WorldWideScience

Sample records for levels exceeding public

  1. Sound levels in a neonatal intensive care unit significantly exceeded recommendations, especially inside incubators.

    Science.gov (United States)

    Parra, Johanna; de Suremain, Aurelie; Berne Audeoud, Frederique; Ego, Anne; Debillon, Thierry

    2017-12-01

    This study measured sound levels in a 2008 built French neonatal intensive care unit (NICU) and compared them to the 2007 American Academy of Pediatrics (AAP) recommendations. The ultimate aim was to identify factors that could influence noise levels. The study measured sound in 17 single or double rooms in the NICU. Two dosimeters were installed in each room, one inside and one outside the incubators, and these conducted measurements over a 24-hour period. The noise metrics measured were the equivalent continuous sound level (L eq ), the maximum noise level (L max ) and the noise level exceeded for 10% of the measurement period (L 10 ). The mean L eq , L 10 and L max were 60.4, 62.1 and 89.1 decibels (dBA), which exceeded the recommended levels of 45, 50 and 65 dBA (p care was correlated to an increased noise level, except for a postconceptional age below 32 weeks. The sound levels significantly exceeded the AAP recommendations, particularly inside incubators. A multipronged strategy is required to improve the sound environment and protect the neonates' sensory development. ©2017 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.

  2. Most American Academy of Orthopaedic Surgeons' online patient education material exceeds average patient reading level.

    Science.gov (United States)

    Eltorai, Adam E M; Sharma, Pranav; Wang, Jing; Daniels, Alan H

    2015-04-01

    Advancing health literacy has the potential to improve patient outcomes. The American Academy of Orthopaedic Surgeons' (AAOS) online patient education materials serve as a tool to improve health literacy for orthopaedic patients; however, it is unknown whether the materials currently meet the National Institutes of Health/American Medical Association's recommended sixth grade readability guidelines for health information or the mean US adult reading level of eighth grade. The purposes of this study were (1) to evaluate the mean grade level readability of online AAOS patient education materials; and (2) to determine what proportion of the online materials exceeded recommended (sixth grade) and mean US (eighth grade) reading level. Reading grade levels for 99.6% (260 of 261) of the online patient education entries from the AAOS were analyzed using the Flesch-Kincaid formula built into Microsoft Word software. Mean grade level readability of the AAOS patient education materials was 9.2 (SD ± 1.6). Two hundred fifty-one of the 260 articles (97%) had a readability score above the sixth grade level. The readability of the AAOS articles exceeded the sixth grade level by an average of 3.2 grade levels. Of the 260 articles, 210 (81%) had a readability score above the eighth grade level, which is the average reading level of US adults. Most of the online patient education materials from the AAOS had readability levels that are far too advanced for many patients to comprehend. Efforts to adjust the readability of online education materials to the needs of the audience may improve the health literacy of orthopaedic patients. Patient education materials can be made more comprehensible through use of simpler terms, shorter sentences, and the addition of pictures. More broadly, all health websites, not just those of the AAOS, should aspire to be comprehensible to the typical reader.

  3. Neurological and neurophysiological examinations of workers exposed to arsenic levels exceeding hygiene standards

    Directory of Open Access Journals (Sweden)

    Halina Sińczuk-Walczak

    2014-12-01

    Full Text Available Objectives: The assessment of the neurotoxic effect of arsenic (As and its inorganic compounds is still the subject of interest due to a growing As application in a large array of technologies and the need to constantly verify the principles of prevention and technological parameters. The aim of this study was to determine the status of the nervous system (NS in workers exposed to As at concentrations exceeding hygiene standards (Threshold Limit Values (TLV – 10 μg/m3, Biological Exposure Index (BEI – 35 μg/l and to analyze the relationship between the NS functional state, species of As in urine and As levels in the workplace air. Material and Methods: The study group comprised 21 men (mean age: 47.43±7.59 employed in a copper smelting factory (mean duration of employment: 22.29±11.09. The control group comprised 16 men, matched by age and work shifts. Arsenic levels in the workplace air (As-A ranged from 0.7 to 92.3 μg/m3; (M = 25.18±28.83. The concentration of total arsenic in urine (Astot-U ranged from 17.35 to 434.68 μg/l (M = 86.82±86.6. Results: Syndrome of peripheral nervous system (PNS was manifested by extremity fatigue (28.6%, extremity pain (33.3% and paresthesia in the lower extremities (33.3%, as well as by neuropathy-type mini-symptoms (23.8%. Electroneurographic (ENeG tests of peroneal nerves showed significantly decreased response amplitude with normal values of motor conduction velocity (MCV. Stimulation of sural nerves revealed a significantly slowed sensory conduction velocity (SCV and decreased sensory potential amplitude. Neurophysiological parameters and the results of biological and environmental monitoring showed a relationship between Astot, AsIII (trivalent arsenic, the sum of iAs (AsIII+AsV (pentavalent arsenic+MMA (monomethylarsonic acid concentration in urine and As levels in the air. Conclusions: The results of the study demonstrate that occupational exposure to inorganic arsenic levels exceeding hygiene

  4. 137Cs activity concentration in wild boar meat may still exceed the permitted levels

    Directory of Open Access Journals (Sweden)

    Rachubik J.

    2012-04-01

    Full Text Available The radiocaesium activity concentration may still remain high in natural products such as game meat, wild mushrooms, and forest berries even more than two decades after the Chernobyl accident. The results of regular control studies of game meat conducted in Poland showed wild boars as the most contaminated game animals. It is well documented that some mushrooms, readily consumed by animals, show high ability to accumulate caesium radioisotopes. Bay bolete, one of the most wide-spread mushroom species in Poland, reveals a unique radiocaesium accumulation feature. Moreover, deer truffle, containing also particularly high levels of radiocaesium, could be another radionu-clide source for wild boars. Furthermore, animals consuming deer truffles could digest contaminated soil components. Among 94 wild boar meat samples analysed in 2008–2009, two exceeded the permitted level. Hence, some precautions should be taken in the population with an elevated intake of wild boar meat. Moreover, since each hunted wild boar is examined for the presence of Trichinella larvae, regular measurements of radiocaesium concentrations in these animals may be advisable for enhancing consumer safety.

  5. 137Cs activity concentration in wild boar meat may still exceed the permitted levels

    Science.gov (United States)

    Rachubik, J.

    2012-04-01

    The radiocaesium activity concentration may still remain high in natural products such as game meat, wild mushrooms, and forest berries even more than two decades after the Chernobyl accident. The results of regular control studies of game meat conducted in Poland showed wild boars as the most contaminated game animals. It is well documented that some mushrooms, readily consumed by animals, show high ability to accumulate caesium radioisotopes. Bay bolete, one of the most wide-spread mushroom species in Poland, reveals a unique radiocaesium accumulation feature. Moreover, deer truffle, containing also particularly high levels of radiocaesium, could be another radionu-clide source for wild boars. Furthermore, animals consuming deer truffles could digest contaminated soil components. Among 94 wild boar meat samples analysed in 2008-2009, two exceeded the permitted level. Hence, some precautions should be taken in the population with an elevated intake of wild boar meat. Moreover, since each hunted wild boar is examined for the presence of Trichinella larvae, regular measurements of radiocaesium concentrations in these animals may be advisable for enhancing consumer safety.

  6. Hand dryer noise in public restrooms exceeds 80 dBA at 10 ft (3 m

    Directory of Open Access Journals (Sweden)

    Shari Salzhauer Berkowitz

    2015-01-01

    Full Text Available High airflow hand dryers are found in many public restrooms today. These dryers offer quick and clean hand drying, and are seen as being an environment-friendly alternative to paper towels. However, many new hand dryers are loud, exposing individuals using the facilities as well as those employees who clean the facilities to potentially dangerous noise. Prolonged exposure to high levels of occupational noise can cause damage to hair cells in the cochlea, resulting in varying degrees of noise-induced hearing loss. This study examined the intensity (in dBA of the noise produced by the air dryers in campus restrooms. Hand dryer peak and average noise was measured with a sound level meter at 2.5 ft, 5 ft, and 10 ft from the dryer. Noise measurements did not decrease as predicted by the inverse-square law, probably because of the reverberative surfaces found in the restrooms. The small sample of hand dryers tested was mostly found to be producing more noise than the manufacturer claimed they would; indeed, none of the dryers would be safe for an 8-h workday exposure. While hand dryers do reduce paper trash, they pose as a different sort of hazard to our environment and population.

  7. 20 CFR 641.740 - How will the Department determine whether a grantee fails, meets, or exceeds the expected levels...

    Science.gov (United States)

    2010-04-01

    ... determine whether a grantee fails, meets, or exceeds the expected levels of performance for the core indicators and what will be the consequences of failing to meet expected levels of performance? (a) Aggregate... determine if a national grantee has met the expected levels of performance (including any adjustments to...

  8. The Cumulative Daily Tolerance Levels of Potentially Toxic Excipients Ethanol and Propylene Glycol Are Commonly Exceeded in Neonates and Infants

    DEFF Research Database (Denmark)

    Valeur, Kristine Svinning; Hertel, Steen Axel; Lundstrøm, Kaare Engell

    2018-01-01

    neonates and infants and compare these levels to the tolerance limits found in guidelines published by European Medicines Agency (EMA). As part of the SEEN study, all medicinal products administered to neonates and infants were recorded. All included neonates received ≥2 medicinal products/day and infants...... ≥3 medicinal products/day. Daily excipient levels were calculated based on quantities obtained from manufacturers or databases. Excipient levels were compared to tolerance limits proposed by the EMA. Altogether, 470 neonates and 160 infants were included, recording 4207 prescriptions and 316 products...... exceed tolerance limit of 6 mg/kg/day. Of the total number of prescriptions involving PG-containing medicinal products (n = 174), 70% would alone exceed a maximum tolerance limit of 50 mg/kg/day. Maximal daily exposure to ethanol (1563 mg/kg/day) or PG (954 mg/kg/day) exceeded the tolerance limits...

  9. Utilization of low- and high-voltage electric equipment at heights exceeding 1000 m above sea level

    Energy Technology Data Exchange (ETDEWEB)

    Karapetyan, M.M.

    1980-01-01

    The present-day state of high- and low-voltage equipment utilization at heights exceeding 1000 m above sea level is considered with allowance for the technical requirements applicable to the equipment, as provided for in the GOST (All-Union State Standards), and for the results of scientific research studies. 12 refs.

  10. Modelling of snow exceedances

    Science.gov (United States)

    Jordanova, Pavlina K.; Sadovský, Zoltán; Stehlík, Milan

    2017-07-01

    Modelling of snow exceedances is of great importance and interest for ecology, civil engineering and general public. We suggest the favorable fit for exceedances related to the exceptional snow loads from Slovakia, assuming that the data is driven by Generalised Pareto Distribution or Generalized Extreme Value Distribution. Further, the statistical dependence between the maximal snow loads and the corresponding altitudes is studied.

  11. 10 CFR 20.2203 - Reports of exposures, radiation levels, and concentrations of radioactive material exceeding the...

    Science.gov (United States)

    2010-01-01

    ... occupationally overexposed 1 individual: the name, Social Security account number, and date of birth. The report... written report within 30 days after learning of any of the following occurrences: (1) Any incident for... for an individual member of the public in § 20.1301; or (v) Any applicable limit in the license; or...

  12. Identifying ozone-sensitive communities of (semi-)natural vegetation suitable for mapping exceedance of critical levels

    International Nuclear Information System (INIS)

    Mills, G.; Hayes, F.; Jones, M.L.M.; Cinderby, S.

    2007-01-01

    Using published data on the responses of individual species to ozone, 54 EUNIS (European Nature Information System) level 4 communities with six or more ozone-sensitive species (%OS) and c. 20% or more species tested for ozone sensitivity, were identified as potentially ozone-sensitive. The largest number of these communities (23) was associated with Grasslands, with Heathland, scrub and tundra, and Mires, bogs and fens having the next highest representation at 11 and 8 level 4 communities each respectively. Within the grasslands classification, E4 (Alpine and sub-alpine grasslands), E5 (Woodland fringes and clearings) and E1 (Dry grasslands) were the most sensitive with 68.1, 51.6 and 48.6%OS respectively. It is feasible to map the land-cover for these and other communities at level 2, but it may not be currently possible to map the land-cover for all communities identified to be ozone-sensitive at levels 3 and 4. - Grassland communities such as alpine and sub-alpine grasslands have the highest potential sensitivity ozone, based on the responses of their component species

  13. Decommissioning and dismantling: evaluation of possible radiological impacts from exceeding clearance levels at nuclear facilities. Final report

    International Nuclear Information System (INIS)

    Kirchhoff, J.; Stasch, W.P.; Thierfeldt, S.; Kugeler, E.

    2001-01-01

    On June 14, 2000 the German power utilities have reached an agreement with the German government (energy consent). According to that all nuclear power plants in Germany shall be shut down approximately until the year 2020 and shall be decommissioned afterwards. Almost 95% of the mass of a nuclear power plant can be re-used or recycled as normal material and waste after the necessary handling (decontamination) and clearance measurements. For the release of the entire mass of a NPP several hundreds of thousand radioactivity measurements (so called free release measurements) are necessary. With this huge number of measurements mistakes cannot be excluded. The study includes several radiological scenarios which could result from mistakes during the release/clearance procedure. The radiation doses calculated during the simulation show that some faulty releases can give rise to doses above the trivial dose level of some 10 μSv. An effective dose up to 400 μSv for individuals has been determined. However, with a high certainty it can be excluded that the individual effective dose will reach the range of 1000 μSv even with a hypothetical consideration of a concatenation of several conditions. Because of the low probability of appearance and their minimal radiological effects mistakes during the release procedure pose no hazards. (orig.) [de

  14. Levels of infants' urinary arsenic metabolites related to formula feeding and weaning with rice products exceeding the EU inorganic arsenic standard.

    Directory of Open Access Journals (Sweden)

    Antonio J Signes-Pastor

    Full Text Available Early childhood inorganic arsenic (i-As exposure is of particular concern since it may adversely impact on lifetime health outcomes. Infants' urinary arsenic (As metabolites were analysed in 79 infants by inductively coupled plasma-mass spectrometric detection (IC-ICP-MS to evaluate i-As exposure pre- and post-weaning. Levels of i-As in rice-based weaning and infants' foods were also determined to relate to urinary As levels. Higher As levels, especially of monomethylarsonic acid (MMA and dimethylarsinic acid (DMA, were found in urine from formula fed infants compared to those breastfed. Urine from infants post-weaning consuming rice-products resulted in higher urinary MMA and DMA compared to the paired pre-weaning urine samples. The European Union (EU has regulated i-As in rice since 1st January 2016. Comparing infants' rice-based foods before and after this date, little change was found. Nearly ¾ of the rice-based products specifically marketed for infants and young children contained i-As over the 0.1 mg/kg EU limit. Efforts should be made to provide low i-As rice and rice-based products consumed by infants and young children that do not exceed the maximum i-As level to protect this vulnerable subpopulation.

