and SEA are embedded has bearings on both normative and cultural–cognitive elements. This makes the assessment of synergies challenging. The evidence gathered and presented in the article points to a need for developing the SEA process and methodology in Denmark with the aim to include climate change in the assessments in

  5. Social justice in education: how the function of selection in educational institutions predicts support for (non)egalitarian assessment practices

    Science.gov (United States)

    Autin, Frédérique; Batruch, Anatolia; Butera, Fabrizio

    2015-01-01

    Educational institutions are considered a keystone for the establishment of a meritocratic society. They supposedly serve two functions: an educational function that promotes learning for all, and a selection function that sorts individuals into different programs, and ultimately social positions, based on individual merit. We study how the function of selection relates to support for assessment practices known to harm vs. benefit lower status students, through the perceived justice principles underlying these practices. We study two assessment practices: normative assessment—focused on ranking and social comparison, known to hinder the success of lower status students—and formative assessment—focused on learning and improvement, known to benefit lower status students. Normative assessment is usually perceived as relying on an equity principle, with rewards being allocated based on merit and should thus appear as positively associated with the function of selection. Formative assessment is usually perceived as relying on corrective justice that aims to ensure equality of outcomes by considering students’ needs, which makes it less suitable for the function of selection. A questionnaire measuring these constructs was administered to university students. Results showed that believing that education is intended to select the best students positively predicts support for normative assessment, through increased perception of its reliance on equity, and negatively predicts support for formative assessment, through reduced perception of its ability to establish corrective justice. This study suggests that the belief in the function of selection as inherent to educational institutions can contribute to the reproduction of social inequalities by preventing change from assessment practices known to disadvantage lower-status student, namely normative assessment, to more favorable practices, namely formative assessment, and by promoting matching beliefs in justice

  6. Using Habitat Equivalency Analysis to Assess the Cost Effectiveness of Restoration Outcomes in Four Institutional Contexts

    Science.gov (United States)

    Scemama, Pierre; Levrel, Harold

    2016-01-01

    At the national level, with a fixed amount of resources available for public investment in the restoration of biodiversity, it is difficult to prioritize alternative restoration projects. One way to do this is to assess the level of ecosystem services delivered by these projects and to compare them with their costs. The challenge is to derive a common unit of measurement for ecosystem services in order to compare projects which are carried out in different institutional contexts having different goals (application of environmental laws, management of natural reserves, etc.). This paper assesses the use of habitat equivalency analysis (HEA) as a tool to evaluate ecosystem services provided by restoration projects developed in different institutional contexts. This tool was initially developed to quantify the level of ecosystem services required to compensate for non-market impacts coming from accidental pollution in the US. In this paper, HEA is used to assess the cost effectiveness of several restoration projects in relation to different environmental policies, using case studies based in France. Four case studies were used: the creation of a market for wetlands, public acceptance of a port development project, the rehabilitation of marshes to mitigate nitrate loading to the sea, and the restoration of streams in a protected area. Our main conclusion is that HEA can provide a simple tool to clarify the objectives of restoration projects, to compare the cost and effectiveness of these projects, and to carry out trade-offs, without requiring significant amounts of human or technical resources.

  7. Assessment of risk for falls and its frequency among patients in a long term care institution

    OpenAIRE

    Varnelo, Ilona

    2016-01-01

    SUMMARY Vilnius University Faculty of Medicine Department of Nursing and Fundamentals of Internal Medicine Bachelor of Nursing Program Assessment of Risk for Falls and its Frequency Among Patients in a Long Term Care Institution Nursing Bachelor's thesis The Author: student Ilona Varnelo, nursing bachelor program at Vilnius University. Work Leader: assistant Viktorija Kielaitė, Vilnius University, Faculty of Medicine, Department of Nursing and Fundamentals of Internal Medicine 16 – 05 – 2016,...

  8. IMPROVEMENT OF QUALITY ASSURANCE SYSTEM ACTIVITIES OF HIGHER EDUCATION INSTITUTIONS

    Directory of Open Access Journals (Sweden)

    Z. M. Sultalieva

    2016-01-01

    Full Text Available Abstract. The aim of the article is the improvement of quality assessment system of higher education institutions in the aspect of management. The problems of quality improvement are revealed and classified. The analysis of criteria assessment sets used to define the efficiency of higher education institutions activity is carried out. The components of quality of higher education institutions activity are specified. The structural model of quality assessment system of higher education institutions activity is offered. The analysis of macro environment of a university based on the method of strategic management is carried out, i.e. PEST analysis. As a result of the research a new model of macro criteria model of quality assessment system of higher education institutions, characterizing quality management as an approach to university efficiency is offered, moreover, this system can define the level of its competitiveness in the aspect of quality management. 

  9. Assessment of traditional institutions in community development Ede ...

    African Journals Online (AJOL)

    The paper concluded by providing some recommendations, among others, that Traditional institutions play significant roles in the socio-economic development and infrastructural amenities for the betterment of people in Ede community and a set of harmonized policies remain critical for a successful battle against rural ...

  10. Critical Assessment of Banking Institutions in South Africa

    Directory of Open Access Journals (Sweden)

    Bakam Fotso

    2017-04-01

    Full Text Available Banks play an important role in a country’s economy through investments, deposits and withdrawals. Many banking products are sold to clients to meet their financial needs and obligations. Their performances are therefore very critical in supporting socio economic development. Financial institutions still facing challenges linked to the lack of financial previsions through the use of financial tool that allows preventing financial distress. Banks are not always well-managed because managers lack capacity and the sound knowledge in dealing effectively with the analysis of risk and return and decision-making. The current study highlights and gives orientations on key performance indicators that bank can use to manage their financial conditions in advance in a sustainable manner. The major objective of this research is to critically assess the South African banks performance using Financial Ratio Analysis (FRAand descriptive statistics through comparative financial statement analysis form 2010 to 2013 between“ the big four” South African banks. In using correlational analysis, the study aim to establish the link between exogenous and endogenous variables of bank performance. The results showed that FirstRand bank was the best achiever with a higher level of performance following by Standard bank, then Absa and Nedbank. Furthermore, it appears that there is a strong relationship between bank performance and bank size because the volume of assets represents the bigger source of bank incomes. This study opens door to further study including both large and small banks and a comparative analysis between two research methods. The paper is divided into five major sections.

  11. Dismantling the Afghan Opiate Economy: A Cultural and Historical Policy Assessment, with Policy Recommendations

    National Research Council Canada - National Science Library

    Byrom, Christopher L

    2005-01-01

    .... Specific lessons are taken from a chapter dedicated to Afghan culture, history, and rural power structures, and applied in chapters analyzing the opiate economy and current counter-narcotics policies...

  12. Randomized, double-blind, placebo-controlled trial using lidocaine patch 5% in traumatic rib fractures.

    Science.gov (United States)

    Ingalls, Nichole K; Horton, Zachary A; Bettendorf, Matthew; Frye, Ira; Rodriguez, Carlos

    2010-02-01

    The lidocaine patch 5% was developed to treat postherpetic neuralgia. Anecdotal experience at our institution suggests the lidocaine patch 5% decreases narcotic usage in patients with traumatic rib fractures. This trial was developed to define the patch's efficacy. Patients with rib fractures admitted to the trauma service at our Level I trauma center were enrolled and randomized in a 1 to 1 double-blind manner to receive a lidocaine patch 5% or placebo patch. Fifty-eight patients who met the inclusion criteria were enrolled from January 2007 to August 2008. Demographic and clinical information were recorded. The primary outcomes variable was total narcotic use, analyzed using the 1-tailed Mann-Whitney test. The secondary outcomes variables included non-narcotic pain medication, average pain score, pulmonary complications, and length of stay. Significance was defined based on a 1-sided test for the primary outcome and 2-sided tests for other comparisons, at p rib fractures, gender, trauma mechanism, preinjury lung disease, smoking history, percent of current smokers, and need for placement of chest tube between the lidocaine patch 5% and placebo groups. There was no difference between the lidocaine patch 5% and placebo groups, respectively, with regard to total IV narcotic usage: median, 0.23 units versus 0.26 units; total oral narcotics: median, 4 units versus 7 units; pain score: 5.6 +/- 0.4 versus 6.0 +/- 0.3 (mean +/- SEM); length of stay: 7.8 +/- 1.1 versus 6.2 +/- 0.7; or percentage of patients with pulmonary complications: 72.7% versus 72.0%. The lidocaine patch 5% does not significantly improve pain control in polytrauma patients with traumatic rib fractures.

  13. The Nitrogen Footprint Tool for Institutions: Comparing Results for a Diverse Group of Institutions

    Science.gov (United States)

    Castner, E.; Leach, A. M.; Galloway, J. N.; Hastings, M. G.; Lantz-Trissel, J.; Leary, N.; Kimiecik, J.; de la Reguera, E.

    2015-12-01

    Anthropogenic production of reactive nitrogen (Nr) has drastically altered the nitrogen cycle over the past few decades by causing it to accumulate in the environment. A nitrogen footprint (NF) estimates the amount of Nr released to the environment as a result of an entity's activities. The Nitrogen Footprint Tool (NFT) for universities and institutions provides a standardized method for quantifying the NF for the activities and operations of these entities. The NFT translates data on energy use, food purchasing, sewage treatment, and fertilizer use to the amount of Nr lost to the environment using NOx and N2O emission factors, virtual nitrogen factors (VNFs) for food production, N reduction rates from wastewater treatment, and nitrogen uptake factors for fertilizer. As part of the Nitrogen Footprint Project supported by the EPA, seven institutions (colleges, universities, and research institutions) have completed NFT assessments: University of Virginia, University of New Hampshire, Brown University, Dickinson College, Colorado State University, Eastern Mennonite University, and the Marine Biological Laboratory. The results of these assessments reveal the magnitude of impacts on the global nitrogen cycle by different activities and sectors, and will allow these institutions to set NF reduction goals along with management decisions based on scenarios and projections in the NFT. The trends revealed in early analysis of the results include geographic differences based on regional energy sources and local sewage treatment, as well as operational differences that stem from institution type and management. As an example of the impact of management, the amount and type of food served directly impacts the food production NF, which is a large percentage of the total NF for all institutions (35-75%). Comparison of these first NF results will shed light on the primary activities of institutions that add Nr to the environment and examine the differences between them.

  14. Assessment of empathy among clinical dental students in a teaching dental institution in Telangana State, India

    Directory of Open Access Journals (Sweden)

    V Siva Kalyan

    2017-01-01

    Full Text Available Introduction: The understanding of patient's view is considered as an important component in doctor–patient relationship. The health-care provider with an empathetic understanding may perceive patient's need as more reasonable and thus therapeutic. Aim: To assess empathy among clinical dental students in a teaching dental institution. Materials and Methods: A cross-sectional study was conducted among clinical dental students during the period between June 2016 and July 2016 in a teaching dental institution in Khammam town. Jefferson Scale of Empathy-Health Care Provider Student version was used to assess empathy among the students in this study. Gender differences were analyzed using t-test, and one-way ANOVA was used for comparison of empathy scores across year of study. P< 0.05 was considered statistically significant. Results: A total of 364 students participated in the study with a mean age of 22.76 ± 2.4 years. Males exhibited more empathy (86.54 ± 7 compared to females. The mean empathy level was found to be highest for the postgraduates (85.92 ± 6.5 followed by 3rd year students (P = 0.0943. Conclusion: There is a need to train these students not only from technical point of view but also in “life skills” such as communication, interpersonal relationship and empathy.

  15. Ketamine as an Adjunct to Postoperative Pain Management in Opioid Tolerant Patients After Spinal Fusions: A Prospective Randomized Trial

    OpenAIRE

    Urban, Michael K.; Ya Deau, Jacques T.; Wukovits, Barbara; Lipnitsky, Jane Y.

    2007-01-01

    Management of acute postoperative pain is challenging, particularly in patients with preexisting narcotic dependency. Ketamine has been used at subanesthetic doses as a N-methyl d-aspartate (NMDA) receptor antagonist to block the processing of nociceptive input in chronic pain syndromes. This prospective randomized study was designed to assess the use of ketamine as an adjunct to acute pain management in narcotic tolerant patients after spinal fusions. Twenty-six patients for 1–2 level poster...

  16. Assessment of institutional barriers to the use of natural gas fuel in automotive vehicle fleets

    Science.gov (United States)

    Jablonski, J.; Lent, L.; Lawrence, M.; White, L.

    1983-01-01

    Institutional barriers to the use of natural gas as a fuel for motor vehicle fleets were identified. Recommendations for barrier removal were developed. Eight types of institutional barriers were assessed: (1) lack of a national standard for the safe design and certification of natural gas vehicles and refueling stations; (2) excessively conservative or misapplied state and local regulations, including bridge and tunnel restrictions, restrictions on types of vehicles that may be fueled by natural gas, zoning regulations that prohibit operation of refueling stations, parking restrictions, application of LPG standards to LNG vehicles, and unintentionally unsafe vehicle or refueling station requirements; (3) need for clarification of EPA's tampering enforcement policy; (4) the U.S. hydrocarbon standard; (5) uncertainty concerning state utility commission jurisdiction; (6) sale for resale prohibitions imposed by natural gas utility companies or state utility commissions; (7) uncertainty of the effects of conversions to natural gas on vehicle manufactures warranties; and (8) need for a natural gas to gasoline equivalent units conversion factor for use in calculation of state road use taxes.

  17. Study on Space Audit Assessment Criteria for Public Higher Education Institution in Malaysia: Space Capacity Assessment

    Directory of Open Access Journals (Sweden)

    Wan Hamdan Wan Samsul Zamani

    2016-01-01

    Full Text Available The aim of this study is to measure the capacity rate of learning space based on the as-built drawing provided by the institutions or if the as-built drawing is missing, the researcher have to prepare measured drawing as per actual on site. The learning space Capacity Index is developed by analyzing the space design in as-built drawing or measured drawing and the list of learning spaces available at the institution. The Capacity Index is classified according to the level of Usable Floor Area (UFA and Occupancy Load (OL according to learning space design capacity. The classification of Capacity Index is demonstrated through linguistic value and the color-coded key. From the said index, the institution can easily identify whether the existing learning space is currently best used or vice versa and standard space planning compliance in Malaysia Public Higher Education Institutions. The data will assist the management to clarify whether to maximize the use of existing space or to request for new learning space.

  18. Assessment of Dermatoglyphics Multiple Intelligence Test (DMIT Reports: Implication to Career Guidance Program Enhancement of Academic Institutions

    Directory of Open Access Journals (Sweden)

    Dr. Maria Luisa A. Valdez

    2014-04-01

    Full Text Available This research aims to assess the reports generated from the Dermatoglyphics Multiple Intelligence Test (DMIT administered by selected DMIT resource companies and consultancy firms in India with the end view of identifying its implication to career guidance program enhancement of academic institutions. This paper employed the descriptive research method which involved the use of documentary analysis, questionnaires and interviews with purposively selected respondents supported by the researchers’ analysis and insights with reference to the content of the data. Findings of this research revealed that the dermatoglyphics, as a scientific discipline, began with the publication of Purkinje’s thesis (1823 and Galton’s classic book, Fingerprints (1892; DMIT is a remarkable offshoot of Howard Gardner’s Theory of Multiple Intelligences which has the following salient features: Overview of the Dermatoglyphics and the Dermatoglyphics Multiple Intelligence Test/Analysis; Personality Assessment; Profile based on Gardner’s Multiple Intelligences and Dunn’s Brain Lateralization Theories; Learning Styles; Competency and Compatibility Profiles; Working Style; Leadership Style; Management Style; Report Interpretation; and Customized Academic and Relationship Advises; the respondents of this study gave their perceptions with reference to the beneficial results of the DMIT; and the foregoing findings have some implications that may be used by academic institutions to enhance their career guidance program.

  19. Evaluation of a Pain Management Education Program and Operational Guideline on Nursing Practice, Attitudes, and Pain Management.

    Science.gov (United States)

    Bonkowski, Sara L; De Gagne, Jennie C; Cade, Makia B; Bulla, Sally A

    2018-04-01

    Nurses lack adequate pain management knowledge, which can result in poorly managed postsurgical pain. This study aimed to develop, implement, and evaluate pain management education and operational guidelines to improve nursing knowledge and pain management. This quality improvement project employed convenience samples of surgical oncology nurses and postoperative patients. The intervention involved an online module, live education, and operational guideline for pain management. Nurses completed pre- and postintervention practice and attitudes surveys. Random chart reviews of intravenous narcotic administrations the day before discharge were completed to evaluate whether narcotic administration changed after intervention. Readmissions and Hospital Consumer Assessment of Healthcare Providers and Systems data were collected to determine whether the intervention influenced patient satisfaction. A statistically significant improvement in nursing practice and intravenous narcotic administrations demonstrated changes to pain management practices employed by the nursing staff. Although not statistically significant, fewer pain-related readmissions occurred postintervention. Findings demonstrate that targeted pain management continuing education, paired with operational guidelines, improves nursing practice and decreases intravenous narcotic administrations prior to discharge. J Contin Educ Nurs. 2018;49(4):178-185. Copyright 2018, SLACK Incorporated.

  20. Knowledge management in Portuguese healthcare institutions.

    Science.gov (United States)

    Cruz, Sofia Gaspar; Ferreira, Maria Manuela Frederico

    2016-06-01

    Knowledge management imposes itself as a pressing need for the organizations of several sectors of the economy, including healthcare. to evaluate the perception of healthcare institution collaborators in relation to knowledge management in the institution where they operate and analyze the existence of differences in this perception, based on the institution's management model. a study conducted in a sample consisting of 671 collaborators from 10 Portuguese healthcare institutions with different models of management. In order to assess the knowledge management perception, we used a score designed from and based on items from the scores available in the literature. the perception of moderate knowledge management on the healthcare institutions and the statistically significant differences in knowledge management perception were evidenced in each management model. management knowledge takes place in healthcare institutions, and the current management model determines the way staff at these institutions manage their knowledge.

  1. Social Orphanhood under the Conditions of Depopulation

    Science.gov (United States)

    Markova, N. E.

    2011-01-01

    Currently, four out of five children in Russia's social rehabilitation institutions are "social" orphans, whose parents are still alive. Many of these children are losing their ability to learn in school, and the use of alcohol and narcotics, and early onset of sexual activity, are damaging their future life. These children are involved…

  2. INSTITUTION FOR THE AGED: ASSESSING THE CONDITIONS OF ACCESSIBILITY AND FUNCTIONALITY OF THE ELDERLY.

    Directory of Open Access Journals (Sweden)

    Raphaella Lomanto Santos de Almeida

    2015-04-01

    Full Text Available The study aim was to assess the capacity to undertake the Basic Activities of Daily Living (BADL of elderly residents of an Institution for the Aged (IA and their level of accessibility. This is an observational, descriptive, cross-sectional study. The level of independence for BADL was assessed by the Barthel Index and the degree of accessibility of IA was verified through a check-list, based on the Brazilian Standard (NBR 9050/2004, the Brazilian Association of Technical Standards (ABNT. Of the 62 seniors who participated in the study, 64.5% had some degree of functional dependence. Noteworthy the level of functional dependency for activities undertaken in the bathroom among elderly on wheelchair. The assessed physical structure does not fully follow the technical standards established by NBR 9050, with differences mainly in the parameters of bedrooms, bathrooms and stairs. Although much of the institutionalized elderly presenting advanced and most functional vulnerability ages, level of IA architectural accessibility is still insufficient. Rooms and bathrooms are the places with the highest deficit of accessibility and also higher prevalence of falls among the elderly residents. A good level of accessibility in IA, can be an important factor in improving the level of independence for everyday activities and to prevent the risk of falls.

  3. Learning how to "teach one": A needs assessment of the state of faculty development within the Consortium of the American College of Surgeons Accredited Education Institutes.

    Science.gov (United States)

    Paige, John T; Khamis, Nehal N; Cooper, Jeffrey B

    2017-11-01

    Developing faculty competencies in curriculum development, teaching, and assessment using simulation is critical for the success of the Consortium of the American College of Surgeons Accredited Education Institutes program. The state of and needs for faculty development in the Accredited Education Institute community are unknown currently. The Faculty Development Committee of the Consortium of the Accredited Education Institutes conducted a survey of Accredited Education Institutes to ascertain what types of practices are used currently, with what frequency, and what needs are perceived for further programs and courses to guide the plan of action for the Faculty Development Committee. The Faculty Development Committee created a 20-question survey with quantitative and qualitative items aimed at gathering data about practices of faculty development and needs within the Consortium of Accredited Education Institutes. The survey was sent to all 83 Accredited Education Institutes program leaders via Survey Monkey in January 2015 with 2 follow-up reminders. Quantitative data were compiled and analyzed using descriptive statistics, and qualitative data were interpreted for common themes. Fifty-four out of the 83 programs (65%) responded to the survey. Two-thirds of the programs had from 1 to 30 faculty teaching at their Accredited Education Institutes. More than three-quarters of the programs taught general surgery, emergency medicine, or obstetrics/gynecology. More than 60% of programs had some form of faculty development, but 91% reported a need to expand their offerings for faculty development with "extreme value" for debriefing skills (70%), assessment (47%), feedback (40%), and curriculum development (40%). Accredited Education Institutes felt that the Consortium could assist with faculty development through such activities as the provision of online resources, sharing of best practices, provision of a blueprint for development of a faculty curriculum and information

  4. Institutional and Policy Assessment of Renewable Energy Sector in Afghanistan

    Directory of Open Access Journals (Sweden)

    Ahmad Murtaza Ershad

    2017-01-01

    Full Text Available Renewable energy resources could play a vital role in the sustainable economic, social, and environmental development of Afghanistan. Heavy reliance of rural households on firewood, rising costs of fossil fuels, outdoor and indoor air pollution, and climate change are some of the challenges that can be addressed by diversifying our power production fuel inputs and adopting renewable energy technologies. In order to deploy and scale up renewable energy technologies and improve access to sustainable energy, clear policies and targets and dedicated institutions are crucial. Fortunately, Afghan government with the support of international community is setting ambitious targets for the renewable energy sector and is encouraging national and international investors to take part in the generation, transmission, and distribution of renewable energy especially electricity through Power Purchase Agreements or very cheap land leases. Thus, the objectives of this report are (I to review the existing institutions in the field of renewable energy, (II to review renewable energy policies and targets in Afghanistan, and (III to identify institutional and policy gaps and recommend solutions.

  5. Health care needs assessment among adolescents in correctional institutions in Zambia: an ethical analysis.

    Science.gov (United States)

    Kumwenda, Maureen; Nzala, Selestine; Zulu, Joseph M

    2017-08-22

    While health care needs assessments have been conducted among juveniles or adolescents by researchers in developed countries, assessments using an ethics framework particularly in developing countries are lacking. We analysed the health care needs among adolescents at the Nakambala Correctional Institution in Zambia, using the Beauchamp and Childress ethics framework. The ethics approach facilitated analysis of moral injustices or dilemmas triggered by health care needs at the individual (adolescent) level. The research team utilized 35 in-depth interviews with juveniles, 6 key informant interviews and 2 focus group discussions to collect data. We analysed the data using thematic analysis. The use of three sources of data facilitated triangulation of data. Common health problems included HIV/AIDS, STIs, flu, diarrhoea, rashes, and malaria. Although there are some health promotion strategies at the Nakambala Approved School, the respondents classified the health care system as inadequate. The unfavourable social context which included clouded rooms and lack of adolescent health friendly services unfairly exposed adolescents to several health risks and behaviours thus undermining the ethics principle of social justice. In addition, the limited prioritisation of adolescent centres by the stakeholders and erratic funding also worsened injustices by weakening the health care system. Whereas the inadequate medical and drug supplies, shortage of health workers in the nearby health facilities and weak referral systems excluded the juveniles from enjoying maximum health benefits thus undermining adolescents' wellbeing or beneficence. Inadequate medical and drug supplies as well as non-availability of adolescent friendly health services at the nearest health facility did not only affect social justice and beneficence ethics principles but also threatened juveniles' privacy, liberty and confidentiality as well as autonomy with regard to health service utilisation

  6. Assessment of technical equipment supply in healthcare institutions: example of Almaty

    Directory of Open Access Journals (Sweden)

    Kuralbai K Kurakbayev

    2014-01-01

    Full Text Available Background: The share of healthcare-related expenditure in the Gross Domestic Product of Kazakhstan is relatively small, and it is strategically important to restructure budgetary expenses in favor of healthcare with simultaneous redistribution of resources in accordance with changing demands and prioritization of high-quality medical care. The aim of this study was to analyze resource provision to healthcare organizations in Kazakhstan and its structure and level assessment. Materials and Methods: The study is based on a comparative assessment of technical and technological equipment of medical institutions in Almaty, Kazakhstan. We analyzed the scope and structure of the financial component of the resource base in Almaty. We carried out information processing and analysis methods, content analysis, mathematical treatment, as well as conducted case studies. Also, we held opinion poll among medical staff (specialists, managerial staff (n = 300 P for trend < 0.001 and patients (n = 210 P for trend < 0.001. Results: About 18.8% of patients do not receive medical care because of defects of the equipment, whereas 19.9% of patients claim that the reason of refusal of the provision of medical services is an equipment overload. Conclusion: Most of the respondents referred to on poor technical equipment, mismatch with the world standards of performance and competitiveness. Lack of advanced medical technology, inadequate financing, insufficient supply of domestic medical equipment, and inadequate procurement by tender were also noted. The obtained data point to the need for optimization and upgrading medical equipment at various levels of healthcare.

  7. Assessing the impact of biomedical research in academic institutions of disparate sizes

    Directory of Open Access Journals (Sweden)

    Hatzakis Angelos

    2009-05-01

    Full Text Available Abstract Background The evaluation of academic research performance is nowadays a priority issue. Bibliometric indicators such as the number of publications, total citation counts and h-index are an indispensable tool in this task but their inherent association with the size of the research output may result in rewarding high production when evaluating institutions of disparate sizes. The aim of this study is to propose an indicator that may facilitate the comparison of institutions of disparate sizes. Methods The Modified Impact Index (MII was defined as the ratio of the observed h-index (h of an institution over the h-index anticipated for that institution on average, given the number of publications (N it produces i.e. (α and β denote the intercept and the slope, respectively, of the line describing the dependence of the h-index on the number of publications in log10 scale. MII values higher than 1 indicate that an institution performs better than the average, in terms of its h-index. Data on scientific papers published during 2002–2006 and within 36 medical fields for 219 Academic Medical Institutions from 16 European countries were used to estimate α and β and to calculate the MII of their total and field-specific production. Results From our biomedical research data, the slope β governing the dependence of h-index on the number of publications in biomedical research was found to be similar to that estimated in other disciplines (≈0.4. The MII was positively associated with the average number of citations/publication (r = 0.653, p Conclusion The MII should complement the use of h-index when comparing the research output of institutions of disparate sizes. It has a conceptual interpretation and, with the data provided here, can be computed for the total research output as well as for field-specific publication sets of institutions in biomedicine.

  8. Disciplining governance in Africa : a comparison of the World Bank’s Country Policy and Institutional Assessment and the African Union’s African Peer Review Mechanism

    NARCIS (Netherlands)

    S. Kassa (Saba)

    2017-01-01

    markdownabstractThis study examines the promotion of governance in the African Continent. It compares the Country Policy and Institutional Assessment (CPIA) of the World Bank to the African Peer Review Mechanism (APRM) of the African Union. These governance assessments represent differing

  9. What Will Happen if . . . A Programmed Instruction Course on Drugs and Their Effects.

    Science.gov (United States)

    Health Services and Mental Health Administration (DHEW), Bethesda, MD.

    Developed by the National Institute of Mental Health, this booklet offers a programed instruction course on drugs and their effects. The purpose of the text is to learn about specific drugs which are currently being used and abused by a large group of people in our society. Narcotics, stimulants, depressants, hallucinogens, and marihuana are…

  10. Assessing the Social and Environmental Costs of Institution Nitrogen Footprints.

    Science.gov (United States)

    Compton, Jana E; Leach, Allison M; Castner, Elizabeth A; Galloway, James N

    2017-04-01

    This article estimates the damage costs associated with the institutional nitrogen (N) footprint and explores how this information could be used to create more sustainable institutions. Potential damages associated with the release of nitrogen oxides (NOx), ammonia (NH 3 ), and nitrous oxide (N 2 O) to air and release of nitrogen to water were estimated using existing values and a cost per unit of nitrogen approach. These damage cost values were then applied to two universities. Annual potential damage costs to human health, agriculture, and natural ecosystems associated with the N footprint of institutions were $11.0 million (2014) at the University of Virginia (UVA) and $3.04 million at the University of New Hampshire (UNH). Costs associated with the release of nitrogen oxides to human health, in particular the use of coal-derived energy, were the largest component of damage at UVA. At UNH the energy N footprint is much lower because of a landfill cogeneration source, and thus the majority of damages were associated with food production. Annual damages associated with release of nitrogen from food production were very similar at the two universities ($1.80 million vs. $1.66 million at UVA and UNH, respectively). These damages also have implications for the extent and scale at which the damages are felt. For example, impacts to human health from energy and transportation are generally larger near the power plants and roads, while impacts from food production can be distant from the campus. Making this information available to institutions and communities can improve their understanding of the damages associated with the different nitrogen forms and sources, and inform decisions about nitrogen reduction strategies.

  11. Qualitative study to develop processes and tools for the assessment and tracking of African institutions' capacity for operational health research.