  15. Exceedance probability map: a tool helping the definition of arsenic Natural Background Level (NBL) within the Drainage Basin to the Venice Lagoon (NE Italy)

    Science.gov (United States)

    Dalla Libera, Nico; Fabbri, Paolo; Mason, Leonardo; Piccinini, Leonardo; Pola, Marco

    2017-04-01

    Arsenic groundwater contamination affects worldwide shallower groundwater bodies. Starting from the actual knowledges around arsenic origin into groundwater, we know that the major part of dissolved arsenic is naturally occurring through the dissolution of As-bearing minerals and ores. Several studies on the shallow aquifers of both the regional Venetian Plain (NE Italy) and the local Drainage Basin to the Venice Lagoon (DBVL) show local high arsenic concentration related to peculiar geochemical conditions, which drive arsenic mobilization. The uncertainty of arsenic spatial distribution makes difficult both the evaluation of the processes involved in arsenic mobilization and the stakeholders' decision about environmental management. Considering the latter aspect, the present study treats the problem of the Natural Background Level (NBL) definition as the threshold discriminating the natural contamination from the anthropogenic pollution. Actually, the UE's Directive 2006/118/EC suggests the procedures and criteria to set up the water quality standards guaranteeing a healthy status and reversing any contamination trends. In addition, the UE's BRIDGE project proposes some criteria, based on the 90th percentile of the contaminant's concentrations dataset, to estimate the NBL. Nevertheless, these methods provides just a statistical NBL for the whole area without considering the spatial variation of the contaminant's concentration. In this sense, we would reinforce the NBL concept using a geostatistical approach, which is able to give some detailed information about the distribution of arsenic concentrations and unveiling zones with high concentrations referred to the Italian drinking water standard (IDWS = 10 µg/liter). Once obtained the spatial information about arsenic distribution, we can apply the 90th percentile methods to estimate some Local NBL referring to every zones with arsenic higher than IDWS. The indicator kriging method was considered because it

  16. Section Level Public Land Survey - polygons

    Data.gov (United States)

    Minnesota Department of Natural Resources — Public Land Survey line delineations to the section level. Data are derived primarily from Section corner locations captured from paper USGS seven and one-half...

  17. Section Level Public Land Survey - lines

    Data.gov (United States)

    Minnesota Department of Natural Resources — Public Land Survey line delineations to the section level. Developed from manually digitized section corners captured from paper USGS seven and one-half map sources.

  18. ATLAS: Exceeding all expectations

    CERN Multimedia

    CERN Bulletin

    2010-01-01

    “One year ago it would have been impossible for us to guess that the machine and the experiments could achieve so much so quickly”, says Fabiola Gianotti, ATLAS spokesperson. The whole chain – from collision to data analysis – has worked remarkably well in ATLAS.   The first LHC proton run undoubtedly exceeded expectations for the ATLAS experiment. “ATLAS has worked very well since the beginning. Its overall data-taking efficiency is greater than 90%”, says Fabiola Gianotti. “The quality and maturity of the reconstruction and simulation software turned out to be better than we expected for this initial stage of the experiment. The Grid is a great success, and right from the beginning it has allowed members of the collaboration all over the world to participate in the data analysis in an effective and timely manner, and to deliver physics results very quickly”. In just a few months of data taking, ATLAS has observed t...

  19. Public relations work at a regional level

    Energy Technology Data Exchange (ETDEWEB)

    Kirchhoff, H.R.

    1982-04-01

    With 'Elektrizitaets-AG Mitteldeutschland (EAM)' (power corporation central Germany) - head office in Kassel and five works maintained in Kassel, Goettingen, Marburg, Dillenburg and Hanau - public relations work has a tradition. It is seen as conscious, planned and continued effort to build up the public understanding: Public relations work is intended to present the enterprise as a community with a multitude of technical, economic and social tasks, which can be carried out with optimal success only if supported by the confidence of society.

  20. Some aspects of public associations’ participation in implementing public control at municipal level

    Directory of Open Access Journals (Sweden)

    Roman V. Gornev

    2016-03-01

    Full Text Available Objective to clarify the status of public associations as subjects of public control and to analyze the problems of participation of citizens 39 associations in conducting public expertise and public audits. Methods the methodology of research includes general scientific methods such as dialectic method. Specific jurisprudence methods of scientific cognition have also been used. Systematic method was used for the analysis of forms of public control by citizens39 associations at the municipal level. The principle of scientific objectivity has allowed for a comprehensive and objective analysis of the factual material the totality of factors affecting the interaction of public associations with local authorities in the implementation of public control. The formallegal method allowed to analyze the normativelegal acts to reveal the signs of fixing of such public control forms as public expertise and public audit. In the present study other research methods were also applied allowing to study the theme in detail. Results the study identified the lack of legal regulation of the legal status of public associations as subjects of public control as well as some forms of public control. The additions to the list of subjects of public control by public associations were proposed as well as improvements in the implementation of public expertise and public audit by the citizens39 associations as forms of social control. Scientific novelty the author found a lack of regulation of public associationsrsquo participation in some forms of social control and justified proposals for their improvement from a scientific point of view. Practical significance the possibility to apply the research results in legislative activity aimed at improving the provisions of the Federal Laws quotOn fundamentals of public control in the Russian Federationquot and quotOn the general principles of local selfgovernment organization in the Russian Federationquot. In addition the

  1. Public health preparedness in Alberta: a systems-level study.

    Science.gov (United States)

    Moore, Douglas; Shiell, Alan; Noseworthy, Tom; Russell, Margaret; Predy, Gerald

    2006-12-28

    Recent international and national events have brought critical attention to the Canadian public health system and how prepared the system is to respond to various types of contemporary public health threats. This article describes the study design and methods being used to conduct a systems-level analysis of public health preparedness in the province of Alberta, Canada. The project is being funded under the Health Research Fund, Alberta Heritage Foundation for Medical Research. We use an embedded, multiple-case study design, integrating qualitative and quantitative methods to measure empirically the degree of inter-organizational coordination existing among public health agencies in Alberta, Canada. We situate our measures of inter-organizational network ties within a systems-level framework to assess the relative influence of inter-organizational ties, individual organizational attributes, and institutional environmental features on public health preparedness. The relative contribution of each component is examined for two potential public health threats: pandemic influenza and West Nile virus. The organizational dimensions of public health preparedness depend on a complex mix of individual organizational characteristics, inter-agency relationships, and institutional environmental factors. Our study is designed to discriminate among these different system components and assess the independent influence of each on the other, as well as the overall level of public health preparedness in Alberta. While all agree that competent organizations and functioning networks are important components of public health preparedness, this study is one of the first to use formal network analysis to study the role of inter-agency networks in the development of prepared public health systems.

  2. Public health preparedness in Alberta: a systems-level study

    Directory of Open Access Journals (Sweden)

    Noseworthy Tom

    2006-12-01

    Full Text Available Abstract Background Recent international and national events have brought critical attention to the Canadian public health system and how prepared the system is to respond to various types of contemporary public health threats. This article describes the study design and methods being used to conduct a systems-level analysis of public health preparedness in the province of Alberta, Canada. The project is being funded under the Health Research Fund, Alberta Heritage Foundation for Medical Research. Methods/Design We use an embedded, multiple-case study design, integrating qualitative and quantitative methods to measure empirically the degree of inter-organizational coordination existing among public health agencies in Alberta, Canada. We situate our measures of inter-organizational network ties within a systems-level framework to assess the relative influence of inter-organizational ties, individual organizational attributes, and institutional environmental features on public health preparedness. The relative contribution of each component is examined for two potential public health threats: pandemic influenza and West Nile virus. Discussion The organizational dimensions of public health preparedness depend on a complex mix of individual organizational characteristics, inter-agency relationships, and institutional environmental factors. Our study is designed to discriminate among these different system components and assess the independent influence of each on the other, as well as the overall level of public health preparedness in Alberta. While all agree that competent organizations and functioning networks are important components of public health preparedness, this study is one of the first to use formal network analysis to study the role of inter-agency networks in the development of prepared public health systems.

  3. Evaluating public involvement in the national low-level radioactive-waste-management program. Final report

    International Nuclear Information System (INIS)

    1982-01-01

    An extensive public involvement approach has been developed to obtain the views and assistance of state and local governments, citizen groups, industry, professional societies and other organizations in the preparation and review of a national strategy document on low-level radioactive wastes. Six evaluators who have a wide diversity of backgrounds were selected to evaluate the effectiveness of this approach. This final report presents findings discussed under the headings: Introduction to the Recent History of Low-level Waste Policy Development (LLWMP) and the Role of Public Participation; Public Participation Mechanisms Employed in Preparing the National Strategy Document; the Keystone's Evaluation Process; and Findings. The overall evaluation of the process was very positive. It was clear that the LLWMP staff was seriously committed to building a credible public participation process. The evaluation team was provided rough cost figures for the various components of the LLWMP effort and concluded that, in its opinion, the public participation process provided benefits to the federal government that exceeded its costs. Moreover, the costs of the individual components were not out of line with each one's usefulness and contribution to the overall effort

  4. 'The public is too subjective': public involvement at different levels of health-care decision making.

    Science.gov (United States)

    Litva, Andrea; Coast, Joanna; Donovan, Jenny; Eyles, John; Shepherd, Michael; Tacchi, Jo; Abelson, Julia; Morgan, Kieran

    2002-06-01

    There are a number of impulses towards public participation in health care decision making including instrumentalist, communitarian, educative and expressive impulses and the desire for increased accountability. There has, however, been little research looking systematically at the public's preferences for being involved in particular types of rationing decisions, nor indeed, has there been a critical examination of the degree of involvement desired by the public. The research reported here uses findings from focus groups and in-depth interviews to explore these questions. Eight focus groups were conducted with a total of 57 informants, four amongst randomly selected members of the public and four with informants from health and non-health related organisations. Nineteen interviews were conducted to allow the elaboration of focus group comments, to probe views more deeply and to pursue emerging themes. The findings show variations in the willingness of members of the public to be involved in health care decisions and consistency across the different forms of the public as represented by the focus groups with randomly selected citizens and pre-existing organisations. There was a strong desire in all the groups for the public to be involved both at the system and programme levels, with much less willingness to be involved at the individual level. At the system and programme levels informants generally favoured consultation, without responsibility for decisions, but with the guarantee that their contribution would be heard and that decisions taken following consultation would be explained. At the patient level informants felt that the public should participate only by setting criteria for deciding between potential beneficiaries of treatment. The public has much to contribute, particularly at the system and programme levels, to supplement the inputs of health care professionals.

  5. Efficacy, Beliefs, and Investment in Step-Level Public Goods

    NARCIS (Netherlands)

    Dijkstra, J.; Oude Mulders, J.

    2014-01-01

    behavior in terms of increasing group well-being. We report a decision and game theoretical analysis of efficacy in step-level public goods (SPGs). Previous research shows a positive relation between efficacy and contributions to SPGs and explains this relation by a purely motivational account. We

  6. Efficacy, Beliefs, and Investment in Step-Level Public Goods

    NARCIS (Netherlands)

    Dijkstra, Jacob; Mulders, Jaap Oude

    2014-01-01

    A central concept for understanding social dilemma behavior is the efficacy of an actor's cooperative behavior in terms of increasing group well-being. We report a decision and game theoretical analysis of efficacy in step-level public goods (SPGs). Previous research shows a positive relation

  7. Protective containment behaviour under exceeded design loads

    International Nuclear Information System (INIS)

    Holub, I.; Stepan, J.; Maly, J.; Schererova, K.

    2003-01-01

    The contribution describes the calculation results of the behaviour of containment structure if loaded in excess of its design load. The Temelin NPP comprises two WWER 1000 blocks and containment consists of a pre-stressed reinforced concrete structure with a system of unbonded cables. The objective of the calculations was to determine the level of load caused by the internal pressure and temperature at which the containment protective function would fail. In the first step, the maximum overpressure was determined, which may be transferred by the containment structure. In further steps analyses were made of various combinations of simultaneous pressure and temperature loads. The contribution presents relevant calculation results, including the evaluation of containment structure behaviour including liner under loads that exceed its design parameters. (author)

  8. Low and intermediate level waste repositories: public involvement aspects

    International Nuclear Information System (INIS)

    Ferreira, Vinicius V.M.; Mourao, Rogerio P.; Fleming, Peter M.; Soares, Wellington A.; Braga, Leticia T.P.; Santos, Rosana A.M.

    2009-01-01

    The nuclear energy acceptance creates several problems, and one of the most important is the disposal of the radioactive waste. International experiences show that not only environmental, radiological and technical questions have to be analyzed, but the public opinion about the project must be considered. The objective of this article is to summarize some public involvement aspects associated with low and intermediate level waste repositories. Experiences from USA, Canada, South Africa, Ukraine and other countries are studied and show the importance of the population in the site selection process for a repository. (author)

  9. Public perception of low-level waste technologies: Demands on research and public education programs

    International Nuclear Information System (INIS)

    Witzig, W.F.; Bord, R.J.; Vincenti, J.R.

    1986-01-01

    The complexities of our political and legal systems, along with both insufficient information and misinformation, has resulted in significant problems in the disposal of radioactive waste. Distrust of the industry and regulators by the public, along with insufficient understanding of public fear by those responsible for waste disposal, has created a delay which shows few signs of early resolution. In light of these problems, this paper will specifically cover low-level radioactive waste disposal and management issues in the Appalachian Compact state of Pennsylvania. It will focus on the public's perception of waste technologies, and related policy issues, and the necessity of research and public education to create a bridge of understanding between those responsible for disposing of this material, those who benefit (the general public) from the creation of the waste, and those who are asked to live near disposal sites

  10. How to integrate street-level bureaucracies into public management?

    DEFF Research Database (Denmark)

    Aagaard, Peter; Pedersen, John Storm

    the professionals in the public sector at the street-level such as social-workers, teachers, doctors, and other professionals have maintained autonomy regarding the provision, production and delivery of the specific core welfare services to the citizens as end users. By definition hard budget constraint...... and professionals´ autonomy do not fit well. To explore both theoretically and empirically the conflicts between hard budget constraint and professionals´ autonomy, the professionals´ provision, production and delivery of the services to the citizens with disability and socially disadvantaged people and the public...... management of the public spending on the services in Denmark is used as a case. Surprisingly, we find that the managers have been able to resolve the conflicts between the hard budget constraint and the professionals´ autonomy to a rather high degree. The managers have integrated the street...

  11. Anxiety Level in Students of Public Speaking: Causes and Remedies

    Directory of Open Access Journals (Sweden)

    Farhan Uddin Raja

    2017-06-01

    Full Text Available Despite being competent in their field of work, professional’s worldwide struggle due to lack of good public speaking skills. Their assessments and appraisals are often not depictive of their professional competitiveness; therefore, it is important for students to overcome public speaking anxiety before they transit from academic life to professional life. The purpose of this study is to analyze the reasons behind the anxiety level in undergraduate students of a public speaking class and recommend strategies to overcome this fear. This study was entailed quantitative research paradigm on a sample of 50 students using convenience sampling technique from a reputable private sector business school in Karachi. The findings showed that students who fear public speaking can perform well if they use certain strategies to fight their fears. 75% participants admitted their fear of public speaking and 95% participants agreed that if proper counseling, instruction and coaching is provided, this fear can be overcome. Research revealed that exposure to virtual environment can facilitate student confidence and enables themto face audience irrespective of the size.

  12. Nuclear Accidents Intervention Levels for Protection of the Public

    International Nuclear Information System (INIS)

    1989-01-01

    The impact of the 1986 Chernobyl accident called attention to the need to improve international harmonization of the principles and criteria for the protection of the public in the event of a nuclear accident. This report provides observations and guidance related to the harmonization of radiological protection criteria, and is intended to be of use to national authorities and international organizations examining the issue of emergency response planning and intervention levels

  13. Levels of violence among nurses in Cape Town public hospitals.

    Science.gov (United States)

    Khalil, Doris

    2009-01-01

    The paper presents findings from a study examining violence in nursing. A combined ethno-phenomenology was identified as the most appropriate approach. Ethnography is to understand the culture of nursing that permits violence to occur within the profession. Phenomenology is to explore and capture nurse-on-nurse experiences of violence. The population is all nurses registered with the South African Nursing Council. The research participants are nurses employed in eight public hospitals in Cape Town during 2005. METHOD OF DATA COLLECTION: The first stage of data collection was the distributions of confidential questionnaires to nurses employed in eight hospitals and willing to participate in the study. Responses to close-ended questions were analyzed using Microsoft Excel. Responses to open-ended questions were grouped per question. The qualitative data were then compared for similarities and differences in information provided. Six levels of violence exist among nurses. The highest forms of violence among nurses occurred at the psychological level, with the least at the physical level of interaction. The other four levels of violence among nurses were vertical, horizontal, covert, and overt. All categories of nurses in the study had resorted to one or more levels of violence against other nurses during their nursing career. Professional nurses and senior nurse managers were identified as the main category of nurses that frequently resort to mistreating other nurses. However, auxiliary nurses were identified as the main perpetrators of physical violence against other nurses.

  14. 45 CFR 400.66 - Eligibility and payment levels in a publicly-administered RCA program.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 2 2010-10-01 2010-10-01 false Eligibility and payment levels in a publicly... REFUGEE RESETTLEMENT PROGRAM Refugee Cash Assistance § 400.66 Eligibility and payment levels in a publicly-administered RCA program. (a) In administering a publicly-administered refugee cash assistance program, the...

  15. Low and Intermediate Level Waste Repository: Radiation and Public

    International Nuclear Information System (INIS)

    Cerskov Klika, M.

    1998-01-01

    Some of basic elements related to public participation in radioactive waste management in Croatia are underlined in the paper. Most of them are created or led by the APO-Hazardous Waste Management Agency. Present efforts in improvement of public participation in the field radioactive waste management are important in particular due to negligible role of public in environmentally related issues during former Yugoslav political system. For this reason it is possible to understand the public fearing to be deceived or neglected again. Special attention is paid to the current APO editions related to public information and education in the field of radioactive waste management. It is important because only the well-informed public can present an active and respectful factor in hazardous and radioactive waste management process. (author)

  16. New public diplomacy and its effects on international level

    OpenAIRE

    Elena Gurgu; Aristide Dumitru Cociuban

    2016-01-01

    Abstract. The purpose of this article is to make known the new type of public diplomacy and the effects this new diplomacy can have internationally. The objectives of our article refer to the context of change, the role of the media in public diplomacy, new approaches and elements of public diplomacy, current diplomacy in scientific and technical way and the use of scientific cooperation to improve bilateral relations between countries.

  17. New public diplomacy and its effects on international level

    Directory of Open Access Journals (Sweden)

    Elena Gurgu

    2016-09-01

    Full Text Available Abstract. The purpose of this article is to make known the new type of public diplomacy and the effects this new diplomacy can have internationally. The objectives of our article refer to the context of change, the role of the media in public diplomacy, new approaches and elements of public diplomacy, current diplomacy in scientific and technical way and the use of scientific cooperation to improve bilateral relations between countries.

  18. Anxiety Level in Students of Public Speaking: Causes and Remedies

    Science.gov (United States)

    Raja, Farhan

    2017-01-01

    Despite being competent in their field of work, professional's worldwide struggle due to lack of good public speaking skills. Their assessments and appraisals are often not depictive of their professional competitiveness; therefore, it is important for students to overcome public speaking anxiety before they transit from academic life to…

  19. Can LENR Energy Gains Exceed 1000?

    Science.gov (United States)

    Nagel, David J.

    2011-03-01

    Energy gain is defined as the energy realized from reactions divided by the energy required to produce those reactions. Low Energy Nuclear Reactions (LENR) have already been measured to significantly exceed the energy gain of 10 projected from ITER,possibly 15 years from now. Electrochemical experiments using the Pd-D system have shown energy gains exceeding 10. Gas phase experiments with the Ni-H system were reported to yield energy gains of over 100. Neither of these reports has been adequately verified or reproduced. However, the question in the title still deserves consideration. If, as thought by many, it is possible to trigger nuclear reactions that yield MeV energies with chemical energies of the order of eV, then the most optimistic expectation is that LENR gains could approach one million. Hence, the very tentative answer to the question above is yes. However, if LENR could be initiated with some energy cost, and then continue to ``burn,'' very high energy gains might be realized. Consider a match and a pile of dry logs. The phenomenon termed ``heat after death'' will be examined to see if it might be the initial evidence for nuclear ``burning.''

  20. Radiological safety for the public during nuclear emergencies: application of intervention levels and derived intervention levels

    International Nuclear Information System (INIS)

    Thomas, G.; Kumar, K.S.

    2006-01-01

    Control of radiation exposures to the public following a major nuclear accident can be achieved through intervention by implementing countermeasures such as sheltering, iodine prophylaxis, evacuation, control of foodstuff, etc. Intervention levels (I.L.) are formulated such that exposure to individuals from all exposure pathways is well below the thresholds for deterministic effects, and risk of stochastic health effects to individuals and overall incidence of stochastic effects in the exposed population are minimized. It is also necessary to translate such I.L. into quantities, called derived intervention levels (D.I.L.) that can be measured. The I.L. followed in various countries for the recommended countermeasures cater to the exposure range of 1-50 mSv for sheltering, 10-500 mSv for evacuation, 30- 1000 mSv for iodine prophylaxis and 1-10 mSv for food control. The models used for these are based on conservative estimations assuming maximum dose delivered to the critical group for the pathway assumed. While the concept of upper dose level above which countermeasures is always justified to avoid deterministic effects, the lower range of dose levels have to be optimised based on various parameters as discussed in this paper. While arriving at the I.L., the question to be addressed is: How much (dose) risk should be averted by the intervention planned? Implementation of any countermeasure will result in some inconvenience/ limitation of resource/ disruption and consequently, a positive net benefit will justify the intervention. Sheltering may result in substantially less disruption than evacuation, but if the type of sheltering is not offering enough radiation shielding or ventilation protection, this may not result in significant reduction of exposure. It is to be ensured that deterministic effects are totally avoided and it is possible to define a safe threshold exposure and above which balancing risks and benefits is not applicable. While the dose limit for the

  1. Leveling up? An inter-neighborhood experiment on parochialism and the efficiency of multi-level public goods provision

    OpenAIRE

    Gallier, Carlo; Goeschl, Timo; Kesternich, Martin; Lohse, Johannes; Reif, Christiane; Römer, Daniel

    2017-01-01

    Many public goods can be provided at different spatial levels. Evidence from social identity theory and in-group favoritism raises the possibility that where higher-level provision is more efficient, subjects’ narrow concern for local outcomes (parochialism) could harm efficiency. Building on the experimental paradigm of multi-level public good games and the ‘neighborhood attachment’ concept, we conduct an artefactual field experiment with 600 participants in a setting conducive to parochial...

  2. MAXIMIZING PROFIT - OPTICAL TRADITIONAL TRAVEL AGENCIES EXCEEDED

    Directory of Open Access Journals (Sweden)

    ENEA CONSTANŢA

    2013-12-01

    Full Text Available Recently concepts of globalized the services the advertising only that and substantial modifications, but that just radicals, in the structure net of touristic states. Is directed to of a new conceive the organic fashions of structures ale net of realized and of casting of guy colaborative, baze on interconexion, the interface and flexible interactions, from which his. I result the competitive advantages popularly the partners of business. The optics traditional agencies of tourings considered the production and the delivery touristic services except through the of a alone objective major prism scilicet maximizarea of the profits, falls to is exceeded. For the past decades ale the century XX, the impact technological changes in the industry services becomes all determine maul influenced the „traditional sectors” in charge, as for example the education, the trade, the touring, the informatics. Certainly, globalized can be interpretation in different senses. Referenced to the touristic services, the globalized is define as be a form an advanced still more complex maul of which nationalization involves a degrees of functional integration between the touristic activities disperse on plans transfrontalier.

  3. Motivating green public procurement in China: an individual level perspective.

    Science.gov (United States)

    Zhu, Qinghua; Geng, Yong; Sarkis, Joseph

    2013-09-15

    Green public procurement (GPP) practices have been recognized as an effective policy tool for sustainable production and consumption. However, GPP practices adoption, especially in developing countries, is still an issue. Seeking to help understand these adoption issues, we develop a conceptual model which hypothesizes moderation effects of GPP knowledge on the relationships between GPP drivers and practices. Using primary data collected from 193 Chinese government officials, we find that regulations, rewards & incentive gains, and stakeholders exert pressure to motivate adoption of GPP practices. Knowledge of GPP regulations, responsibilities and experiences in developed countries is found to be limited. The study also found that voluntary regulations may actually be demotivating GPP practices. This study contributes to further theoretical and practical understanding of GPP practices. The findings can be helpful for policy makers, especially those in developing countries, to establish promotion and diffusion mechanisms for GPP practices as an important sustainable development tool. Copyright © 2013 Elsevier Ltd. All rights reserved.

  4. Acceptable-doses exceeding in radionuclides transport

    International Nuclear Information System (INIS)

    Delabarre, P.

    2006-01-01

    Without any foregoing signal, the 12-gliding month dose in an employee of a radionuclides transporting firm raised to 44,30 mSv (over the double of the ICRP recommended yearly maximum of 20 mSv). Apart from immediate prohibition of any further professional exposure to ionising radiation for the employee concerned, and an inquiry for possible explanations concerning as well the employer as the employee, an in-depth investigation of the employees previous records took place. Except from the sudden rise, the investigation showed that the personal dosimeter was mostly presented for analysis weeks, even months, too late, what made any immediate action from occupational health and radioprotection side difficult and anyhow far too late. Investigation of the records of the other 30 employees showed that 1) mostly the dosimeters were not presented on the assumed date for analysis, but months to (sometimes) nearly one year late behind schedule 2) for the same job in the same period, registered doses varied from naught to over 8,00 mSv, depending on the employee 3) several employees had a 12-gliding months dose of over 10,00 mSv, even over 15,00 mSv During discussion with employee, employer, occupational physician and an agent of the qualified organisation for dosimeter analysis, the employer was anything but cooperative; the employee also was rather reluctant to answer questions, and given possible causes could not be corroborated. In an attempt to clarify the multiple problems, the Governmental Agency for Nuclear Control was involved, which imposed in a first time a( not very stringent, rather indulgent) action plan. Meanwhile, a written comment on the monthly dosimeter analyses was sent from as well the occupational physician as the analytical firm to the employer and to the concerned employees if a 12-gliding months dose exceeding 10 mSv was determined, without any reaction neither from the employer nor the employees. At the moment of the abstract submission (sept 05

  5. A critically educated public explores high level radioactive waste management

    International Nuclear Information System (INIS)

    Blum, J.E.

    1994-01-01

    It is vital to the citizens of Nevada that they and their children are given an opportunity to explore all sides of the characterization of Yucca Mountain as a potential repository site for spent nuclear fuel. The state-wide, national and international implications demand a reasoned and complete approach to this issue, which has become emotionally and irrationally charged and fueled by incomplete perception and information. The purpose of this paper is to provide curriculum suggestions and recommend concomitant policy developments that will lead to the implementation of a Critical Thinking (CT) approach to High Level Radioactive Waste Management

  6. 76 FR 9004 - Public Comment on Setting Achievement Levels in Writing

    Science.gov (United States)

    2011-02-16

    ... DEPARTMENT OF EDUCATION Public Comment on Setting Achievement Levels in Writing AGENCY: U.S... Achievement Levels in Writing. SUMMARY: The National Assessment Governing Board (Governing Board) is... for NAEP in writing. This notice provides opportunity for public comment and submitting...

  7. Will we exceed 50% efficiency in photovoltaics?

    Science.gov (United States)

    Luque, Antonio

    2011-08-01

    Solar energy is the most abundant and reliable source of energy we have to provide for the multi-terawatt challenge we are facing. Although huge, this resource is relatively dispersed. High conversion efficiency is probably necessary for cost effectiveness. Solar cell efficiencies above 40% have been achieved with multijunction (MJ) solar cells. These achievements are here described. Possible paths for improvement are hinted at including third generation photovoltaics concepts. It is concluded that it is very likely that the target of 50% will eventually be achieved. This high efficiency requires operating under concentrated sunlight, partly because concentration helps increase the efficiency but mainly because the cost of the sophisticated cells needed can only be paid by extracting as much electric power form each cell as possible. The optical challenges associated with the concentrator optics and the tools for overcoming them, in particular non-imaging optics, are briefly discussed and the results and trends are described. It is probable that optical efficiency over 90% will be possible in the future. This would lead to a module efficiency of 45%. The manufacturing of a concentrator has to be addressed at three levels of integration: module, array, and photovoltaic (PV) subfield. The PV plant as a whole is very similar than a flat module PV plant with two-axes tracking. At the module level, the development of tools for easy manufacturing and quality control is an important topic. Furthermore, they can accommodate in different position cells with different spectral sensitivities so complementing the effort in manufacturing MJ cells. At the array level, a proper definition of the nameplate watts, since the diffuse light is not used, is under discussion. The cost of installation of arrays in the field can be very much reduced by self aligning tracking control strategies. At the subfield level, aspects such as the self shadowing of arrays causes the CPV subfields to

  8. 41 CFR 102-85.105 - How does an agency pay for customer alterations that exceed the TI allowance?

    Science.gov (United States)

    2010-07-01

    ... for customer alterations that exceed the TI allowance? 102-85.105 Section 102-85.105 Public Contracts....105 How does an agency pay for customer alterations that exceed the TI allowance? Amounts exceeding the TI allowance are paid in a one-time lump sum and are not amortized over the term of the occupancy...

  9. Stress Level of Measurement of Public Employees A Research on Public Officials in Eskisehir

    OpenAIRE

    Hüseyin GÜRBÜZ; Rüveyda DOĞAN; Elif GÖRMÜŞ; Gamze Pelin TOKYAY; Dilara ÖZTEKİN; Gökhan ENGİZ

    2014-01-01

    Stress emerges as a concept which negatively affects the efficiency and the productivity of an individual. In addition to the negative and productivity lessening effects of stress, some researchers cited various positive effects of it. A stress level that affects an increase in productivity and that doesn’t cause a deterioration of health is accepted as a positive one and the studies about stress in work life mostly focus on the productivity of the employees.. This study was focused on the fa...

  10. 77 FR 75491 - Entry-Level Driver Training; Public Listening Session

    Science.gov (United States)

    2012-12-20

    ... identified are supported by research and data analyses, including cost/benefit considerations. The session...-27748] Entry-Level Driver Training; Public Listening Session AGENCY: Federal Motor Carrier Safety Administration (FMCSA), DOT. ACTION: Notice of public listening session. SUMMARY: FMCSA announces that it will...

  11. Public health leadership competency level among health professionals in a South Eastern European country

    NARCIS (Netherlands)

    Pampuri, O.; Czabanowska, K.; Hysa, B.; Roshi, E.; Burazeri, G.

    2015-01-01

    Pampuri O, Czabanowska K, Hysa B, Roshi E, Burazeri G. Public health leadership competency level among health professionals in a South Eastern European country (Original research). SEEJPH 2015, posted: 10 February 2015. DOI 10.12908/SEEJPH-2014-40

  12. Co-existing institutional logics and agency among top-level public servants

    DEFF Research Database (Denmark)

    Bjerregaard, Toke

    2011-01-01

    to address parts of this void. This study examines the agency exerted by top-level public servants through their everyday strategy and policy work in face of co-existing logics of public administration. The findings illustrate how their action strategies span from more passive strategies of coping...... with coexisting logics of administration to more skilled agency of combining logics aimed at enhancing their opportunity and action space. The study suggests that the interplay between co-existing institutional logics, action strategies and the practical skills of top-level public servants provides the basis...... for both coping and more proactive strategies in pluralistic public administrations. Findings illustrate the role of public servants' practical sense of realizable opportunities that inform such strategies of handling co-existing institutional logics. Implications for institutional studies of organizations...