    Science.gov (United States)

    Wallis, Selina; Cole, Donald C; Gaye, Oumar; Mmbaga, Blandina T; Mwapasa, Victor; Tagbor, Harry; Bates, Imelda

    2017-09-05

    Research is key to achieving global development goals. Our objectives were to develop and test an evidence-informed process for assessing health research management and support systems (RMSS) in four African universities and for tracking interventions to address capacity gaps. Four African universities. 83 university staff and students from 11 cadres. A literature-informed 'benchmark' was developed and used to itemise all components of a university's health RMSS. Data on all components were collected during site visits to four African universities using interview guides, document reviews and facilities observation guides. Gaps in RMSS capacity were identified against the benchmark and institutional action plans developed to remedy gaps. Progress against indicators was tracked over 15 months and common challenges and successes identified. Common gaps in operational health research capacity included no accessible research strategy, a lack of research e-tracking capability and inadequate quality checks for proposal submissions and contracts. Feedback indicated that the capacity assessment was comprehensive and generated practical actions, several of which were no-cost. Regular follow-up helped to maintain focus on activities to strengthen health research capacity in the face of challenges. Identification of each institutions' strengths and weaknesses against an evidence-informed benchmark enabled them to identify gaps in in their operational health research systems, to develop prioritised action plans, to justify resource requests to fulfil the plans and to track progress in strengthening RMSS. Use of a standard benchmark, approach and tools enabled comparisons across institutions which has accelerated production of evidence about the science of research capacity strengthening. The tools could be used by institutions seeking to understand their strengths and to address gaps in research capacity. Research capacity gaps that were common to several institutions could be

  12. Assessing the Potential for Rooftop Rainwater Harvesting from Large Public Institutions.

    Science.gov (United States)

    Adugna, Dagnachew; Jensen, Marina Bergen; Lemma, Brook; Gebrie, Geremew Sahilu

    2018-02-14

    As in many other cities, urbanization coupled with population growth worsens the water supply problem of Addis Ababa, Ethiopia, with a water supply deficit of 41% in 2016. To investigate the potential contribution of rooftop rainwater harvesting (RWH) from large public institutions, 320 such institutions were selected and grouped into 11 categories, from which 25-30% representative 588 rooftops were digitalized and the potential RWH volume computed based on a ten-year rainfall dataset. When comparing the resulting RWH potential with the water consumption, up to 2.3% of the annual, potable water supply can be provided. If reused only within one's own institution, the self-sufficiency varies from 0.9 to 649%. Non-uniform rainfall patterns add uncertainty to these numbers, since the size of the storage tank becomes critical for coverage in the dry season from October to May. Despite the low replacement potential at the city level, RWH from large institutions will enable a significant volume of potable water to be transferred to localities critically suffering from water shortage. Further, large institutions may demonstrate how RWH can be practiced, thus acting as a frontrunner for the dissemination of RWH to other types of rooftops. To narrow the water supply gap, considering rooftop RWH as an alternative water supply source is recommended. However, the present study assumed that financial constraints to install large sized storage tanks are considered as a possible challenge. Thus, future research is needed to investigate the cost-benefit balance along with the invention of a cheap storage tank as they may affect the potential contribution of RWH from rooftops.

  13. Assessing the Potential for Rooftop Rainwater Harvesting from Large Public Institutions

    Directory of Open Access Journals (Sweden)

    Dagnachew Adugna

    2018-02-01

    Full Text Available As in many other cities, urbanization coupled with population growth worsens the water supply problem of Addis Ababa, Ethiopia, with a water supply deficit of 41% in 2016. To investigate the potential contribution of rooftop rainwater harvesting (RWH from large public institutions, 320 such institutions were selected and grouped into 11 categories, from which 25–30% representative 588 rooftops were digitalized and the potential RWH volume computed based on a ten-year rainfall dataset. When comparing the resulting RWH potential with the water consumption, up to 2.3% of the annual, potable water supply can be provided. If reused only within one’s own institution, the self-sufficiency varies from 0.9 to 649%. Non-uniform rainfall patterns add uncertainty to these numbers, since the size of the storage tank becomes critical for coverage in the dry season from October to May. Despite the low replacement potential at the city level, RWH from large institutions will enable a significant volume of potable water to be transferred to localities critically suffering from water shortage. Further, large institutions may demonstrate how RWH can be practiced, thus acting as a frontrunner for the dissemination of RWH to other types of rooftops. To narrow the water supply gap, considering rooftop RWH as an alternative water supply source is recommended. However, the present study assumed that financial constraints to install large sized storage tanks are considered as a possible challenge. Thus, future research is needed to investigate the cost-benefit balance along with the invention of a cheap storage tank as they may affect the potential contribution of RWH from rooftops.

  14. A National Survey of Spanish Language Testing for Placement of Outcome Assessment at B.A. -Granting Institutions in the United States.

    Science.gov (United States)

    Wherritt, Irene; Cleary, T. Anne

    1990-01-01

    Describes the results of a national survey that was conducted to determine the current state of Spanish-language testing for placement and outcome assessments. The survey was undertaken in the United States in the departments of Spanish in B.A.-granting institutions. (Author/VWL)

  15. Assessment of self-perceived and normative dental needs among teaching faculty of Visveswarapura Group of Institutions: A cross-sectional study

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    Verma Shikha

    2014-01-01

    Full Text Available Introduction: The purpose of this cross-sectional study was to assess and compare self-perceived and normative dental needs among teaching faculty of Visveswarapura Group of Institutions, Bangalore, India. Materials and Methods: The study population included 217 teaching faculty from four Visveswarapura Group of Institutions namely Arts and Commerce, Law, Science College and Engineering College. The study population was subjected to a self-administered closed-ended questionnaire inquiring about their socioeconomic status, Oral health status and treatment needs. Clinical examinations, employing WHO dentition status and community periodontal index were performed to determine normative status and needs. Perceived and normative assessments were compared for sensitivity, specificity, positive and negative predictive values using Kappa statistics. Results: The degree of agreement (κ values and sensitivity was seen in filled teeth (0.839, 80%, missing teeth (0.696, 85.2%, and mobile teeth (0.57, 55.6%. However, the disagreement was seen with all other questions with average κ = 0.20. Regarding overall proportions, a large discrepancy was found between self-perceived and normative needs for both dental and periodontal health status. Conclusion: Self-assessment questionnaires were of low value in evaluating oral health status and treatment needs compared with clinical examination.

  16. An assessment on the trustworthiness of engineers in higher tertiary institutions

    Science.gov (United States)

    Ooi Kuan, Tan; Lloyd, Ling; Mou Chuan, Cheng

    2017-10-01

    In Malaysian higher education history, the evolution from public funded to private funded and now to private non profit oriented model has been taking place since 80s. The evolution also demarcated higher learning institution into academic or research based university. As such, postgraduate studies became increasingly competitive in students intake. The evolution also created doubt to the public in term of the quality of postgraduate education offered by different classifications. This study investigates the gender specific perception and trustworthiness of engineering postgraduate students in private non profit oriented higher tertiary institution. An equally divided gender groups of 118 respondents were chosen for the study. Non-parametric statistics were used and the result showed that there was no difference and no correlation of genders in perception on teaching role and trustworthiness among the future engineers in private non profit oriented higher tertiary institution.

  17. Can a Higher Education Institution's Marketing Strategy Improve the Student-Institution Match?

    Science.gov (United States)

    Moogan, Yvonne J.

    2011-01-01

    Purpose: Issues such as managing brand image, assessing advertising medium effectiveness and collecting market intelligence are common practice for higher education institutions (HEIs). Consequently, understanding the information needs of potential students to the HEI when they make their decisions is paramount. The aim of this survey is to…

  18. Inclusive Assessment: Toward a Socially-Just Methodology for Measuring Institution-Wide Engagement

    Science.gov (United States)

    Getto, Guiseppe; McCunney, Dennis

    2015-01-01

    Institutions are increasingly being called upon to collect large amounts of data to demonstrate community impact. At institutions with strong and wide-reaching public engagement/service missions, this expectation is even greater--both for quality improvement and for demonstrating regional transformation. Despite these expectations, the…

  19. Assessment of groundwater quality at the Nigerian Institute for ...

    African Journals Online (AJOL)

    This study was carried out to ascertain the suitability of the Nigerian Institute for Oceanography and Marine Research's groundwater resources for aquaculture purposes. The samples were subjected to physico-chemical analyses and the parameters analyzed are Iron, pH, Sulphide ion Total Ammonia, Dissolved Oxygen, ...

  20. A multicriteria approach for rating the credit risk of financial institutions

    NARCIS (Netherlands)

    Baourakis, G.; Conisescu, M.; Dijk, van G.; Pardalos, P.M.; Zopounidis, C.

    2009-01-01

    Within the new bank regulatory context, the assessment of the credit risk of financial institutions is an important issue for supervising authorities and investors. This study explores the possibility of a developing risk assessment model for financial institutions using a multicriteria

  1. Outbreak of hepatitis C virus infection associated with narcotics diversion by an hepatitis C virus-infected surgical technician.

    Science.gov (United States)

    Warner, Amy E; Schaefer, Melissa K; Patel, Priti R; Drobeniuc, Jan; Xia, Guoliang; Lin, Yulin; Khudyakov, Yury; Vonderwahl, Candace W; Miller, Lisa; Thompson, Nicola D

    2015-01-01

    Drug diversion by health care personnel poses a risk for serious patient harm. Public health identified 2 patients diagnosed with acute hepatitis C virus (HCV) infection who shared a common link with a hospital. Further investigation implicated a drug-diverting, HCV-infected surgical technician who was subsequently employed at an ambulatory surgical center. Patients at the 2 facilities were offered testing for HCV infection if they were potentially exposed. Serum from the surgical technician and patients testing positive for HCV but without evidence of infection before their surgical procedure was further tested to determine HCV genotype and quasi-species sequences. Parenteral medication handling practices at the 2 facilities were evaluated. The 2 facilities notified 5970 patients of their possible exposure to HCV, 88% of whom were tested and had results reported to the state public health departments. Eighteen patients had HCV highly related to the surgical technician's virus. The surgical technician gained unauthorized access to fentanyl owing to limitations in procedures for securing controlled substances. Public health surveillance identified an outbreak of HCV infection due to an infected health care provider engaged in diversion of injectable narcotics. The investigation highlights the value of public health surveillance in identifying HCV outbreaks and uncovering a method of drug diversion and its impacts on patients. Copyright © 2015 Association for Professionals in Infection Control and Epidemiology, Inc. All rights reserved.

  2. Outbreak of hepatitis C virus infection associated with narcotics diversion by an hepatitis C virus–infected surgical technician

    Science.gov (United States)

    Warner, Amy E.; Schaefer, Melissa K.; Patel, Priti R.; Drobeniuc, Jan; Xia, Guoliang; Lin, Yulin; Khudyakov, Yury; Vonderwahl, Candace W.; Miller, Lisa; Thompson, Nicola D.

    2015-01-01

    Background Drug diversion by health care personnel poses a risk for serious patient harm. Public health identified 2 patients diagnosed with acute hepatitis C virus (HCV) infection who shared a common link with a hospital. Further investigation implicated a drug-diverting, HCV-infected surgical technician who was subsequently employed at an ambulatory surgical center. Methods Patients at the 2 facilities were offered testing for HCV infection if they were potentially exposed. Serum from the surgical technician and patients testing positive for HCV but without evidence of infection before their surgical procedure was further tested to determine HCV genotype and quasi-species sequences. Parenteral medication handling practices at the 2 facilities were evaluated. Results The 2 facilities notified 5970 patients of their possible exposure to HCV, 88% of whom were tested and had results reported to the state public health departments. Eighteen patients had HCV highly related to the surgical technician’s virus. The surgical technician gained unauthorized access to fentanyl owing to limitations in procedures for securing controlled substances. Conclusions Public health surveillance identified an outbreak of HCV infection due to an infected health care provider engaged in diversion of injectable narcotics. The investigation highlights the value of public health surveillance in identifying HCV outbreaks and uncovering a method of drug diversion and its impacts on patients. PMID:25442395

  3. Assessment of Self-Archiving in Institutional Repositories: Across Disciplines

    Science.gov (United States)

    Xia, Jingfeng

    2007-01-01

    This research examined self-archiving practices by four disciplines in seven institutional repositories. By checking each individual item for its metadata and deposition status, the research found that a disciplinary culture is not obviously presented. Rather, self-archiving is regulated by a liaison system and a mandate policy.

  4. 77 FR 43814 - Privacy Act of 1974; System of Records

    Science.gov (United States)

    2012-07-26

    ... information such as name, Social Security Number (SSN), address, citizenship documentation, biometric data... technology protection, threat analysis, counter-narcotics and risk assessments. Records relating to the...

  5. An Assessment of Institutional Publication Productivity in Rehabilitation Counseling

    Science.gov (United States)

    West, Steven L.; Armstrong, Amy J.; Ryan, Kimberly A.

    2005-01-01

    Although the primary reason for publishing in scholarly journals is to help the profession in its efforts to serve persons with disabilities, such publication has a growing importance for the individuals and institutions involved in the publication process. Increasingly, publication is linked with the funding, reputation, and impact of those in…

  6. Review of urban and industrial air quality. Assessments at the Finnish meteorological institute

    Energy Technology Data Exchange (ETDEWEB)

    Pohjola, V.; Pesonen, R.; Karstastenpaeae, R.; Rantakrans, E.; Kukkonen, J.; Jokinen, J.; Maekinen, E.; Saari, H.; Hiltunen, V. [Finnish Meteorological Inst., Helsinki (Finland). Air Quality Dept.

    1995-12-31

    Air quality in urban and industrial environments has been investigated at the Finnish Meteorological Institute since the early 1970`s. The studies have included emission surveys, air quality measurements, dispersion model computations and bioindicator surveys A substantial fraction of these studies has been done as commissioned work for communities, public institutions, industrial establishments and private enterprises Major resources have also been committed to the development of methods and expertise. The studies in the 1970` s were mainly dispersion model computations and air pollution measurements In the 1980`s research activities increased rapidly due to the national Clean Air Act (coming into force in 1982) and the adoption of national ambient air quality standards (1984). Since the year 1980. About 90 separate air pollution assessments have been conducted; and model computations have been made for most Finnish cities and major communities In many of the surveys in the 1980` s and the 1990`s. Integrated studies of local air quality, which contain the results obtained with emission surveys, dispersion model computations, air quality measurements and bioindicator methods have been conducted. This integrated approach provides more versatile and reliable results on the state of the environment. For instance, the reliability and accuracy of computations can be directly analysed using simultaneous air quality measurements. An overview of the experimental and computational methods used in the air quality surveys is presented here. To illustrate the application of the methods, some selected results from an air quality investigation conducted in a major city in central Finland are discussed. (author)

  7. Review of urban and industrial air quality. Assessments at the Finnish meteorological institute

    Energy Technology Data Exchange (ETDEWEB)

    Pohjola, V; Pesonen, R; Karstastenpaeae, R; Rantakrans, E; Kukkonen, J; Jokinen, J; Maekinen, E; Saari, H; Hiltunen, V [Finnish Meteorological Inst., Helsinki (Finland). Air Quality Dept.

    1996-12-31

    Air quality in urban and industrial environments has been investigated at the Finnish Meteorological Institute since the early 1970`s. The studies have included emission surveys, air quality measurements, dispersion model computations and bioindicator surveys A substantial fraction of these studies has been done as commissioned work for communities, public institutions, industrial establishments and private enterprises Major resources have also been committed to the development of methods and expertise. The studies in the 1970` s were mainly dispersion model computations and air pollution measurements In the 1980`s research activities increased rapidly due to the national Clean Air Act (coming into force in 1982) and the adoption of national ambient air quality standards (1984). Since the year 1980. About 90 separate air pollution assessments have been conducted; and model computations have been made for most Finnish cities and major communities In many of the surveys in the 1980` s and the 1990`s. Integrated studies of local air quality, which contain the results obtained with emission surveys, dispersion model computations, air quality measurements and bioindicator methods have been conducted. This integrated approach provides more versatile and reliable results on the state of the environment. For instance, the reliability and accuracy of computations can be directly analysed using simultaneous air quality measurements. An overview of the experimental and computational methods used in the air quality surveys is presented here. To illustrate the application of the methods, some selected results from an air quality investigation conducted in a major city in central Finland are discussed. (author)

  8. Transdermal therapeutic system of narcotic analgesics using nonporous membrane (I) : Effect of the ethanol permeability on vinylacetate content of EVA membrane

    Energy Technology Data Exchange (ETDEWEB)

    Kwon, H.; Song, H.Y. [Chungnam National University, Taejon (Korea); Khang, G.S. [Chonbuk National University, Chonju (Korea); Lee, H.B. [Korea Research Institute of Chemical Technology, Taejon (Korea)

    1999-05-01

    The fundamental properties of transdermal therapeutic patch as narcotic analgesics agent has been investigated. From the study of drug and ethanol release patterns from the fentanyl base (FB) patches through diffusion cell and hairless mouse skin, it was observed that the FB release patterns were largely affected by the content of vinyl acetate (VA) of ethylene-co-vinyl acetate (EVA) membrane, and volume fraction of ethanolic solution. Additionally, a variety of control membrane as a function of VA content were examined for swelling following equilibration with ethanolic solutions. Generally, ethanol was incorporated into a transdermal therapeutic device to enable the controlled delivery of enhancer and drug to the skin surface. In vitro skin permeation analysis of the control membrane showed that ethanol flux was linearly related to the ethanol volume fraction. This result was shown that drug permeability increased with increasing as the content of VA. But, the FB flux from saturated aqueous ethanol solutions increases until 80% ethanol volume fraction. Over 80% ethanol volume fraction, the FB flux through skin samples is independent of ethanol volume. These results showed that the decrease in skin permeation due to dehydration nis the dominant effect. 26 refs., 8 figs.

  9. Annual report 90 Environment Institute

    International Nuclear Information System (INIS)

    1991-01-01

    This is the second annual report of the Environment Institute of the Joint Research Centre, Ispra Site, of the Commission of the European Communities. The report summarizes the progress accomplished in the course of 1990 in the various projects included in the multiannual (1988-91) Specific Research Programmes tackled by the Institute i.e. Environment Protection and Radioactive Waste Management, the former being focused on environmental chemicals, air pollution and pollutant transport, water pollution, chemical waste, food and drug analysis, the latter on safety assessment for waste disposal in geological formations. The scientific support given to the Commission Services for the implementation of EC directives dealing with chemicals, air pollution, water pollution, chemical waste and radioactive environmental monitoring (REM) is also described. Lastly the outcome of various activities related to work for third parties and to the participation of the Institute in EUREKA and COST projects is shortly outlined. The report includes data on the Institute Structure, human and budget resources and large installations operated by the Institute

  10. Institutional framework in relation to climate change in West and ...

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

    2010-12-16

    Dec 16, 2010 ... This paper maps the institutions working in West and Central Africa on issues related to climate change, vulnerability, and adaptation, and assesses a range of institutional strengths and weaknesses. Representatives of 16 institutions in the sub region were surveyed and interviewed.

  11. Does agreement on institutional values and leadership issues between deans and surgery chairs predict their institutions' performance?

    Science.gov (United States)

    Souba, Wiley W; Mauger, David; Day, David V

    2007-03-01

    To gain a better understanding of the values that medical school deans and surgery chairs consider most essential for effective leadership, to assess their perceptions of the values and leadership climate in their institutions, and to test the premise that agreement on leadership values and climate predict greater organizational effectiveness and performance. From June 2005 through March 2006, questionnaires designed to assess leadership core values and organizational leadership climate were mailed to medical school deans and surgery chairs of the 125 U.S. academic health centers. Institutional performance measures used were the National Institutes of Health (NIH) standing and U.S. News and World Report ranking of each institution. Sixty-eight surgery chairs (54%) and 60 deans (48%) returned surveys. Q-sort results on 38 positive leadership values indicated that integrity, trust, and vision were considered the most important core values for effective leadership by both chairs and deans. Both groups ranked business acumen, authority, and institutional reputation as least important. Deans consistently ranked the leadership climate as being healthier (more positive) than did their surgery chairs on multiple scale items: leadership is widely shared (P = .005), information is widely shared (P = .002), missions are aligned (P = .003), open communication is the norm (P = .009), good performance is rewarded (P = .01), teamwork is widely practiced (P = .01), and leaders are held accountable (P = 002). Tighter alignment between chairs and deans on core values and on the leadership climate scale correlated with higher school and department NIH standing and higher U.S. News and World Report medical school and hospital ranking (P leadership values, deans believe that a healthier leadership climate exists in their institutions than their surgery chairs do. The study findings suggest that tighter leadership alignment between deans and surgery chairs may predict a higher level of

  12. Prospective, multi-institutional pain assessment of 150 women undergoing diagnostic cystoscopy.

    Science.gov (United States)

    Seklehner, Stephan; Saratlija-Novakovic, Zana; Skopek, Matthias; Fajkovic, Harun; Remzi, Mesut; Duvnjak, Mario; Resch, Irene; Hruby, Stephan; lmHÜBNER, Wilhelm; Librenjak, Davor; Breinl, Eckart; Riedl, Claus; Engelhardt, Paul F

    2016-10-01

    The aim of this study was to prospectively assess women's pain during rigid and flexible diagnostic cystoscopy and afterwards during a one-week follow-up. Prospective, multi-institutional trial analyzing numeric rating scales (NRS) of women undergoing diagnostic cystoscopy. Pain categories: no (0 points), mild (1-3), moderate (4-6) and severe pain (7-10). Assessing of pain before, during cystoscopy, and at day 1, 4 and 7 of follow-up. A total of 150 women undergoing rigid (N.=85) or flexible (N.=65) diagnostic cystoscopy were analyzed. Women undergoing flexible cystoscopy were more frequently pain-free (64.6% vs. 40%, P=0.003) and experienced mild pain less frequently (27.7% vs. 52.9% vs. P=0.002). No significant differences were noted among moderate (6.2% vs. 5.9%, P=0.95) and severe pain (1.5% vs. 1.2%, P=0.85). Patients undergoing their first (P=0.14) and repeat cystoscopy (P=0.08) had similar pain perception. In multivariate logistic regression analyses, women undergoing flexible cystoscopy had a 2.6 increased chance of being pain-free (OR=2.6, CI: 1.28-5.11, P=0.08) and their odds of experiencing mild pain were significantly lower (OR=0.34, CI: 0.17-0.71, P=0.004). The likelihood of experiencing moderate (OR=1.1, CI: 0.28- 4.4, P=0.83) or severe pain (OR=2.42, CI: 0.11-51.79, P=0.57) differed insignificantly. Rigid and flexible cystoscopies were well-tolerated by most women. However, flexible cystoscopy was associated with a higher likelihood of being pain-free and lower chances of experiencing mild pain. Patients' previous experience with cystoscopy did not influence pain perception.

  13. Study on intervention sterile irradiation of ready to eat foods given to narcotics rehabilitation residents

    International Nuclear Information System (INIS)

    Simanungkalit, B.; Irawati, Z.; Siagian, C.M.; Widasari, L.

    2013-01-01

    Lack of macro and micro nutrient elements, that serve as primary factor in regulating a human immune response, might lead to malnutrition and declining the body immune. This phenomenon is commonly found in immunocompromised patients such as people infected with HIV and known as Acquired Immune Deficiency Syndromes (NAIDS). One of the efforts to improve the nutritional status in immunocompromised patients is delivering high-quality of foods that improve the immune status resulting in lower morbidity and mortality. Sterile, safe, high quality with complete nutritional composition and wholesome ”ready to eat” food products can be supplied. Sterilization process using ionizing radiation in food is one of the means to eliminate pathogenic bacteria as well as preserve among others, without affecting their nutritional content of the final product. Different types of radiation sterilization of ready to eat foods based on traditional recipes can be prepared without adhering the recommended dietary allowance, and patients will be more flexible and comfortable in choosing the serving menu. Such dishes based on high-quality protein and fat from fish, beef and chicken meat irradiated at a dose of 45 kGy in terms of ”pepes gold fish”, ”pepes anchovy”, ”beef semur”, ”beef rendang” and different processed chicken such as yellow seasoning, roasted and sweet, administered for 21 days to resident Therapy and Rehabilitation Unit of the National Narcotics Board (NNB). Activities undertaken in this study include the selection of respondents, consisted of the evaluation willingness to participate, inclusion criteria, and blood test performed in the laboratory of respondents before and after eating the foods. The results showed that various ready to eat foods in vacuum packed in a laminate pouch then irradiated at the dose of 45 kGy under cryogenic condition could improve the nutritional and immunity status of the selected residents considered as immuno compromised

  14. Periarticular Injection of Liposomal Bupivacaine Offers No Benefit Over Standard Bupivacaine in Total Knee Arthroplasty: A Prospective, Randomized, Controlled Trial.

    Science.gov (United States)

    Alijanipour, Pouya; Tan, Timothy L; Matthews, Christopher N; Viola, Jessica R; Purtill, James J; Rothman, Richard H; Parvizi, Javad; Austin, Matthew S

    2017-02-01

    Periarticular injection of liposomal bupivacaine has been adopted as part of multimodal pain management after total knee arthroplasty (TKA). In this prospective, randomized clinical trial, we enrolled 162 patients undergoing primary TKA in a single institution between January 2014 and May 2015. Eighty-seven patients were randomized to liposomal bupivacaine (experimental group), and 75 patients were randomized to free bupivacaine (control group). All patients received spinal anesthesia and otherwise identical surgical approaches, pain management, and rehabilitation protocols. Outcomes evaluated include the patient-reported visual analog pain scores, narcotic consumption, and narcotic-related side effects (Brief Pain Inventory) within 96 hours after surgery as well as functional outcomes using the Knee Society Score and the Short-Form 12 measured preoperatively and at 4-6 weeks after surgery. There were no statistically significant differences between the groups in terms of postoperative daily pain scores, narcotic consumption (by-day and overall), or narcotic-related side effects. There were no statistically significant differences between the groups in terms of surgical (P = .76) and medical complications or length of hospital stay (P = .35). There were no statistically significant differences in satisfaction between the groups (P = .56) or between the groups in postoperative Knee Society Score (P = .53) and the Short-Form 12 at 4-6 weeks (P = .82, P = .66). As part of multimodal pain management protocol, periarticular injection of liposomal bupivacaine compared with bupivacaine HCl did not result in any clinically or statistically significant improvement of the measured outcomes following TKA. Copyright © 2016 Elsevier Inc. All rights reserved.

  15. Assessment report of the Radiation protection and Nuclear Safety Institute (IRSN)

    International Nuclear Information System (INIS)

    2011-03-01

    After having recalled and commented the three main missions of the IRSN (an expertise capacity, a mission of research, a mission of public information and training), this report analyzes and comments the governance of the institute: a very much structured pyramidal organisation based on a quality approach, a human resource management policy adapted to short and middle term needs, patrimony and estate policy, financial and budgetary policy, personnel hygiene and safety policy. It analyzes and comments the different relationship and partnership maintained by the IRSN with institutions and companies. Strengths and weaknesses are outlined and some recommendations are proposed

  16. Application of the Activity Framework for Assessing Aquatic Ecotoxicology Data for Organic Chemicals

    DEFF Research Database (Denmark)

    Thomas, Paul; Dawick, James; Lampi, Mark

    2015-01-01

    Toxicological research in the 1930s gave the first indications of the link between narcotic toxicity and the chemical activity of organic chemicals. More recently, chemical activity has been proposed as a novel exposure parameter that describes the fraction of saturation and that quantifies the p...

  17. Return to driving after arthroscopic rotator cuff repair: patient-reported safety and maneuverability.

    Science.gov (United States)

    Gholson, J Joseph; Lin, Albert; McGlaston, Timothy; DeAngelis, Joseph; Ramappa, Arun

    2015-01-01

    This survey investigated patients' return to driving after rotator cuff surgery, to determine whether pain, weakness, sling use, and narcotics correlate with self-assessed safety and maneuvering. Fifty-four patients (80.6% of those eligible) were surveyed 4 months after surgery. Return to driving ranged widely from same day to 4 months, with two not driving at 4 months; 12% reported narcotics use and 33% reported sling use. Drivers reporting weakness were more likely to feel unsafe (p = .02) and more likely to report difficulty maneuvering (p driving does not correspond to perceived safety; pain and weakness correspond with feeling unsafe and difficulty maneuvering. Although subjective, clinicians may find these self-assessments predictive when counseling patients on return to driving.

  18. Intensive rehabilitative approach to eosinophilia myalgia syndrome associated with severe polyneuropathy.

    Science.gov (United States)

    Draznin, E; Rosenberg, N L

    1993-07-01

    We report a case of the eosinophilia myalgia syndrome (EMS) with incapacitating myalgias, weakness secondary to a severe polyneuropathy, and contractures in all four extremities requiring aggressive rehabilitation treatment. A 55-year-old woman was admitted to a rehabilitation hospital 11 months after the onset of EMS. At that time, she had severe weakness secondary to peripheral neuropathy and painful contractures in all extremities and required high doses of narcotics for pain control. A continuous passive range of motion machine was used in order to maintain range of motion obtained during active exercise therapy. The patient showed functional improvement in basic mobility and ADL skills. She was withdrawn from narcotics and successfully learned pain management techniques. An aggressive rehabilitation approach in the treatment of EMS associated with peripheral neuropathy may improve functional outcome even when instituted late in the clinical course.

  19. Reshaping the DCC Institutional Engagement Programme

    Directory of Open Access Journals (Sweden)

    Sarah Jones

    2014-10-01

    Full Text Available This paper shares results from the Digital Curation Centre’s programme of Institutional Engagements (IEs, and describes how we continue to provide tailored support on Research Data Management (RDM to the UK higher education sector.Between Spring 2011 and Spring 2013, the DCC ran a series of 21 Institutional Engagements. The engagement programme involved helping institutions to assess their needs, develop policy and strategy, and begin to implement a range of RDM services.We have conducted a synthesis and evaluation of the programme, analysing the types of assistance requested and the impact of our support. The findings and lessons to emerge from these exercises have informed our future strategy and helped reshape the programme.

  20. ADMINISTRATIVE KNOWLEDGE IN INNOVATIVE DEVELOPMENT OF EDUCATIONAL INSTITUTIONS

    Directory of Open Access Journals (Sweden)

    Tatiana A. Pankratova

    2014-01-01

    Full Text Available This article investigated the conditionsfor generating administrative knowledgeand ways to evaluate his conditionand optimization. Designated methodsand tools actualization administrative management of knowledge as aresource of innovative development ofthe educational institution. The basic directions of innovative development ofsoftware, including the assessment of theimpact of corporate culture, and diagnosisof barriers to educational institution.

  1. 76 FR 57992 - Assessment Rate Adjustment Guidelines for Large and Highly Complex Institutions

    Science.gov (United States)

    2011-09-19

    ... institution has one or more scorecard measure outliers, the FDIC will conduct further analysis to determine... total score will be made only if the comprehensive analysis of an institution's risk generally based on... practices, collateral and other risk mitigants, including the materiality of guarantees and franchise value...