  13. Level of satisfaction and issues with procurement systems used in the Malaysian public sector

    Directory of Open Access Journals (Sweden)

    Mastura Jaafar

    2013-03-01

    Full Text Available Since the declaration of Malaysian independence, the public sector has significantly contributed to the country’s development. In the 1990s, a new procurement system was developed due to CIBD various changes in the construction industry. Since that period, the poor quality of public sector projects has started to attract public attention. This paper describes a study that was conducted to identify the dominant public procurement systems in place, the problems associated with these systems, and the satisfaction level of the industry players in the Malaysian construction industry. The results were drawn from 84 survey responses and interviews with industry players. The public sector is using a traditional system inherited from the British, with an intention to adopt new procurement systems. Aside from the disputes that are present in most systems, the public sector seems to encounter particular problems in relation to capabilities, time, and cost of the major procurement systems used. Traditional work culture and the industry environment influence public sector practice, which accounts for the modifications of each procurement system used. Thus, the full advantages of using an alternative procurement system may not be realised in public sector organizations. This produces an average level of satisfaction gained from the procurement system adopted. As a developing country, Malaysia needs to exert significant efforts to improve the public procurement system. 

  14. Level of satisfaction and issues with procurement systems used in the Malaysian public sector

    Directory of Open Access Journals (Sweden)

    Mastura Jaafar

    2013-03-01

    Full Text Available Since the declaration of Malaysian independence, the public sector has significantly contributed to the country’s development. In the 1990s, a new procurement system was developed due to CIBD various changes in the construction industry. Since that period, the poor quality of public sector projects has started to attract public attention. This paper describes a study that was conducted to identify the dominant public procurement systems in place, the problems associated with these systems, and the satisfaction level of the industry players in the Malaysian construction industry. The results were drawn from 84 survey responses and interviews with industry players. The public sector is using a traditional system inherited from the British, with an intention to adopt new procurement systems. Aside from the disputes that are present in most systems, the public sector seems to encounter particular problems in relation to capabilities, time, and cost of the major procurement systems used. Traditional work culture and the industry environment influence public sector practice, which accounts for the modifications of each procurement system used. Thus, the full advantages of using an alternative procurement system may not be realised in public sector organizations. This produces an average level of satisfaction gained from the procurement system adopted. As a developing country, Malaysia needs to exert significant efforts to improve the public procurement system.

  15. Evaluating public involvement in the National Low-Level Radioactive Waste Management Program

    International Nuclear Information System (INIS)

    1982-09-01

    The Department of Energy contracted with the Keystone Center to evaluate the effectiveness of the National Low-Level Radioactive Waste Management Program's public-involvement efforts. The Center chose six evaluators with diverse training and experience related to low-level waste management and public-participation programs. Keystone's evaluation was based on (a) observations by the evaluators who attended the National Program-sponsored strategy review meetings and fairs; (b) interviews with low-level waste generators, local government officials, state legislators, public-interest groups, and members of the general public; and (c) observations of the final National Program strategy task force meeting. The evaluators concluded that, overall, the public-participation processes yielded some very positive results - for policy development and for DOE and the EG and G staff. They judged the strategy document to be complete, concise, and helpful to public dialogue on low-level waste issues. They also made specific recommendations for improvements to the public-participation program

  16. Public health and health promotion capacity at national and regional level: a review of conceptual frameworks

    Directory of Open Access Journals (Sweden)

    Christoph Aluttis

    2014-04-01

    Full Text Available The concept of capacity building for public health has gained much attention during the last decade. National as well as international organizations increasingly focus their efforts on capacity building to improve performance in the health sector. During the past two decades, a variety of conceptual frameworks have been developed which describe relevant dimensions for public health capacity. Notably, these frameworks differ in design and conceptualization. This paper therefore reviews the existing conceptual frameworks and integrates them into one framework, which contains the most relevant dimensions for public health capacity at the country or regional level. A comprehensive literature search was performed to identify frameworks addressing public health capacity building at the national or regional level. We content-analysed these frameworks to identify the core dimensions of public health capacity. The dimensions were subsequently synthesized into a set of thematic areas to construct a conceptual framework which describes the most relevant dimensions for capacities at the national or regional level. The systematic review resulted in the identification of seven core domains for public health capacity: resources, organizational structures, workforce, partnerships, leadership and governance, knowledge development and country specific context. Accordingly, these dimensions were used to construct a framework, which describes these core domains more in detail. Our research shows that although there is no generally agreed upon model of public health capacity, a number of key domains for public health and health promotion capacity are consistently recurring in existing frameworks, regardless of their geographical location or thematic area. As only little work on the core concepts of public health capacities has yet taken place, this study adds value to the discourse by identifying these consistencies across existing frameworks and by synthesising

  17. 76 FR 10810 - Public Workshop to Discuss Low-Level Radioactive Waste Management

    Science.gov (United States)

    2011-02-28

    ... Radioactive Waste Management AGENCY: Nuclear Regulatory Commission. ACTION: Public Workshop and Request for... regulatory framework for the management of commercial low-level radioactive waste (LLW). The purpose of this...-level radioactive wastes that did not exist at the time part 61 was promulgated. The developments...

  18. Assessing the Readability of College Textbooks in Public Speaking: Attending to Entry Level Instruction

    Science.gov (United States)

    Schneider, David E.

    2011-01-01

    More research is needed that examines textbooks intended for the entry level college classroom. This study offers valuable information to academics that adopt a public speaking textbook for instruction as well as objective feedback to the collective authors. Readability levels of 22 nationally published textbooks, based on McGlaughlin's (1969)…

  19. Grade-Level Retention in Texas Public Schools, 2015-16

    Science.gov (United States)

    Texas Education Agency, 2017

    2017-01-01

    This annual report provides information for the 2015-16 school year on grade-level retention in the Texas public school system. Data on retention are provided by student characteristics, including grade level; race/ethnicity; gender; degree of English proficiency; and economic, at-risk, immigrant, migrant, and overage statuses. Data also are…

  20. Theoretical Aspects of Optimizing the Allocation of Public Financial Resources at Local Level

    OpenAIRE

    Eugen DOGARIU

    2010-01-01

    The allocation of financial resources at local, but also at central level, is an issue especially since in times of crisis, finding the optimum way to spend public funds concerns all authorities. This paper aims to identify the ways in which, by leaving from the division of powers based on the allocation of resources and tools available, the local authorities can identify an optimal level of public expenditure so as to achieve a maximum level of using them. Also, the paper seeks to identify t...

  1. Modeling environmental noise exceedances using non-homogeneous Poisson processes.

    Science.gov (United States)

    Guarnaccia, Claudio; Quartieri, Joseph; Barrios, Juan M; Rodrigues, Eliane R

    2014-10-01

    In this work a non-homogeneous Poisson model is considered to study noise exposure. The Poisson process, counting the number of times that a sound level surpasses a threshold, is used to estimate the probability that a population is exposed to high levels of noise a certain number of times in a given time interval. The rate function of the Poisson process is assumed to be of a Weibull type. The presented model is applied to community noise data from Messina, Sicily (Italy). Four sets of data are used to estimate the parameters involved in the model. After the estimation and tuning are made, a way of estimating the probability that an environmental noise threshold is exceeded a certain number of times in a given time interval is presented. This estimation can be very useful in the study of noise exposure of a population and also to predict, given the current behavior of the data, the probability of occurrence of high levels of noise in the near future. One of the most important features of the model is that it implicitly takes into account different noise sources, which need to be treated separately when using usual models.

  2. THE FACTORS AFFECTING SATISFACTION LEVELS IN HOSPITALIZED PATIENTS: AN APPLICATION IN PUBLIC HOSPITAL

    Directory of Open Access Journals (Sweden)

    Neşe ACAR

    2017-09-01

    Full Text Available This study was conducted to determine the factors that affect the level of satisfaction of services provided by public hospitals. Patients' satisfaction levels were measured by interviewing 156 patients in a public hospital. Factor analysis of the data obtained from the research resulted in five factors called nurses 'behaviors, physical conditions, doctors' behavior, technical staff behaviors, food and beverage. MANOVA analysis was conducted to determine the differences in the perception of factors with respect to the demographic characteristics of the patients and differences were found in terms of profession. It has been seen that it is important that public hospitals have specialist doctors and modern equipment and that they have qualities such as the quality of the health personnel in preferring patients to public hospitals.

  3. Dietary habits and physical activity levels in Jordanian adolescents attending private versus public schools.

    Science.gov (United States)

    Tayyem, R F; Al-Hazzaa, H M; Abu-Mweis, S S; Bawadi, H A; Hammad, S S; Musaiger, A O

    2014-07-08

    The present study examined differences in dietary habits and physical activity levels between students attending private and public high schools in Jordan. A total of 386 secondary-school males and 349 females aged 14-18 years were randomly recruited using a multistage, stratified, cluster sampling technique. Dietary habits and physical activity level were self-reported in a validated questionnaire. The prevalence of obesity was significantly higher among adolescents in private (26.0%) than in public schools (16.7%). The frequency of breakfast intake was significantly higher among adolescents in private schools, whereas French fries and sweets intake was significantly higher in public schools. Television viewing showed a significant interaction with school type by sex. A higher rate of inactivity was found among students attending private schools. Despite a slightly better overall dietary profile for students in private schools, they had a higher rate of overweight and obesity compared with those in public schools.

  4. Low-level radioactive waste disposal technology development through a public process

    International Nuclear Information System (INIS)

    Murphy, M.P.; Hysong, R.J.; Edwards, C.W.

    1989-01-01

    When Pennsylvania's legislature ratified the Appalachian States Low-Level Radioactive Waste Compact in 1985, the Commonwealth of Pennsylvania became the host state designee for the compact's low-level radioactive waste (LLWR) disposal facility. Programs necessary for the establishment of this facility became the responsibility of the Department of Environmental Resources' (DER), Bureau of Radiation Protection's, Division of Nuclear Safety (DNS). It was realized early in the process that the technical aspects of this program, while challenging, probably were not the largest obstacle to completing the facility on schedule. The largest obstacle was likely to be public acceptance. Recognizing this, the DNS set out to develop a program that would maximize public involvement in all aspects of site and facility development. To facilitate public involvement in the process, the DNS established a LLRW advisory committee and a strategy for holding public meetings throughout Pennsylvania. As a result of the significant public involvement generated by these efforts, Pennsylvania passed, in February of 1988, one of the most stringent and technically demanding LLRW disposal laws in the nation. Hopefully, increased public confidence will reduce to a minimum public opposition to the facility

  5. Public acceptance for centralized storage and repositories of low-level waste session (Panel)

    Energy Technology Data Exchange (ETDEWEB)

    Lutz, H.R.

    1995-12-31

    Participants from various parts of the world will provide a summary of their particular country`s approach to low-level waste management and the cost of public acceptance for low-level waste management facilities. Participants will discuss the number, geographic location, and type of low-level waste repositories and centralized storage facilities located in their countries. Each will discuss the amount, distribution, and duration of funds to gain public acceptance of these facilities. Participants will provide an estimated $/meter for centralized storage facilities and repositories. The panel will include a brief discussion about the ethical aspects of public acceptance costs, approaches for negotiating acceptance, and lessons learned in each country. The audience is invited to participate in the discussion.

  6. Text mining analysis of public comments regarding high-level radioactive waste disposal

    International Nuclear Information System (INIS)

    Kugo, Akihide; Yoshikawa, Hidekazu; Shimoda, Hiroshi; Wakabayashi, Yasunaga

    2005-01-01

    In order to narrow the risk perception gap as seen in social investigations between the general public and people who are involved in nuclear industry, public comments on high-level radioactive waste (HLW) disposal have been conducted to find the significant talking points with the general public for constructing an effective risk communication model of social risk information regarding HLW disposal. Text mining was introduced to examine public comments to identify the core public interest underlying the comments. The utilized test mining method is to cluster specific groups of words with negative meanings and then to analyze public understanding by employing text structural analysis to extract words from subjective expressions. Using these procedures, it was found that the public does not trust the nuclear fuel cycle promotion policy and shows signs of anxiety about the long-lasting technological reliability of waste storage. To develop effective social risk communication of HLW issues, these findings are expected to help experts in the nuclear industry to communicate with the general public more effectively to obtain their trust. (author)

  7. Derivation of Intervention levels for Protection of the Public in a Radiological Emergency in Korea

    International Nuclear Information System (INIS)

    Lee, Jong Tai; Lee, Goan Yup; Khang, Byung Oui; Oh, Ki Hoon; Kim, Chang Kyu

    2001-01-01

    Intervention levels for protection of the public in a radiological emergency are theoretically derived by the cost-benefit approach with the concept of justification and optimization. Intervention levels on the sheltering, evacuation, temporary relocation and permanent resettlement for protection of the public are estimated with the cost to protective countermeasures and the value from dose averted which are the site specific parameters. As a result, it is confirmed that IAEA guidelines for intervention levels are applicable to the radiological emergency in Korea. Optimum ranges of 5 - 10 mSv/2days for sheltering, 25 - 130 mSv/week for evacuation, 15 - 90 mSv/month for temporary relocation and 600 - 3,500 mSv/lifetime for permanent resettlement for intervention levels are also provided. The result can be applied as useful data to update intervention levels under the theoretical background in Korea

  8. Public Acceptance of Low-Level Waste Disposal Critical to the Nuclear Renaissance

    International Nuclear Information System (INIS)

    Sonny Goldston, W.T.

    2009-01-01

    The disposal of various Low-Level Waste (LLW) forms projected to result from the operation of a pilot or large scale Advanced Fuel Cycle Initiative Programs' (formally known as Global Nuclear Energy Partnership (GNEP)) reprocessing and vitrification plants requires the DOE LLW program and regulatory structure to be utilized in its present form due to the limited availability of Nuclear Regulatory Commission licensed commercial LLW disposal facilities to handle wastes with radionuclide concentrations that are greater than Nuclear Regulatory Commission (NRC) Class A limits. This paper will describe the LLW forms and the regulatory structures and facilities available to dispose of this waste. Then the paper discusses the necessity of an excellent public involvement program to ensure the success of an effective technical solution. All of the decisions associated with the management of these wastes are of interest to the public and successful program implementation would be impossible without including the public up-front in the program formulation. Serious problems can result if program decisions are made without public involvement, and if the public is informed after key decisions are made. This paper will describe the regulatory and public involvement program and their effects on the decisions concerning the disposal of Low-Level Radioactive Waste (LLW) at the Savannah River Site (SRS). An extensive public communications effort resulted in endorsement of changes in disposal practices by the SRS Citizens Advisory Board that was critical to the success of the program. A recommendation will be made to install a public involvement program that is similar to the SRS Citizens Advisory Board in order to ensure the success of the AFCI programs in view of the limited availability to handle the wastes from the program and the public acceptance of change that will be required. (authors)

  9. Is the low level of physical activity a public policy issue?

    Directory of Open Access Journals (Sweden)

    Kalman Michal

    2013-03-01

    Full Text Available BACKGROUND: Many studies and scientific evidence confirm a positive effect of physical activity on the quality of life and human health. Physical activity, which is also one of the key factors preventing mass non-communicable diseases, is decreasing in Europe, including the Czech Republic, both in children and adults. Serious health consequences for the population and economy of the countries are a reason for a discussion about including the low level of physical activity among public policy issues and a higher allocation of public sources into the area of physical activity promotion. OBJECTIVES: The main objective of the paper is to determine whether the low level of physical activity is a public policy issue. An issue that should by systematically addressed by national, regional as well as local policy. METHODS: Through the policy analysis approach we conducted a content analysis of 25 systematically selected foreign national strategies aimed at the issue of physical activity promotion. The data source was an internal database of the World Health Organization - the International Inventory of Documents on Physical Activity Promotion. The content analysis of the strategies was performed using the Atlas.ti software tool. RESULTS: During a content analysis of 25 foreign strategies a total of 411 text segments (quotations relating to the low level of physical activity were selected. These text segments showed five basic features of a public policy issue according to a conceptual framework developed by Bardach (2000 and Patton and Sawicky (1993 - 1 affects the lives of a significant number of people of a society; 2 is analysable; 3 can be solved through public policy tools; 4 the primary cause or problem can be defined; 5 cannot be solved easily and quickly. CONCLUSIONS: The results indicate that the low level of physical activity is a public policy issue that must be systematically addressed at national level.

  10. State-level public policy as a predictor of individual and family well-being.

    Science.gov (United States)

    Zimmerman, S L

    1987-01-01

    This exploratory study examines the relationship between state-level public policy and individual and family well-being and factors that affect it. The inquiry, based on exchange and choice theories, assumes that state-level public policy reflects states' awareness of the needs of individuals and families, their ability to predict the future in failing to meet them, and the extent to which the norm of reciprocity prevails in the 50 states. Measures of states' collective choices were states' per capita expenditures for public welfare, education, and health, and per capita taxes in 1980; measures of states' individual and well- or ill-being, or social malaise, were states' teenage birthrates, infant death rates, and suicide rates. Taken into account as antecedent and intervening variables were age, gender, and racial composition, income distribution, marital, socioeconomic, and employment status of states' populations, and attitudes toward public spending. The findings show that higher state expenditures for public welfare and for education indeed contribute to individual and family well-being as measured by lower state rates of suicide and teenage births. States per capita spending for education, which together with state per capita spending for public welfare was a positive predictor of school completion rates and positively associated with states' income level, accounted for almost all of the variance in states' per capita taxes. State spending for public welfare was not a predictor of state per capita taxes. These findings are cause for considerable concern given the reduced role of the federal government in human affairs, particularly in states whose choices violate the assumptions underlying exchange and choice theories and the norm of reciprocity which says that people should help, not hurt, others.

  11. Mapping of radio frequency electromagnetic field exposure levels in outdoor environment and comparing with reference levels for general public health.

    Science.gov (United States)

    Cansiz, Mustafa; Abbasov, Teymuraz; Kurt, M Bahattin; Celik, A Recai

    2018-03-01

    In this study, radio frequency electromagnetic field exposure levels were measured on the main streets in the city center of Diyarbakır, Turkey. Measured electric field levels were plotted on satellite imagery of Diyarbakır and were compared with exposure guidelines published by the International Commission on Non-Ionizing Radiation Protection (ICNIRP). Exposure measurements were performed in dense urban, urban and suburban areas each day for 7 consecutive days. The measurement system consisted of high precision and portable spectrum analyzer, three-axis electric field antenna, connection cable and a laptop which was used to record the measurement samples as a data logger. The highest exposure levels were detected for two places, which are called Diclekent and Batıkent. It was observed that the highest instantaneous electric field strength value for Batıkent was 7.18 V/m and for Diclekent was 5.81 V/m. It was statistically determined that the main contributor band to the total exposure levels was Universal Mobile Telecommunications System band. Finally, it was concluded that all measured exposure levels were lower than the reference levels recommended by ICNIRP for general public health.

  12. Uncovering High-Level Corruption: Cross-National Objective Corruption Risk Indicators Using Public Procurement Data

    OpenAIRE

    Fazekas, Mihaly; Kocsis, G

    2017-01-01

    Measuring high-level corruption is subject to extensive scholarly and policy interest, which has achieved moderate progress in the last decade. This article develops two objective proxy measures of high-level corruption in public procurement: single bidding in competitive markets and a composite score of tendering ‘red flags’. Using official government data on 2.8 million contracts in twenty-eight European countries in 2009–14, we directly operationalize a common definition of corruption: unj...

  13. Gender Differences in Public and Private Drinking Contexts: A Multi-Level GENACIS Analysis

    Directory of Open Access Journals (Sweden)

    Jason C. Bond

    2010-05-01

    Full Text Available This multi-national study hypothesized that higher levels of country-level gender equality would predict smaller differences in the frequency of women’s compared to men’s drinking in public (like bars and restaurants settings and possibly private (home or party settings. GENACIS project survey data with drinking contexts included 22 countries in Europe (8; the Americas (7; Asia (3; Australasia (2, and Africa (2, analyzed using hierarchical linear models (individuals nested within country. Age, gender and marital status were individual predictors; country-level gender equality as well as equality in economic participation, education, and political participation, and reproductive autonomy and context of violence against women measures were country-level variables. In separate models, more reproductive autonomy, economic participation, and educational attainment and less violence against women predicted smaller differences in drinking in public settings. Once controlling for country-level economic status, only equality in economic participation predicted the size of the gender difference. Most country-level variables did not explain the gender difference in frequency of drinking in private settings. Where gender equality predicted this difference, the direction of the findings was opposite from the direction in public settings, with more equality predicting a larger gender difference, although this relationship was no longer significant after controlling for country-level economic status. Findings suggest that country-level gender equality may influence gender differences in drinking. However, the effects of gender equality on drinking may depend on the specific alcohol measure, in this case drinking context, as well as on the aspect of gender equality considered. Similar studies that use only global measures of gender equality may miss key relationships. We consider potential implications for alcohol related consequences, policy and public

  14. Gender differences in public and private drinking contexts: a multi-level GENACIS analysis.

    Science.gov (United States)

    Bond, Jason C; Roberts, Sarah C M; Greenfield, Thomas K; Korcha, Rachael; Ye, Yu; Nayak, Madhabika B

    2010-05-01

    This multi-national study hypothesized that higher levels of country-level gender equality would predict smaller differences in the frequency of women's compared to men's drinking in public (like bars and restaurants) settings and possibly private (home or party) settings. GENACIS project survey data with drinking contexts included 22 countries in Europe (8); the Americas (7); Asia (3); Australasia (2), and Africa (2), analyzed using hierarchical linear models (individuals nested within country). Age, gender and marital status were individual predictors; country-level gender equality as well as equality in economic participation, education, and political participation, and reproductive autonomy and context of violence against women measures were country-level variables. In separate models, more reproductive autonomy, economic participation, and educational attainment and less violence against women predicted smaller differences in drinking in public settings. Once controlling for country-level economic status, only equality in economic participation predicted the size of the gender difference. Most country-level variables did not explain the gender difference in frequency of drinking in private settings. Where gender equality predicted this difference, the direction of the findings was opposite from the direction in public settings, with more equality predicting a larger gender difference, although this relationship was no longer significant after controlling for country-level economic status. Findings suggest that country-level gender equality may influence gender differences in drinking. However, the effects of gender equality on drinking may depend on the specific alcohol measure, in this case drinking context, as well as on the aspect of gender equality considered. Similar studies that use only global measures of gender equality may miss key relationships. We consider potential implications for alcohol related consequences, policy and public health.

  15. Factors driving public tolerance levels and information-seeking behaviour concerning insects in the household environment

    NARCIS (Netherlands)

    Schoelitsz, Bruce; Poortvliet, P.M.; Takken, Willem

    2018-01-01

    BACKGROUND: The public's negative attitudes towards household insects drive tolerance for these insects and their control. Tolerance levels are important in integrated pest management (IPM), as are pest knowledge and information. The risk information seeking and processing (RISP) model describes the

  16. Networking and Managers' Career Success in the Malaysian Public Sector: The Moderating Effect of Managerial Level

    Science.gov (United States)

    Rasdi, Roziah Mohd; Garavan, Thomas N.; Ismail, Maimunah

    2012-01-01

    Purpose: The purpose of this paper is to investigate how managerial level moderates the relationships between networking behaviours and career success (objective and subjective) in the context of a public sector organisation in Malaysia. Design/methodology/approach: The study utilised a cross-sectional design and investigated these relationships…

  17. The dark sides of public service motivation: A multi-level theoretical framework

    NARCIS (Netherlands)

    Schott, C.; Ritz, Adrian

    2017-01-01

    Over the past decade, research on public service motivation (PSM) has made substantial progress in terms of explaining the desired work outcomes of the concept such as individual performance and satisfaction. In light of Perry and Wise’s warning, already voiced in 1990, that high levels of PSM may

  18. Most Common Publication Types in Radiology Journals:: What is the Level of Evidence?

    Science.gov (United States)

    Rosenkrantz, Andrew B; Pinnamaneni, Niveditha; Babb, James S; Doshi, Ankur M

    2016-05-01

    This study aimed to assess the most common publication types in radiology journals, as well as temporal trends and association with citation frequency. PubMed was searched to extract all published articles having the following "Publication Type" indices: "validation studies," "meta-analysis," "clinical trial," "comparative study," "evaluation study," "guideline," "multicenter study," "randomized study," "review," "editorial," "case report," and "technical report." The percentage of articles within each category published within clinical radiology journals was computed. Normalized percentages for each category were also computed on an annual basis. Citation counts within a 2-year window following publication were obtained using Web of Science. Overall trends were assessed. Publication types with the highest fraction in radiology journals were technical reports, evaluation studies, and case reports (4.8% to 5.8%). Publication types with the lowest fraction in radiology journals were randomized trials, multicenter studies, and meta-analyses (0.8% to 1.5%). Case reports showed a significant decrease since 1999, with accelerating decline since 2007 (P = 0.002). Publication types with highest citation counts were meta-analyses, guidelines, and multicenter studies (8.1 ± 10.7 to 12.9 ± 5.1). Publication types with lowest citation counts were case reports, editorials, and technical reports (1.4 ± 2.4 to 2.9 ± 4.3). The representation in radiology journals and citation frequency of the publication types showed weak inverse correlation (r = -0.372). Radiology journals have historically had relatively greater representation of less frequently cited publication types. Various strategies, including methodological training, multidisciplinary collaboration, national support networks, as well as encouragement of higher level of evidence by funding agencies and radiology journals themselves, are warranted to improve the impact of radiological research

  19. 41 CFR 102-79.65 - May Executive agencies outlease space on major public access levels, courtyards and rooftops of...

    Science.gov (United States)

    2010-07-01

    ... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false May Executive agencies outlease space on major public access levels, courtyards and rooftops of public buildings? 102-79.65... Utilization of Space Outleasing § 102-79.65 May Executive agencies outlease space on major public access...

  20. Evolution of global contribution in multi-level threshold public goods games with insurance compensation

    Science.gov (United States)

    Du, Jinming; Tang, Lixin

    2018-01-01

    Understanding voluntary contribution in threshold public goods games has important practical implications. To improve contributions and provision frequency, free-rider problem and assurance problem should be solved. Insurance could play a significant, but largely unrecognized, role in facilitating a contribution to provision of public goods through providing insurance compensation against the losses. In this paper, we study how insurance compensation mechanism affects individuals’ decision-making under risk environments. We propose a multi-level threshold public goods game model where two kinds of public goods games (local and global) are considered. Particularly, the global public goods game involves a threshold, which is related to the safety of all the players. We theoretically probe the evolution of contributions of different levels and free-riders, and focus on the influence of the insurance on the global contribution. We explore, in both the cases, the scenarios that only global contributors could buy insurance and all the players could. It is found that with greater insurance compensation, especially under high collective risks, players are more likely to contribute globally when only global contributors are insured. On the other hand, global contribution could be promoted if a premium discount is given to global contributors when everyone buys insurance.

  1. Lithium levels in the public drinking water supply and risk of suicide: A pilot study.

    Science.gov (United States)

    Liaugaudaite, Vilma; Mickuviene, Narseta; Raskauskiene, Nijole; Naginiene, Rima; Sher, Leo

    2017-09-01

    Suicide is a major public health concern affecting both the society and family life. There are data indicating that higher level lithium intake with drinking water is associated with lower suicide rate. This pilot study examined the relationship between lithium levels in drinking water and suicide rates in Lithuania. Twenty-two samples from public drinking water systems were taken in 9 cities of Lithuania. The lithium concentration in these samples was determined by inductively coupled plasma mass spectrometry (ICP-MS). The suicide data were obtained from the Lithuania Database of Health Indicators, and comprised all registered suicides across all ages and gender within the 5-year period from 2009 to 2013. The study demonstrated an inverse correlation between levels of lithium (log natural transformed), number of women for 1000 men and standardized mortality rate for suicide among total study population. After adjusting for confounder (the number of women for 1000 men), the lithium level remained statistically significant in men, but not in women. Our study suggested that higher levels of lithium in public drinking water are associated with lower suicide rates in men. It might have a protective effect on the risk of suicide in men. Copyright © 2017 The Authors. Published by Elsevier GmbH.. All rights reserved.

  2. Siting a low-level radioactive waste incinerator in North Carolina: the impacts of public opposition

    International Nuclear Information System (INIS)

    Miller, E.M.

    1987-01-01

    Establishing low-level radioactive waste (LLRW) facilities has become increasingly difficult due to public opposition to siting proposals. Widespread opposition to siting new waste management facilities of all types has focused sharp attention on the technical, political, and socioeconomic problems associated with siting controversial, but necessary facilities. This paper reviews a recent private sector initiative to site a LLRW incinerator in Bladen County, NC. Public reactions to the proposed facility are documents, as well as reasons for public opposition to the facility. The impacts of public opposition on the siting process, regulatory agencies, the media, industry, the general public, and elected officials are examined. The paper points out how public opposition to proposed waste management facilities may have both positive and negative impacts on the long-term management of LLRW. In doing so, the paper addresses policy questions, processes, and perceptions that will shape the debate over the development and location of new treatment and disposal facilities for managing LLRW. 14 references

  3. Low and intermediate level waste repositories: Socioeconomic aspects and public involvement. Proceedings of a workshop

    International Nuclear Information System (INIS)

    2007-06-01

    Waste management facilities are needed to protect the environment and improve public health for the long term future. One significant challenge is to inform the public on the relative hazards of radioactive waste compared to other hazards in our modern society and to get the acceptance of the appropriate members of the public for these necessary facilities. Over the entire life cycle of these facilities, the projects must be managed without expending a disproportionate share of the collective resources. Public involvement plays a key role and the sophisticated and extensive public education systems that exist provide a vital service to gain public acceptance. There is a full range of compensation and benefit programmes used as incentives for hosting a LILW facility. Even if exemptions exist the experience in most countries indicate the direct/indirect incentives as a necessary part of gaining public acceptance. The countries, regions and local communities have their own established processes to make public decisions. Each organization developing a site must select and implement the methods that are acceptable within their framework of laws and regulations. A three day workshop on socio-economic issues and public involvement practices and approaches for developing and operating repositories for low and intermediate level waste took place in the IAEA headquarters on 9-11 November 2005. The workshop provided a forum where experts from Member States shared their experiences in non-technical aspects of planning, licensing and operating LILW disposal facilities. Description of both principles and practices applied in particular countries provides a useful overview of potential approaches in application of non-technical issues during a repository lifecycle. Participants presented approaches and practices applied in their countries, established new contacts and were able to take advantage of activities and experiences from abroad. There were 25 interesting presentations

  4. Composition and sources of particles in Mannerheimintie during exceedance days of PM{sub 10} limit value in 2009; Hiukkasten koostumus ja laehteet Mannerheimintiellae PM{sub 10}-raja-arvon ylityspaeivinae 2009

    Energy Technology Data Exchange (ETDEWEB)

    Kupiainen, K.; Stojiljkovic, A.; Ritola, R. (Nordic Envicon Oy, Helsinki (Finland))

    2011-06-15

    The purpose of the work was to determine sources of thoracic particles (PM{sub 10}) in the center of Helsinki, in Mannerheimintie, in 2009 during the days when the daily average concentration of PM{sub 10} exceeded 50 mug/m3. Work was commissioned by the Helsinki City Public Works department, the Helsinki Environment Centre and the Helsinki Region Environmental Services Authority HSY (formerly YTV). By the end of the year there were altogether 30 exceedance days. The allowed number of exceedance days per year is 35, so the limit value was not exceeded in 2009. HSY is responsible for monitoring the air quality in the Helsinki metropolitan area. The PM{sub 10} monitoring data in combination with electron microscopy based single particle compositional analysis and receptor modeling was used to evaluate dust source contributions on the exceedance days at HSY's air quality monitoring station in Mannerheimintie. Dust sources related to traction control (winter maintenance and pavement wear by studded tyres) contributed most to the PM{sub 10} concentrations in Mannerheimintie. On 12 exceeding days this group accounted for more than 50 % of PM{sub 10} particles, on 3 days the group alone was sufficient to cause the exceedance. On 3 of the exceedance days long-range transboundary air pollution or traffic exhaust emissions were on the same level with the traction control sources. On 11 days the most significant impact came from construction sites. (orig.)