  2. What risk assessments of genetically modified organisms can learn from institutional analyses of public health risks.

    Science.gov (United States)

    Rajan, S Ravi; Letourneau, Deborah K

    2012-01-01

    The risks of genetically modified organisms (GMOs) are evaluated traditionally by combining hazard identification and exposure estimates to provide decision support for regulatory agencies. We question the utility of the classical risk paradigm and discuss its evolution in GMO risk assessment. First, we consider the problem of uncertainty, by comparing risk assessment for environmental toxins in the public health domain with genetically modified organisms in the environment; we use the specific comparison of an insecticide to a transgenic, insecticidal food crop. Next, we examine normal accident theory (NAT) as a heuristic to consider runaway effects of GMOs, such as negative community level consequences of gene flow from transgenic, insecticidal crops. These examples illustrate how risk assessments are made more complex and contentious by both their inherent uncertainty and the inevitability of failure beyond expectation in complex systems. We emphasize the value of conducting decision-support research, embracing uncertainty, increasing transparency, and building interdisciplinary institutions that can address the complex interactions between ecosystems and society. In particular, we argue against black boxing risk analysis, and for a program to educate policy makers about uncertainty and complexity, so that eventually, decision making is not the burden that falls upon scientists but is assumed by the public at large.

  3. What Risk Assessments of Genetically Modified Organisms Can Learn from Institutional Analyses of Public Health Risks

    Directory of Open Access Journals (Sweden)

    S. Ravi Rajan

    2012-01-01

    Full Text Available The risks of genetically modified organisms (GMOs are evaluated traditionally by combining hazard identification and exposure estimates to provide decision support for regulatory agencies. We question the utility of the classical risk paradigm and discuss its evolution in GMO risk assessment. First, we consider the problem of uncertainty, by comparing risk assessment for environmental toxins in the public health domain with genetically modified organisms in the environment; we use the specific comparison of an insecticide to a transgenic, insecticidal food crop. Next, we examine normal accident theory (NAT as a heuristic to consider runaway effects of GMOs, such as negative community level consequences of gene flow from transgenic, insecticidal crops. These examples illustrate how risk assessments are made more complex and contentious by both their inherent uncertainty and the inevitability of failure beyond expectation in complex systems. We emphasize the value of conducting decision-support research, embracing uncertainty, increasing transparency, and building interdisciplinary institutions that can address the complex interactions between ecosystems and society. In particular, we argue against black boxing risk analysis, and for a program to educate policy makers about uncertainty and complexity, so that eventually, decision making is not the burden that falls upon scientists but is assumed by the public at large.

  4. ALTERNATIVE APPROACHES TO EFFICIENCY EVALUATION OF HIGHER EDUCATION INSTITUTIONS

    Directory of Open Access Journals (Sweden)

    Furková, Andrea

    2013-09-01

    Full Text Available Evaluation of efficiency and ranking of higher education institutions is very popular and important topic of public policy. The assessment of the quality of higher education institutions can stimulate positive changes in higher education. In this study we focus on assessment and ranking of Slovak economic faculties. We try to apply two different quantitative approaches for evaluation Slovak economic faculties - Stochastic Frontier Analysis (SFA as an econometric approach and PROMETHEE II as multicriteria decision making method. Via SFA we examine faculties’ success from scientific point of view, i.e. their success in area of publications and citations. Next part of analysis deals with assessing of Slovak economic sciences faculties from overall point of view through the multicriteria decision making method. In the analysis we employ panel data covering 11 economic faculties observed over the period of 5 years. Our main aim is to point out other quantitative approaches to efficiency estimation of higher education institutions.

  5. 42 CFR 93.213 - Institution.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Institution. 93.213 Section 93.213 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH ASSESSMENTS AND HEALTH EFFECTS STUDIES OF HAZARDOUS SUBSTANCES RELEASES AND FACILITIES PUBLIC HEALTH SERVICE POLICIES ON RESEARCH...

  6. The Crisis of the Arab State: Institutional Reform and Democratic ...

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

    This project will analyze three state institutions in Tunisia, Egypt, and Yemen - the ... state-controlled religious institutions, and state-owned media - to assess the ... more freedom for people to express political, social, and economic demands, ...

  7. Assessment of Teaching Effectiveness: Lack of Alignment between Instructors, Institutions, and Research Recommendations

    Science.gov (United States)

    Henderson, Charles; Turpen, Chandra; Dancy, Melissa; Chapman, Tricia

    2014-01-01

    Ideally, instructors and their institutions would have a shared set of metrics by which they determine teaching effectiveness. And, ideally, these metrics would overlap with research findings on measuring teaching effectiveness. Unfortunately, the current situation at most institutions is far from this ideal. As part of a larger interview study,…

  8. Institutional arrangements for the reduction of proliferation risks. Formulation, evaluation, and implementation of institutional concepts

    International Nuclear Information System (INIS)

    Kratzer, M.B.; Wonder, E.F.; Gray, J.E.; Shantzis, S.B.; Sievering, N.F.; Paige, H.W.; Jones, B.M.

    1979-12-01

    The purpose of this study was to: (1) identify alternative institutional arrangements applicable to the sensitive steps in the back-end of the fuel cycle that might reduce their associated proliferation risks; and (2) assess their advantages and disadvantages from the standpoint of nonproliferation effectiveness and political, economic, and operational acceptability. The concept of international or multinational custody of sensitive materials and facilities was found to offer a high degree of proliferation resistance and to likely be more acceptable to prospective participants than other institutional arrangements that intrude upon proprietary areas, such as facility ownership and management

  9. Institutional arrangements for the reduction of proliferation risks formulation, evaluation, and implementation of institutional concepts

    International Nuclear Information System (INIS)

    Kratzer, M.B.; Wonder, E.F.; Gray, J.E.; Shantzis, S.B.; Sievering, N.F.; Paige, H.W.; Jones, B.M.

    1979-12-01

    The purpose of this study was to: (1) identify alternative institutional arrangements applicable to the sensitive steps in the back-end of the fuel cycle that might reduce their associated proliferation risks; and (2) assess their advantages and disadvantages from the standpoint of nonproliferation effectiveness and political, economic, and operational acceptability. The concept of international or multinational custody of sensitive materials and facilities was found to offer a high degree of proliferation resistance and to likely be more acceptable to prospective participants than other institutional arrangements that intrude upon proprietary areas, such as facility ownership and management

  10. Institutional arrangements for the reduction of proliferation risks formulation, evaluation, and implementation of institutional concepts

    Energy Technology Data Exchange (ETDEWEB)

    Kratzer, M.B.; Wonder, E.F.; Gray, J.E.; Shantzis, S.B.; Sievering, N.F.; Paige, H.W.; Jones, B.M.

    1979-12-01

    The purpose of this study was to: (1) identify alternative institutional arrangements applicable to the sensitive steps in the back-end of the fuel cycle that might reduce their associated proliferation risks; and (2) assess their advantages and disadvantages from the standpoint of nonproliferation effectiveness and political, economic, and operational acceptability. The concept of international or multinational custody of sensitive materials and facilities was found to offer a high degree of proliferation resistance and to likely be more acceptable to prospective participants than other institutional arrangements that intrude upon proprietary areas, such as facility ownership and management.

  11. Honduras: A Pariah State, or Innovative Solutions to Organized Crime Deserving U.S. Support

    Science.gov (United States)

    2016-06-01

    organized crime and delinquency in the coun- try. More controversially, he has created a new police force within the military, the Military Police of...and ambitious structure, wrestling with the inter-institutional challenges of the fight against orga- nized crime and delinquency in Honduras is no...example, statistics involving the activi- ties of the organizations under its operational control, 36 including counter-narcotics operations, actions

  12. Assessing Institutional Characteristics on Microcredit Default in Kenya: A Comparative Analysis of Microfinance Institutions and Financial Intermediaries

    Science.gov (United States)

    Muthoni, Muturi Phyllis

    2016-01-01

    A major concern on microcredit repayment remains a major obstacle to the Micro Financial Institutions (MFIs) and Financial Intermediaries (FIs) in Kenya. The health of MFI sector in Sub Sahara Africa (SSA) is a cause of concern due to the increased portfolio at risk (PAR). This region records the highest risk globally with its PAR 30 greater than…

  13. [Research on competency building standards of institutions of schistosomiasis prevention and control in Hubei Province I Investigation of institution management].

    Science.gov (United States)

    Liu, Han-cheng; Zhong, Chen-hui; Liao, Si-qi; He, Hui

    2014-08-01

    To investigate the current situation of management of institutions of schistosomiasis prevention and control in Hubei Province, so as to explore the probable competency building standards for these institutions at the county and township levels. By using a combination of quantitative and qualitative methods, the institutions of schistosomiasis prevention and control at county and township levels were investigated for the institutional setup, staffing and fulfillment functions since the reform of 2004. Among 63 schistosomiasis endemic counties (cities, districts) of Hubei Province, there were 26 independent schistosomiasis control institutions (41.27%), there were 24 institutions which were incorporated into CDC (38.10%), and there were no institutions in 13 counties (20.63%). Among 518 endemic towns, there were 299 institutions (57.72%). The total staffing size were 1 932, but there were 1 586 (82.09%) people actually working in the post, and therefore there were 346 (17.91%) empty positions. The average rates of carrying out the six functions were 91.48%-71.19%, but only 19.23% of the institutions participated in the comprehensive schistosomiasis control management project and its effect assessment. According to the management model for schistosomiasis control institutions under the current institutional mechanisms, we need a rigorous industry standard to constrain, guide and standardize the management and capacity-building of the institutions in different historical periods.

  14. Approaches to Identification of Institutions in Institutional Economics

    Directory of Open Access Journals (Sweden)

    Igor M. Shiriaev

    2017-03-01

    Full Text Available The paper deals with the methodology for identification of institutions from institutional economics perspective. The differences between the perspectives provided by old and new institutional economics are highlighted. These differences are interpreted in the context of compared pragmatist and postpositivist methodologies. This paper applies to the post-positivist approach to the identification of institutions. One example of institution is provided by power-property institution. Identification of this institution in the historical and economic research is based on several theoretical generalizations and supported by array of historical facts. Another example is provided by identification of institution and institutional change in higher education based on discourse analysis and interviews with the main actors. In this paper, the regulatory institutions of higher education are analyzed as well. The concept of power-property institution is extended to the higher education by proposing hypotheses on the functioning of state governing-regulating institution in this sphere. This institution prescribes the actors to behave in accordance with the objectives of public policy, which can only be implemented in the form of bureaucratization of higher education. The paper describes the behavioral regularity generated by an identified institution. Functioning of the governing-regulating institution in higher education is illustrated by examples of behavioral regularities emerging from activities in accordance with this institution. The paper also shows the possibility of falsification of proposed hypothesis.

  15. Assessing the Influence of Advertising on Student Enrolment in Private Tertiary Institutions in Ghana

    Directory of Open Access Journals (Sweden)

    Bede Akorige Atarah

    2014-03-01

    Full Text Available Abstract Private tertiary institutions have increasingly advertised their products in recent years to the general public in Ghana through various media. The desire to find out whether these institutions just copy other business entities blindly or that advertising actually helps in increasing their enrolments led to this study. The main aim of the study was to find out if advertising had an influence on students’ enrolment decision in private tertiary institutions. Two private universities were selected and all the students along with the admission/marketing officers of the institutions were targeted. Structured questionnaires were used to collect data from the students and unstructured interviews were organised to gather data from the admission/marketing officers. Statistical package for social sciences (SPSS was used to analyse the data. The results showed that advertising in addition to serving as a source of information to students also influenced the enrolment decision of some students. There were however other factors that influenced the enrolment decision of students such as family, friends, current students, etc that could be exploited by these institutions to their advantage.

  16. Inconsistent trial assessments by the National Institute for Health and Clinical Excellence and IQWiG: standards for the performance and interpretation of subgroup analyses are needed.

    Science.gov (United States)

    Hasford, J; Bramlage, P; Koch, G; Lehmacher, W; Einhäupl, K; Rothwell, P M

    2010-12-01

    The methodology for the critical assessment of medical interventions is well established. Regulatory agencies and institutions adhere, in principle, to the same standards. This consistency, however, is not always the case in practice. Using the evaluation of the CAPRIE (Clopidogrel versus Aspirin in Patients at risk of Ischemic Events) trial by the British National Institute for Health and Clinical Excellence (NICE) and the German Institute for Quality and Efficiency in Health Care (IQWiG), we illustrate that there was no consensus for the interpretation of possible heterogeneity in treatment comparisons across subgroups. The NICE concluded that CAPRIE demonstrated clinical benefit for the overall intention-to-treat (ITT) population with sufficient robustness to possible sources of heterogeneity. The IQWiG interpreted the alleged heterogeneity as implying that the clinical benefit only applied to the subgroup of patients with a statistically significant result irrespective of the results of the ITT analysis. International standards for the performance and interpretation of subgroup analyses as well as for the assessment of heterogeneity between strata are needed. Copyright © 2010 Elsevier Inc. All rights reserved.

  17. Crisis in Mexico: Assessing the Merida Initiative and its Impact on Us-Mexican Security

    Science.gov (United States)

    2009-04-01

    strategic narcotics transportation routes in seven Mexican states. 14 The Sinaloa Cartel, headed by Joaquin “El Chapo” Guzman Loera, operates from...Fingerprint Exchange (CAFÉ) that will be linked to the FBI. Two million dollars went to refurbish 65- and 82-foot patrol boats for Costa Rica‟s Coast

  18. An empirical approach to the credit risk assessment of a microfinance institution in Peru

    Directory of Open Access Journals (Sweden)

    Juan Lara Rubio

    2011-06-01

    Full Text Available The growth of micro-credit along with the excellent conditions to carry out microfinance activity in the economy and financial system of the Republic of Peru are pushing for Microfinance Institutions (IMF increased competition with banks in this segment business. Like in commercial banks, in microfinance questions such as: is this customer profitable?, What is the credit limit that I must accept to his/her application?, What interest rate should I charge to him/ her?, How I can reduce the risk default?, etc., are matters to be assessed properly. We propose a method that could facilitate improvement in customer qualification between failed and not failed. To this end, we propose a methodology that analyzes credit risk in the provision of microcredit through the design of a credit scoring model that we apply to a Development Agency for Small and Micro Enterprise (EDPYME, which is an IMF under the supervision by the Banking and Insurance Superintendency (SBS.

  19. Information Security Governanceas as Key Performance Indicator for Financial Institutions

    OpenAIRE

    Krjukovs, D; Strauss, R

    2009-01-01

    Due to their nature financial institutions and their performance are in constant focus of attention from different stakeholder groups. These groups according to their functions and interests are implementing different sets of key performance indicators for financial institution performance assessment. In the proposed paper authors present a hypothesis of information security governance being a financial institution key performance indicator. Authors provide high level overview of ...

  20. [Forensic assessments from the Netherlands Institute of Forensic Psychiatry and Psychology in retrospect; applications of genetics and neuroscience, in 2000 and 2009].

    Science.gov (United States)

    Ter Harmsel, J F; Molendijk, T; van El, C G; M'charek, A; Kempes, M; Rinne, T; Pieters, T

    2016-01-01

    Developments in neurosciences and genetics are relevant for forensic psychiatry. To find out whether and how genetic and neuroscientific applications are being used in forensic psychiatric assessments, and, if they are, to estimate to what extent new applications will fit in with these uses. We analysed 60 forensic psychiatric assessments from the Netherlands Institute of Forensic Psychiatry and Psychology, Pieter Baan Center, and 30 non-clinical assessments from 2000 and 2009. We found that (behavioral) genetic, neurological and neuropsychological applications played only a modest role in forensic psychiatric assessment and they represent different phases of the implementation process. Neuropsychological assessment already occupied a position of some importance, but needed to be better integrated. Applications from neurology were still being developed. Clinical genetic assessment was being used occasionally in order to diagnose a genetic syndrome with behavioral consequences. If further validated information becomes available in the future, it should be possible to integrate new research methods more fully into current clinical practice.

  1. 75 FR 72581 - Assessments, Assessment Base and Rates

    Science.gov (United States)

    2010-11-24

    ... Part III Federal Deposit Insurance Corporation 12 CFR Part 327 Assessments, Assessment Base and... Assessments, Assessment Base and Rates AGENCY: Federal Deposit Insurance Corporation. ACTION: Notice of... Consumer Protection Act regarding the definition of an institution's deposit insurance assessment base...

  2. How institutions matter for international business : Institutional distance effects vs institutional profile effects

    NARCIS (Netherlands)

    van Hoorn, Andre; Maseland, Robbert

    Extant institutional research has failed to make a distinction between the effects of institutional profile and institutional distance on MNEs. The problem stems from the fact that, due to the use of a single reference country, variation in institutional distance between the reference country and

  3. Assessment of private homes as spaces for the dying elderly

    Directory of Open Access Journals (Sweden)

    Tulika Bhattacharyya

    2017-01-01

    Full Text Available Aim: This study makes an assessment of end-of-life care of the elderly in private homes in Kolkata, West Bengal, India. Participants and Methods: Primary data were collected from private homes which supported elder care through observation and semi-structured interviews with primary family caregivers of the elderly. Results: The study finds that the major factors preventing private homes from providing adequate care to the elderly were architecturally inadequate housing conditions, paucity of financial support, and scarcity of skilled caregivers. Besides, considerable neglect and domestic abuse of the elderly was also found in some private homes. In addition, the peripheral location of private homes within public health framework and inadequate state palliative policy, including stringent narcotic regulations, accentuated the problems of home care. Conclusion: The study concludes by questioning the rhetoric of private homes as spaces for the dying elderly in Kolkata and suggests remedial measures to improve their capacity to deliver care.

  4. Beyond Bureaucracy? Assessing Institutional Change in the Governance of Water in England

    Directory of Open Access Journals (Sweden)

    Nigel Watson

    2009-10-01

    Full Text Available Alternative governance approaches in which non-state actors play a substantial role in policy making and implementation are currently attracting attention. Government-centred water bureaucracies have to adapt to increased complexity. Relationships among state and non-state actors in the English water sector have markedly changed in the last few decades in connection with the privatisation of water services, reform of arrangements for flood management, and implementation of the European Union Water Framework Directive (WFD. The paper assesses whether such changes represent a shift 'beyond bureaucracy' and the beginning of a new era of multi-party 'water governance'. From an examination of institutional reform in river basin management and flood risk management, the paper concludes that the water bureaucracy has actually strengthened its control, despite using language emphasising partnerships and collaborative governance. Responsibility for policy implementation has been reallocated among a range of public, private and civic groups. This 'neo-bureaucratic' arrangement is problematic because the government-centred water bureaucracy has lost some of its accountability and legitimacy, while the newer collaborative arrangements have little real influence over the direction of water policy. Governance capacity needs to be enhanced by adopting a collaborative approach to development of water policy in addition to its implementation.

  5. 75 FR 33791 - Privacy Act of 1974; System of Records

    Science.gov (United States)

    2010-06-15

    ... information such as name, Social Security Number (SSN), address, citizenship documentation, biometric data... technology protection, threat analysis, counter-narcotics and risk assessments. Records relating to the..., Social Security Number (SSN), citizenship documentation, biometric [[Page 33792

  6. Institutional and socioeconomic aspects of water supply

    Science.gov (United States)

    Rauchenschwandtner, H.; Pachel, M.

    2012-04-01

    Institutional and socioeconomic aspects of water supply Within the project CC-WaterS the participating researchers of the Vienna University of Economics and B.A. have been responsible for the analysis of the socioeconomic aspects related to water supply and climate change, the assessment of future water demands in the City of Vienna, as well as an estimation of economic consequences of possible water shortages and possible scope for the introduction of new legal guidelines. The institutional and socioeconomic dimensions of drinking water and sanitation systems are being examined by utilisation of different prognostic scenarios in order to assess future costs of water provisioning and future demands of main water users, thus providing an information basis and recommendations for policy and decision makers in the water sector. These dimensions, for example, include EU legislation - especially the Water Framework Directive -, national legislations and strategies targeted at achieving sustainability in water usage, best practices and different forms of regulating water markets, and an analysis of the implications of demographic change. As a basis this task encompasses research of given institutional, social, and legal-political structures in the area of water supply. In this course we provide an analysis of the structural characteristics of water markets, the role of water prices, the increasing perception of water as an economic good as well as implications thereof, the public awareness in regard to climate change and water resources, as well as related legal aspects and involved actors from regional to international level; and show how water resources and the different systems of water provisioning are affected by (ideological) conflicts on various levels. Furthermore, and in order to provide a solid basis for management recommendations related to climate change and water supply, an analytical risk-assessment framework based on the concepts of new institutional

  7. Internal control as part of prevention irregularities in accounting of budgetary institution

    Directory of Open Access Journals (Sweden)

    O.М. Bunda

    2016-07-01

    Full Text Available The article researches the principles of internal control, the importance, the rationale for the essence of the system of internal control and the legislative building in budgetary institution. It describes the main challenges and problems of practical application of internal control in the normal course of business in modern enterprises. It reveals the following elements of the internal control of a budget institution as: control environment, risk assessment process of a budget institution, information systems, control procedures and control monitoring. The dependence between the effectiveness of accounting and internal control of a budget institution is determined. The paper highlights the methods of evaluation of internal control of a budget institution. This method is recommended for use in the preliminary assessment of control risk budget institution. The concept of «decision» as on the whole and also in particular in internal control is covered. The essential grouping indications of internal control decisions are defined and every type of decisions is characterized. The main directions of improvement of internal control to prevent violations in accounting of a budgetary institution is examined.

  8. Analysing Information Systems Security In Higher Learning Institutions Of Uganda

    OpenAIRE

    Mugyenyi Raymond

    2017-01-01

    Information communication technology has increased globalisation in higher learning institution all over the world. This has been achieved through introduction of systems that ease operations related to information handling in the institutions. The paper assessed and analysed the information systems security performance status in higher learning institutions of Uganda. The existing policies that govern the information security have also been analysed together with the current status of inform...

  9. Moral Bioenhancement for Social Welfare: Are Civic Institutions Ready?

    Directory of Open Access Journals (Sweden)

    John R. Shook

    2017-12-01

    Full Text Available Positive assessments of moral enhancement too often isolate intuitive notions about its benefits apart from the relevance of surrounding society or civic institutions. If moral bioenhancement should benefit both oneself and others, it cannot be conducted apart from the enhancement of local social conditions, or the preparedness of civic institutions. Neither of those considerations has been adequately incorporated into typical neuroethical assessments of ambitious plans for moral bioenhancement. Enhancing a person to be far less aggressive and violent than an average person, what we label as “civil enhancement,” seems to be quite moral, yet its real-world social consequences are hardly predictable. A hypothetical case about how the criminal justice system would treat an offender who already received civil enhancement serves to illustrate how civic institutions are unprepared for moral enhancement.

  10. Ketamine as an adjunct to postoperative pain management in opioid tolerant patients after spinal fusions: a prospective randomized trial.

    Science.gov (United States)

    Urban, Michael K; Ya Deau, Jacques T; Wukovits, Barbara; Lipnitsky, Jane Y

    2008-02-01

    Management of acute postoperative pain is challenging, particularly in patients with preexisting narcotic dependency. Ketamine has been used at subanesthetic doses as a N-methyl D-aspartate (NMDA) receptor antagonist to block the processing of nociceptive input in chronic pain syndromes. This prospective randomized study was designed to assess the use of ketamine as an adjunct to acute pain management in narcotic tolerant patients after spinal fusions. Twenty-six patients for 1-2 level posterior lumbar fusions with segmental instrumentation were randomly assigned to receive ketamine or act as a control. Patients in the ketamine group received 0.2 mg/kg on induction of general anesthesia and then 2 mcg kg(-1) hour(-1) for the next 24 hours. Patients were extubated in the operating room and within 15 minutes of arriving in the Post Anesthesia Care Unit (PACU) were started on intravenous patient-controlled analgesia (PCA) hydromorphone without a basal infusion. Patients were assessed for pain (numerical rating scale [NRS]), narcotic use, level of sedation, delirium, and physical therapy milestones until discharge. The ketamine group had significantly less pain during their first postoperative hour in the PACU (NRS 4.8 vs 8.7) and continued to have less pain during the first postoperative day at rest (3.6 vs 5.5) and with physical therapy (5.6 vs 8.0). Three patients in the control group failed PCA pain management and were converted to intravenous ketamine infusions when their pain scores improved. Patients in the ketamine group required less hydromorphone than the control group, but the differences were not significant. Subanesthetic doses of ketamine reduced postoperative pain in narcotic tolerant patients undergoing posterior spine fusions.

  11. Showing the Love: Predictors of Student Loyalty to Undergraduate Institutions

    Science.gov (United States)

    Vianden, Jörg; Barlow, Patrick J.

    2014-01-01

    This article advances the notion that undergraduates may be considered student-customers whose relationship with and loyalty to their institutions can be managed by college educators. The Student University Loyalty Instrument administered to 1,207 undergraduates at three comprehensive Midwestern institutions assessed the predictors of student…

  12. Principles, application areas and an example of risk assessment conducted at the Danish Institute for Food and Veterinary Research

    DEFF Research Database (Denmark)

    Greiner, Matthias; Paisley, Larry; Nørgaard, Julie Hostrup

    2004-01-01

    The Department for Epidemiology and Risk Analysis at the Danish Institute for Food and Veterinary Research (DFVF) is concerned with risk analyses in the areas of food safety, zoo noses, antimicrobial resistance and OIE (World Organisation for Animal Health) list A and B diseases. The DFVF...... is responsible for the risk assessment component of the risk analysis process and provides advice and support for the risk management and risk communication component, which is generally under the auspices of the Danish Veterinary and Food Administration (DVFA). The paper presents guidelines for the conduct...

  13. Behavioral Health Needs Assessment Survey (BHNAS): Overview of Survey Items and Measures

    Science.gov (United States)

    2013-02-12

    medication use • Personal and unit morale • Unit cohesion • Attitudes toward leadership • Positive effects of deployment • Navy support during deployment...to select any of the following: • Over-the-counter drugs (including Aspirin, Tylenol, Motrin, Ibuprofen, Aleve) • Prescription painkillers that...are not opioids (including Celebrex, Vioxx, Bextra, topical lidocaine) • Prescription opioid/narcotic painkiller (including OxyContin, Percocet

  14. Assessment of Scientific Reasoning as an Institutional Outcome

    Science.gov (United States)

    2016-04-01

    expertise in the outcome domain. Student achievement of the Scientific Reasoning and Principles of Science was assessed in the 2012-13 academic year by...scientific reasoning assessment. Overall, students were weakest when answering questions related to (a) proportional reasoning , (b) isolation of...variables, and (c) if-then reasoning . These findings are being incorporates into redesign of the core curriculum to enhance continuity among science courses

  15. The Comparison of Attention Biases to Opiates in Substance Dependent and Treated Clients of Therapeutic Clinics and Narcotics Anonymous Memberships

    Directory of Open Access Journals (Sweden)

    Javad Enayat

    2012-11-01

    Full Text Available Aim: The purpose of this study was to compare the attention bias about tempting incentives related to opium materials in treated, addicted and normal people. Duration of consumption and treating were also considered. Method: In this causal-comparative study population was all addicted people who were referred to the rehabilitation offices, addiction treatment clinic, rebirthing centers and Narcotics Anonymous of East Azerbaijan. This study consisted of five groups of men, including addicted to opium materials which are divided into two groups namely: long consumption period and people with short consumption period, also, treated people including long term treated and short term treated, and a normal control group. Altogether, 103 selected people were studied. Sample groups were similar in terms of age, education, and sex. For measuring attention bias towards tempting stimuli related opiates, a words recognition test was used. This test included three subtests and one recognition test. The recognition scores for the three categories of words were measured. Results: The findings indicated that there was a difference in attention against opium material incentives between control group and the mild and severe consumers groups. Also there were significant differences between treated people with the short time distance and control group, and control group had less temptation and biases in comparison to the other groups. Finally, those who have mild consumption are threatened more in comparison with the control group. Conclusion: The findings have applied implications.

  16. An Assessment of Workplace Skills Acquired by Students of Vocational and Technical Education Institutions

    Science.gov (United States)

    Bakar, Ab Rahim; Mohamed, Shamsiah; Hamzah, Ramlah

    2013-01-01

    This study was performed to identify the employability skills of technical students from the Industrial Training Institutes (ITI) and Indigenous People's Trust Council (MARA) Skills Training Institutes (IKM) in Malaysia. The study sample consisted of 850 final year trainees of IKM and ITI. The sample was chosen by a random sampling procedure from…

  17. Student as Customer: Factors Affecting Satisfaction and Assessments of Institutional Quality.

    Science.gov (United States)

    Browne, Beverly A.; Kaldenberg, Dennis O.; Browne, William G.; Brown, Daniel J.

    1998-01-01

    A survey of 736 college students investigated satisfaction with a university's business education program, with attention to ratings of services and educational quality, and their relationship to students' global satisfaction, willingness to recommend the institution, and satisfaction with educational value received. Results suggest institutions…

  18. Evaluation of Sociodemographic Determinants in Narcotic Users Referring to Center for Methadone Maintenance Therapy of Yazd, Iran

    Directory of Open Access Journals (Sweden)

    M.H. Lotfi

    2012-07-01

    Full Text Available Introduction: Addiction is a habit or behavior that is often hard to quit. It is estimated that 190 million persons are substance users around the world. Substance abuse creates tolerance after a while. Shortly after taking the drug, a person will not enjoy as the beginning of its use; that is why the amount of substance used is gradually increased. The purpose of this study was to find the reasons of tendency to narcotics among addicted individuals referred to methadone maintenance therapy (MMT center in Yazd. Materials & Methods: This study was a descriptive-analytic study on 100 addicts referred to methadone maintenance treatment center (MMT in Yazd. Data was collected by a pre-designed questionnaire with acceptable validity and reliability. Data was analyzed using SPSS statistical software and employing descriptive statistics such as percentage, ratio, mean, standard deviation and statistical tests such as t-test and chi- square was performed. Results: 41.9 % of addicts were unemployed, 4.77% married and 5.64% had elementary education. The most common method of substance consumption was inhalation (2.40%. Heroin was the most frequent type of substance used (1/51% The relationship between marital status and type of substance used, and age of onset of drug use was significant. The frequency of substance consumption was significantly different regarding the history of drug use in father, brother and spouses of patients in both sexes. Conclusion: Results of the current study showed that subjects at an early age (adolescence and early adulthood, individuals with low educational status, those with unstable jobs and low income, presence of addicted individuals among first-degree relatives can be the causes leading to addiction in the community.