  5. Public administration of quality of education at the local level on the foundation of the competence approach

    Directory of Open Access Journals (Sweden)

    O. I. Popova

    2014-04-01

    Full Text Available The article deals with the essence of the phenomenon of management, reveals the meaning of science categories of public administration, of public administration of education and public administration of quality of education at the local level. Personnel factor identifies priority in improving of public administration of quality of education at the local level, the importance of the implementation of the competence approach to management education sector as a necessary condition to ensure the quality of education.

  6. Study on generic intervention levels for protecting the public in a nuclear accident or radiological emergency

    International Nuclear Information System (INIS)

    Suzuki, Fabio Fumio

    2003-01-01

    After a nuclear accident or radiological emergency, several social and economical factors shall be considered for the actions to protect the public and to recover the environment. The application of the radiological protection principles on practices in intervention situations may lead to adoption of protective measures disproportional to the involved risk, compromising the resources available to more effective actions. This causes a negative impact on the population and may conduct to discredit about the protective measures and the lost of confidence on the authorities. In this context, the principles of radiological protection for interventions should be studied and analyzed for being adequately applied in accident situations or radiological emergencies that involves the country. These principles are constantly improved and the concept of generic intervention level plays an important role in the decision-making to protect the public. The costs involved to the protective measures for the public in Brazil were studied and cost benefit analysis techniques were applied to estimate the generic intervention levels for public protection applicable in the country. These results were compared to those values internationally recommended, as well to values obtained in a similar study accomplished for Japan. It was also performed a sensibility analysis of the results regarding a value and a simple analysis of the results considering the costs of the several protective measures. (author)

  7. What evidence and support do state-level public health practitioners need to address obesity prevention.

    Science.gov (United States)

    Leeman, Jennifer; Teal, Randall; Jernigan, Jan; Reed, Jenica Huddleston; Farris, Rosanne; Ammerman, Alice

    2014-01-01

    Obesity has reached epidemic proportions. Public health practitioners are distinctly positioned to promote the environmental changes essential to addressing obesity. The Centers for Disease Control and Prevention (CDC) and other entities provide evidence and technical assistance to support this work, yet little is known about how practitioners use evidence and support as they intervene to prevent obesity. The study's purpose was to describe how practitioners and CDC project officers characterized the obesity prevention task, where practitioners accessed support and evidence, and what approaches to support and evidence they found most useful. APPROACH OR DESIGN: Mixed-methods, cross-sectional interviews, and survey. State-level public health obesity prevention programs. Public health practitioners and CDC project officers. We conducted 10 in-depth interviews with public health practitioners (n = 7) and project officers (n = 3) followed by an online survey completed by 62 practitioners (50% response rate). We applied content analysis to interview data and descriptive statistics to survey data. Practitioners characterized obesity prevention as uncertain and complex, involving interdependence among actors, multiple levels of activity, an excess of information, and a paucity of evidence. Survey findings provide further detail on the types of evidence and support practitioners used and valued. We recommend approaches to tailoring evidence and support to the needs of practitioners working on obesity prevention and other complex health problems.

  8. Sociology, Street-Level Bureaucracy, and the Management of the Public Sector

    OpenAIRE

    Piore, Michael J.

    2011-01-01

    This article extends the concept of street-level bureaucracy to address the problem of the inflexibility and rigidity of governmental rules and regulations, a problem at the heart of the standard economic argument against an active government role in the management of the economy. In so doing, it seeks to create a conceptual bridge over which a range of social science disciplines can be drawn into the debate about public sector management and thereby expand the repertoire of policy tools. The...

  9. DO PUBLIC AND PRIVATE DEBT LEVELS AFFECT THE SIZE OF FISCAL MULTIPLIERS?

    Directory of Open Access Journals (Sweden)

    Chairul Adi

    2017-09-01

    Full Text Available This paper investigates the effectiveness of fiscal policies – as measured by the impact and cumulative multipliers – and how they interact with public and private debt. Harnessing the moderated panel regression approach, based on the yearly data set of several economies during the period from 1996 to 2012, the analysis is focused on the impact of spending-and-revenue-based fiscal policies on economic growth and how these fiscal instruments interact with public and private indebtedness. The result of spending stimuli advocates the basic Keynesian theory. An increase in public expenditures contemporaneously generates a positive multiplier, of around 0.29 – 0.44 and around 0.45 – 0.58 during two years. Decomposing the expenditures into their elements, this paper documents a stronger impact from public investment than that from government purchases. On the other hand, the revenue stimuli seem to follow the Ricardian Equivalence Hypothesis (REH, arguing that current tax cuts are inconsequential. The impact and cumulative multipliers for this fiscal instrument have mixed results, ranging from -0.21 to 0.05 and -0.26 to 0.06, respectively. Moreover, no robust evidence is found to support the argument that government debt moderates the effectiveness of fiscal policies. The size of the multipliers for both spending and revenue policies remain constant with the level of public debt. On the other hand, private debt appears to show a statistically significant moderating effect on spending stimuli. Its impact on spending multipliers, however, is economically insignificant. The moderation effect of private debt on the revenue stimuli does not seem to exist. Finally, this paper documents that both public and private debt exhibit a negative and statistically significant estimation for economic output.

  10. Turning point: the Robert Wood Johnson Foundation's effort to revitalize public health at the state level.

    Science.gov (United States)

    Hassmiller, Susan

    2002-01-01

    The Robert Wood Johnson (RWJ) Foundation initiated Turning Point in collaboration with the W.K. Kellogg Foundation (Kellogg) in 1997. The purpose of this major national initiative was to strengthen the public health infrastructure in the United States so that states, local communities, and their public health agencies might respond to the challenge to protect and improve the public's health in the 21st century. RWJ funded 21 states and Kellogg funded 43 communities to work together to create a new way of thinking about how health could be improved and who should be involved. Although the ultimate outcome was to improve health, both foundations expected diverse partnerships to work together to create strategic health improvement plans at both the community and state levels. The foundations funded a variety of strategies within those health improvement plans during an implementation phase. The premise in funding partnerships, as opposed to a single entity, was that effective public health systems would be developed best through a shared responsibility (including the private sector) for the health of a community.

  11. The effects of media on the level of accountability of public organization

    Directory of Open Access Journals (Sweden)

    Mehrdad Matani

    2014-09-01

    Full Text Available One of the features of democratic political systems is the accountability against their own performances. Media, one of the powerful elements of civil society and effectual on public thought, plays an important role in making the government responsive. To achieve this goal, the present study tries to investigate the effect of media on the improvement of the accountability level of the government agencies. The statistical society of this research includes all male students of Azad Ghaemshahr University where 320 students were selected through purposive sampling method based on Kerjesy and Morgan table. Applied research method is used in this survey. A researcher-made questionnaire was used to collect the required data. In order to validate the instrument, appropriate questions related to each variable were extracted from valid sources and finally approved by authorities. In order to calculate the reliability of the questionnaire, Cronbach’s alpha was calculated to be 89. Since the distribution of the data was normal, parametric statistical tests were used to testify the hypotheses. The findings of the study show that the media could be effective in terms of making public organizations responsive, through leading and training the public, unifying demands, and monitoring and broadcasting. However, the findings reveal that if the media were free and independent, they would better perform their responsibilities. Finally, the study at hand concludes that in comparison to other media, television is much more powerful in terms of pushing the public sector to be responsive.

  12. ATRF Earns Three Green Globes, Exceeds NIH Building Standards | Poster

    Science.gov (United States)

    By Ashley DeVine, Staff Writer From project management and energy and water efficiency to emissions and the indoor environment, the Advanced Technology Research Facility (ATRF) was built with sustainability in mind, exceeding the National Institutes of Health’s (NIH’s) building standards and earning three Green Globes from the Green Building Initiative (GBI).

  13. Publicity.

    Science.gov (United States)

    Chisholm, Joan

    Publicity for preschool cooperatives is described. Publicity helps produce financial support for preschool cooperatives. It may take the form of posters, brochures, newsletters, open house, newspaper coverage, and radio and television. Word of mouth and general good will in the community are the best avenues of publicity that a cooperative nursery…

  14. A structural model analysis of public opposition to a high-level radioactive waste facility

    International Nuclear Information System (INIS)

    Flynn, J.; Mertz, C.K.; Slovic, P.; Burns, W.

    1991-09-01

    Studies show that most Nevada residents and almost all state officials oppose the proposed high-level radioactive waste repository project at Yucca Mountain. Surveys of the public show that individual citizens view the Yucca Mountain repository as having high risk; nuclear experts, in contrast, believe the risks are very low. Policy analysts have suggested that public risk perceptions may be reduced by better program management, increased trust in the federal government, and increased economic benefits for accepting a repository. The model developed in this study is designed to examine the relationship between public perceptions of risk, trust in risk management, and potential economic impacts of the current repository program using a confirmatory multivariate method known as covariance structure analysis. The results indicate that perceptions of potential economic gains have little relationship to opposition to the repository. On the other hand, risk perceptions and the level of trust in repository management are closely related to each other and to opposition. The impacts of risk perception and trust in management on opposition to the repository result from a combination of their direct influences as well as their indirect influences operating through perceptions that the repository would have serious negative impacts on the state's economy due to stigmatization and reduced tourism

  15. Public involvement in multi-objective water level regulation development projects-evaluating the applicability of public involvement methods

    International Nuclear Information System (INIS)

    Vaentaenen, Ari; Marttunen, Mika

    2005-01-01

    Public involvement is a process that involves the public in the decision making of an organization, for example a municipality or a corporation. It has developed into a widely accepted and recommended policy in environment altering projects. The EU Water Framework Directive (WFD) took force in 2000 and stresses the importance of public involvement in composing river basin management plans. Therefore, the need to develop public involvement methods for different situations and circumstances is evident. This paper describes how various public involvement methods have been applied in a development project involving the most heavily regulated lake in Finland. The objective of the project was to assess the positive and negative impacts of regulation and to find possibilities for alleviating the adverse impacts on recreational use and the aquatic ecosystem. An exceptional effort was made towards public involvement, which was closely connected to planning and decision making. The applied methods were (1) steering group work, (2) survey, (3) dialogue, (4) theme interviews, (5) public meeting and (6) workshops. The information gathered using these methods was utilized in different stages of the project, e.g., in identifying the regulation impacts, comparing alternatives and compiling the recommendations for regulation development. After describing our case and the results from the applied public involvement methods, we will discuss our experiences and the feedback from the public. We will also critically evaluate our own success in coping with public involvement challenges. In addition to that, we present general recommendations for dealing with these problematic issues based on our experiences, which provide new insights for applying various public involvement methods in multi-objective decision making projects

  16. OCRWM [Office of Civilian Radioactive Waste Management] publications catalog on high-level radioactive waste management

    International Nuclear Information System (INIS)

    1987-07-01

    The US Department of Energy's (DOE's) Office of Civilian Radioactive Waste Management (OCRWM) is publishing this catalog to provide citations of selected technical and public information on the subject of high-level radioactive waste management. The catalog is a resource and reference tool. It will be updated and printed annually. The online catalog will be available for review through OCRWM's Product Record System (PRS) and can eventually be made available to the public. The printed catalog version is suitable for libraries and those individuals needing either a broad base of information or a particular source; the computerized catalog version provides the most current information resources available, since updates to citations will be made as they are received. The number of documents suitable for listing in this catalog is expected to grow significantly each year

  17. Colombia - National Level Public Financial Management and Procurement Report : Status of the Public Financial Management and Procurement System

    OpenAIRE

    World Bank; Inter-American Development Bank

    2009-01-01

    This Public Financial Management Performance Report (PFMPR) analyzes the performance of Colombia's public financial management (PFM) institutions, systems and processes. It documents areas where performance is close to or follows international good practice, as well as opportunities to further enhance PFM contribution to the goals of strengthening fiscal discipline, enabling more efficient...

  18. Colombia - National Level Public Financial Management and Procurement Report : Status of the Colombian Public procurement System - OECD Methodology

    OpenAIRE

    World Bank

    2009-01-01

    This Public Financial Management Performance Report (PFMPR) analyzes the performance of Colombia's public financial management (PFM) institutions, systems and processes. It documents areas where performance is close to or follows international good practice, as well as opportunities to further enhance PFM contribution to the goals of strengthening fiscal discipline, enabling more efficient...

  19. Effect of public transport strikes on air pollution levels in Barcelona (Spain).

    Science.gov (United States)

    Basagaña, Xavier; Triguero-Mas, Margarita; Agis, David; Pérez, Noemí; Reche, Cristina; Alastuey, Andrés; Querol, Xavier

    2018-01-01

    Public transport strikes can lead to an increase of the number of private vehicle trips, which in turn can increase air pollution levels. We aimed to estimate the change in air pollution concentrations during public transport strikes in the city of Barcelona (Spain). Data on strikes of the metro, train or bus systems were collected from government records (2005-2016). We collected daily concentrations of NOx; particulate matter with an aerodynamic diameter smaller than 10μm (PM10), 2.5μm (PM2.5), and 1μm (PM1); particle number concentration (N); black carbon (BC) and CO from research and official monitoring stations. We fitted linear regression models for each pollutant with the strike indicator as an independent variable, and models were adjusted for day of the week, month, year, and holiday periods. During the study period, there were 208days affected by a strike of the metro (28), train (106) or bus (91) systems. Half of the strikes were partial, most of them were single-day strikes, there was little overlap between strikes of the different transport systems, and all strikes had to comply with mandatory minimal services. When pooling all types of strikes, NOx and BC showed higher levels during strike days in comparison with non-strike days (increase between 4.1% and 7.7%, with higher increases for NO). The increases in these concentrations were more evident during full day and multiday metro strikes. In conclusion, alterations in public transport have consequences on air quality. This highlights the importance of public transport in reducing air pollution concentrations in cities. Copyright © 2017 Elsevier B.V. All rights reserved.

  20. Performance of the Public Expenditure Management at Local Level in Romania

    Directory of Open Access Journals (Sweden)

    Ani MATEI

    2008-06-01

    Full Text Available The current paper aims to analyze the performance of the public expenditure management based on the decrease of the administrative costs. The paper is grounded on the following premises: (1 Romania as an EU Member State is under a continuous process to harmonize its legislation with the EU legislation. (2 The integration of Romania in EU in 2007 has determined a significant change in the administrative expenditure amount. (3 Strengthening local autonomy through the decentralization and the devolution processes emphasizes clearer the need for improving the performance of the expenditure management at local level. (4 Internal order, flows of communication and transfer, synergy of the governance system assume administrative expenditure that can be determined. (5 The performance of public organizations in managing local governance issues depends directly also on the administrative expenditure level**. [** Paper accepted to be presented at the Fourth TransAtlantic Dialogue “The Status of Inter-Governmental Relations and Multi-Level Governance in Europe and the US”, Workshop 5: “Performance measurement and accountability in IGR-MLG”.

  1. Comparing Canadian and American cybersecurity awareness levels: Educational strategies to increase public awareness

    Science.gov (United States)

    Hoggard, Amy

    Cybersecurity awareness is an important issue that affects everyone who uses a computer or a mobile device. Canada and the United States both recognize the value of mitigating cybersecurity risks in terms of national safety, economic stability and protection of their citizens. The research performed compared the levels of cybersecurity awareness in Canadian and American Internet users. Canadian and American users were equally aware of cybersecurity measures, but were not implementing best practices to keep themselves safe. The research suggested users needed to understand why a cybersecurity measure was important before being motivated to implement it. Educational strategies were reviewed in both Canada and the United States and it was determined that although there were significant resources available, they were not being utilized by both the educators and the public. In order to increase cybersecurity awareness levels, nations should focus on increasing the public's awareness by using various types of messaging, such as cartoons, in media. One possible consideration is a compulsory awareness model before accessing the Internet. Cybersecurity topics should be included in the curriculum for students at all levels of education and a focus on providing training and resources to teachers will help increase the cybersecurity knowledge of children and youth.

  2. Estimating the exceedance probability of rain rate by logistic regression

    Science.gov (United States)

    Chiu, Long S.; Kedem, Benjamin

    1990-01-01

    Recent studies have shown that the fraction of an area with rain intensity above a fixed threshold is highly correlated with the area-averaged rain rate. To estimate the fractional rainy area, a logistic regression model, which estimates the conditional probability that rain rate over an area exceeds a fixed threshold given the values of related covariates, is developed. The problem of dependency in the data in the estimation procedure is bypassed by the method of partial likelihood. Analyses of simulated scanning multichannel microwave radiometer and observed electrically scanning microwave radiometer data during the Global Atlantic Tropical Experiment period show that the use of logistic regression in pixel classification is superior to multiple regression in predicting whether rain rate at each pixel exceeds a given threshold, even in the presence of noisy data. The potential of the logistic regression technique in satellite rain rate estimation is discussed.

  3. Do Physical Proximity and Availability of Adequate Infrastructure at Public Health Facility Increase Institutional Delivery? A Three Level Hierarchical Model Approach.

    Science.gov (United States)

    Patel, Rachana; Ladusingh, Laishram

    2015-01-01

    This study aims to examine the inter-district and inter-village variation of utilization of health services for institutional births in EAG states in presence of rural health program and availability of infrastructures. District Level Household Survey-III (2007-08) data on delivery care and facility information was used for the purpose. Bivariate results examined the utilization pattern by states in presence of correlates of women related while a three-level hierarchical multilevel model illustrates the effect of accessibility, availability of health facility and community health program variables on the utilization of health services for institutional births. The study found a satisfactory improvement in state Rajasthan, Madhya Pradesh and Orissa, importantly, in Bihar and Uttaranchal. The study showed that increasing distance from health facility discouraged institutional births and there was a rapid decline of more than 50% for institutional delivery as the distance to public health facility exceeded 10 km. Additionally, skilled female health worker (ANM) and observed improved public health facility led to significantly increase the probability of utilization as compared to non-skilled ANM and not-improved health centers. Adequacy of essential equipment/laboratory services required for maternal care significantly encouraged deliveries at public health facility. District/village variables neighborhood poverty was negatively related to institutional delivery while higher education levels in the village and women's residing in more urbanized districts increased the utilization. "Inter-district" variation was 14 percent whereas "between-villages" variation for the utilization was 11 percent variation once controlled for all the three-level variables in the model. This study suggests that the mere availability of health facilities is necessary but not sufficient condition to promote utilization until the quality of service is inadequate and inaccessible considering

  4. Do Physical Proximity and Availability of Adequate Infrastructure at Public Health Facility Increase Institutional Delivery? A Three Level Hierarchical Model Approach.

    Directory of Open Access Journals (Sweden)

    Rachana Patel

    Full Text Available This study aims to examine the inter-district and inter-village variation of utilization of health services for institutional births in EAG states in presence of rural health program and availability of infrastructures. District Level Household Survey-III (2007-08 data on delivery care and facility information was used for the purpose. Bivariate results examined the utilization pattern by states in presence of correlates of women related while a three-level hierarchical multilevel model illustrates the effect of accessibility, availability of health facility and community health program variables on the utilization of health services for institutional births. The study found a satisfactory improvement in state Rajasthan, Madhya Pradesh and Orissa, importantly, in Bihar and Uttaranchal. The study showed that increasing distance from health facility discouraged institutional births and there was a rapid decline of more than 50% for institutional delivery as the distance to public health facility exceeded 10 km. Additionally, skilled female health worker (ANM and observed improved public health facility led to significantly increase the probability of utilization as compared to non-skilled ANM and not-improved health centers. Adequacy of essential equipment/laboratory services required for maternal care significantly encouraged deliveries at public health facility. District/village variables neighborhood poverty was negatively related to institutional delivery while higher education levels in the village and women's residing in more urbanized districts increased the utilization. "Inter-district" variation was 14 percent whereas "between-villages" variation for the utilization was 11 percent variation once controlled for all the three-level variables in the model. This study suggests that the mere availability of health facilities is necessary but not sufficient condition to promote utilization until the quality of service is inadequate and

  5. Screening-Level Safety Assessment of Personal Care Product Constituents Using Publicly Available Data

    Directory of Open Access Journals (Sweden)

    Ernest S. Fung

    2018-06-01

    Full Text Available Organizations recommend evaluating individual ingredients when assessing the safety of personal care or cosmetic products. The goal of this study was to present a screening-level safety assessment methodology to evaluate the safety of a product by identifying individual ingredients, determining their frequency of use in on-market products, and examining published safe-level-of-use information for each ingredient. As a case study, we evaluated WEN by Chaz Dean (WCD cleansing conditioners since there have been claims of adverse health effects associated with product use. We evaluated 30 ingredients in three on-market WCD cleansing conditioners. We then analyzed the National Library of Medicine’s Household Products Database and the Environmental Working Group’s (EWG Skin Deep Cosmetic Database, two of the largest publicly available databases, for other on-market personal care and cosmetic products that contained these ingredients. Safe-level-of-use information for each ingredient was obtained by reviewing peer-reviewed literature, the Food and Drug Administration’s (FDA generally recognized as safe (GRAS database, available Cosmetic Ingredient Review (CIR publications, and available product safety publications. The results of this analysis showed that more than 20,000 personal care and cosmetic products contained one or more of the evaluated ingredients used in WCD cleaning conditioners. Published safety information was available for 21 of the 30 evaluated ingredients: seven identified ingredients were designated as GRAS by the FDA and 16 ingredients had safe-level-of-use information available from the CIR. This study presents a screening-level safety assessment methodology that can serve as an initial screening tool to evaluate the safety of an ingredient intended for use in personal care and cosmetic products before a product is launched onto the market. This study provides evidence that the evaluated WCD cleansing conditioner ingredients

  6. Examining public open spaces by neighborhood-level walkability and deprivation.

    Science.gov (United States)

    Badland, Hannah M; Keam, Rosanna; Witten, Karen; Kearns, Robin

    2010-11-01

    Public open spaces (POS) are recognized as important to promote physical activity engagement. However, it is unclear how POS attributes, such as activities available, environmental quality, amenities present, and safety, are associated with neighborhood-level walkability and deprivation. Twelve neighborhoods were selected within 1 constituent city of Auckland, New Zealand based on higher (n = 6) or lower (n = 6) walkability characteristics. Neighborhoods were dichotomized as more (n = 7) or less (n = 5) socioeconomically deprived. POS (n = 69) were identified within these neighborhoods and audited using the New Zealand-Public Open Space Tool. Unpaired 1-way analysis of variance tests were applied to compare differences in attributes and overall score of POS by neighborhood walkability and deprivation. POS located in more walkable neighborhoods have significantly higher overall scores when compared with less walkable neighborhoods. Deprivation comparisons identified POS located in less deprived communities have better quality environments, but fewer activities and safety features present when compared with more deprived neighborhoods. A positive relationship existed between presence of POS attributes and neighborhood walkability, but the relationship between POS and neighborhood-level deprivation was less clear. Variation in neighborhood POS quality alone is unlikely to explain poorer health outcomes for residents in more deprived areas.

  7. Development of the Teacher Candidates’ Level of being Affected from Public Personnel Selection Examination Scale

    Directory of Open Access Journals (Sweden)

    Fatma SUSAR KIRMIZI

    2016-07-01

    Full Text Available This study aimed to develop a scale to evaluate teacher candidates' level of being affected from the public personnel selection examination. The participants of the study consisted of the final year students at Pamukkale University Education Faculty. The participants were 207 teacher candidates, of whom 143 were female and 64 were male. The validity and reliability study of the scale was conducted on the data gathered from teacher candidates studying at Art Teaching, Music Teaching, Turkish Language Teaching, Social Studies Education, Science Teaching, Psychological Counseling and Guidance Education, Elementary Education and Preschool Education departments of Pamukkale University Education Faculty. The Lawshe technique was used in the evaluation of the scale by experts. To determine the construct validity, factor analysis was performed on the data, and two sub-scales were identified. The factor loading values of the items in the first sub-scale ranged between 0,65 and 0,35, and those in the second sub-scale between 0,75 and 0,39. As a result of the analyses, the "Teacher Candidates' Level of Being Affected From Public Personnel Selection Examination Scale" (TCLBAPPSES including 33 items, 23 negative and 10 positive, and two sub-scales was produced. The Cronbach's Alpha reliability coefficient was found as 0,86 for the first sub-dimension, 0,73 for the second sub-dimension, and 0,91 for the whole scale. As a result, it can be argued that the scale is reliable

  8. Preconception healthcare delivery at a population level: construction of public health models of preconception care.

    Science.gov (United States)

    Shannon, Geordan D; Alberg, Corinna; Nacul, Luis; Pashayan, Nora

    2014-08-01

    A key challenge of preconception healthcare is identifying how it can best be delivered at a population level. To review current strategies of preconception healthcare, explore methods of preconception healthcare delivery, and develop public health models which reflect different preconception healthcare pathways. Preconception care strategies, programmes and evaluations were identified through a review of Medline and Embase databases. Search terms included: preconception, pre-pregnancy, intervention, primary care, healthcare, model, delivery, program, prevention, trial, effectiveness, congenital disorders OR abnormalities, evaluation, assessment, impact. Inclusion criteria for review articles were: (1) English, (2) human subjects, (3) women of childbearing age, (4) 1980–current data, (5) all countries, (6) both high risk and universal approaches, (7) guidelines or recommendations, (8) opinion articles, (9) experimental studies. Exclusion criteria were: (1) non-human subjects, (2) non-English, (3) outside of the specified timeframe, (4) articles on male healthcare. The results of the literature review were synthesised into public health models of care: (1) primary care; (2) hospital-based and inter-conception care; (3) specific preconception care clinics; and, (4) community outreach. Fifteen evaluations of preconception care were identified. Community programmes demonstrated a significant impact on substance use, folic acid supplementation, diabetes optimization, and hyperphenylalaninemia. An ideal preconception visits entail risk screening, education, and intervention if indicated. Subsequently, four public health models were developed synthesizing preconception care delivery at a population level. Heterogeneity of risk factors, health systems and strategies of care reflect the lack of consensus about the best way to deliver preconception care. The proposed models aim to reflect differing aspects of preconception healthcare delivery.

  9. Clinical and psychosocial predictors of exceeding target length of stay during inpatient stroke rehabilitation.

    Science.gov (United States)

    Lai, Wesley; Buttineau, Mackenzie; Harvey, Jennifer K; Pucci, Rebecca A; Wong, Anna P M; Dell'Erario, Linda; Bosnyak, Stephanie; Reid, Shannon; Salbach, Nancy M

    2017-10-01

    In Ontario, Canada, patients admitted to inpatient rehabilitation hospitals post-stroke are classified into rehabilitation patient groups based on age and functional level. Clinical practice guidelines, called quality-based procedures, recommend a target length of stay (LOS) for each group. The study objective was to evaluate the extent to which patients post-stroke at an inpatient rehabilitation hospital are meeting LOS targets and to identify patient characteristics that predict exceeding target LOS. A quantitative, longitudinal study from an inpatient rehabilitation hospital was conducted. Participants included adult patients (≥18 years) with stroke, admitted to an inpatient rehabilitation hospital between 2014 and 2015. The percentage of patients exceeding the recommended target LOS was determined. Logistic regression was performed to identify clinical and psychosocial patient characteristics associated with exceeding target LOS after adjusting for stroke severity. Of 165 patients, 38.8% exceeded their target LOS. Presence of ataxia, recurrent stroke, living alone, absence of a caregiver at admission, and acquiring a caregiver during hospital LOS was each associated with significantly higher odds of exceeding target LOS in comparison to patients without these characteristics after adjusting for stroke severity (p stroke-specific factors may be helpful to adjust LOS expectations and promote efficient resource allocation. This exploratory study was limited to findings from one inpatient rehabilitation hospital. Cross-validation of results using data-sets from multiple rehabilitation hospitals across Ontario is recommended.