  19. The Payoff of Corporate Portal Usage in an Academic Institution

    Science.gov (United States)

    Al-Busaidi, Kamla Ali

    2012-01-01

    Purpose: The purpose of this paper is to empirically assess the payoffs of a corporate portal in an academic institution in Oman and its impacts on business processes and employees. Design/methodology/approach: The study included 100 employees, mostly instructors, in an academic institution. The questionnaire included indicators related to the…

  20. Annual report 1991. Environment Institute

    International Nuclear Information System (INIS)

    1992-01-01

    This is the annual report of the Environment Institute of the Joint Research Centre - Ispra Site - of the Commission of the European Communities. The report summarizes the progress accomplished in the course of 1991 - i.e. the last of the four year (1988-91) Specific Research Programme of the Joint Research Centre - in the projects tackled by the Institute. The activities were mainly focused on the areas of environmental chemicals, air pollution, water pollution, chemical waste and food and drug analysis, included in the programme Environmental Protection, and of safety assessment of nuclear waste disposal in geological formation as a part of the Radioactive Waste Management programme. The scientific support provided to different Commission Services is also described, proper emphasis being given to that provided to the Directorate General Xl (Environment, Nuclear Safety and Civil Protection) in the field of chemicals, air pollution, water pollution, chemical waste and radioactive environmental monitoring (REM). The above activities are aimed at the implementation of EC directives in the related fields. The work for third parties and the contribution of the Institute to various EUREKA and COST projects are also shortly described. Lastly the report provides essential data concerning the Institute structure and the human and financial resources

  1. INSTITUTIONAL DETERMINANTS OF INVESTMENT INFLOWS INTO TRANSITION ECONOMIES

    Directory of Open Access Journals (Sweden)

    Donu Victoria

    2015-12-01

    Full Text Available This article investigates the relationship between institutional quality and the level of investment inflows into post-communist countries. We attempt to empirically verify the argument that institutional determinants are essential in explaining the variation in investment inflows into transition economies after the demise of socialism in the early 1990s. The role of institutions is assessed using Economic Freedom indices provided by the Heritage Foundation. Consequently, to investigate the progress of institutional quality in transition economies, we further employ indicators developed by the European Bank for Reconstruction and Development. Using a panel data set for 11 transition countries from 1993 to 2013, we conclude that the impact of institutional quality on investment inflows is not negligible, yet much weaker than suggested by the existing theoretical literature. Using a  fixed-effects model framework in both regression benchmarks with metrics from the Heritage Foundation and the European Bank for Reconstruction and Development, respectively, we observe that the impact of institutional variables on the level of investment was less significant than expected. Moreover, macroeconomic fundamentals appear to always play a more substantial role than institutional factors.

  2. Budget institutions and fiscal performance of the Brazilian Federal Government

    Directory of Open Access Journals (Sweden)

    Ana Carolina Giuberti

    2015-05-01

    Full Text Available This article aims to assess the impact of federal budget institutions on the primary deficit of the Brazilian Federal Government from 1985 to 2009, a period marked by important changes in these institutions. Based on the methodology established in the literature on political economy that is linked to the macroeconomic mainstream, three sets of budget indices and their respective sub-indices are constructed, and their behaviour over the period of analysis indicate that the changes made have resulted in institutions that induce greater fiscal discipline. Regarding the effect of these institutions on the fiscal performance, the results allow us to conclude that the institutional changes have contributed to a lower government deficit.

  3. Institutions fighting Trafficking in Human Beings in the Contemporary Romania

    Directory of Open Access Journals (Sweden)

    Lia Pop

    2014-05-01

    Full Text Available In the last approximately 15 years, mainly in the last decade, Romania made substantial efforts to establish the institutions fighting THB according with the EU’s Directive 38 /2011’s requirements and the recommendation assumed by the International Treaties signed and ratified in this area. The plethora of institutions were founded, but they are not functioning yet as a system because of the absence of the independent assessing institution. That is why, it must be, immediately, created. Beside, the institutional system needs, as a unavoidable complement the launching of Cultural Strategy in tabooing for good, the THB in Romania.

  4. Pain as an indication for rib fixation: a bi-institutional pilot study.

    Science.gov (United States)

    de Moya, Marc; Bramos, Thanos; Agarwal, Suresh; Fikry, Karim; Janjua, Sumbal; King, David R; Alam, Hasan B; Velmahos, George C; Burke, Peter; Tobler, William

    2011-12-01

    In trauma patients, open reduction and internal fixation of rib fractures remain controversial. We hypothesized that patients who have open reduction and internal fixation of rib fractures would experience less pain compared with controls and thus require fewer opiates. Further, we hypothesized that improved pain control would result in fewer pulmonary complications and decreased length of stay. This is a retrospective bi-institutional matched case-control study. Cases were matched 1:2 by age, injury severity Score, chest abbreviated injury severity score, head abbreviated injury severity score, pulmonary contusion score, and number of fractured ribs. The daily total doses of analgesic drugs were converted to equianalgesic intravenous morphine doses, and the primary outcome was inpatient narcotic administration. Sixteen patients between July 2005 and June 2009 underwent rib fixation in 5 ± 3 days after injury using an average of 3 (1-5) metallic plates. Morphine requirements decreased from 110 mg ± 98 mg preoperatively to 63 ± 57 mg postoperatively (p = 0.01). There were no significant differences between cases and controls in the mean morphine dose (79 ± 63 vs. 76 ± 55 mg, p = 0.65), hospital stay (18 ± 12 vs. 16 ± 11 days, p = 0.67), intensive care unit stay (9 ± 8 vs. 7 ± 10 days, p = 0.75), ventilation days (7 ± 8 vs. 6 ± 10, p = 0.44), and pneumonia rates (31% vs. 38%, p = 0.76). The need for analgesia was significantly reduced after rib fixation in patients with multiple rib fractures. However, no difference in outcomes was observed when these patients were compared with matched controls in this pilot study. Further study is required to investigate these preliminary findings.

  5. The Case for Standardized Reporting and Assessment Requirements for Institutional Repositories

    Science.gov (United States)

    McDonald, Robert H.; Thomas, Chuck

    2008-01-01

    Research libraries traditionally have focused their efforts on building local collections to support the research needs of their organizations and providing for the discovery and use of resources within these collections. The emergence in recent years of disciplinary and institutional digital repositories presents new challenges for research…

  6. Institutions, Behavior of Agents and Efficiency

    Directory of Open Access Journals (Sweden)

    Sukharev Oleg, S.

    2016-03-01

    Full Text Available We study the efficiency criterion, describing the behavior and choices of agents, the influence of moral norms on the model of behavior, as well as the criterion of efficiency as an institution to assess the behavior and development of the economic system. Curve proposed institutional compromise that allows to determine the possibility of changes in the welfare of interacting agents and their compliance with ethical standards when welfare increases due to violation or compliance with these standards. For the purposes of this demonstration of the influence of the model of chart-based dilemmas Holmes-Moriarty. Incentives in determining the agents behaviors play a key role in their formation due to the moral principles of behavior. However, in economics there are situations when moral principles are derived certain behaviors or interactions agents. Holmes and Moriarty there is an alternative interaction, which they can not take advantage of, and there is a full range of alternatives that actually programs the strategic outcomes of interactions that reflect the curves of "institutional compromise." Choosing an agent of moral standards as a potential model determines its behavior and, most importantly, interaction with other agents, adhering to certain moral principles. Assess the condition and the possibility of using a static criterion of Pareto efficiency for the analysis of situations where it is important to measure the economic efficiency. Showing institutional aspects that must be considered in the application or formulation of new performance criteria. It is proved that there is a connection microeconomic efficiency / inefficiency and parameters of behavior of agents that actualizes the need to impact on the behavior of agents incentives to solve the task of changing the structure.

  7. National Institute for Technology in Liberal Education: An Assessment. White Paper

    Science.gov (United States)

    Brodeur, Jason; Daniels, Morgan; Johnson, Annie; Nicholls, Natsuko; Pickle, Sarah; Waraksa, Elizabeth A.

    2016-01-01

    In 2001, the National Institute for Technology in Liberal Education (NITLE) was created to "stimulate collaboration between selected liberal arts colleges and to act as a catalyst for the effective integration of emerging and newer digital technologies into teaching, learning, scholarship, and information management." In July 2015, NITLE…

  8. Teacher evaluation system, institutions of technology higher education: quality guidelines

    Directory of Open Access Journals (Sweden)

    Laura Belkis Parada Romero

    2016-01-01

    Full Text Available Due to the globalization of education, it has become prevalent to strengthen the quality systems to ensure that educational actors in higher education institutions are the best. In this context teachers are given a main role since they are cornerstones in educational processes. Currently, teacher quality is assessed through an assessment or evaluation system. Almost every university evaluates its teachers, but there is no legal regulation on how to do it, in most institutions there is a professional in charge of designing and applying assessment instruments according to the authors he/she prefers. In most universities, on the one hand, it is used a traditional questionnaire aiming to collect data about dimensions associated with teaching, on the other hand, there is another option in which assessment models include self-evaluation, as in some cases in Chile. That’s why one of the concerns of this research is to propose guidelines for a more qualitative and formative assessment not exclusively following political parameters –based on administrative decisions–, but following emerging proposals with a deeper analysis. Nowadays the main actors in teacher evaluation are teachers, students and administrative staff, every six months these actors are evaluated by using an assessment tool that they usually do not know. The research investigates the perception actors in teacher evaluation have regarding its objectives, methods and stages, so they put forward ideas on how to restructure the current institutional assessment and propose improvements aiming at both the quantitative aspect and the qualitative analysis of performances and skills.

  9. Implementing the Institute of Medicine’s Recommended Curriculum Content in Schools of Public Health: A Baseline Assessment

    Science.gov (United States)

    Shortell, Stephen M.; Weist, Elizabeth M.; Sow, Mah-Sere Keita; Foster, Allison; Tahir, Ramika

    2004-01-01

    In September 2003, the Association of Schools of Public Health administered an online survey to representatives of all 33 accredited US schools of public health. The survey assessed the extent to which the schools were offering curriculum content in the 8 areas recommended by the Institute of Medicine: communication, community-based participatory research, cultural competence, ethics, genomics, global health, informatics, and law/policy. Findings indicated that, for the most part, schools of public health are offering content in these areas through many approaches and have incorporated various aspects of a broad-based ecological approach to public health education and training. The findings also suggested the possible need for greater content in genomics, informatics, community-based participatory research, and cultural competence. PMID:15451728

  10. Evolutionary institutionalism.

    Science.gov (United States)

    Fürstenberg, Dr Kai

    Institutions are hard to define and hard to study. Long prominent in political science have been two theories: Rational Choice Institutionalism (RCI) and Historical Institutionalism (HI). Arising from the life sciences is now a third: Evolutionary Institutionalism (EI). Comparative strengths and weaknesses of these three theories warrant review, and the value-to-be-added by expanding the third beyond Darwinian evolutionary theory deserves consideration. Should evolutionary institutionalism expand to accommodate new understanding in ecology, such as might apply to the emergence of stability, and in genetics, such as might apply to political behavior? Core arguments are reviewed for each theory with more detailed exposition of the third, EI. Particular attention is paid to EI's gene-institution analogy; to variation, selection, and retention of institutional traits; to endogeneity and exogeneity; to agency and structure; and to ecosystem effects, institutional stability, and empirical limitations in behavioral genetics. RCI, HI, and EI are distinct but complementary. Institutional change, while amenable to rational-choice analysis and, retrospectively, to criticaljuncture and path-dependency analysis, is also, and importantly, ecological. Stability, like change, is an emergent property of institutions, which tend to stabilize after change in a manner analogous to allopatric speciation. EI is more than metaphorically biological in that institutional behaviors are driven by human behaviors whose evolution long preceded the appearance of institutions themselves.

  11. Status of Technical and Vocational Education in Rural Institutions in ...

    African Journals Online (AJOL)

    This study was aimed at assessing the state of technical and vocational education in rural institutions in Delta State. Three research questions guided the study. A sample size of fifty (50) principals from 50 rural institutions in Delta State was used for the study. Data were collected using a questionnaire. The study reveals that ...

  12. India's Conditional Cash Transfer Programme (the JSY) to Promote Institutional Birth: Is There an Association between Institutional Birth Proportion and Maternal Mortality?

    Science.gov (United States)

    Randive, Bharat; Diwan, Vishal; De Costa, Ayesha

    2013-01-01

    India accounts for 19% of global maternal deaths, three-quarters of which come from nine states. In 2005, India launched a conditional cash transfer (CCT) programme, Janani Suraksha Yojana (JSY), to reduce maternal mortality ratio (MMR) through promotion of institutional births. JSY is the largest CCT in the world. In the nine states with relatively lower socioeconomic levels, JSY provides a cash incentive to all women on birthing in health institution. The cash incentive is intended to reduce financial barriers to accessing institutional care for delivery. Increased institutional births are expected to reduce MMR. Thus, JSY is expected to (a) increase institutional births and (b) reduce MMR in states with high proportions of institutional births. We examine the association between (a) service uptake, i.e., institutional birth proportions and (b) health outcome, i.e., MMR. Data from Sample Registration Survey of India were analysed to describe trends in proportion of institutional births before (2005) and during (2006-2010) the implementation of the JSY. Data from Annual Health Survey (2010-2011) for all 284 districts in above- mentioned nine states were analysed to assess relationship between MMR and institutional births. Proportion of institutional births increased from a pre-programme average of 20% to 49% in 5 years (phigh institutional birth proportions that JSY has achieved are of themselves inadequate to reduce MMR. Other factors including improved quality of care at institutions are required for intended effect.

  13. Methodology to Model and Understand the Complexities of Social, Economic,and Governance Interactions for Regional Assessment in Kenya

    Science.gov (United States)

    2012-07-01

    narcotics trafficking in Mexico , complex commuter rail systems, and nuclear weapons proliferation. Systemigrams provide us with “a basis for systems...1997-1998. Not only did the flooding destroy bridges, roads, and crops, but it also created epidemics of cholera and malaria (CIA, 2011). In a large

  14. Political institutions as substitute for democracy: a political economy analysis of economic growth

    OpenAIRE

    Pereira, Carlos; Teles, Vladimir Kühl

    2009-01-01

    This manuscript empirically assesses the effects of political institutions on economic growth. It analyzes how political institutions affect economic growth in different stages of democratization and economic development by means of dynamic panel estimation with interaction terms. The new empirical results obtained show that political institutions work as a substitute for democracy promoting economic growth. In other words, political institutions are important for increasing economic growth, ...

  15. Institutional entrepreneurship:

    DEFF Research Database (Denmark)

    Gretzinger, Susanne

    2018-01-01

    Institutional entrepreneurship pays specific attention to the process and outcomes of agents who are willing and capable of changing institutions. It has some common ground with the political entrepreneur, a concept that proposes change in norms and institutions because of commitment and activities...... of agents or organisations in the policy arena. The present chapter understands institutional entrepreneurship as the process of changing institutionalised practices. Based on a literature review, it describes the triggers, activities and potential effects of institutional entrepreneurs. The chapter...... concludes by tentatively arguing that political entrepreneurs can be institutional entrepreneurs, but institutional entrepreneurship can be considered as the broader concept that incorporates strategies and visions as well as interpretative-discursive power into the conceptual framework....

  16. Issues in assessing multi-institutional performance of BI-RADS-based CAD systems

    Science.gov (United States)

    Markey, Mia K.; Lo, Joseph Y.

    2005-04-01

    The purpose of this study was to investigate factors that impact the generalization of breast cancer computer-aided diagnosis (CAD) systems that utilize the Breast Imaging Reporting and Data System (BI-RADS). Data sets from four institutions were analyzed: Duke University Medical Center, University of Pennsylvania Medical Center, Massachusetts General Hospital, and Wake Forest University. The latter two data sets are subsets of the Digital Database for Screening Mammography. Each data set consisted of descriptions of mammographic lesions according to the BI-RADS lexicon, patient age, and pathology status (benign/malignant). Models were developed to predict pathology status from the BI-RADS descriptors and the patient age. Comparisons between the models built on data from the different institutions were made in terms of empirical (non-parametric) receiver operating characteristic (ROC) curves. Results suggest that BI-RADS-based CAD systems focused on specific classes of lesions may be more generally applicable than models that cover several lesion types. However, better generalization was seen in terms of the area under the ROC curve than in the partial area index (>90% sensitivity). Previous studies have illustrated the challenges in translating a BI-RADS-based CAD system from one institution to another. This study provides new insights into possible approaches to improve the generalization of BI-RADS-based CAD systems.

  17. The Therapeutic Environment Screening Survey for Nursing Homes (TESS-NH): an observational instrument for assessing the physical environment of institutional settings for persons with dementia.

    Science.gov (United States)

    Sloane, Philip D; Mitchell, C Madeline; Weisman, Gerald; Zimmerman, Sheryl; Foley, Kristie M Long; Lynn, Mary; Calkins, Margaret; Lawton, M Powell; Teresi, Jeanne; Grant, Leslie; Lindeman, David; Montgomery, Rhonda

    2002-03-01

    To develop an observational instrument that describes the ability of physical environments of institutional settings to address therapeutic goals for persons with dementia. A National Institute on Aging workgroup identified and subsequently revised items that evaluated exit control, maintenance, cleanliness, safety, orientation/cueing, privacy, unit autonomy, outdoor access, lighting, noise, visual/tactile stimulation, space/seating, and familiarity/homelikeness. The final instrument contains 84 discrete items and one global rating. A summary scale, the Special Care Unit Environmental Quality Scale (SCUEQS), consists of 18 items. Lighting items were validated using portable light meters. Concurrent criterion validation compared SCUEQS scores with the Professional Environmental Assessment Protocol (PEAP). Interrater kappa statistics for 74% of items were above.60. For another 10% of items, kappas could not be calculated due to empty cells, but interrater agreement was above 80%. The SCUEQS demonstrated an interrater reliability of.93, a test--retest reliability of.88, and an internal consistency of.81--.83. Light meter ratings correlated significantly with the Therapeutic Environment Screening Survey for Nursing Homes (TESS-NH) lighting items (r =.29--.38, p =.01--.04), and the SCUEQS correlated significantly with global PEAP ratings (r =.52, p TESS-NH efficiently assesses discrete elements of the physical environment and has strong reliability and validity. The SCUEQS provides a quantitative measure of environmental quality in institutional settings.

  18. Funds Utilization and its Impact on Research Institute Libraries in ...

    African Journals Online (AJOL)

    This study was carried out to assess funds utilization and it impact on research institute libraries in Kaduna State. Twelve research institutes in Kaduna State with the exception of one which did not have a library were used for the study. The survey research design was adopted for the study, and questionnaire was used as ...

  19. Engineering Institute

    Science.gov (United States)

    Projects Past Projects Publications NSEC » Engineering Institute Engineering Institute Multidisciplinary engineering research that integrates advanced modeling and simulations, novel sensing systems and new home of Engineering Institute Contact Institute Director Charles Farrar (505) 665-0860 Email UCSD EI

  20. Forschungszentrum Rossendorf, Institute of Safety Research. Annual report 1999

    International Nuclear Information System (INIS)

    Weiss, F.P.; Rindelhardt, U.

    2000-02-01

    The work of the institute is directed to the assessment and enhancement of the safety of large technical plants and to the increase of the effectiveness and environmental sustainability of those facilities. Subjects of investigations are equally nuclear plants and installations of process industries. To achieve the above mentioned goals, the institute is engaged in two scientific fields, i.e. thermo-fluiddynamics including magneto-hydrodynamics (MHD) and materials/components safety. (orig.)

  1. Toward enhanced learning of science: An educational scheme for informal science institutions

    Science.gov (United States)

    Suzuki, Midori

    Current educational operation for informal science institutions tend to be based on the staff's experience and intuition rather than on educational theories or research findings. This status study sought research evidence for an educational scheme to give informal science institutions. Evidence for this scheme came from surveys to determine specific circumstances of educational operations and visitor behaviors. The Provus discrepancy model, seeking gaps between the actual and desired states, guided this investigation of how informal science education institution staff view the nature and status of educational operations. Another investigation sought visitors' views of the effectiveness of the main idea for exhibit understanding (n=68 for each group of with the main idea and without the main idea), effective labels (n=68), expectations toward on-site lessons(n=22 and 65 for student groups, and n=2 for teachers), and possibilities for assessments of museum operations. Institutional data were collected via a web portal, with a separate site created for administrators (n=41), exhibit developers (n=21), and program planners (n=35). The survey asked about actual and desired states in terms of goals and roles of staff, contents of exhibits and programs, assessment, and professional development. The four visitor surveys were administered individually at the North Carolina Museum of Natural Sciences. The institutional survey found that most institutions focus on attitudinal reinforcement rather than visitor learning, do not overtly value research or long-term assessment, and value partnerships with K-12 schools more than other groups. It is also clarified that the staff do not have a clear vision of the nature or function of an operations manuals. Large gaps were found between the actual and desired states in terms of assessment (administrators, exhibit developers, and program planners), professional development (exhibit developers and program planners), and partnerships

  2. A Research Agenda for Radiation Oncology: Results of the Radiation Oncology Institute's Comprehensive Research Needs Assessment

    Energy Technology Data Exchange (ETDEWEB)

    Jagsi, Reshma, E-mail: rjagsi@med.umich.edu [Department of Radiation Oncology, University of Michigan, Ann Arbor, MI (United States); Bekelman, Justin E. [Department of Radiation Oncology, University of Pennsylvania, Philadelphia, PA (United States); Brawley, Otis W. [Department of Hematology and Oncology, Emory University, and American Cancer Society, Atlanta, Georgia (United States); Deasy, Joseph O. [Department of Radiation Oncology, Memorial Sloan-Kettering Cancer Center, New York, NY (United States); Le, Quynh-Thu [Department of Radiation Oncology, Stanford University, Stanford, CA (United States); Michalski, Jeff M. [Department of Radiation Oncology, Washington University, St. Louis, MO (United States); Movsas, Benjamin [Department of Radiation Oncology, Henry Ford Health System, Detroit, MI (United States); Thomas, Charles R. [Department of Radiation Oncology, Oregon Health and Sciences University, Portland, OR (United States); Lawton, Colleen A. [Department of Radiation Oncology, Medical College of Wisconsin, Milwaukee, WI (United States); Lawrence, Theodore S. [Department of Radiation Oncology, University of Michigan, Ann Arbor, MI (United States); Hahn, Stephen M. [Department of Radiation Oncology, University of Pennsylvania, Philadelphia, PA (United States)

    2012-10-01

    Purpose: To promote the rational use of scarce research funding, scholars have developed methods for the systematic identification and prioritization of health research needs. The Radiation Oncology Institute commissioned an independent, comprehensive assessment of research needs for the advancement of radiation oncology care. Methods and Materials: The research needs assessment used a mixed-method, qualitative and quantitative social scientific approach, including structured interviews with diverse stakeholders, focus groups, surveys of American Society for Radiation Oncology (ASTRO) members, and a prioritization exercise using a modified Delphi technique. Results: Six co-equal priorities were identified: (1) Identify and develop communication strategies to help patients and others better understand radiation therapy; (2) Establish a set of quality indicators for major radiation oncology procedures and evaluate their use in radiation oncology delivery; (3) Identify best practices for the management of radiation toxicity and issues in cancer survivorship; (4) Conduct comparative effectiveness studies related to radiation therapy that consider clinical benefit, toxicity (including quality of life), and other outcomes; (5) Assess the value of radiation therapy; and (6) Develop a radiation oncology registry. Conclusions: To our knowledge, this prioritization exercise is the only comprehensive and methodologically rigorous assessment of research needs in the field of radiation oncology. Broad dissemination of these findings is critical to maximally leverage the impact of this work, particularly because grant funding decisions are often made by committees on which highly specialized disciplines such as radiation oncology are not well represented.

  3. India's Conditional Cash Transfer Programme (the JSY to Promote Institutional Birth: Is There an Association between Institutional Birth Proportion and Maternal Mortality?

    Directory of Open Access Journals (Sweden)

    Bharat Randive

    Full Text Available India accounts for 19% of global maternal deaths, three-quarters of which come from nine states. In 2005, India launched a conditional cash transfer (CCT programme, Janani Suraksha Yojana (JSY, to reduce maternal mortality ratio (MMR through promotion of institutional births. JSY is the largest CCT in the world. In the nine states with relatively lower socioeconomic levels, JSY provides a cash incentive to all women on birthing in health institution. The cash incentive is intended to reduce financial barriers to accessing institutional care for delivery. Increased institutional births are expected to reduce MMR. Thus, JSY is expected to (a increase institutional births and (b reduce MMR in states with high proportions of institutional births. We examine the association between (a service uptake, i.e., institutional birth proportions and (b health outcome, i.e., MMR.Data from Sample Registration Survey of India were analysed to describe trends in proportion of institutional births before (2005 and during (2006-2010 the implementation of the JSY. Data from Annual Health Survey (2010-2011 for all 284 districts in above- mentioned nine states were analysed to assess relationship between MMR and institutional births.Proportion of institutional births increased from a pre-programme average of 20% to 49% in 5 years (p<0.05. In bivariate analysis, proportion of institutional births had a small negative correlation with district MMR (r = -0.11.The multivariate regression model did not establish significant association between institutional birth proportions and MMR [CI: -0.10, 0.68].Our analysis confirmed that JSY succeeded in raising institutional births significantly. However, we were unable to detect a significant association between institutional birth proportion and MMR. This indicates that high institutional birth proportions that JSY has achieved are of themselves inadequate to reduce MMR. Other factors including improved quality of care at

  4. Effectiveness of Hope Therapy on Reducing Depressive Symptoms and Preventing of Relapse in Cure-Seeker Women with Dependency to Narcotic Drugs

    Directory of Open Access Journals (Sweden)

    Akram S Raesian

    2011-05-01

    Full Text Available Introduction: The aim of the present research was the investigation of the effectiveness of hope therapy on reduction of the degree of depression symptoms and prevention of relapse in cure-seeker women with dependency to narcotic drugs. Method: In semi-experimental research method 20 clients who diagnosed as substance abuse disorder that completed detoxification period successfully, and they were scored more than 14 in depression symptoms (Beck depression questionnaire, second edition selected by available sampling and assigned to two experimental (n=10 and witness (n=10 groups randomly. Experimental group was trained for 8 sessions under training of hope therapy and witness group was not under any training. The experimental peple were evaluated by Snyder Hope scale and Beck depression questionnaire and morphine test before beginning of therapy. After it and after the completition of the two months follow-up period. For analyzing of data chi square test, Z test, and ANCOVA were applied. Results: The results showed that hope therapy education could create considerable reduction in degree of depression symptoms of women suffering from addiction. In addition, results of chi square test indicated significant difference between the number of relapsed women in experimental and witness groups. Conclusion: in general, results of this survey show that hope therapy education is effective in reduction of degree of depression symptoms and prediction of relapse in cure-seeker women suffering from addiction.

  5. Leadership development in dental education: report on the ADEA Leadership Institute, 2000-08.

    Science.gov (United States)

    Haden, N Karl; Ranney, Richard R; Weinstein, George; Breeding, Larry C; Bresch, Jack E; Valachovic, Richard W

    2010-03-01

    This report describes participants' assessment of their experiences in the American Dental Education Association (ADEA) Leadership Institute program. The ADEA Leadership Institute is designed for mid-career faculty members who desire to attain administrative roles within their own or other institutions or enhance their effectiveness in these roles. This year-long program, conducted in four phases, is ADEA's flagship career enhancement program and provides dental educators with perspectives about oral health policy and legislation, organization and financing of higher education, the dental school's role within the parent institution, financial management, legal issues, recruiting faculty, and opportunities to acquire and practice skills associated with effective leadership. ADEA Leadership Institute Fellows also explore team-building, personality preferences, leadership styles, emotional intelligence, stress management, work-life balance, strategies for leading change, and giving and receiving feedback, as well as engaging in self- and peer assessment throughout the year. Each year up to twenty-one fellows are selected to participate in the institute in a competitive application process. In 2009, 149 fellows who participated in the institute from 2000 to 2008 were invited to take part in a survey to establish their profiles and academic leadership roles, determine their perceptions of the benefits from the institute curriculum, and elicit their suggestions for improvement. The survey response rate was 73 percent (n=109). Ninety-nine percent of respondents gave an overall positive assessment of their experiences. The most beneficial experiences, according to respondents, included networking with the program participants, advisors, and instructors (78 percent); self-discovery through self-assessments and evaluations (44 percent); and a 360 degree feedback process to provide additional reflection about areas for improvement (17 percent). Least beneficial experiences

  6. Refining lecturers' assessment practices through formal professional ...

    African Journals Online (AJOL)

    The Higher Education Quality Committee's emphasis on the assessment of student learning in its criteria for institutional audits (June 2004) signals that institutional arrangements to ensure quality assessment practices are to come under the spotlight. One means to demonstrate institutional commitment to quality in ...

  7. European Institutional and Organisational Tools for Maritime Human Resources Development

    OpenAIRE

    Dragomir Cristina

    2012-01-01

    Seafarers need to continuously develop their career, at all stages of their professional life. This paper presents some tools of institutional and organisational career development. At insitutional level there are presented vocational education and training tools provided by the European Union institutions while at organisational level are exemplified some tools used by private crewing companies for maritime human resources assessment and development.

  8. The Institute for School Administrators: A Program for Professional and Personal Growth. Conceptualization and Assessment.

    Science.gov (United States)

    Reed, Rodney J.

    The annual Institute for School Administrators, founded on Maslow's hierarchy of needs and Knowles' theory of adult learning, was initiated in 1979 at the University of California, Berkeley. After identifying participants' needs, a panel of school administrators and university professors develop the annual program. The Institute's general goals…

  9. Free Market Institutions and FDI Performance in Emerging Asian Economies

    Directory of Open Access Journals (Sweden)

    Vogiatzoglou Klimis

    2016-12-01

    Full Text Available This paper examines long-term developments in the quality and efficiency of free market institutional systems across thirteen emerging economies from South, South-east, and East Asia over the 1995–2014 period. The paper also empirically assesses the impact of free market institutions on a country’s inward foreign direct investment (FDI performance. We find that the free market institutional framework in most economies is still relatively inefficient, restrictive, and underdeveloped but has, nevertheless, substantially improved during the last twenty-year period. Our empirical results also indicate that a free market institutional system in a host-country is a factor that attracts inward FDI to emerging Asian economies by multinational companies. Consequently, policy makers should focus on further improving the quality of free market institutions.

  10. Effects of narcotics on the endocrine system

    International Nuclear Information System (INIS)

    Zil, M.

    1990-01-01

    Endocrinological assessment of group of heroin addicts (n=91) was done and those who underwent full detoxification procedure (n=31) were also followed up after treatment. Pre and post detoxification evaluation included estimation of growth hormone (GH), follicle stimulating hormone (FSH), leuteinizing hormone (LH), thyroid stimulating hormone (TSH), prolactin (PRL), testosterone (TEST), estradiol (EST), cortisol (CORT), insulin (INS) and Free Thyroxine (FT4). Factors like duration of drug abuse, polydrug addiction, hepatic function status, age of abusers and dose including cumulative dose were also assessed but no significant bearing on the results was elicited. Difference between pre and post detoxification hormonal levels was highly significant in growth hormone, Testosterone, and prolactin values and less significant for FSH, ESTRADIOL, FT4 and TSH. But for a few exceptions, our results compared well with those reported in the literature and compare with reflect the widespread hormonal and endocrinological aberrations noted in heroin addicts. (author)

  11. Research Networking Systems: The State of Adoption at Institutions Aiming to Augment Translational Research Infrastructure.

    Science.gov (United States)

    Obeid, Jihad S; Johnson, Layne M; Stallings, Sarah; Eichmann, David

    Fostering collaborations across multiple disciplines within and across institutional boundaries is becoming increasingly important with the growing emphasis on translational research. As a result, Research Networking Systems that facilitate discovery of potential collaborators have received significant attention by institutions aiming to augment their research infrastructure. We have conducted a survey to assess the state of adoption of these new tools at the Clinical and Translational Science Award (CTSA) funded institutions. Survey results demonstrate that most CTSA funded institutions have either already adopted or were planning to adopt one of several available research networking systems. Moreover a good number of these institutions have exposed or plan to expose the data on research expertise using linked open data, an established approach to semantic web services. Preliminary exploration of these publically-available data shows promising utility in assessing cross-institutional collaborations. Further adoption of these technologies and analysis of the data are needed, however, before their impact on cross-institutional collaboration in research can be appreciated and measured.

  12. International Security Institutions, Domestic Politics, and Institutional Legitimacy

    Science.gov (United States)

    Chapman, Terrence L.

    2007-01-01

    Scholars have devoted considerable attention to the informational role of international institutions. However, several questions about the informational aspects of institutional behavior remain underexplored: What determines how audiences respond to institutional decisions? Through what channels does information provision affect foreign policy? To…

  13. The Doctoral Student Leadership Institute: Learning to Lead for the Future

    Science.gov (United States)

    Terry, Helen; Liller, Karen D.

    2014-01-01

    The purpose of this article is to describe the Doctoral Student Leadership Institute, an initiative developed to hone the leadership skills of doctoral students from a wide range of disciplines. The components of the Institute and preliminary assessment measures with findings are discussed. We particularly were pleased with the outcomes of the…

  14. Energy market integration and regional institutions in east Asia

    International Nuclear Information System (INIS)

    Aalto, Pami

    2014-01-01

    This article assesses the case made for energy market integration in East Asia by comparing the role of institutions in South East Asia and North East Asia. The types and functions of institutions and their overall structure are examined in light of global energy market trends. In South East Asia, the shift attempted by ASEAN towards more competitive markets is hampered by the remaining statist variants of the trade institution and bilateral energy diplomacy, which, as regards transaction cost functions, are sub-optimal. As for institutions with order-creating functions, the unresolved status of sovereignty within ASEAN hampers regulatory harmonisation; the great power management institution has since ASEAN's establishment reduced conflicts without providing decisive leadership conducive to integration. North East Asia's dependence on global energy markets overshadows the regional integration potential of the diverse liberalisation efforts and interconnection projects. Bilateral energy diplomacies, new trilateral institutions combined with ‘Track Two’ institutions and remaining great power competition co-exist. In both regions the institutional structure allows for step-wise, technical infrastructure integration. The environmental stewardship institution co-exists with statist energy security and development objectives while it supports cooperation on green energy. The overall structure of informal institutions constrains deeper energy market integration in several ways. - Highlights: • The structures of institutions explain East Asian energy market integration. • Transaction costs are increased by statist trade institutions and bilateralism. • Order-creating institutions are sub-optimal for energy market integration. • Multi-level great power management offers limited leadership for integration. • The environmental stewardship institution supports cooperation on green energy

  15. Improving readability of informed consents for research at an academic medical institution.

    Science.gov (United States)

    Hadden, Kristie B; Prince, Latrina Y; Moore, Tina D; James, Laura P; Holland, Jennifer R; Trudeau, Christopher R

    2017-12-01

    The final rule for the protection of human subjects requires that informed consent be "in language understandable to the subject" and mandates that "the informed consent must be organized in such a way that facilitates comprehension." This study assessed the readability of Institutional Review Board-approved informed consent forms at our institution, implemented an intervention to improve the readability of consent forms, and measured the first year impact of the intervention. Readability assessment was conducted on a sample of 217 Institutional Review Board-approved informed consents from 2013 to 2015. A plain language informed consent template was developed and implemented and readability was assessed again after 1 year. The mean readability of the baseline sample was 10th grade. The mean readability of the post-intervention sample (n=82) was seventh grade. Providing investigators with a plain language informed consent template and training can promote improved readability of informed consents for research.

  16. Financial institutions as an example of institutions of public trust

    OpenAIRE

    Agata Jakubowska

    2013-01-01

    Financial institutions are commonly known as institutions of public trust and they are fundamental for activities of other economic entities. The level of trust determines the competitive position of financial institutions. That is why care about the best standards is the most important task for these institutions. Financial institutions are called institutions of public trust and thus high professionalism and more responsibility is demanded from them. This article presents basic problems con...

  17. Informal institutions and radical ideologies under institutional transformation

    Directory of Open Access Journals (Sweden)

    Irina Starodubrovskaya

    2015-06-01

    Full Text Available This article questions one of the central postulates of institutional economic theory, i.e., that of the sustainability and purely evolutionary changes of informal institutions. To study the phenomenon of the destruction of informal institutions and its consequences, we use the tools of sociological theory, which acknowledge that a period of intensive urbanization is characterized by anomie, i.e., a lack of norms, in which traditional institutions are destroyed, while new urban institutions have not yet taken shape. We reviewed the possible reactions of communities and individuals to the conditions of anomie, including the compensatory mechanisms of ideologies. In the case of the Dagestan Republic, we show how the proliferation of fundamentalist Islamic ideology is associated with the state of anomie and the consequences to which it could lead from an institutional point of view. The analysis of the situation in Dagestan is based on long-term field research conducted in the region.

  18. The Role of Learner-Centred Assessment in Postsecondary Organisational Change

    Science.gov (United States)

    Webber, Karen L.; Tschepikow, Kyle

    2013-01-01

    For postsecondary institutions, organisational change is an inevitable and ongoing process. Institutions face a growing need to assess student learning assessment as part of an institution's comprehensive assessment plan. While a growing body of literature suggests that learner-centred assessment is a best practice in higher education pedagogy, it…

  19. EPICES, ENCENS ET SACREMENTS

    OpenAIRE

    Ioan PÂNZARU

    2016-01-01

    Since Antiquity, spices are immensely popular, both as condiments and as medicines, while aromata are used in the cult andin everyday life. The Reformation institutes a new diet where spices have much less importance. The discovery of the American continents and of the Asian maritime trade routes favors a new category of luxury goods –excitants. Since the end of the XIXth century, we witness the spread of yet another category –narcotics. The Aristotelian traditi...

  20. COPD characteristics and socioeconomic burden in Hellenic correctional institutions

    Directory of Open Access Journals (Sweden)

    Bania EG

    2016-02-01

    Full Text Available Eleni G Bania,1 Zoe Daniil,1 Chrysa Hatzoglou,1 Evangelos C Alexopoulos,2 Eirini Mitsiki,3 Konstantinos I Gourgoulianis1 1Respiratory Medicine Department, University of Thessaly Medical School, University Hospital of Larissa, Larissa, 2Faculty of Social Sciences, Hellenic Open University, Patras, 3Medical Department, Novartis Hellas, Athens, Greece Background: The high prevalence of smoking (80% in Greek correctional institutions is anticipated to result in high prevalence of COPD in such settings. Aim: The aim of the Greek obstructive luNg disease epidemiOlogy and health economics Study In corrective institutionS (GNOSIS is to determine the prevalence of smoking and COPD among inmates and to assess the health-related quality of life. Methods: GNOSIS, a cross-sectional epidemiological study, was conducted between March 2011 and December 2011 in seven correctional institutions in Greece. Results: A total of 552 participants, 91.3% male, median age of 43.0 years (interquartile range: 35–53, were enrolled. COPD prevalence was 6.0% and was found to increase with age (18.6% among those ≥60 years, length of prison stay, and length of sentence. Of the participants diagnosed with COPD, 36.4% were diagnosed with Global initiative for chronic Obstructive Lung Disease (GOLD stage I and 51.5% were diagnosed with stage II. Dyspnea severity was assessed as grades 0–1 on the medical research council dyspnea scale for 88.3%, while 31% reported ≥2 COPD exacerbations in the past year. Seventy-nine percent of the total number of the participants were smokers, with a median smoking of 20.0 cigarettes per day, while 42.9% were assessed as having a strong addiction to nicotine. The median EuroQol visual analog scale score was 70.0 (interquartile range: 60.0–90.0. Problems in the dimension of anxiety/depression were reported by 82.8%. Conclusion: The results of the study support the notion that the prevalence of COPD among inmates of Greek correctional

  1. [Assessment of malaria screening management in blood donation control in the French Military Blood Institute].

    Science.gov (United States)

    Pouget, T; Garcia-Hejl, C; Bouzard, S; Roche, C; Sailliol, A; Martinaud, C

    2014-06-01

    The French Military Blood Institute is responsible for the entire blood supply chain in the French Armed Forces. Considering, the high exposition rate of military to malaria risk, blood donation screening of plasmodium infection must be as efficient as possible. The main aim of our study was to assess our malaria testing strategy based on a single Elisa test compared with a two-step strategy implying immunofluorescence testing as confirmation test. The second goal was to describe characteristic of malaria Elisa positive donors. We conducted a prospective study: every malaria Elisa positive test was implemented by immunofluorescence testing and demographical data were recorded as usual by our medical software. We showed a significant risk of malaria ELISA positive tests among donor born in endemic area and we estimate the number of abusively 3-year rejected donors. However, based on our estimations, the two-step strategy is not relevant since the number of additionally collected blood products will be low. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

  2. Investigation of Relationship between Addictive Substances Abuse and Psychological Hardiness, Quality of Life, and Self-Concept in Addicts

    Directory of Open Access Journals (Sweden)

    Majid Bagheri

    2017-05-01

    Full Text Available Background and Objectives: Narcotics addiction is a chronic and relapsing  psychological disorder, which is associated with severe motivational disorders and loss of behavioural control. Addiction and abuse of narcotic substances have various predisposing factors in the areas of attitude, environment, and society. On the other hand, previous researches have shown that addiction causes transformation in the perception of social issues and type of attitude toward this problem. This study aimed to investigate the relationship between abuse of narcotic substances and psychological obstinacy, quality of life, and self-concept in the addicts. Methods: This research was a correlational study. Statistical population included individuals covered by addiction withdrawal centers of Qom city, who were selected (250 subjects by convenience sampling. Data collection was performed using drug screening, self-concept, psychological obstinacy and quality of life questionnaires. To analyse the data, Pearson correlation coefficient and regression tests, were used. Results: There was a significant negative correlation at the 0.05 level, between narcotics abuse and psychological obstinacy (-0.531. On the other hand, there was a significant negative correlation at the 0.05 levels, between narcotics abuse and quality of life (0.285. Also, there was a significant negative correlation at the 0.05 levels, between narcotics abuse and self-concept (-0.475. Conclusion: The results of this study showed that there is significant correlation (in 0.05 levels between narcotics abuse and psychological obstinacy, life quality, and self-concept, and individuals with higher narcotic abuse have lower psychological obstinacy, quality of life, and self-concept.

  3. Bridging political economy analysis and critical institutionalism: an approach to help analyse institutional change for rural water services

    Directory of Open Access Journals (Sweden)

    Stephen David Jones

    2015-03-01

    Full Text Available This paper argues that approaches to understanding local institutionsfor natural resource management based on “critical institutionalism” (Cleaver2012, which emphasises the importance of improvisation and adaptationacross different scales, can be placed within broader political economy analysisframeworks for assessing challenges in public services delivery from national tolocal levels. The paper uses such an extended political economy analysis approachto understand the role of the international NGO WaterAid and its partners in Mali inrelation to institutions for financing rural water services, drawing on collaborativeresearch undertaken in 2010 and 2011. The case study shows that WaterAid’sapproach can be understood through elements of both mainstream and criticalinstitutionalist thinking. At local government level, WaterAid primarily promotesformal institutional arrangements, which exhibit the challenge of “reforms assignals” (Andrews 2013, where institutional reforms appear to happen but lackthe intended function. However, the work of WaterAid’s partners at communitylevel supports processes of “institutional bricolage” through which they try togradually work with local actors to find ways of ‘best fit’ for financing rural waterservices which adapt existing local practices into new arrangements.

  4. The FEMP Awards Program: Fostering Institutional Change and Energy Management Excellence

    Energy Technology Data Exchange (ETDEWEB)

    McDermott, Christa; Malone, Elizabeth L.

    2014-05-20

    This report assesses the use of institutional change principles and the institutional impact of award-winning projects through interviews with 22 Department of Energy Federal Energy Management Program (DOE FEMP) award winners. Award winners identified institutional facilitators and barriers in their projects and programs as well as factors in their implementation processes, thus providing information that can guide other efforts. We found that award winners do use strategies based on eight principles of institutional change, most frequently in terms of making changes to infrastructure, engaging leadership, and capitalizing on multiple motivations for making an energy efficiency improvement. The principles drawn on the least often were commitment and social empowerment. Award winners also faced five major types of obstacles that were institutional in nature: lack of resources, constraints of rules, psychological barriers, lack of information, and communication problems. We also used the seven categories of Energy Management Excellence (EME) as a lens to interpret the interview data and assess whether these categories relate to established institutional change principles. We found that the eight principles reflect strategies that have been found to be useful in improving energy efficiency in organizations, whereas the EME categories capture more of a blend of social contextual factors and strategies. The EME categories fill in some of the social context gaps that facilitate institutional change and energy management excellence, for example, personal persistence, a culture that supports creativity and innovation, regular engagement with tenants, contractors, and staff at all levels. Taking together the use of principles, EME criteria, and obstacles faced by interviewees, we make recommendations for how FEMP can better foster institutional change in federal agencies.

  5. Institutional capacity and climate actions. Summary paper

    International Nuclear Information System (INIS)

    Willems, S.

    2004-01-01

    The aim of this paper is to explore the role of institutional capacity in selecting the most appropriate climate actions. More specifically, it investigates why, for some countries, institutional capacity may need to be considered as an important criterion for selecting future climate actions, alongside environmental, economic and/or political considerations. This paper is a synthesis of results of an OECD/IEA project undertaken in 2003 for the Annex I Expert Group, which led to several publications, namely a framework paper on Institutional Capacity and Climate Actions, three national cases studies, respectively on Mexico, India and Bulgaria, as well as a paper assessing the status of national inventory preparation in Annex I and non-Annex I Parties (OECD/IEA, 2003). The paper argues that the very nature of a country's institutional development suggests a progressive approach to climate actions, which takes into account the specificity of a country's existing institutional setting. More specifically, substantial changes in a country's existing institutions are likely to be required when particular levels or types of institutional capacities need to be developed, for example when these changes affect public governance as a whole. Finally, particular forms of actions may require significant changes in a country's institutional setting. For example, legally-binding quantified national targets tend to require significant institutional development in all functions of climate policy. With other approaches, such as those based on non-binding targets, sectoral targets or policies and measures, institutional development may be more progressive and targeted. Thus, when considering particular forms of climate actions, countries might benefit from investigating what kind of institutions are likely to be needed and whether they will be able to develop sufficient capacity in time to implement these actions. Overall, this analysis suggests a step-by-step, dynamic model for

  6. Ranking Institutional Settings Based on Publications in Community Psychology Journals

    Science.gov (United States)

    Jason, Leonard A.; Pokorny, Steven B.; Patka, Mazna; Adams, Monica; Morello, Taylor

    2007-01-01

    Two primary outlets for community psychology research, the "American Journal of Community Psychology" and the "Journal of Community Psychology", were assessed to rank institutions based on publication frequency and scientific influence of publications over a 32-year period. Three specific periods were assessed (1973-1983, 1984-1994, 1995-2004).…

  7. Risk of nonfatal acute myocardial infarction associated with non-steroidal antiinflammatory drugs, non-narcotic analgesics and other drugs used in osteoarthritis: a nested case-control study.

    Science.gov (United States)

    de Abajo, Francisco J; Gil, Miguel J; García Poza, Patricia; Bryant, Verónica; Oliva, Belén; Timoner, Julia; García-Rodríguez, Luis A

    2014-11-01

    The purpose of this study is to estimate the risk of nonfatal acute myocardial infarction (AMI) associated with traditional NSAIDs (tNSAIDs), non-narcotic analgesics (paracetamol and metamizole), and symptomatic slow-acting drugs in osteoarthritis (SYSADOAs) overall and in different subgroups of patients. We performed a nested case-control study using a Primary Care Database (Base de datos para la Investigación Farmacoepidemiológica en Atención Primaria), over the study period, 2001-2007. We included patients aged 40-90 years, with nonfatal AMI and randomly selected controls matched for age, sex and calendar year. Exposure to drugs was assessed within a 30-day window before the index date. We did not find an association with nonfatal AMI in patients at low-intermediate background cardiovascular risk (odds ratio = 0.92; 95% confidence interval: 0.76-1.12), whereas there was a moderate significant association among those at high risk (1.28; 1.06-1.54) or when tNSAIDs were used for longer than 365 days (1.43; 1.12-1.82). The greatest risk occurred when these two conditions were combined (1.80; 1.26-2.58). The risk varied across individual tNSAIDs, with ibuprofen (0.95; 0.78-1.16) in the lower and aceclofenac (1.59; 1.15-2.19) in the upper part of the range. Low-dose aspirin did not modify the risk profile showed by any of the individual tNSAIDs examined. Paracetamol (0.84; 0.74-0.95), metamizole (1.06; 0.87-1.29) and SYSADOAs (0.68; 0.47-0.99) were not associated with an increased risk overall or in any subgroup of patients. The risk of nonfatal AMI varied with individual tNSAIDs, duration of treatment and background cardiovascular risk. Paracetamol, metamizole and SYSADOAs did not increase the risk in any of the conditions examined. Copyright © 2014 John Wiley & Sons, Ltd.

  8. Regional Issue Identification and Assessment (RIIA). Volume III. Institutional barriers to developing power generation facilities in the Pacific Northwest

    Energy Technology Data Exchange (ETDEWEB)

    Morris, F. A.; Sawyer, C. H.; Maxwell, J. H.

    1979-10-01

    The Regional Assessments Division in the US Department of Energy (DOE) has undertaken a program to assess the probable consequences of various national energy policies in regions of the United States and to evaluate the constraints on national energy policy imposed by conditions in these regions. The program is referred to as the Regional Issues Identification and Assessment (RIIA) Program. Currently the RIIA Program is evaluating the Trendlong Mid-Mid scenario, a pattern of energy development for 1985 and 1990 derived from the Project Independence Evaluation System (PIES) model. This scenario assumes a medium annual growth rate in both the national demand for and national supply of energy. It has been disaggregated to specify the generating capacity to be supplied by each energy source in each state. Pacific Northwest Laboratory (PNL) has the responsibility for evaluating the scenario for the Federal Region 10, consisting of Alaska, Idaho, Oregon, and Washington. PNL is identifying impacts and constraints associated with realizing the scenario in a variety of categories, including air and water quality impacts, health and safety effects, and socioeconomic impacts. This report summarizes the analysis of one such category: institutional constraints - defined to include legal, organizational, and political barriers to the achievement of the scenario in the Northwest.

  9. Sustainability Assessment of Higher Education Institutions in Saudi Arabia

    Directory of Open Access Journals (Sweden)

    Habib M. Alshuwaikhat

    2016-08-01

    Full Text Available Universities are paramount change drivers in bringing about a culture of sustainability in society by setting themselves up as models and nurseries for sustainable development. Thus, assessment of sustainability integration within universities is key to their impact on sustainable development. This study conducted an assessment of different public sector universities of Saudi Arabia based on five components: (i Teaching and Curriculum; (ii Research and Scholarship; (iii Campus Operations; (iv Management and Community; and (v Financial Management. The sustainability assessment questionnaire (SAQ was utilized as a tool to discern the component-wise sustainability assessment for Saudi universities. The outcomes of the survey reveal that, in stark contrast with the universities of the developed world, offerings of sustainability relevant academic courses in Saudi Arabia are still lacking. Most Saudi universities still need to integrate research and scholarship in the area of sustainability; sustainable-campus operations in the current scenario are not sufficient. The results also reveal that sustainability-related projects are not prioritized within universities and sustainable financial management practices are not significant. This article concludes by proposing some recommendations emphasizing the importance of adopting sustainability practices in Saudi universities.

  10. Forschungszentrum Rossendorf. Institute of Safety Research. Annual report 1998

    International Nuclear Information System (INIS)

    Weiss, F.P.; Rindelhardt, U.

    1999-07-01

    The Institute of Safety Research is one of the five scientific institutes of Forschungszentrum Rossendorf e.V. The Forschungszentrum Rossendorf is a member of the 'Wissenschaftsgemeinschaft Gottfried Wilhelm Leibniz' und is funded by the Federal Ministry of Education and Research and by the Saxon Ministry of Science and Arts with 50% each. The research work of the institute aims at the assessment and increase of the safety and environmental sustainability of technical plants. The emphasis is put on the development and validation of mathematical and physical models for process and plant analysis, and of techniques for process and components monitoring. Subject of investigations are equally nuclear plants and installations of process industries. (orig.)

  11. Sweet and salty. An assessment of the snacks and beverages sold in vending machines on US post-secondary institution campuses.

    Science.gov (United States)

    Byrd-Bredbenner, Carol; Johnson, Michelle; Quick, Virginia M; Walsh, Jennifer; Greene, Geoffrey W; Hoerr, Sharon; Colby, Sarah M; Kattelmann, Kendra K; Phillips, Beatrice W; Kidd, Tandalayo; Horacek, Tanya M

    2012-06-01

    This study assessed the nutritional quality of snacks and beverages sold in vending machines. The contents of snack and beverage vending machines in 78 buildings on 11 US post-secondary education campuses were surveyed. Of the 2607 snack machine slots surveyed, the most common snacks vended were salty snacks (e.g., chips, pretzels) and sweets (i.e., candy and candy bars). The 1650 beverage machine slots assessed contained twice as many sugar-sweetened beverages as non-calorie-containing beverages. Only two institutions sold both milk and 100% juice in vending machines. The portion of snacks and beverages sold averaged more than 200 cal. Neither snacks nor beverages were nutrient dense. The majority of snacks were low in fiber and high in calories and fat and almost half were high in sugar. Most beverages were high in calories and sugar. This study's findings suggest that vending machines provide limited healthful choices. Findings from benchmark assessments of components of the food environment, like the vending options reported here, can provide valuable input to campus administrators, health services, food service, and students who want to establish campus policies to promote healthful eating. Copyright © 2012 Elsevier Ltd. All rights reserved.

  12. Homi Bhabha Centre for Science Education Tata Institute of ...

    Indian Academy of Sciences (India)

    Tata Institute of Fundamental Research (A Deemed University) ... level • Innovative curricula, laboratories, teaching and assessment methods • Development ... subject), M Tech or a Master's degree (MA/MSW) in any of the social/ behavioural.

  13. 75 FR 3239 - National Institute on Drug Abuse; Notice of Closed Meeting

    Science.gov (United States)

    2010-01-20

    ... unwarranted invasion of personal privacy. Name of Committee: National Institute on Drug Abuse Special Emphasis Panel; Rapid Assessment for Drug Abuse and Risky Sex (5556). Date: February 16, 2010. Time: 1:30 p.m. to..., Contract Review Specialist, Office of Extramural Affairs, National Institute on Drug Abuse, NIH, DHHS, Room...

  14. Sexual promiscuity: knowledge of dangers in institutions of higher learning.

    Science.gov (United States)

    Ebong, R D

    1994-06-01

    Knowledge of dangers of sexual promiscuity was assessed in 2 institutions of higher learning. The objectives were to find out the knowledge of medical and social consequences as well as the factors responsible for sexual promiscuity among Nigerian youths. The study also assessed the discrepancies in societal concept of sex norms for males and females. The result was used as an index to determine the need for sex education for Nigerian youths. A total of 200 students (100 from each school) was assessed by random selection and use of a questionnaire. The result showed that students had a fair knowledge of sexual promiscuity, although in terms of medical consequences the knowledge was low for both groups. On social consequences, the knowledge was fair for both groups. Students agreed that lack of financial support and of supervision from parents and teachers were among the causes of sexual promiscuity. Recommendations were made for Health Education in these areas in institutions of higher learning. Also, recommendations were made for parental education on how to bring up, and care for, their adolescents to reduce the problems of sexual promiscuity. It was also recommended that a compulsory course on sexual promiscuity should be included in the syllabus in institutions of higher learning.

  15. Institutional advantage

    NARCIS (Netherlands)

    Martin, Xavier

    Is there such a thing as institutional advantage—and what does it mean for the study of corporate competitive advantage? In this article, I develop the concept of institutional competitive advantage, as distinct from plain competitive advantage and from comparative institutional advantage. I first

  16. Sustainability Assessment of Higher Education Institutions in Saudi Arabia

    OpenAIRE

    Habib M. Alshuwaikhat; Yusuf A. Adenle; Bilal Saghir

    2016-01-01

    Universities are paramount change drivers in bringing about a culture of sustainability in society by setting themselves up as models and nurseries for sustainable development. Thus, assessment of sustainability integration within universities is key to their impact on sustainable development. This study conducted an assessment of different public sector universities of Saudi Arabia based on five components: (i) Teaching and Curriculum; (ii) Research and Scholarship; (iii) Campus Operations; ...

  17. Energy and nutritional value of diets used in patients alimentation and their assessment by patients of selected clinical department in the Military Medical Institute in Warsaw.

    Science.gov (United States)

    Kłos, Krzysztof; Bertrandt, Jerzy; Jałocha, Lukasz; Matuszewski, Tomasz; Abramowicz, Michał

    2007-01-01

    The aim of the work was laboratory assessment of energy and nutritional value of general and light diets used in patients of selected clinical department in the Military Medical Institute in Warsaw alimentation. Using questionnaire method the assessment of diets was done by patients too. Meals given to patients in hospital not always fulfilled nutritional requirements. Additional consumption of supplementary products did not always meet the requirements of proper nutrition. Half of examined patients appraised nutrition variety as good but at the same time claimed the there was not enough fruits and vegetables.

  18. California Institute for Water Resources - California Institute for Water

    Science.gov (United States)

    Resources Skip to Content Menu California Institute for Water Resources Share Print Site Map Resources Publications Keep in Touch QUICK LINKS Our Blog: The Confluence Drought & Water Information University of California California Institute for Water Resources California Institute for Water Resources

  19. Water Institutional Reforms in Scotland: Contested Objectives and Hidden Disputes

    Directory of Open Access Journals (Sweden)

    Antonio A.R. Ioris

    2008-10-01

    Full Text Available One fundamental limitation of the contemporary debate over water institutional reforms has been the excessive concentration on scientific assessments and management techniques, with insufficient consideration of the underlying politics of decision-making and socio-economic asymmetries. This article examines the 'sociology of water regulation' to demonstrate how the implementation of the European Water Framework Directive (WFD in Scotland is profoundly influenced by broader political and economic circumstances. The ongoing reforms of regulatory institutions became entangled in the reorganisation of a devolved Scottish Administration in the late 1990s, which has directly influenced the channels of representation and the overall decision-making processes. It is claimed here that, despite a discursive construction around sustainability and public participation, the new institutional landscape has so far failed to improve long-term patterns of water use and conservation. The article also analyses how the exacerbation of the economic dimension of water management has permeated the entire experience, serving as a political filter for the assessment of impacts and formulation of solutions. The ultimate conclusion is that formal changes in the legislation created a positive space for institutional reforms, but the effective improvement of water policy and catchment management has been curtailed by political inertia and the hidden balance of power.

  20. Mexico's "ley de narcomenudeo" drug policy reform and the international drug control regime.

    Science.gov (United States)

    Mackey, Tim K; Werb, Daniel; Beletsky, Leo; Rangel, Gudelia; Arredondo, Jaime; Strathdee, Steffanie A

    2014-11-14

    It has been over half a century since the landmark Single Convention on Narcotic Drugs was adopted, for the first time unifying international drug policy under a single treaty aimed at limiting use, manufacture, trade, possession, and trafficking of opiates, cannabis, and other narcotics. Since then, other international drug policy measures have been adopted, largely emphasizing enforcement-based approaches to reducing drug supply and use. Recently, in response to concerns that the historic focus on criminalization and enforcement has had limited effectiveness, international drug policies have begun to undergo a paradigm shift as countries seek to enact their own reforms to partially depenalize or deregulate personal drug use and possession. This includes Mexico, which in 2009 enacted national drug policy reform partially decriminalizing possession of small quantities of narcotics for personal consumption while also requiring drug treatment for repeat offenders. As countries move forward with their own reform models, critical assessment of their legal compatibility and effectiveness is necessary. In this commentary we conduct a critical assessment of the compatibility of Mexico's reform policy to the international drug policy regime and describe its role in the current evolving drug policy environment. We argue that Mexico's reform is consistent with flexibilities allowed under international drug treaty instruments and related commentaries. We also advocate that drug policy reforms and future governance efforts should be based on empirical evidence, emphasize harm reduction practices, and integrate evidence-based evaluation and implementation of drug reform measures.

  1. Institutional Repositories: The Experience of Master's and Baccalaureate Institutions

    Science.gov (United States)

    Markey, Karen; St. Jean, Beth; Soo, Young Rieh; Yakel, Elizabeth; Kim, Jihyun

    2008-01-01

    In 2006, MIRACLE Project investigators censused library directors at all U.S. academic institutions about their activities planning, pilot testing, and implementing the institutional repositories on their campuses. Out of 446 respondents, 289 (64.8 percent) were from master's and baccalaureate institutions (M&BIs) where few operational…

  2. 12 CFR 368.100 - Obligations concerning institutional customers.

    Science.gov (United States)

    2010-01-01

    ... the bank and the customer regarding the nature of the relationship between the bank and the customer... consideration all the facts and circumstances of a particular bank/customer relationship, assessed in the... securities that the institutional customer has in its portfolio and/or under management. While the...

  3. Institutional upbringing

    DEFF Research Database (Denmark)

    Gulløv, Eva

    2008-01-01

    In the chapter, I discuss the role day care institutions play in the construction of the idea of proper childhood in Denmark. Drawing on findings from research on ethnic minority children in two Danish day care institutions, I begin with a discussion of how childcare institutions act as civilising...... agents, empowered with the legitimate right to define and control normality and proper ways of behaving oneself. I aim to show how institutions come to define the normal child and proper childhood in accordance with current efforts toward reinventing national culture, exemplified by legislation requiring...... current testing of Danish language fluency levels among pre-school minority children. Testing language skills marks and defines distinctions that reinforce images of deviance that, in turn, legitimize initiatives to enrol children, specifically minority children, in child care institutions....

  4. European Institutional Developments and Evolutions Post‑Lisbon Treaty

    Directory of Open Access Journals (Sweden)

    Cristian Sorin Dumitrescu

    2014-11-01

    Full Text Available The current article aims at analysing the main difficulties the European institutions were confronted to and identifying the axes of urgent reforms of the European construction, which are claimed to be applied, immediately, after the recent parliamentary elections from 25 of May together with the installation of the new decision teams in Brussels. While the first part of the article examine the action of the various European institutions within the new constitutional architecture, the second part will cover some axes needed which could be followed by the Union starting with the new term. In the context of the economic and financial crisis, the first European institutional cycle under the terms of the Lisbon Treaty –2009-2014, became an important challenge for the application of the provisions concerning the functioning of the European institutions. An objective assessment of the ways regarding the practical implementation of the Treaty must take into consideration the negative influence of the economic crisis upon the decisions assumed by the high national and European responsibles.

  5. Patterns of Resistance in Managing Assessment Change

    Science.gov (United States)

    Deneen, Christopher; Boud, David

    2014-01-01

    Achieving change in assessment practices in higher education is difficult. One of the reasons for this is resistance among those responsible for teaching and assessing. This paper seeks to explore this resistance through an analysis of staff dialogue during a major attempt to change the assessment practices at one institution. An institution-wide…

  6. Sustainability assessment of greenhouse vegetable farming practices from environmental, economic, and socio-institutional perspectives in China.

    Science.gov (United States)

    Yang, Lanqin; Huang, Biao; Mao, Mingcui; Yao, Lipeng; Niedermann, Silvana; Hu, Wenyou; Chen, Yong

    2016-09-01

    To provide growing population with sufficient food, greenhouse vegetable production has expanded rapidly in recent years in China and sustainability of its farming practices is a major concern. Therefore, this study assessed the sustainability of greenhouse vegetable farming practices from environmental, economic, and socio-institutional perspectives in China based on selected indicators. The empirical data were collected through a survey of 91 farm households from six typical greenhouse vegetable production bases and analysis of environmental material samples. The results showed that heavy fertilization in greenhouse vegetable bases of China resulted in an accumulation of N, P, Cd, Cu, Pb, and Zn in soil, nutrient eutrophication in irrigation water, and high Cd in some leaf vegetables cultivated in acidic soil. Economic factors including decreased crop yield in conventional farming bases, limited and site-dependent farmers' income, and lack of complete implementation of subsidy policies contributed a lot to adoption of heavy fertilization by farmers. Also, socio-institutional factors such as lack of unified management of agricultural supplies in the bases operated in cooperative and small family business models and low agricultural extension service efficiency intensified the unreasonable fertilization. The selection of cultivated vegetables was mainly based on farmers' own experience rather than site-dependent soil conditions. Thus, for sustainable development of greenhouse vegetable production systems in China, there are two key aspects. First, it is imperative to reduce environmental pollution and subsequent health risks through integrated nutrient management and the planting strategy of selected low metal accumulation vegetable species especially in acidic soil. Second, a conversion of cooperative and small family business models of greenhouse vegetable bases to enterprises should be extensively advocated in future for the unified agricultural supplies

  7. Correlates of institutional deliveries among teenage and non-teenage mothers in Nepal

    DEFF Research Database (Denmark)

    Acharya, Pawan; Adhikari, Tara Ballav; Neupane, Dipika

    2017-01-01

    Introduction: Globally, maternal age is identified as an important predictor of institutional service utilization during delivery. This study aims to assess the correlates of institutional delivery among teenage and non-teenage mothers in Nepal by using the data from Nepal Demographic and Health...... Survey 2011. Methods: The study population consisted of 5391 women of reproductive age (15–49 years) who had given birth to a child within five years before the survey. Out of them, 381 (7.07%) were teenage mothers. The association between the background characteristics and institutional delivery...... was assessed separately for the teenage and non-teenage mothers using chi-square test and multiple logistic regression analysis. Results: After adjusting for background characteristics, teenage mothers were found more likely to deliver at a health facility [AOR: 2.25; 95% CI: 1.10 4.59] in comparison...

  8. Furthering critical institutionalism

    Directory of Open Access Journals (Sweden)

    Frances Dalton Cleaver

    2015-03-01

    Full Text Available This special issue furthers the study of natural resource management from a critical institutional perspective. Critical institutionalism (CI is a contemporary body of thought that explores how institutions dynamically mediate relationships between people, natural resources and society. It focuses on the complexity of institutions entwined in everyday social life, their historical formation, the interplay between formal and informal, traditional and modern arrangements, and the power relations that animate them. In such perspectives a social justice lens is often used to scrutinise the outcomes of institutional processes. We argue here that critical institutional approaches have potentially much to offer commons scholarship, particularly through the explanatory power of the concept of bricolage for better understanding institutional change.  Critical institutional approaches, gathering momentum over the past 15 years or so, have excited considerable interest but the insights generated from different disciplinary perspectives remain insufficiently synthesised. Analyses emphasising complexity can be relatively illegible to policy-makers, a fact which lessens their reach. This special issue therefore aims to synthesise critical institutional ideas and so to lay the foundation for moving beyond the emergent stage to make meaningful academic and policy impact. In bringing together papers here we define and synthesise key themes of critical institutionalism, outline the concept of institutional bricolage and identity some key challenges facing this school of thought.

  9. IMPLEMENTASI REHABILITASI TERHADAP ANAK PENYALAH GUNA NARKOTIKA (Studi di Wilayah Kepolisian Daerah Lampung

    Directory of Open Access Journals (Sweden)

    Ibrahim Fikma Edrisy

    2017-03-01

    Full Text Available Abstract The implementation of rehabilitation on underage narcotics users based on state regulation of narcotics, an addicts narcotics users is obliged to take a rehabilitation process, but this policy has never been applied, most of the underage narcotics users were sentenced to be put in jail than taking rehabilitation. The formulation of the problem in this thesis is: why is the implementation of rehabilitation on underage narcotics users so low. What is the problem with implementing rehabilitation on underage narcotics users? What do the police at Polda Lampung do on underage narcotics users? The result of the research show that the implementation of rehabilitation on underage narcotics users is not in line with state regulations, they are government policy, policy of health minister on technical regulation on medical rehabilitation for the drugs addicts, drugs users, and victim of drugs users, which stated that the underage narcotics users is supposed to be put in rehabilitation but this rule has never been applied on, most of the underage narcotics users were put in jail than on rehabilitation. The problem on rehabilitation is affected by some factors like law structure of Direktorat Narkoba Polda Lampung on the implementation of rehabilitation is not optimal, law culture on the level of obedience of the society about the law is not optimal, and the effort of Kepolisian Daerah Lampung in solving the underage narcotics users is through preemptive, preventive, and repressive way. Keywords: Rehabilitation, Under Age, Narcotics Abstrak Pelaksanaan rehabilitasi pengguna narkotika di bawah umur berdasarkan peraturan negara narkotika, pengguna pecandu narkotika wajib mengambil proses rehabilitasi, tetapi kebijakan ini belum pernah diterapkan, sebagian besar narkotika di bawah umur pengguna dihukum untuk diletakkan di penjara daripada mengambil rehabilitasi. Rumusan masalah dalam skripsi ini adalah: mengapa pelaksanaan rehabilitasi pada narkotika

  10. The Montaigne Institute makes an issue of phasing out nuclear

    International Nuclear Information System (INIS)

    Brezet, Gabriel; Thouverez, Pierre

    2017-01-01

    The author discusses some data published by the Montaigne Institute to assess a nuclear phasing out program proposed by B. Hamon, the socialist candidate to the French 2017 presidential election. According to the Institute, the cost of this phasing out program is assessed to reach 217 billions euros between 2018 and 2035. This figure comprises a major part for CSPE reimbursement (179 billions), compensations to EDF shareholders, compensations for the giving up of the Flamanville EPR, and expenses to adapt the electric grid to renewable energies. The author more particularly discusses some biases in the CSPE assessment as Hamon's proposal of phasing out nuclear was to take place over 25 years and not 18. He also shows that a share of CSPE reimbursements should not be counted, that staying nuclear has also a cost, and that hypotheses regarding CSPE reimbursement can be criticised. He also briefly discusses the level of compensations to EDF shareholders, and the impact of a higher electricity price

  11. Fostering Institutional Creativity at Multiple Levels: Towards Facilitated Institutional Bricolage

    Directory of Open Access Journals (Sweden)

    Douglas J. Merrey

    2012-02-01

    Full Text Available Problems occur when institutional arrangements for collective management of food and water systems fail to meet demands. Many of the problems characterising river basins and other collectively managed water resource systems can be ascribed largely to the failure of institutions to enable problems beyond the individual to be managed collectively. The nature of these demands, and the institutional responses to them, vary widely and are not amenable to simple definitions and prescriptions. We begin with a brief review of conventional approaches to analysing institutions and organisations, focused largely, but not exclusively, on river basins. We observe that attempts to reduce the institutional landscape of river basins to over-simplistic formulas introduces more problems than solutions, because the reality is that institutions evolve through complex creative processes that adopt and adapt diverse ingredients – rather like making a stew. Despite such intricacies, institutions are clearly non-random, so we continue a search for a means of describing them. We adopt the concept of bricolage, as proposed by Cleaver and others, and use it to show the value of promoting and facilitating an organic creative approach to building and strengthening river basin and other water management institutions.

  12. IMPROVING MANAGEMENT INFORMATION SYSTEMS AT A HIGHER EDUCATIONAL INSTITUTION

    Directory of Open Access Journals (Sweden)

    Nataliya N. Fedyakova

    2016-06-01

    Full Text Available Introduction: this paper deals with the foreign and domestic experience of creation and use of educational institution management automation systems. The problems of higher educational institutions management are essential in conditions of growing competition between educational institutions. Their complexity and timeliness defines multifunctional activity of higher educational institutions, diversity of funding sources, the variety of forms and types of educational, scientific, industrial and economic activities, the need for monitoring of the market of educational services and the labor market (including the need for employment of graduates, the necessity for adaptation to continuously changing economic conditions. Materials and Methods: system approach and method of comparison were used in analysing the current state of development and organisation of the automated information systems of higher education. These methods were also used to compare the qualitative characteristics of different technologies and methods of creation of the automated information systems. Results: the foreign and domestic educational institution management automation systems SIMS. net, Capita Education, SPRUT, Galaxy of Higher Educational Institution Management”, and “GSVedomosty” were analysed. Disadvantages of the functional module AIS – AWP pertaining to the University Rector of the higher educational institution were found. The improvement of higher educational institution AIS by implementing decision support systems for the management, made on the basis of the model of SaaS (software as a service is discussed. The author developed a model of automated score-rating system to assess the individual performance of students. Discussion and Conclusions: the author tackles the problems of higher educational institution AIS taking into account the specifics of the use of higher educational institution management information systems. They have a practical

  13. Institutional plan -- Institute of Nuclear Power Operations, 1993

    International Nuclear Information System (INIS)

    1993-01-01

    The US nuclear electric utility industry established the Institute of Nuclear Power Operations (INPO) in 1979 to promote the highest levels of safety and reliability -- to promote excellence -- in the operation of its nuclear plants. After its formation, the Institute grew from a handful of on-loan personnel in late 1979 to an established work force of more than 400 permanent and on-loan personnel. INPO's early years were marked by growth and evolution of its programs and organization. The Institute now focuses primarily on the effectiveness and enhancement of established programs and activities. For INPO to carry out its role, it must have the support of its members and participants and a cooperative but independent relationship with the NRC. A basis for that support and cooperation is an understanding of INPO's role. This Institutional Plan is intended to provide that understanding by defining the Institute's role and its major programs. This plan considers the existing and projected needs of the industry and the overall environment in which INPO and its members and participants operate

  14. TTI Phase 2 Institutional Support: The Institute of Economic Affairs ...

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

    TTI Phase 2 Institutional Support: The Institute of Economic Affairs, Ghana ... the Institute of Economic Affairs' (IEA-Ghana) role as a credible public policy ... public policy, facilitate private sector-led economic growth, and strengthen democracy.

  15. Institutional Churn: Institutional Change in United Kingdom Higher Education

    Science.gov (United States)

    Tight, Malcolm

    2013-01-01

    This article considers how higher education institutions change over time, using the United Kingdom system as an exemplar, and focusing on the 15-year period between 1994/95 and 2009/10. While there are many aspects of institutional change worthy of study, the focus here is on how institutions appear to others. Thus, the article examines the…

  16. Round robins of solar cells to evaluate measurement systems of different european research institutes

    Energy Technology Data Exchange (ETDEWEB)

    Manshanden, P.; Van der Brog, N.J.C.M. [ECN Solar, Westerduinweg 3, 1755 LE Petten (Netherlands); Bliss, M.; Mihaylov, B.; Gottschlag, R. [CREST, Holywell Park MBG GJ/Gx, Loughborough Univeristy, Leicestershire, LE11 3TU (United Kingdom); Izzi, M.; Tucci, M. [ENEA CASACCIA, Via Anguillarese 301, 00123 Roma (Italy); Roca, F.; Pellegrino, M.; Romano, A.; Graditi, G. [ENEA PORTICI, P. le E. Fermi Localita Granatello, 80055 Portici Napoli (Italy); Hohl-Ebinger, J.; Warta, W. [Fraunhofer ISE, Berliner Allee 30, 79110 Freiburg (Germany); Debucquoy, M.; El Daif, O.; Gordon, I. [IMEC, Kapeldreef 75, B-3001 Heverlee (Belgium); Champliaud, J.; Jouini, A. [INES, 50 avenue du lac Leman, BP 332, 73377, Le Bourget-du-Lac (France); Glatz-Reichenbach, J. [ISC, Rudolf Diesel Str. 15, D-78467 Konstanz (Germany); Bothe, K. [ISFH, Am Ohrberg 1, 31860 Emmerthal (Germany); Herguth, A. [University of Konstanz, Universitaetsstrasse 10, 78457 Konstanz (Germany)

    2013-10-15

    Determination of the solar cell efficiency and internal quantum efficiency are standard characterization methods used by the majority of research institutes. Random errors can be assessed by institutes themselves by repeated measurements, but systematic deviations cannot be assessed without comparisons with other institutes. The comparisons were performed for illuminated IV, spectral response and reflection measurements. The results were split into systematic differences between the partners and random differences within an institute for a single measurement session. The total differences are: J{sub sc}: 0.27 A, V{sub oc}: 8.5 mV, FF: 2.4 %, {eta}: 0.6%, spectral response: 0.14 A/W and reflection: 0.08. For all measurement methods, the systematic differences exceeded the random differences. The major component for the systematic differences is likely the reference device, but also temperature control, contacting scheme and setup differences play a part.

  17. How to Calculate Your Institution's Nitrogen Footprint ...

    Science.gov (United States)

    The Nitrogen Footprint Tool (NFT) allows institutions to estimate and manage their nitrogen footprint, and EPA’s Sustainable and Healthy Communities program is supporting an effort to test and expand this approach at multiple colleges, universities and institutions across the US. The growing awareness of sustainability has prompted many institutions of higher education to assess and manage their environmental impact. Many universities have programs to decrease their carbon footprint, but carbon represents just one facet of an institution’s environmental impact. Nitrogen is also important because a university’s nitrogen loss to the environment contributes to smog, soil acidification, eutrophication, biodiversity loss, the enhanced greenhouse effect, stratospheric ozone depletion, and more. The attached data template and user’s manual was based on the first NFT created for a university (University of Virginia), and tested in 6 additional institutions (including University of New Hampshire, Brown University, Eastern Mennonite University, Colorado State University). The footprint includes nitrogen released to the environment due to: 1) food consumption; 2) food production, reported by specific food categories (vegetable products, seafood, dairy and eggs, meat); 3) research animals; 4) transportation, including fleet vehicles and commuter vehicles; 5) fertilizer application; and 6) utilities, separated into electricity and heating. The data template and

  18. From Institutional Change to Experimentalist Institutions

    DEFF Research Database (Denmark)

    Hull Kristensen, Peer; Morgan, Glenn

    2012-01-01

    Institutionalist theory has shown how work and employment relations are shaped by national contexts. Recent developments in these theories have been increasingly concerned with the issue of institutional change. This reflects a shift in the nature of the competitive environment of firms from...... and institutions. In this paper, we emphasize that in the current context of globalization, firms and actors within firms are continuously developing the way in which they organize work and employment to produce goods and services that are competitive in global markets. The paper argues that new market conditions...... lead firms to constant experimentation in work organization as they seek to position themselves within systems of production and innovation that are global in nature. This creates a pressure for institutional change to facilitate the process of firm-level experimentation; it also tends to create...

  19. La calidad de la evaluación y autoevaluación institucional: enfoques y modelos The quality of institutional assessment and self-appraisal: approaches and models

    Directory of Open Access Journals (Sweden)

    Ricardo Figueroa Toala

    2012-12-01

    Full Text Available La educación universitaria enfrenta grandes desafíos como el de gestionar el cambio que se ajuste a las demandas de la sociedad contemporánea. Una de las formas para sensibilizar al mundo académico y facilitar la innovación es la evaluación y la autoevaluación. En este trabajo se realizó un análisis tendencial de los diversos enfoques y modelos del proceso de evaluación y autoevaluación institucional; así como de las propensiones actuales del proceso autoevaluativo de las instituciones de la educación superior a través del concepto de calidad.One of the biggest challenges that University education faces nowadays, is to manage the corresponding changes that our contemporary society demands. A way to sensitize the academic world and to make innovation easier is through assessment and self-appraisal. This research work carried out a tendentious analysis of the different approaches and models of the institutional assessment and self-appraisal processes; as well as, of the current tendencies of the institutional self-appraisal process in higher education, by analyzing the concept of quality.

  20. Retrospective assessment of occupational asbestos exposure among 220 patients with respiratory cancer hospitalized at Vilnius University Institute of Oncology

    International Nuclear Information System (INIS)

    Petrauskaite Everatt, R.; Jankauskas, R.; Tossavainen, A.; Cicenas, S.; Smolianskiene, G.

    2005-01-01

    No cases of lung cancer or mesothelioma have ever been diagnosed or compensated as asbestos-related in Lithuania. This paper attempts to estimate the proportion of those occupationally exposed to asbestos among respiratory cancer patients. Occupational exposure to asbestos was assessed retrospectively for 218 lung cancer and 2 mesothelioma patients admitted to Institute of Oncology, Vilnius University. The evaluation was based on personal interview data using an internationally established questionnaire. Cumulative exposure to asbestos at work was evaluated in fibre-years. A cumulative asbestos exposure of ≥25 fibre-years was found for 7 patients (3.2%), in further 135 (61.2%) a cumulative exposure from 0.01 to 24.99 fibre-years was assessed. The most common occupations among heavily (≥25 fibre-years) exposed patients were smith, welder or insulator in foundries, construction, shipyard as well as asbestos cement and glass industry. Preliminary findings indicate that a fraction (3.2%) of the respiratory cancer cases could be attributed to occupational exposure to asbestos. Since 1560 or more cases of lung cancer are registered every year in Lithuania, about 50 cases per year could be predicted to be asbestos-related. (author)

  1. Institutional failures and transaction costs of Bulgarian private research institutes

    OpenAIRE

    Nozharov, Shteryo

    2016-01-01

    The paper analyses the reasons for poor performance of private research institutes in Bulgaria. In this regard the Institutional Economics methods are used. A connection between smart growth policy goals and Bulgarian membership in EU is made. The gaps in the institutional environment are identified as well as measures for their elimination are proposed. The main accent of the study is put on the identification of transaction costs, arisen as a result of the failures of the institutional envi...

  2. Factors associated with attendance in 12-step groups (Alcoholics Anonymous/Narcotics Anonymous) among adults with alcohol problems living with HIV/AIDS.

    Science.gov (United States)

    Orwat, John; Samet, Jeffrey H; Tompkins, Christopher P; Cheng, Debbie M; Dentato, Michael P; Saitz, Richard

    2011-01-15

    Despite the value of 12-step meetings, few studies have examined factors associated with attendance among those living with HIV/AIDS, such as the impact of HIV disease severity and demographics. This study examines predisposing characteristics, enabling resources and need on attendance at Alcoholic Anonymous (AA) and Narcotics Anonymous (NA) meetings among those living with HIV/AIDS and alcohol problems. Secondary analysis of prospective data from the HIV-Longitudinal Interrelationships of Viruses and Ethanol study, a cohort of 400 adults living with HIV/AIDS and alcohol problems. Factors associated with AA/NA attendance were identified using the Anderson model for vulnerable populations. Generalized estimating equation logistic regression models were fit to identify factors associated with self-reported AA/NA attendance. At study entry, subjects were 75% male, 12% met diagnostic criteria for alcohol dependence, 43% had drug dependence and 56% reported attending one or more AA/NA meetings (past 6 months). In the adjusted model, female gender negatively associated with attendance, as were social support systems that use alcohol and/or drugs, while presence of HCV antibody, drug dependence diagnosis, and homelessness associated with higher odds of attendance. Non-substance abuse related barriers to AA/NA group attendance exist for those living with HIV/AIDS, including females and social support systems that use alcohol and/or drugs. Positive associations of homelessness, HCV infection and current drug dependence were identified. These findings provide implications for policy makers and treatment professionals who wish to encourage attendance at 12-step meetings for those living with HIV/AIDS and alcohol or other substance use problems. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

  3. 77 FR 8223 - Applications for New Awards; National Institute on Disability and Rehabilitation Research...

    Science.gov (United States)

    2012-02-14

    ... 86 apply to institutions of higher education only. II. Award Information Type of Award: Discretionary...; institutions of higher education; and Indian tribes and tribal organizations. 2. Cost Sharing or Matching: Cost... development activities in refereed journals. The percentage of new NIDRR grants that assess the effectiveness...

  4. The American Petroleum Institute's Decision Support System for performing exposure and risk assessments

    International Nuclear Information System (INIS)

    Spence, L.R.

    1994-01-01

    The author has developed the American Petroleum Institute's (API) Exposure and Risk Assessment Decision Support System (DSS) to assist environmental professionals in estimating human exposure and risk from sites contaminated with petroleum hydrocarbons. The DSS is a valuable, user-friendly tool that can be used to (1) estimate site-specific risks, (2) identify the need for site remediation, (3) develop and negotiate site-specific cleanup levels with regulatory agencies, and (4) efficiently and effectively evaluate the effect of parameter uncertainty and variability on estimated risk. API DSS Version 1.0 consists of four modules. Specifically, the Development of Risk Scenario module allows the user to develop a conceptual model for estimating the risk. The Fate and Transport module includes a number of contaminant fate and transport models to estimate receptor point concentrations using site-specific hydrogeological and meteorological data entered by the user. The Chemical Intake and Risk Calculation module uses estimated or user-entered receptor point concentrations to estimate chemical intake by a human receptor for several different exposure routes. Finally, the Risk Presentation module allows the user to view the results of the analysis in tabular and graphical formats. The DSS includes chemical databases for 25 hydrocarbons containing transport and toxicity information. These databases may be expanded to include many additional (non-hydrocarbon) chemicals. The computational modules of the DSS can be implemented in either a deterministic or a Monte Carlo simulation mode. The latter is used to quantify the uncertainty in the exposure and risk results due to uncertainty in the input parameters

  5. Cultural dimensions, collective values and their importance for institutions

    NARCIS (Netherlands)

    Klasing, Mariko J.

    2013-01-01

    This paper critically assesses the role of culture in determining the quality of institutions. Employing various measures of cultural differences, I find that only differences related to the degree of individualism in society and the extent to which inequality in the distribution of power is

  6. Navigating Institutions and Institutional Leadership to Address Sexual Violence

    Science.gov (United States)

    Sisneros, Kathy; Rivera, Monica

    2018-01-01

    Using an institutional example, this chapter offers strategies to effectively navigate institutional culture, processes, and structures to engage the entire campus community in addressing sexual violence.

  7. Institutional Investors

    DEFF Research Database (Denmark)

    Birkmose, Hanne Søndergaard; Strand, Therese

    Research Question/Issue: Institutional investors are facing increased pressure and threats of legislation from the European Union to abandon passive ownership strategies. This study investigates the prerequisites for – and potential dissimilarities in the practice of, active ownership among...... institutional investors in two Scandinavian countries with diminutive legal and cultural distance in general. Research Findings/Insights: Using data on shareholder proposals from Danish and Swedish annual general meetings from 2006 throughout 2010, we find that institutional investors are approximately....../Policy Implications: Regulators should be aware of the impact by local governance mechanisms, and how shareholders react under different legal and practical prerequisites. The paper also highlights legal elements that differ between Denmark and Sweden, and which might affect institutional activism....

  8. Formalization, implementation, and modeling of institutional controllers for distributed robotic systems.

    Science.gov (United States)

    Pereira, José N; Silva, Porfírio; Lima, Pedro U; Martinoli, Alcherio

    2014-01-01

    The work described is part of a long term program of introducing institutional robotics, a novel framework for the coordination of robot teams that stems from institutional economics concepts. Under the framework, institutions are cumulative sets of persistent artificial modifications made to the environment or to the internal mechanisms of a subset of agents, thought to be functional for the collective order. In this article we introduce a formal model of institutional controllers based on Petri nets. We define executable Petri nets-an extension of Petri nets that takes into account robot actions and sensing-to design, program, and execute institutional controllers. We use a generalized stochastic Petri net view of the robot team controlled by the institutional controllers to model and analyze the stochastic performance of the resulting distributed robotic system. The ability of our formalism to replicate results obtained using other approaches is assessed through realistic simulations of up to 40 e-puck robots. In particular, we model a robot swarm and its institutional controller with the goal of maintaining wireless connectivity, and successfully compare our model predictions and simulation results with previously reported results, obtained by using finite state automaton models and controllers.

  9. Institutional Repositories in Indian Universities and Research Institutes: A Study

    Science.gov (United States)

    Krishnamurthy, M.; Kemparaju, T. D.

    2011-01-01

    Purpose: The purpose of this paper is to report on a study of the institutional repositories (IRs) in use in Indian universities and research institutes. Design/methodology/approach: Repositories in various institutions in India were accessed and described in a standardised way. Findings: The 20 repositories studied covered collections of diverse…

  10. Science, institutional archives and open access: an overview and a pilot survey on the Italian cancer research institutions.

    Science.gov (United States)

    Poltronieri, Elisabetta; Truccolo, Ivana; Di Benedetto, Corrado; Castelli, Mauro; Mazzocut, Mauro; Cognetti, Gaetana

    2010-12-20

    The Open Archive Initiative (OAI) refers to a movement started around the '90 s to guarantee free access to scientific information by removing the barriers to research results, especially those related to the ever increasing journal subscription prices. This new paradigm has reshaped the scholarly communication system and is closely connected to the build up of institutional repositories (IRs) conceived to the benefit of scientists and research bodies as a means to keep possession of their own literary production. The IRs are high-value tools which permit authors to gain visibility by enabling rapid access to scientific material (not only publications) thus increasing impact (citation rate) and permitting a multidimensional assessment of research findings. A survey was conducted in March 2010 to mainly explore the managing system in use for archiving the research finding adopted by the Italian Scientific Institutes for Research, Hospitalization and Health Care (IRCCS) of the oncology area within the Italian National Health Service (Servizio Sanitario Nazionale, SSN). They were asked to respond to a questionnaire intended to collect data about institutional archives, metadata formats and posting of full-text documents. The enquiry concerned also the perceived role of the institutional repository DSpace ISS, built up by the Istituto Superiore di Sanità (ISS) and based on a XML scheme for encoding metadata. Such a repository aims at acting as a unique reference point for the biomedical information produced by the Italian research institutions. An in-depth analysis has also been performed on the collection of information material addressed to patients produced by the institutions surveyed. The survey respondents were 6 out of 9. The results reveal the use of different practices and standard among the institutions concerning: the type of documentation collected, the software adopted, the use and format of metadata and the conditions of accessibility to the IRs. The

  11. What are Institutional Logics

    DEFF Research Database (Denmark)

    Berg Johansen, Christina; Waldorff, Susanne Boch

    This study presents new insights into the explanatory power of the institutional logics perspective. With outset in a discussion of seminal theory texts, we identify two fundamental topics that frame institutional logics: overarching institutional orders guides by institutional logics, as well...... as change and agency generated by friction between logics. We use these topics as basis for an analysis of selected empirical papers, with the aim of understanding how institutional logics contribute to institutional theory at large, and which social matters institutional logics can and cannot explore...

  12. Efficiency assessment models of higher education institution staff activity

    Directory of Open Access Journals (Sweden)

    K. A. Dyusekeyev

    2016-01-01

    Full Text Available The paper substantiates the necessity of improvement of university staff incentive system under the conditions of competition in the field of higher education, the necessity to develop a separate model for the evaluation of the effectiveness of the department heads. The authors analysed the methods for assessing production function of units. The advantage of the application of the methods to assess the effectiveness of border economic structures in the field of higher education is shown. The choice of the data envelopment analysis method to solve the problem has proved. The model for evaluating of university departments activity on the basis of the DEAmethodology has developed. On the basis of operating in Russia, Kazakhstan and other countries universities staff pay systems the structure of the criteria system for university staff activity evaluation has been designed. For clarification and specification of the departments activity efficiency criteria a strategic map has been developed that allowed us to determine the input and output parameters of the model. DEA-methodology using takes into account a large number of input and output parameters, increases the assessment objectivity by excluding experts, receives interim data to identify the strengths and weaknesses of the evaluated object.

  13. Institutional Repositories at Small Institutions in America: Some Current Trends

    Science.gov (United States)

    Nykanen, Melissa

    2011-01-01

    The research reported in this article was undertaken to determine the level of implementation of institutional repositories (IRs) at small institutions enrolling fewer than 10,000 students. The study analyzed quantitative and qualitative data from IRs at a number of small institutions with the aim of observing relevant patterns and trends that may…

  14. TTI Phase 2 Institutional Support: Indian Institute of Dalit Studies ...

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

    This funding will enhance the Indian Institute of Dalit Studies' (IIDS) role as a credible public policy institution in India by strengthening its ability to provide high-quality, influential, and policy-relevant research. About the Indian Institute of Dalit Studies IIDS is a social sciences research centre with a focus on development ...

  15. Institutional actorhood

    DEFF Research Database (Denmark)

    Madsen, Christian Uhrenholdt

    In this paper I describe the changing role of intra-organizational experts in the face of institutional complexity of their field. I do this through a qualitative investigation of the institutional and organizational roles of actors in Danish organizations who are responsible for the efforts...... to comply with the Danish work environment regulation. And by doing so I also describe how institutional complexity and organizational responses to this complexity are particular important for the changing modes of governance that characterizes contemporary welfare states....

  16. Dissemination research: the University of Wisconsin Population Health Institute.

    Science.gov (United States)

    Remington, Patrick L; Moberg, D Paul; Booske, Bridget C; Ceraso, Marion; Friedsam, Donna; Kindig, David A

    2009-08-01

    Despite significant accomplishments in basic, clinical, and population health research, a wide gap persists between research discoveries (ie, what we know) and actual practice (ie, what we do). The University of Wisconsin Population Health Institute (Institute) researchers study the process and outcomes of disseminating evidence-based public health programs and policies into practice. This paper briefly describes the approach and experience of the Institute's programs in population health assessment, health policy, program evaluation, and education and training. An essential component of this dissemination research program is the active engagement of the practitioners and policymakers. Each of the Institute's programs conducts data collection, analysis, education, and dialogue with practitioners that is closely tied to the planning, implementation, and evaluation of programs and policies. Our approach involves a reciprocal exchange of knowledge with non-academic partners, such that research informs practice and practice informs research. Dissemination research serves an important role along the continuum of research and is increasingly recognized as an important way to improve population health by accelerating the translation of research into practice.

  17. Alligator Rivers Region Research Institute: annual research summary 1989-1990

    International Nuclear Information System (INIS)

    1991-01-01

    The Alligator Rivers Region Research Institute (ARRRI) research activities are associated with an assessment of environmental effect of mining in the region. While emphasis on baseline research is now much reduced, some projects are still necessary because of significant changes in the Magela Creek system, because new areas of proposed mining have been identified (e.g. Coronation Hill) and because the emphasis now being placed on rehabilitation research requires a sound knowledge of the Region's flora. The ARRRI rehabilitation research program has concentrated on the Ranger mine site, principally because it is at a critical planning stage where detailed research information is required. With regard to the development of techniques, research at the Institute has led to the development of specific analytical methods or protocols that can be used in assessing environmental impact. 39 tabs., 42 figs

  18. INTERNAL CONTROLS IN ENSURING GOOD CORPORATE GOVERNANCE IN FINANCIAL INSTITUTIONS

    Directory of Open Access Journals (Sweden)

    KOSMAS NJANIKE

    2011-01-01

    Full Text Available This paper assessed factors that influence the internal controls in ensuring good corporate governance in financial institutions in developing economies with special reference to Zimbabwe. The research paper assessed how lack of internal controls affected good corporate governance and aimed to bring out elements of good corporate governance. It emerged that failure to effectively implement internal controls contributed significantly to poor corporate governance. The study discovered that internal control system overrides and the issue of “fact cat” directors also contributed to poor corporate governance. The study recommended that there is need for the board of directors to guarantee an organizational structure that clearly defines management responsibilities, authority and reporting relationships. There is also need to ensure that delegated responsibilities are effectively carried out to ensure compliance with internal controls of the financial institution concerned.

  19. Effect of N-Methyl-D-Aspartate Receptor Antagonist Dextromethorphan on Opioid Analgesia in Pediatric Intensive Care Unit.

    Science.gov (United States)

    Naeem, Mohammed; Al Alem, Hala; Al Shehri, Ali; Al-Jeraisy, Majed

    2016-01-01

    Objective . Pain control is an essential goal in the management of critical children. Narcotics are the mainstay for pain control. Patients frequently need escalating doses of narcotics. In such cases an adjunctive therapy may be beneficial. Dextromethorphan (DM) is NMDA receptor antagonist and may prevent tolerance to narcotics; however, its definitive role is still unclear. We sought whether dextromethorphan addition could decrease the requirements of fentanyl to control pain in critical children. Design . Double-blind, randomized control trial (RCT). Setting . Pediatric multidisciplinary ICU in tertiary care center. Patients . Thirty-six pediatric patients 2-14 years of age in a multidisciplinary PICU requiring analgesia were randomized into dextromethorphan and placebo. The subjects in both groups showed similarity in most of the characteristics. Interventions . Subjects while receiving fentanyl for pain control received dextromethorphan or placebo through nasogastric/orogastric tubes for 96 hours. Pain was assessed using FLACC and faces scales. Measurements and Main Results . This study found no statistical significant difference in fentanyl requirements between subjects receiving dextromethorphan and those receiving placebo ( p = 0.127). Conclusions . Dextromethorphan has no effect on opioid requirement for control of acute pain in children admitted with acute critical care illness in PICU. The registration number for this trial is NCT01553435.

  20. Effect of N-Methyl-D-Aspartate Receptor Antagonist Dextromethorphan on Opioid Analgesia in Pediatric Intensive Care Unit

    Directory of Open Access Journals (Sweden)

    Mohammed Naeem

    2016-01-01

    Full Text Available Objective. Pain control is an essential goal in the management of critical children. Narcotics are the mainstay for pain control. Patients frequently need escalating doses of narcotics. In such cases an adjunctive therapy may be beneficial. Dextromethorphan (DM is NMDA receptor antagonist and may prevent tolerance to narcotics; however, its definitive role is still unclear. We sought whether dextromethorphan addition could decrease the requirements of fentanyl to control pain in critical children. Design. Double-blind, randomized control trial (RCT. Setting. Pediatric multidisciplinary ICU in tertiary care center. Patients. Thirty-six pediatric patients 2–14 years of age in a multidisciplinary PICU requiring analgesia were randomized into dextromethorphan and placebo. The subjects in both groups showed similarity in most of the characteristics. Interventions. Subjects while receiving fentanyl for pain control received dextromethorphan or placebo through nasogastric/orogastric tubes for 96 hours. Pain was assessed using FLACC and faces scales. Measurements and Main Results. This study found no statistical significant difference in fentanyl requirements between subjects receiving dextromethorphan and those receiving placebo (p=0.127. Conclusions. Dextromethorphan has no effect on opioid requirement for control of acute pain in children admitted with acute critical care illness in PICU. The registration number for this trial is NCT01553435.

  1. Integrating Infrastructure and Institutions for Water Security in Large Urban Areas

    Science.gov (United States)

    Padowski, J.; Jawitz, J. W.; Carrera, L.

    2015-12-01

    Urban growth has forced cities to procure more freshwater to meet demands; however the relationship between urban water security, water availability and water management is not well understood. This work quantifies the urban water security of 108 large cities in the United States (n=50) and Africa (n=58) based on their hydrologic, hydraulic and institutional settings. Using publicly available data, urban water availability was estimated as the volume of water available from local water resources and those captured via hydraulic infrastructure (e.g. reservoirs, wellfields, aqueducts) while urban water institutions were assessed according to their ability to deliver, supply and regulate water resources to cities. When assessing availability, cities relying on local water resources comprised a minority (37%) of those assessed. The majority of cities (55%) instead rely on captured water to meet urban demands, with African cities reaching farther and accessing a greater number and variety of sources for water supply than US cities. Cities using captured water generally had poorer access to local water resources and maintained significantly more complex strategies for water delivery, supply and regulatory management. Eight cities, all African, are identified in this work as having water insecurity issues. These cities lack sufficient infrastructure and institutional complexity to capture and deliver adequate amounts of water for urban use. Together, these findings highlight the important interconnection between infrastructure investments and management techniques for urban areas with a limited or dwindling natural abundance of water. Addressing water security challenges in the future will require that more attention be placed not only on increasing water availability, but on developing the institutional support to manage captured water supplies.

  2. Bringing ideas back in to historical institutionalism to explain endogenous institutional change

    DEFF Research Database (Denmark)

    Carstensen, Martin B.; Schmidt, Vivien

    The problem of how to theorize endogenous institutional change remains the ‘holy grail’ of historical institutionalism. Particularly important advances have been made within scholarship on gradual institutional transformation th at has deployed concepts like institutional ambiguity and interpreta...... in relation to two key issues: Interpretive battles over compliance and enforcement; and the role of ideas in forming, maintaining and changing the coalitions of actors that support a specific institutional setup....

  3. Institutional Strength in Depth

    International Nuclear Information System (INIS)

    Weightman, M.

    2016-01-01

    Much work has been undertaken in order to identify, learn and implement the lessons from the TEPCO Fukushima Daiichi nuclear accident. These have mainly targeted on engineering or operational lessons. Less attention has been paid to the institutional lessons, although there have been some measures to improve individual peer reviews, particularly by the World Association of Nuclear Operators, and the authoritative IAEA report published in 2015 brought forward several important lessons for regulators and advocated a system approach. The report noted that one of the contributing factors the accident was the tendency of stakeholders not to challenge. Additionally, it reported deficiencies in the regulatory authority and system. Earlier, the root cause of the accident was identified by a Japanese independent parliamentary report as being cultural and institutional. The sum total of the institutions, the safety system, was ineffective. While it is important to address the many technical and operational lessons these may not necessary address this more fundamental lesson, and may not serve to provide robust defences against human or institutional failings over a wide variety of possible events and combinations. The overall lesson is that we can have rigorous and comprehensive safety standards and other tools in place to deliver high levels of safety, but ultimately what is important is the ability of the nuclear safety system to ensure that the relevant institutions diligently and effectively apply those standards and tools — to be robust and resilient. This has led to the consideration of applying the principles of the strength in depth philosophy to a nuclear safety system as a way of providing a framework for developing, assessing, reviewing and improving the system. At an IAEA conference in October 2013, a model was presented for a robust national nuclear safety system based on strength in depth philosophy. The model highlighted three main layers: industry, the

  4. North-South Institute Institutional Grant 2011-2012 | IDRC ...

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

    The North-South Institute (NSI) is an established independent thinktank in Canada whose work focuses on international development, poverty reduction and global inequalities. Building on a long history of collaboration between NSI and IDRC, this grant will provide the Institute with core support for 2011-2012. NSI activities ...

  5. Institutional Support : African Institute for Applied Economics (AIAE ...

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

    The African Institute for Applied Economics (AIAE), Nigeria, is an independent policy research organization created in 2000. The Institute's mission is to promote evidence-based decision-making in the area of economic and social development. AIAE's strength is research and advocacy in the area of business environment, ...

  6. Аsymmetry of Structural Institutional and Technological Changes in Economy

    Directory of Open Access Journals (Sweden)

    Katkovа Marina Andreevna

    2014-12-01

    Full Text Available The article is devoted to the research on interrelation between institutional and technological changes. The authors provide the convincing argument in favor of the thesis on asymmetry of structural, institutional and technological changes. The complex of analytic methods is used in the work – comparative statics, static analysis, dynamic analysis. The analysis results in the conclusion on strengthening the heterogeneity, instability and uncertainty of the social and economic phenomena and processes. The authors comprehend structural changes as the changes in ratios and proportions of economic structure. They point to the emergence of new integrated characteristics and describe the synergetic effect of the general development. The use of the theory of technological modes allowed allocating radical and local shifts. The particular emphasis is placed on the analysis of reversible and irreversible structural and technological shifts as a special form of structural and technological changes. The application of the method of institutional statics and dynamics is effective in the analysis of technological and institutional symmetry / asymmetry. The emergence of negative institutional changes is explained by insufficient, inadequate or fragmentary assimilation of market institutes. The institutes interfering the innovative development stand against the institutes of innovative development. The institutional traps of structural and technological transformations are subdivided by authors into the traps of micro- and macrolevel. The authors point to the difficulty of assessing the institutes of microlevel by means of statistical data. They suggest using the phenomena which are under the control of authorities and subject to regulation as indicators. To define the opportunities of institutional management and the borders of government intervention the authors investigate in detail the institutional traps. They include moral and psychological unreadiness

  7. Applications of contaminant fate and bioaccumulation models in assessing ecological risks of chemicals: A case study for gasoline hydrocarbons

    Energy Technology Data Exchange (ETDEWEB)

    MacLeod, Matthew; McKone, Thomas E.; Foster, Karen L.; Maddalena, Randy L.; Parkerton, Thomas F.; Mackay, Don

    2004-02-01

    Mass balance models of chemical fate and transport can be applied in ecological risk assessments for quantitative estimation of concentrations in air, water, soil and sediment. These concentrations can, in turn, be used to estimate organism exposures and ultimately internal tissue concentrations that can be compared to mode-of-action-based critical body residues that correspond to toxic effects. From this comparison, risks to the exposed organism can be evaluated. To illustrate the practical utility of fate models in ecological risk assessments of commercial products, the EQC model and a simple screening level biouptake model including three organisms, (a bird, a mammal and a fish) is applied to gasoline. In this analysis, gasoline is divided into 24 components or ''blocks'' with similar environmental fate properties that are assumed to elicit ecotoxicity via a narcotic mode of action. Results demonstrate that differences in chemical properties and mode of entry into the environment lead to profound differences in the efficiency of transport from emission to target biota. We discuss the implications of these results and insights gained into the regional fate and ecological risks associated with gasoline. This approach is particularly suitable for assessing mixtures of components that have similar modes of action. We conclude that the model-based methodologies presented are widely applicable for screening level ecological risk assessments that support effective chemicals management.

  8. Selected problems in auditing the financial statements of credit institutions

    Directory of Open Access Journals (Sweden)

    JOANNA WIELGÓRSKA-LESZCZYŃSKA

    2016-06-01

    Full Text Available The article presents issues deserving special attention in the area of auditing the financial statements of credit institution. Without a doubt, these are the financial instruments, including credit exposures. To properly audit these instruments it is required to verify the accuracy of the valuation. Such verification in the case of credit exposures is preceded by appropriate category qualification followed by impairment write-off determined considering the established security. Thus, the audit process is complex and requires assessment by the auditor of exogenous and endogenous factors affecting the operation of credit institutions.

  9. Search for Integration of Theory and Practice: The Early History and Analysis of Three Innovative Graduate Institutions. ASHE 1986 Annual Meeting Paper.

    Science.gov (United States)

    Betters-Reed, Bonita L.

    The origin and establishment of three innovative graduate institutions in the Boston, Massachusetts, area were assessed: The Arthur D. Little Management Education Institute, The Massachusetts General Hospital Institute of Health Professions, and the Wang Institute of Graduate Studies. These institutions started in non-educational institutions and…

  10. Bad leadership and institutional failure: foundation of corruption in ...

    African Journals Online (AJOL)

    This study basically assesses the phenomenal rise of corruption in Nigeria. While the study recognizes the varying perspectives of the causes of corruption among developing nations, the study asserts that the dramatic rise of corruption to the present level of impurity is caused by bad leadership and institutional failure.

  11. INFLUENCE OF RELATIONS WITH INTERNATIONAL FINANCIAL INSTITUTIONS ON INSTITUTIONAL TRANSFORMATIONS OF ECONOMY

    Directory of Open Access Journals (Sweden)

    Galyna POCHENCHUK

    2014-12-01

    Full Text Available The article deals with the problem of the impact of transitional countries cooperation with international financial institutions on institutional changes which take place in emerging market economies, on the base of Ukraine. Research is carried out from the standpoint of institutional theory. The main reforms that took place in emerging market economy countries were based on the Washington Consensus strategy recommended by international financial institutions. The results of implementing this strategy are varied in different countries. In Ukraine strict adherence to requirements in the early stages of reforms without internal institutional conditions and characteristics led to a deep and protracted crisis of forming a "transformational stability." The general formal institutions of the market economy have been created according to the neoliberal concept which is provided by IFIs. However, experience of transitive economies including Ukraine, confirms the ineffectiveness of many established formal institutions borrowed from the developed countries. The author reviews the basic theory of institutional changes, argues that the terms of cooperation circulated by international financial institutions not only affect economic development strategy, but also determine the role of the national government in relations with markets. Under present conditions prevailing in Ukraine, it is impossible to manage without assistance of international financial institutions. But we need to pay more attention to technical and advisory cooperation in realization of institutional reforms, and credits – to take as a required time for receiving the results of reforms.

  12. Institute news

    Science.gov (United States)

    1999-11-01

    celebrate the Group's 50th anniversary by examining what has been done, focusing on why and how it was done, with lessons and ambitions for the future. The meeting will be held at Institute Headquarters and the programme is as follows: 10.45 - 11.00 Welcome and introduction (Philip Britton: Chair of the Education Group) 11.00 - 11.45 Examinations and assessment through the ages (Tim Akrill, Chief Examiner for A-level Physics with Edexcel) 11.45 - 12.30 Curriculum reform in physics, past, present and future (Professor Jon Ogborn, Director of the Post-16 Physics Initiative) 14.00 - 14.15 Physics education and the Institute of Physics, some personal reflections (speaker to be announced) 14.15 - 15.00 Connecting with Advancing Physics: the first year in HE physics (Professor Mick Brown, University of Cambridge) 15.15 - 15.35 Physics education, the next 50 years! (Ken Dobson, Honorary Editor of Physics Education) The day should hold something for everyone, so reserve your place if you can. Schools and Colleges lecture Dr Zbig Sobiesierski of the University of the West of England is the 1999 - 2000 Institute of Physics Schools and Colleges lecturer, touring the country with his talk `Seeing is believing?'. He will demonstrate the different physical ways in which we can both make and mix colour and will then proceed to discuss why our eyes respond to light in the way they do. The lecture will be aimed primarily at students aged 14 and above, but it will also be suitable for older audiences. The intention, as with previous series, will be to show the relevance of the physics concepts to the members of the audience and the world in which they live. To find out more about the lecture in your area and to make a booking, contact should be made with the local organizer (full details of the list can be obtained from Catherine Wilson at Institute Headquarters). The dates and venues planned so far are as follows: 1 Nov: Northern College, Aberdeen 2 Nov: University of St Andrews 3 Nov

  13. Institutional Logics in Action

    DEFF Research Database (Denmark)

    Lounsbury, Michael; Boxenbaum, Eva

    2013-01-01

    This double volume presents state-of-the-art research and thinking on the dynamics of actors and institutional logics. In the introduction, we briefly sketch the roots and branches of institutional logics scholarship before turning to the new buds of research on the topic of how actors engage...... institutional logics in the course of their organizational practice. We introduce an exciting line of new works on the meta-theoretical foundations of logics, institutional logic processes, and institutional complexity and organizational responses. Collectively, the papers in this volume advance the very...... prolific stream of research on institutional logics by deepening our insight into the active use of institutional logics in organizational action and interaction, including the institutional effects of such (inter)actions....

  14. Lessons learnt from comprehensive evaluation of community-based education in Uganda: a proposal for an ideal model community-based education for health professional training institutions

    Directory of Open Access Journals (Sweden)

    Atuyambe Lynn

    2011-03-01

    Full Text Available Abstract Background Community-based education (CBE can provide contextual learning that addresses manpower scarcity by enabling trainees acquire requisite experiences, competence, confidence and values. In Uganda, many health professional training institutions conduct some form of community-based education (CBE. However, there is scanty information on the nature of the training: whether a curriculum exists (objectives, intended outcomes, content, implementation strategy, administration and constraints faced. The objective was to make a comprehensive assessment of CBE as implemented by Ugandan health professional training institutions to document the nature of CBE conducted and propose an ideal model with minimum requirements for health professional training institutions in Uganda. Methods We employed several methods: documentary review of curricula of 22 institutions, so as to assess the nature, purpose, outcomes, and methods of instruction and assessment; site visits to these institutions and their CBE sites, to assess the learning environment (infrastructure and resources; in-depth interviews with key people involved in running CBE at the institutions and community, to evaluate CBE implementation, challenges experienced and perceived solutions. Results CBE was perceived differently ranging from a subject, a course, a program or a project. Despite having similar curricula, institutions differ in the administration, implementation and assessment of CBE. Objectives of CBE, the curricula content and implementation strategies differ in similar institutions. On collaborative and social learning, most trainees do not reside in the community, though they work on group projects and write group reports. Lectures and skills demonstrations were the main instruction methods. Assessment involved mainly continuous assessment, oral or written reports and summative examination. Conclusion This assessment identified deficiencies in the design and implementation

  15. Quality Research in Higher Education Institutions in Oman: Some Views of Teacher Researchers

    Directory of Open Access Journals (Sweden)

    Ahmed Ali Saleh Al Ajmi

    2015-06-01

    Full Text Available Academic research remains a prime source of knowledge and innovation for higher education institutions (HEIs that strive to grow, expand and develop their academic reputations and standards. Yet, research informs teaching practices, shapes social changes and it has financial outcomes for HEIs. Therefore, it is imperative to develop institutional policies and strategies for promoting and sustaining quality research in HEIs in Oman. There are a number of international frameworks and models which have been developed to measure research quality in HEIs around the world. For example, bibliometrics were used to assess research quality in HEIs in the UK because bibliometric data can provide a number of component variables. An appropriate bibliometric model may include components such as output volume, diversity of outputs, citation volume, journal impact factor and average citations per publication, etc. Moreover, other popular examples of models for assessing research quality are Multidimensional Research Assessment Matrix (MRAM used in Europe and the UK’s Research Assessment Exercise (RAE. However, neither of the above mentioned models is adopted by HEIs in Oman. Thus, the current study is an attempt to explore some institutional, international, logistic and pragmatic factors that impact academic research and publication quality, review popular international research quality assessment models and explore the possibility of applying them in the Omani context. To achieve the study objectives, 20 teacher researchers were surveyed and the findings and recommendations were presented. Keywords: Quality Research, HEIs in Oman, International Models, Factors, Teacher Researchers' Views

  16. Opium -- The Fuel of Instability in Afghanistan: Why the Military Must be Involved in the Solution, and Recommendations for Action

    National Research Council Canada - National Science Library

    Duncan, II, Thomas A

    2007-01-01

    ...?" This monograph shows that U.S. and NATO military support of the Islamic Republic of Afghanistan's counter-narcotics programs should have a critical supporting role in a comprehensive counter-narcotics program in Afghanistan...

  17. Towards a Strength-Based Juvenile Correctional Facility: Sustainability and Effects of an Institutional Transformation

    Science.gov (United States)

    Barton, William H.; Mackin, Juliette R.

    2012-01-01

    In 2006, the administration of a state-run, secure juvenile correctional facility initiated an attempt to transform its institutional culture using a strength-based approach to assessment and case planning. This resulted in a rapid improvement in institutional climate. The current study revisits this setting several years later to see if those…

  18. Army Junior Officer Education: An Assessment of Institutional Learning

    National Research Council Canada - National Science Library

    Landers, Christopher S

    2007-01-01

    As the Army continues its transformation into a more lethal and responsive force, in the midst of the War on Terror, it becomes increasingly important to make qualitative and critical assessments of our progress...

  19. Institutions as Knowledge Capital

    DEFF Research Database (Denmark)

    Foss, Nicolai Juul; Garzarelli, Giampaolo

    The paper revisits the socioeconomic theory of the Austrian School economist Ludwig M. Lachmann. By showing that the common claim that Lachmann's idiosyncratic (read: eclectic and multidisciplinary) approach to economics entails nihilism is unfounded, it reaches the following conclusions. (1......) Lachmann held a sophisticated institutional position to economics that anticipated developments in contemporary new institutional economics. (2) Lachmann's sociological and economic reading of institutions offers insights for the problem of coordination. (3) Lachmann extends contemporary new institutional...... theory without simultaneously denying the policy approach of comparative institutional analysis. (90 words.)KeywordsComparative institutional analysis, coordination, expectations, institutionalevolution, interpretative institutionalism.JEL CodesB31, B52, B53, D80....

  20. Safeguards at the Central Institute for Nuclear Research at Rossendorf/GDR

    International Nuclear Information System (INIS)

    Helming, M.; Rehak, W.; Schillert, B.

    1989-01-01

    Experience in the implementation of domestic and international safeguards at the Central Institute for Nuclear Research at Rossendorf is reported covering the following topics: overview of the main nuclear installations belonging to the Institute; structure of its material balance areas; responsibilities for the different aspects of accounting for and control of nuclear material at facility level; the various types of nuclear materials handled and their flow, accessibility and strategic significance; the assessment of IAEA safeguards effectiveness. 2 tabs., 2 figs. (author)

  1. Use of the Legal-Institutional Analysis Model to assess hydropower licensing negotiations

    Science.gov (United States)

    Burkardt, N.; Lamb, B.L.; Lamb, B.L.; Garcia de Jalon, D.; Sabaton, C.; Souchon, Y.; Tamai, N.; Robinette, H.R.; Waddle, T.J.; Brinson, A.

    2003-01-01

    In the United States, the Federal Energy Regulatory Commission (FERC) is responsible for issuing or renewing licenses for hydropower projects owned and operated by power companies. During the licensing process, these companies are required to consult with agencies and other parties that are affected by project operating regimes. Typical participants include state and federal fish and wildlife agencies, environmental interest groups, and the FERC. One of the most difficult tasks facing participants is to reach agreement about what kinds of environmental conditions should be placed on license. Researchers at the United States Geological Survey developed a model to analyze the institutional context of natural resource disputes. The Legal-Institutional Analysis Model (LIAM) is a computerized model that allows an analyst to determine the likely behavior of each organization in a conflict. The model also analyzes the types and levels of negotiating power held by each organization. Researchers at the USGS have used the model in several cases involving hydropower license applications. To use the model, they facilitate workshops for stakeholder groups in order to develop a shared understanding of the likely obstacles and opportunities for successful resolution of the issues. This allows a systematic workshop analyses to develop strategies for successful negotiations, because they are able to better understand the negotiation problem and work more effectively with both their allies and their competitors.

  2. Institutional and Departmental Cultures: The Relationship Between Teaching and Research.

    Science.gov (United States)

    Austin, Ann E.

    1996-01-01

    The influence of institutional and departmental cultures on the relationship between college teaching and research is discussed, and suggestions for assessing these factors and nurturing a positive relationship between them are made. Approaches include making reward systems more equitable, strengthening administrative leadership, encouraging…

  3. Assessing Technical Writing in Institutional Contexts: Using Outcomes-Based Assessment for Programmatic Thinking.

    Science.gov (United States)

    Carter, Michael; Anson, Chris M.; Miller, Carolyn R.

    2003-01-01

    Notes that technical writing instruction often operates in isolation from other components of students' communication education. Argues for altering this isolation by moving writing instruction to a place of increased programmatic perspective, which may be attained through a means of assessment based on educational outcomes. Discusses two models…

  4. Social Skills in Children Adopted from Socially-Emotionally Depriving Institutions

    OpenAIRE

    Julian, Megan M.; McCall, Robert B.

    2015-01-01

    This study assessed social skills in post-institutionalized (PI) children with respect to age-at-adoption, age-at-assessment, and gender. Parent ratings of social skills (Social Skills Rating System) and behavior problems (Child Behavior Checklist) were obtained for 214 children and 127 adolescents who were adopted from socially-emotionally depriving Russian institutions. Results showed that children adopted before 18 months of age have better social skills than those adopted after this age; ...

  5. Entrepreneurship as institutional change

    DEFF Research Database (Denmark)

    Bjerregaard, Toke; Lauring, Jakob

    2012-01-01

    This paper responds to calls to make more explicit linkages between institutional theory and entrepreneurship research through studies on how entrepreneurs navigate and work with institutions. The research examines the micro-strategies and activities through which small-scale entrepreneurs maneuver...... between and exploit the multiple, potentially contradictory institutional logics of the different spheres in which they operate. While much research has elucidated how institutional entrepreneurs effect change, this study illustrates how effective entrepreneurs managing and exploiting institutional...... contradictions engage simultaneously in practices of maintaining and changing institutions to establish a balance between the poles on which their ventures depend. We illustrate this by two cases of small-scale entrepreneurship bridging institutional contradictions from an ethnographic study conducted under...

  6. Assessment of farmers perception to corporate institutional for the development of sheep farming in the village : Case study in the villages of Jambu sub district, district of Semarang

    Directory of Open Access Journals (Sweden)

    Tri Pranadji

    1999-06-01

    Full Text Available The objective of the study is to determine that sheep farming in the villages to increase farmers welfare could be developed taken into consideration of farmers perception and attitude which were included in the planning of development programme. In order to achieve the objective more effectively, the institutional system of sheep farming needs to be transformed into a corporate institution. Field study was conducted during the period of 1994-1997 in two villages of Jambu sub district, District of Semarang. Two approaches were used simultaneously, i.e. ideografis and nomotetis to analyze the data and information. Result s showed that, first, sheep farming in the villages still had big development opportunity .second, the threat of stagnation in the sheep farming may occur due to high dependency on family labor and lack of capital. Third, due to top down policy and lack of vision on the agrobusiness activities, the development of sheep farming could be hampered. Fourth, transforming into a corporate institution may increase economic profitability of sheep farming as well as performance of the farms. Fifth, in order to realize the development of corporate business systems, need to establish a pilot project. To implement the concept, support from banking institution especially for discount rate was necessary, along with the involvement of ATAI (Agricultural Technology Assessment Institutes, local livestock services, credit system and local government leader that has people oriented vision.

  7. Social Skills in Children Adopted from Socially-Emotionally Depriving Institutions.

    Science.gov (United States)

    Julian, Megan M; McCall, Robert B

    This study assessed social skills in post-institutionalized (PI) children with respect to age-at-adoption, age-at-assessment, and gender. Parent ratings of social skills (Social Skills Rating System) and behavior problems (Child Behavior Checklist) were obtained for 214 children and 127 adolescents who were adopted from socially-emotionally depriving Russian institutions. Results showed that children adopted before 18 months of age have better social skills than those adopted after this age; those assessed in childhood demonstrate better social skills than those assessed in adolescence. PI females, especially later-adopted adolescents, have particularly poor social skills. Children with poor social skills tend to have higher rates of behavior problems.

  8. Improving Assessment: Creating a Culture of Assessment with a Change Management Approach

    Science.gov (United States)

    Lane, Michael R.; Lane, Peggy L.; Rich, John; Wheeling, Barbara

    2015-01-01

    For more than twenty years accrediting agencies have required assessment as part of their initial accreditation or reaffirmation processes. During that period of time thousands of institutions have successfully prepared plans to achieve or maintain their accreditation. Why then does a culture of assessment not exist? And why is assessment still an…

  9. Annual report 2011. Institute of Radiochemistry

    International Nuclear Information System (INIS)

    Bernhard, G.

    2011-01-01

    The Institute of Radiochemistry (IRC) IS one of the seven institutes of the Helmholtz- Zentrum Dresden-Rossendorf (HZDR). The research activities are fully integrated into the ''Nuclear Safety Research Program'' of the Helmholtz Association and focused on the topic ''Safety of Nuclear Waste Disposal''. The research objectives are to generate better process understanding and data for the long-term safety analysis of a nuclear waste disposal in the deep geological underground. A better knowledge about the dominating processes essential for radionuclide (actinide) mobilization and immobilization on the molecular level is needed for the assessment of the macroscopic processes which determine the transport and distribution of radioactivity in the environment. Special emphasis is put on the biological mediated transport of long-lived radionuclides in the geosphere and their interaction with different biosystems like biota and human organism for a better calculation of environmental and health risks. Advanced knowledge is needed for description of the processes dominating at the interfaces between geo- and bio-systems related to the distribution of long-lived radionuclides in various bio-systems along the food chain. More than 120 scientists, technicians, and students, working on their Ph.D., diploma, master, or bachelor thesis, were employed at the Institute of Radiochemistry in 2011. About 20 Ph.D. students are working at the institute. Promotion of young scientists is an important requirement to ensure the competence and further excellent scientific results in the discipline of radiochemistry in future times. We accomplished many new scientific results in the past year, which are presented in this Annual Report, and about 50 original papers were published in peer-reviewed international scientific journals. In 2011, the future research profile of the HZDR was under discussion with the aim to focus the research fields and programs. One result of this process was the

  10. Annual report 2011. Institute of Radiochemistry

    Energy Technology Data Exchange (ETDEWEB)

    Bernhard, G [ed.

    2011-07-01

    The Institute of Radiochemistry (IRC) IS one of the seven institutes of the Helmholtz- Zentrum Dresden-Rossendorf (HZDR). The research activities are fully integrated into the ''Nuclear Safety Research Program'' of the Helmholtz Association and focused on the topic ''Safety of Nuclear Waste Disposal''. The research objectives are to generate better process understanding and data for the long-term safety analysis of a nuclear waste disposal in the deep geological underground. A better knowledge about the dominating processes essential for radionuclide (actinide) mobilization and immobilization on the molecular level is needed for the assessment of the macroscopic processes which determine the transport and distribution of radioactivity in the environment. Special emphasis is put on the biological mediated transport of long-lived radionuclides in the geosphere and their interaction with different biosystems like biota and human organism for a better calculation of environmental and health risks. Advanced knowledge is needed for description of the processes dominating at the interfaces between geo- and bio-systems related to the distribution of long-lived radionuclides in various bio-systems along the food chain. More than 120 scientists, technicians, and students, working on their Ph.D., diploma, master, or bachelor thesis, were employed at the Institute of Radiochemistry in 2011. About 20 Ph.D. students are working at the institute. Promotion of young scientists is an important requirement to ensure the competence and further excellent scientific results in the discipline of radiochemistry in future times. We accomplished many new scientific results in the past year, which are presented in this Annual Report, and about 50 original papers were published in peer-reviewed international scientific journals. In 2011, the future research profile of the HZDR was under discussion with the aim to focus the research fields and programs. One result of this process was the

  11. A platform for quality management in research institutes (part II

    Directory of Open Access Journals (Sweden)

    Klembalska Agnieszka

    2016-09-01

    Full Text Available In the recent years there has been a particularly strong pressure on changing old structures and management models in research institutes. Contemporary research institutes are scientific units which are commercial in character – almost 80% of funds come from companies and contractual research activity and services. They are the basic sector of science aiming at cooperation with the economy, applied and innovative research. In order to maintain the current and start new cooperation it is necessary to pay particular attention to maintaining, improving and exposing high level of quality of conducted activity. Taking into consideration the necessity of carrying out ever more complex research projects, conducting activity requiring fast reaction to change, risk analysis, which is assessed every year by the Ministry of Science and Higher Education – it seems that it is necessary to apply tools supporting the assessment of quality. In the proposed three-aspect perspective the following scopes of activity are emphasized: implemented quality management systems, area of scientific information and the sphere of cooperation with the client. This article constitutes the continuation of the subjects discussed in the first part – an extension of issues associated with the scope of responsibilities of particular Sections of the proposed Quality Management Platform in research institutes.

  12. Russian institutional development: Challenges to inbound investments and implications for government policymakers

    OpenAIRE

    Yukhanaev, A; Fallon, G; Perényi, A; Roberts, J

    2016-01-01

    This paper sets out to contribute to the literature by investigating the institutional arrangements facing investors in Russia, the extent to which they had been reformed, and the resultant impact on the willingness of foreign-owned TNCs to commit inbound foreign direct investment (IFDI) to this high-risk transition economy. The degree to which institutional factors explain Russia's persistent underperformance in terms of IFDI is assessed through the review of the academic literature and othe...

  13. Internal control as part of prevention irregularities in accounting of budgetary institution

    OpenAIRE

    O.М. Bunda; E.М. Guzenko

    2016-01-01

    The article researches the principles of internal control, the importance, the rationale for the essence of the system of internal control and the legislative building in budgetary institution. It describes the main challenges and problems of practical application of internal control in the normal course of business in modern enterprises. It reveals the following elements of the internal control of a budget institution as: control environment, risk assessment process of a budget institu...

  14. The Adaptive Capacity Wheel : a method to assess the inherent characteristics of institutions to enable the adaptive capacity of society

    NARCIS (Netherlands)

    Gupta, Joyeeta; Termeer, Catrien; Klostermann, Judith; Meijerink, Sander; van den Brink, Margo; Jong, Pieter; Nooteboom, Sibout; Bergsma, Emmy

    2010-01-01

    Climate change potentially brings continuous and unpredictable changes in weather patterns. Consequently, it calls for institutions that promote the adaptive capacity of society and allow society to modify its institutions at a rate commensurate with the rate of environmental change. Institutions,

  15. The Adaptive Capacity Wheel: a method to assess the inherent characteristics of institutions to enable the adaptive capacity of society

    NARCIS (Netherlands)

    Gupta, J.; Termeer, C.; Klostermann, J.; Meijerink, S.; van den Brink, M.; de Jong, P.; Nootebooms, S.; Bergsma, E.J.

    2010-01-01

    Climate change potentially brings continuous and unpredictable changes in weather patterns. Consequently, it calls for institutions that promote the adaptive capacity of society and allow society to modify its institutions at a rate commensurate with the rate of environmental change. Institutions,

  16. Radiation protection code of practice in academic and research institutes

    International Nuclear Information System (INIS)

    Abdalla, A. A. M.

    2010-05-01

    The main aim of this study was to establish a code of practice on radiation protection for safe control of radiation sources used in academic and research institutes, another aim of this study was to assess the current situation of radiation protection in some of the academic and research institutes.To achieve the aims of this study, a draft of a code of practice has been developed which is based on international and local relevant recommendation. The developed code includes the following main issues: regulatory responsibilities, radiation protection program and design of radiation installations. The second aim had been accomplished by conducting inspection visits to five (A, B, C, D and E) academic and to four (F, G, H and I ) research institutes. Eight of such institutes are located in Khartoum State and the ninth one is in Madani city (Aljazeera State). The inspection activities have been carried out using a standard inspection check list developed by the regulatory authority of the Sudan. The inspection missions to the above mentioned institutes involved also evaluation of radiation levels around the premises and storage areas of radiation sources. The dose rate measurement around radiation sources locations were found to be quite low. This mainly is due to the fact that the activities of most radionuclides that are used in these institutes are quite low ( in the range of micro curies). Also ,most the x-ray machines that were found in use for scientific academic and research purposes work at low k Vp of maximum 60 k Vp. None of the radiation workers in the inspected institutes has a personal radiation monitoring device, therefor staff dose levels have not been assessed. However it was noted that in most of the academic/ research studies radiation workers are only exposed to very low levels of radiation and for a very short time that dose not exceed 1 minute, therefore the expected occupational exposure of the staff is very low. Radiation measurement in public

  17. Colonial Institutions

    DEFF Research Database (Denmark)

    McAtackney, Laura; Palmer, Russell

    2016-01-01

    and the USA which reveal that the study of colonial institutions should not be limited to the functional life of these institutions—or solely those that take the form of monumental architecture—but should include the long shadow of “imperial debris” (Stoler 2008) and immaterial institutions....

  18. What are Institutional Logics

    OpenAIRE

    Berg Johansen, Christina; Bock Waldorff, Susanne

    2015-01-01

    This study presents new insights into the explanatory power of the institutional logics perspective. With outset in a discussion of seminal theory texts, we identify two fundamental topics that frame institutional logics: overarching institutional orders guided by institutional logics, as well as change and agency generated by friction between logics. We use these topics as basis for an analysis of selected empirical papers, with the aim of understanding how institutional logics contribute to...

  19. Institutional Logics in Inter-institutional Temporary Organizations

    DEFF Research Database (Denmark)

    Pemsel, Sofia; Söderlund, Jonas

    -cognitive, normative, and regulative – are unfolding and evolving in such contexts. The case study addresses the integration and disintegration of logics and normative orders in an ongoing process characterized by the co-mingling, co-existence, creation and resolutions of hybrid logics and creation of institutional...... exceptions throughout the life of the studied temporary organization. In that respect, this paper contributes with a more nuanced view on the evolution, dynamics, and co-existence of pressures from multiple institutional demands at the organizational level....

  20. Drug Treatment in New York City and Washington, D.C.: Followup Studies.

    Science.gov (United States)

    Burt Associates, Inc., Bethesda, MD.

    This report assesses the experiences of clients who had contact with or received drug abuse treatment from programs of the Addiction Services Agency in New York City and the Narcotics Treatment Administration in Washington, D.C. during the early 1970's. To answer the questions of what happens to former clients once they leave drug treatment…

  1. Alcohol Use and Mental Health Conditions Among Black College Males: Do Those Attending Postsecondary Minority Institutions Fare Better Than Those at Primarily White Institutions?

    Science.gov (United States)

    Barry, Adam E; Jackson, Zachary; Watkins, Daphne C; Goodwill, Janelle R; Hunte, Haslyn E R

    2017-07-01

    While there is a sizeable body of research examining the association between alcohol use and mental health conditions among college students, there are sparse investigations specifically focusing on these associations among Black college students. This is concerning given Black college students face different stressors compared with their non-Black peers. Black males appear especially at risk, exhibiting increased susceptibility to mental health issues and drinking in greater quantities and more frequently than Black females. This investigation examined the association between alcohol consumption and mental health conditions among Black men attending institutions of higher education in the United States and sought to determine differences between Black men attending predominantly White institutions (PWIs) compared with those attending postsecondary minority institutions. Final sample included 416 Black men, 323 of which attended a PWI. Data were from the National College Health Assessment. Black men attending a PWI reported significantly greater levels of alcohol consumption and significantly more mental health conditions. Attendance at a minority-serving institution was associated with fewer mental health conditions among Black men. Future studies should seek to replicate these findings and conduct culturally sensitive and gender-specific research examining why Black men at PWIs report greater alcohol consumption and more mental health conditions than their peers attending postsecondary minority institutions.

  2. Institutional transformation: An analysis of change initiatives at NSF ADVANCE institutions

    Science.gov (United States)

    Plummer, Ellen W.

    The purpose of this study was to examine how institutional culture promoted or impeded the implementation of round one and two NSF ADVANCE initiatives designed to improve academic climates for women in science and engineering. This study was conducted in two phases. In phase one, 35 participants from 18 institutions were interviewed to answer three research questions. Participants identified a policy, process, or program designed to improve academic cultures for women in science and engineering fields. Participants also identified strategies that promoted the implementation of these efforts, and discussed factors that impeded these efforts. In phase two, site visits were conducted at two institutions to answer a fourth research question. How did institutional culture shape the design and implementation of faculty search processes? Policies, processes, and programs were implemented by participants at the institutional, departmental, and individual levels and included family friendly and dual career policies at the institutional level, improved departmental faculty search and climate improvement processes, and mentoring programs and training for department heads at the individual level. Communication and leadership strategies were key to the successful implementation of policies, processes, and programs designed to achieve institutional transformation. Communication strategies involved shaping change messages to reach varied audiences often with the argument that change efforts would improve the climate for everyone not just women faculty members. Administrative and faculty leaders from multiple levels proved important to change efforts. Institutional Transformation Institutional culture shaped initiatives to improve faculty search processes. Faculty leaders in both settings used data to persuade faculty members of the need for change. At one site, data that included national availability information was critical to advancing the change agenda. At the other site

  3. Quality and quantity tackling real issues in an institutional research repository

    CERN Multimedia

    CERN. Geneva; Simpson, Pauline

    2005-01-01

    The TARDis project has examined and tackled many practical issues in scaling up from the current individual departmental scholarly communication practices towards an active institutional research repository. This repository must, of necessity, serve a variety of goals for a wide spread of disciplines. We illustrate the steps that have helped move the University of Southampton’s institutional research repository into a key position within the university’s research strategy for both visibility and reporting. We demonstrate the practical activities being developed to manage research assessment in conjunction with the EPrints software. These balance others which we show help fulfill the broad vision of disseminating all research output. These steps are enabling the visions of open access and institutional repositories to come closer together in a constructive fashion.

  4. The Theory of Effectiveness of the State: Institutional Aspect

    Directory of Open Access Journals (Sweden)

    Kolesnichenko Irina M.

    2016-02-01

    Full Text Available The article is devoted to one of the most urgent problems of modern economic theory and practice — effectiveness of the state. The aim of the paper is a comprehensive analysis of institutional aspects of the formation of a new economic theory of effectiveness of the state. To achieve this aim, the author first summarizes the evolution and theoretical and methodological characteristics of the economic theories of the state paying a special attention to the essence of the concept of “state” and focusing on “effectiveness of the state” as a major category of the new economic theory. Then he proceeds to institutional aspects of effectiveness of the state considering it as a specific organization and system of institutions of power and control; defines components of effectiveness of the state generalizing the existing methodological approaches and most importantly — the modern criteria for assessing the effectiveness of the state.

  5. The Impact of Refinancing on the Financial Sustainability of Banking Institutions

    Directory of Open Access Journals (Sweden)

    Fursova Viktoriya А.

    2017-05-01

    Full Text Available The article analyzes and generalizes contemporary techniques for assessing the financial sustainability of commercial banks. It has been identified that none of the techniques considered takes in full account of the bank’s debt level to the National Bank of Ukraine, despite the large role of the regulator in maintaining liquidity and solvency of banking institutions during the crisis. The necessity to consider, in terms of the rating techniques for assessment of the financial sustainability of commercial banks, the refinancing indicator that can be useful to calculate the ratio of the credit means of the National Bank of Ukraine to the equity capital, has been substantiated. Improving the existing rating techniques by including this indicator will enhance their efficiency and provide possibility to develop timely recommendations for regulating crisis developments in a banking institution.

  6. Digital Preservation Tools for Repository Managers 2: institutional and lifecycle preservation costs

    OpenAIRE

    Hitchcock, Steve; Beagrie, Neil; Hole, Brian

    2010-01-01

    The 5-module JISC KeepIt course on Digital Preservation Tools for Repository Managers was designed by repository managers. Each module consists of a mix of short presentations and hands-on exercises to learn about the basics and gain practice with each of the tools covered. Module 2 covers lifecycle costs for managing digital objects, based on the LIFE approach, and institutional costs. Tools include Keeping Research Data Safe (KRDS) a model, method and survey for assessing the institutional ...

  7. Standards for labelling and storage of anaesthetic medications--an audit.

    Science.gov (United States)

    Imran, Muhammad; Khan, Fauzia Anis; Abbasi, Shemila

    2009-12-01

    To check compliance of anaesthetist to current policies set for the use of medication within operation room and for induction room floor stock. The initial audit was conducted from 1st October to 31st November 2006 and reaudit after dissemination and sharing of results within the department repeated in July-August 2007. In each audit four operating rooms were visited twice a week. Syringes were checked for standard drug labelling for narcotic and non narcotic preparations. Drug trolley was checked for any expired drugs and whether the trolley was locked in case of operating room (OR) where list was ended or was on hold. Any unattended drug was noted and Induction room was checked twice weekly for accurate drug inventory and for standard drug storage recommendations. Labels were according to standard in non narcotic drugs on 25% syringes in first audit and 63% in second audit, likewise, narcotics labels were according to standards in 41% in first and 57% in second audit. Unattended drugs were present once in first and twice in second audit. There was 100% compliance in other drug storage policy parameters in both audits. Poor compliance of drug labelling standards for both narcotic and non narcotic drugs was present. However, second audit revealed improvement in all areas of drug handling. Dissemination of policies and reminders are important for continuing improvement in use of medication within operation room and within induction room floor stock.

  8. Attachment and Emotional Development in Institutional Care: Characteristics and Catch-Up

    Science.gov (United States)

    Bakermans-Kranenburg, Marian J.; Steele, Howard; Zeanah, Charles H.; Muhamedrahimov, Rifkat J.; Vorria, Panayiota; Dobrova-Krol, Natasha A.; Steele, Miriam; van IJzendoorn, Marinus H.; Juffer, Femmie; Gunnar, Megan R.

    2013-01-01

    Attachment has been assessed in the extreme environment of orphanages, but an important issue to be addressed in this chapter is whether in addition to standard assessment procedures, such as the Strange Situation, the lack of a specific attachment in some institutionalized children should be taken into account given the limits to the development of stable relationships in institutionalized care. In addition, this chapter discusses disinhibited or indiscriminately friendly behavior that is often seen in institutionalized children. Enhanced caregiving quality alone appears to be insufficient to diminish indiscriminate behavior, at least in some children, as evidenced by the persistence of indiscriminate behavior in children adopted out of institutions into adoptive families. We suggest that the etiology and function of indiscriminate friendly behavior may be different for institutionalized versus not-institutionalized children. In the first case it may reflect a distortion or disruption of early attachment relationships, in the latter case it is likely to result from the lack of expected input in the form of contingent interactions with a stable caregiver in early life. We try to delineate infant and caregiver characteristics that are associated with secure attachment in institutional settings, given the inevitable fact that large numbers of infants worldwide are being raised, and will be raised, in contexts of institutional care. We conclude that much further study is needed of the development of children’s attachments following adoption out of an institutional setting. PMID:25242826

  9. North-South Institute Institutional Grant 2011-2012 | CRDI - Centre ...

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

    The North-South Institute (NSI) is an established independent thinktank in Canada whose work focuses on international development, poverty reduction and global inequalities. Building on a long history of collaboration between NSI and IDRC, this grant will provide the Institute with core support for 2011-2012. NSI activities ...

  10. KEBIJAKAN REHABILITASI TERHADAP PENYALAH GUNA NARKOTIKA PADA UNDANG – UNDANG NOMOR 35 TAHUN 2009 TENTANG NARKOTIKA

    Directory of Open Access Journals (Sweden)

    IDA BAGUS PUTU SWADHARMA DIPUTRA

    2013-01-01

    Full Text Available Positive law states, drug users are criminals because it has met the qualifications in the law of narcotics, narcotic offenses such as drug abuse in the study of criminology can be classified as a crime without a victim or a victimless crime. This is because they will become dependent on illicit goods (narcotics, the way it deems appropriate to cure the addiction is to rehabilitate the victims of drug abuse For law journal writing, the writer uses normative legal research with one character is using secondary data, where the data consists of primary legal materials, legal materials and secondary legal materials tertiary. And the theoretical foundation that is used is the law, norms and theories appropriate to the problem The results reveal the writing on the rehabilitation policy on Narcotics has been strictly regulated in Chapter IX legislation, policies were aimed at drug addicts and victims of drug abuse, arguing that victims of drug abuse is a victim of crime narcotics and therefore the appropriate sanctions to be meted out to him is the rehabilitation of the victims will be able to return to society and become useful

  11. [Conceptualization of knowledge management in medium and high complexity health institutions].

    Science.gov (United States)

    Arboleda-Posada, Gladys I

    2016-06-01

    Objective To identify the familiarization, conceptualization and incorporation of employees of medium and high complexity health institutions in the Valle de Aburrá, Colombia into the strategic knowledge management platform in 2011. Methodology Cross sectional study. The study was carried out by applying surveys to 224 employees to assess knowledge management. The population included staff who working in the Health Providing Institutions (IPS) of high (52) and medium complexity (322) in the Valle de Aburrá in 2011. In both the public and private institutions surveyed, 38.8 % of the respondents said they were not familiar with knowledge management. Among those who had administrative training, the ignorance was less than among care workers. It was also noted that as the level of education increased, knowledge of the concept was greater. A high proportion (65.2 % ) of respondents placed the concept in line with the creation, organization, storage, retrieval, transfer and application of knowledge systematically. 78.7 % of respondents from public institutions said that knowledge management was part of the strategic platform of the institution. 58.3 % from private institutions said the same. Conclusions In general terms the concept of knowledge management is not well conceived or familiar to the staff working in these institutions. The study confirmed a lack of empowerment in the field to promote the development of new ideas and to ensure that they become service innovations or processes that contribute to the development of institutional knowledge.

  12. Historical and logical approach of the strategic planning impact evaluation for the Higher Politehcnical Institute of Guayaquil

    Directory of Open Access Journals (Sweden)

    Beatriz Rodríguez-Herkt

    2016-10-01

    Full Text Available In the article the logical historical behavior of the impact assessment of institutional development plan in the Bolivarian Polytechnic Institute in Guayaquil, Ecuador, preceded by the assessment of the most relevant models that have marked the course of history of this process is addressed, on the basis of the key indicators fundamental stages that this process has gone characterized. The historical and logical analysis of the impact assessment of strategic planning requires a raid needed in the different models associated with this process, so as to allow the orientation contextualize the options made in this investigation.

  13. Coevolution of economic behaviour and institutions: towards a theory of institutional change

    NARCIS (Netherlands)

    van den Bergh, J.C.J.M.

    2003-01-01

    Traditionally, economics has regarded institutions, notably norms and regulations, as fixed or exogenous. Surprisingly few insights on institutional evolution from natural and social sciences have made their way into economics. This article gives an overview of evolutionary theories of institutions

  14. Medication use and fall-risk assessment for falls in an acute care hospital.

    Science.gov (United States)

    Chiu, Ming-Huang; Lee, Hsin-Dai; Hwang, Hei-Fen; Wang, Shih-Chieh; Lin, Mau-Roung

    2015-07-01

    A nested case-control study was carried out to examine relationships of a fall-risk score and the use of single medications and polypharmacy with falls among hospitalized patients aged 50 years and older in Taiwan. There were 83 patients who experienced a fall during hospitalization in an acute-care hospital. Matched by age and sex, five control patients for each case were randomly selected from all other inpatients who had not experienced any fall at the time of the index fall. Patients who took tricyclic antidepressants, diuretics, and narcotics were 3.36-, 1.83- and 2.09-fold, respectively, more likely to experience a fall than their counterparts. Conversely, patients who took beta-blockers were 0.34-fold more likely than those who did not take them to experience a fall. Patients taking ≥6 medications were 3.08-fold more likely than those taking fewer medications to experience a fall, whereas those with anxiety were 4.72-fold more likely to experience a fall than those without. A high fall-risk score was not significantly associated with the occurrence of falls. Among older hospitalized patients, tricyclic antidepressants, diuretics, narcotics, and polypharmacy should be mindfully prescribed and reviewed on a regular basis. A fall-risk scale developed from community-dwelling older people might not accurately predict falls in hospitalized patients. Further research to validate the negative effect of beta-blocker use on falls is required. © 2014 Japan Geriatrics Society.

  15. Discursive and Institutional Management of Refugees and Their Crisis in Lithuania

    Directory of Open Access Journals (Sweden)

    Maskaliūnaitė Asta

    2015-12-01

    Full Text Available In this article, Lithuanian discourse and institutional management of migration is assessed, using the framework of securitization of migration offered by Jef Huysmans. In Huysmans’ work, migration is securitized not only in discourse, but also in the institutional practices of both the states and, in the case of Europe, also the EU. It is not only by talking about asylum seekers as a security problem, but also by moulding it into the practice of border control and policing (treating it in the same documents and institutions as terrorism, drug trafficking and organized crime that migration becomes a security issue. In the Lithuanian case, both discourse and institutional practice leans to treat immigration and asylum as primarily security problems. In the discursive arena, however, the topics of ‘hard’ security are clearly eclipsed by economic topics and, it is argued, the economic pressures are the ones which could explain best the hostility towards refugees and reluctant compliance with the EU relocation scheme.

  16. Strengthening Institutions to Legitimise Business Continuity in Weak Institutional Environments

    DEFF Research Database (Denmark)

    Taarup Esbensen, Jacob

    This paper investigates how weak institutional environments influence MNE decision making to be involved in creating public good facilities with the aim of reducing community risk, and to what extend these can be traced back to the MNE choose of a Head Quarter (HQ) or local embeddedness driven...... in their dealings with local communities. One strategy is based on rules provide by the HQ, which focuses on providing guidelines in compliance with normative global institutions, while another strategy focuses on embedding the subsidiary in the local institutional environment. Both of these strategies aim...... public good facilities in the absence or at best weak institutional environment. Secondly, serving as an effective risk mitigation tool that keeps aggressive actors from partnering with local communities against the company thereby presenting a risk to its continued operations....

  17. 77 FR 9273 - WORKSHOP Sponsored by the Nuclear Regulatory Commission and the Electric Power Research Institute...

    Science.gov (United States)

    2012-02-16

    ... Commission and the Electric Power Research Institute on the Treatment of Probabilistic Risk Assessment.... SUMMARY: The U.S. Nuclear Regulatory Commission (NRC), Office of Nuclear Regulatory Research (RES), in cooperation with the Electric Power Research Institute (EPRI), will hold a joint workshop on the Treatment of...

  18. Assessment as a Strategic Weapon.

    Science.gov (United States)

    Alfred, Richard L.

    2000-01-01

    Sets forth eight rules for using assessment to allow community colleges to create a distinctive image: create a "brand identity," differentiate the institution from competitors, big picture goals, total institution performance, priority assigned to stakeholders, measuring intangible benefits, continuous customer touch, and urgency for action.…

  19. New institutional analysis of European electric power reforms

    International Nuclear Information System (INIS)

    Perez, Yannick

    2002-01-01

    This research thesis reports a comparative analysis of reforms of the electric power sector implemented in European countries. In the first part, the authors proposes a presentation of the theoretical framework adopted for this analysis which is notably based on the New Institutional Economy approach. He also proposes an approach to the electric power industry based on the Transaction Cost Theory, and presents an overview of the various European reforms in the field of electricity, and of still unresolved problems which emerged after the creation of different power markets. The next part addresses an assessment of the attractive and desirable characters of reforms which have been implemented in the United Kingdom, in Germany and in Spain, with an attempt to identify winners and losers, and to classify these reforms. In the third part, the author defines a framework for the analysis of the feasibility of reforms which combine institutional and industrial dimensions, notably by reference to Noll and Williamson works. In the last part, the author sheds a new light on the concept of credibility. He introduces the conventional arbitrage of the Transaction Cost Theory between commitment stability and flexibility to generate uncertainty. He notably shows that the main problem in centralised institutional environments, is to guarantee the stability of commitments in front of opportunism, whereas in decentralised institutional environments, the main problem is to produce flexibility to manage uncertainty [fr

  20. 34 CFR 675.27 - Nature and source of institutional share.

    Science.gov (United States)

    2010-07-01

    ... employment agreement to do so. (Approved by the Office of Management and Budget under control number 1840..., board, and books. (2) The institution shall document all amounts claimed as non-cash contributions. (3) Non-cash compensation may not include forgiveness of a charge assessed solely because of a student's...