  10. Directions of improvement for public administration institutional structure in field of ecology at regional level

    Directory of Open Access Journals (Sweden)

    O. I. Matyushenko

    2017-06-01

    Full Text Available Based on the analysis of the organizational structure of public authorities at national and regional level involved in the process of governance in the environmental field as well as their legal security it was found that at the regional level, in regions there are different units (departments, management authorities, divisions, sectors that coordinate the process of public administration in the environmental field. In order to offer its own structure unit of state administration, to deal with environmental issues it is analyzed the organizational structures of central executive authority in the field of ecology - the Ministry of Ecology and Natural Resources of Ukraine at the national level and the organizational structures of departments / offices of Ecology and Natural Resources regional administrations respectively, at the regional level. As it is determined there is no typical structure of the regional state administration unit in Ukraine. Recognized that departments and sectors uniting at the high level is chaotic, unsystematic and apparently dictated by different reasons (financial, personal and psychological, corruption etc., not the content of (the logic of and structural accountability to senior management level. It is offered the author organizational structure for the Ecology and Natural Resources Department of Regional State Administration. It is suggested that this Department consists of three units: Department of Ecology (Department of environmental monitoring and audit department of environmental security department of planning and coordination of international projects in the environmental field; Department of Natural Resources (Department of Conservation of Natural Resources, Department of Protected Areas and Ecological Network Development, Department of Environmental Economics; Management support of the Department (Legal, Financial and Economic Division, Department of Administration Department, a department of scientific and

  11. MKEM: a Multi-level Knowledge Emergence Model for mining undiscovered public knowledge

    Directory of Open Access Journals (Sweden)

    Song Min

    2010-04-01

    Full Text Available Abstract Background Since Swanson proposed the Undiscovered Public Knowledge (UPK model, there have been many approaches to uncover UPK by mining the biomedical literature. These earlier works, however, required substantial manual intervention to reduce the number of possible connections and are mainly applied to disease-effect relation. With the advancement in biomedical science, it has become imperative to extract and combine information from multiple disjoint researches, studies and articles to infer new hypotheses and expand knowledge. Methods We propose MKEM, a Multi-level Knowledge Emergence Model, to discover implicit relationships using Natural Language Processing techniques such as Link Grammar and Ontologies such as Unified Medical Language System (UMLS MetaMap. The contribution of MKEM is as follows: First, we propose a flexible knowledge emergence model to extract implicit relationships across different levels such as molecular level for gene and protein and Phenomic level for disease and treatment. Second, we employ MetaMap for tagging biological concepts. Third, we provide an empirical and systematic approach to discover novel relationships. Results We applied our system on 5000 abstracts downloaded from PubMed database. We performed the performance evaluation as a gold standard is not yet available. Our system performed with a good precision and recall and we generated 24 hypotheses. Conclusions Our experiments show that MKEM is a powerful tool to discover hidden relationships residing in extracted entities that were represented by our Substance-Effect-Process-Disease-Body Part (SEPDB model.

  12. Factors driving public tolerance levels and information-seeking behaviour concerning insects in the household environment.

    Science.gov (United States)

    Schoelitsz, Bruce; Poortvliet, P Marijn; Takken, Willem

    2018-06-01

    The public's negative attitudes towards household insects drive tolerance for these insects and their control. Tolerance levels are important in integrated pest management (IPM), as are pest knowledge and information. The risk information seeking and processing (RISP) model describes the relationships between personal factors and information-seeking behaviour. We combined IPM and RISP to determine important relationships between factors driving insect tolerance levels and information-seeking behaviour through an online survey and tested whether this model is valid and generally applicable. Relationships between variables from both IPM and RISP models were tested for seven insect species. Tolerance levels were measured with two factors: willingness to pay for pest control and whether insects are tolerated. Willingness to pay for control was positively affected by age, experience, risk perception, insect characteristics, and negative emotions and affected behavioural intention, by influencing information sufficiency and information-seeking behaviour. Tolerability was influenced by perception of insect characteristics and determines whether control measures are taken. It was possible to combine the RISP and IPM models. Relevant driving factors were a person's age, experience, risk perception, negative affective responses, tolerance levels, relevant channel beliefs about online forums, information sufficiency and information-seeking behaviour. There was, however, variation in important factors between different insects. © 2017 The Authors. Pest Management Science published by John Wiley & Sons Ltd on behalf of Society of Chemical Industry. © 2017 The Authors. Pest Management Science published by John Wiley & Sons Ltd on behalf of Society of Chemical Industry.

  13. Quality of research and level of evidence in foot and ankle publications.

    Science.gov (United States)

    Barske, Heather L; Baumhauer, Judith

    2012-01-01

    The quality of research and evidence to support medical treatments is under scrutiny from the medical profession and the public. This study examined the current quality of research and level of evidence (LOE) of foot and ankle surgery papers published in orthopedic and podiatric medical journals. Two independent evaluators performed a blinded assessment of all foot and ankle clinical research articles (January 2010 to June 2010) from seven North American orthopedic and podiatric journals. JBJS-A grading system was used for LOE. Articles were assessed for indicators of study quality. The data was stratified by journal and medical credentials. A total of 245 articles were published, 128 were excluded based on study design, leaving 117 clinical research articles. Seven (6%) were Level I, 14 (12%) Level II, 18 (15%) Level III, and 78 (67%) Level IV. The orthopedic journals published 78 studies on foot and ankle topics. Of the podiatric journals, the Journal of the American Podiatric Medical Association (JAPMA) published 12 clinical studies and the Journal of Foot and Ankle Surgery (JFAS) published 27, 21 (78%) of which were Level IV studies. When the quality of research was examined, few therapeutic studies used validated outcome measures and only 38 of 96 (40%) gathered data prospectively. Thirty (31%) studies used a comparison group. Eighty-seven articles (74%) were authored by a MD and 22 (19%) by a DPM. Foot & Ankle International (FAI) published higher quality studies with a higher LOE as compared to podiatry journals. Regardless of the journal, MDs produced the majority of published clinical foot and ankle research. Although improvements have been made in the quality of some clinical research, this study highlights the need for continued improvement in methodology within foot and ankle literature.

  14. An analysis of orthopaedic theses in Turkey: Evidence levels and publication rates.

    Science.gov (United States)

    Koca, Kenan; Ekinci, Safak; Akpancar, Serkan; Gemci, Muhammed Hanifi; Erşen, Ömer; Akyıldız, Faruk

    2016-10-01

    The aim of this study was to present characteristics and publication patterns of studies arise from orthopedic theses obtained from National Thesis Center; database in terms of publication years, study types, topics, level of evidence between 1974 and 2014. Firstly, National Thesis Center database was searched for orthopedics and Traumatology theses. The theses, which their summary or full text were available were included in the study. The topics, study types and quality of study designs were reviewed. Then theses were searched in the PubMed database. Journals of published theses were classified according to category, scope and impact factors of the year 2014. 1508 theses were included into the study. Clinical studies comprised 71,7% of the theses, while 25,6% of the theses were non-clinical experimental and 2,7% of the theses were observational studies. Clinical studies were Level I in 8,6% (n = 93) and Level II in 5,8% of the theses (n = 63). A total of 224 theses (14,9%) were published in the journals indexed in PubMed database from 1974 to 2012. Fifty-two (23,2%) were published in SCI; 136 theses (60,7%) were published in SCI-E journals and 36 theses (16%) were published in other Journals indexed in PubMed. The quantity and quality of published theses need to be improved and effective measures should be taken to promote quality of theses. Theses from universities and Training hospitals which did not allow open access, and; incomplete records of the National Thesis Center database were major limitations of this study. Copyright © 2016 Turkish Association of Orthopaedics and Traumatology. Production and hosting by Elsevier B.V. All rights reserved.

  15. A comparison of the Web of Science with publication-level classification systems of science

    Energy Technology Data Exchange (ETDEWEB)

    Perianes-Rodriguez, A.; Ruiz-Castillo, J.

    2016-07-01

    In this paper we propose a new criterion for choosing between a pair of classification systems of science that assign publications (or journals) to a set of scientific fields. Consider the standard normalization procedure in which field mean citations are used as normalization factors. We recommend system A over system B whenever the standard normalization procedure based on A performs better than the when it is based on B. Since the evaluation can be made in terms of either system, the performance assessment requires a double test. In addition, since the assessment of two normalization procedures would be generally biased in favor of the one based on the classification system used for evaluation purposes, ideally a pair of classification systems must be compared using a third, independent classification system for evaluation purposes. We illustrate this strategy by comparing a Web of Science journal-level classification system, consisting of 236 journal subject categories, with two publication-level algorithmically constructed classification systems consisting of 1,363 (G6) and 5,119 (G8) clusters. There are two main findings. (1) The G8 system is found to dominate the G6 system. Therefore, when we have a choice between two classification systems at different granularity levels, we should use the system at the higher level because it typically exhibits a better standard normalization performance. (2) The G8 system and the Web of Science (WoS) journal-level system are found to be non-comparable. Nevertheless, the G8-normalization procedure performs better using the WoS system for evaluation purposes than the WoS-normalization procedure using the G8 system for evaluation purposes. Furthermore, when we use the G6 system for evaluation purposes, the G8-normalization procedure performs better than the WoS-normalization procedure. We conclude that algorithmically constructed classification systems constitute a credible alternative to the WoS system and, by extension, to

  16. Study of dose levels absorbed by members of the public in the nuclear medicine departments

    International Nuclear Information System (INIS)

    Cabral, Geovanna Oliveira de Mello

    2001-03-01

    In nuclear Medicine, radioisotopes are bound to various compounds (called radiopharmaceuticals) for use in various diagnostic and therapeutic applications. These unsealed sources are administered in various forms to patients, who remain radioactive for hours or days, and represent a source of potential radiation exposure for others. Thus, in nuclear medicine departments, radiation protection of workers and members of the public, especially persons accompanying patients, must consider, this exposure. In Brazil, the Comissao Nacional de Energia Nuclear (CNEN) establishes that, in nuclear medicine departments, the patients and persons accompanying should be separated each other. However, this rule is not always followed due to many factors such as physical and emotional conditions of patients. In this context, the aim of this study was the investigation of dose levels, which the persons accompanying patients are exposed to. For monitoring, thermoluminescent dosimeters were employed. The dosimeters were given to 380 persons who were accompanying patients in nuclear medicine departments. Exposure results were lower than 1 mSv. On the basis of CNEN rules, issues regarding stay conditions for members of the public in these departments are discussed. (author)

  17. Which type of leader do I support in step-level public good dilemmas? The roles of level of threshold and trust.

    Science.gov (United States)

    De Cremer, David

    2007-02-01

    The present research examined the moderating effect of the level of threshold on people's preferences for different leader types in step-level public good dilemmas. It was assumed that the primary focus of people in step-level public good dilemmas is to make sure that the group surpasses the threshold. Consequently, when the level of threshold is difficult to reach people are expected to provide more support for and cooperate with a leader that monitors and controls the contributions made toward the public good. However, if the threshold is easy to surpass people will focus more on whether the obtained public good or bonus will be distributed according to agreements, suggesting that people will provide more support to and cooperate with a leader that monitors and controls the distribution of the bonus. These predictions were confirmed across two experiments using a step-level public good paradigm with a dichotomous (Study 1) and a continuous (Study 2) contribution choice. Moreover, the results also revealed that perceptions of trust accounted, in part, for the effect of level of threshold on people's leadership preferences.

  18. Sickness absence and workplace levels of satisfaction with psychosocial work conditions at public service workplaces

    DEFF Research Database (Denmark)

    Munch-Hansen, Torsten; Wieclaw, Joanna; Agerbo, Esben

    2009-01-01

    BACKGROUND: The objective of this study was to examine the impact of psychosocial work conditions on sickness absence while addressing methodological weaknesses in earlier studies. METHODS: The participants were 13,437 employees from 698 public service workplace units in Aarhus County, Denmark....... Satisfaction with psychosocial work conditions was rated on a scale from 0 (low) to 10 (high). Individual ratings were aggregated to workplace scores. Analysis of variance was used to compare the average number of days of yearly sickness absence in three groups with different levels of satisfaction...... with psychosocial work conditions. RESULTS: Sickness absence was 30.8% lower in the most satisfied group (11.7 days/year (CI 95%: 10.2; 13.1)) than in the least satisfied group (16.9 days/year (CI 95%: 15.3; 18.6)) adjusted for the covariates included. CONCLUSIONS: Satisfaction with psychosocial work conditions has...

  19. Barriers and Facilitators to Career Advancement by Top-Level, Entry-Level and Non-Administrative Women in Public School Districts: A Mixed Methods Study

    Science.gov (United States)

    Ahmed, Eman Ibrahim El-Desouki

    2011-01-01

    The purpose of this study was to investigate the barriers and facilitators to career advancement among women administrators occupying top-level positions, those occupying entry-level positions and those in non-administrative positions in both rural and urban public school districts in central Pennsylvania. The need to increase the awareness of the…

  20. Cost of delivering secondary-level health care services through public sector district hospitals in India

    Science.gov (United States)

    Prinja, Shankar; Balasubramanian, Deepak; Jeet, Gursimer; Verma, Ramesh; Kumar, Dinesh; Bahuguna, Pankaj; Kaur, Manmeet; Kumar, Rajesh

    2017-01-01

    Background & objectives: Despite an impetus for strengthening public sector district hospitals for provision of secondary health care in India, there is lack of robust evidence on cost of services provided through these district hospitals. In this study, an attempt was made to determine the unit cost of an outpatient visit consultation, inpatient bed-day of hospitalization, surgical procedure and overall per-capita cost of providing secondary care through district hospitals. Methods: Economic costing of five randomly selected district hospitals in two north Indian States - Haryana and Punjab, was undertaken. Cost analysis was done using a health system perspective and employing bottom-up costing methodology. Quantity of all resources - capital or recurrent, used for delivering services was measured and valued. Median unit costs were estimated along with their 95 per cent confidence intervals. Sensitivity analysis was undertaken to assess the effect of uncertainties in prices and other assumptions; and to generalize the findings for Indian set-up. Results: The overall annual cost of delivering secondary-level health care services through a public sector district hospital in north India was 11,44,13,282 [US Dollars (USD) 2,103,185]. Human resources accounted for 53 per cent of the overall cost. The unit cost of an inpatient bed-day, surgical procedure and outpatient consultation was 844 (USD 15.5), i; 3481 (USD 64) and 170 (USD 3.1), respectively. With the current set of resource allocation, per-capita cost of providing health care through district hospitals in north India was 139 (USD 2.5). Interpretation & conclusions: The estimates obtained in our study can be used for Fiscal planning of scaling up secondary-level health services. Further, these may be particularly useful for future research such as benefit-incidence analysis, cost-effectiveness analysis and national health accounts including disease-specific accounts in India. PMID:29355142

  1. Analysis of the user satisfaction level in a public physical therapy service

    Directory of Open Access Journals (Sweden)

    Renato S. Almeida

    2013-08-01

    Full Text Available BACKGROUND: The concepts of quality management have increasingly been introduced into the health sector. Methods to measure satisfaction and quality are examples of this trend. OBJECTIVE: This study aimed to identify the level of customer satisfaction in a physical therapy department involved in the public area and to analyze the key variables that impact the usersâ€(tm perceived quality. METHOD: A cross-sectional observational study was conducted, and 95 patients from the physical therapy department of the Hospital Universitário Gaffrée e Guinle - Universidade Federal do Estado do Rio de Janeiro (HUGG/UNIRIO - Rio de Janeiro, Brazil, were evaluated by the SERVQUAL questionnaire. A brief questionnaire to identify the sociocultural profile of the patients was also performed. RESULTS: Patients from this health service presented a satisfied status with the treatment, and the population final average value in the questionnaire was 0.057 (a positive value indicates satisfaction. There was an influence of the educational level on the satisfaction status (χ‡Â²=17,149; p=0.002. A correlation was found between satisfaction and the dimensions of tangibility (rho=0.56, p=0.05 and empathy (rho=0.46, p=0.01 for the Unsatisfied group. Among the Satisfied group, the dimension that was correlated with the final value of the SERVQUAL was responsiveness (rho=0.44, p=0.01. CONCLUSIONS: The final values of the GGUH physical therapy department showed that patients can be satisfied even in a public health service. Satisfaction measures must have a multidimensional approach, and we found that people with more years of study showed lower values of satisfaction.

  2. Analysis of the user satisfaction level in a public physical therapy service.

    Science.gov (United States)

    Almeida, Renato S; Nogueira, Leandro A C; Bourliataux-Lajoine, Stéphane

    2013-01-01

    The concepts of quality management have increasingly been introduced into the health sector. Methods to measure satisfaction and quality are examples of this trend. This study aimed to identify the level of customer satisfaction in a physical therapy department involved in the public area and to analyze the key variables that impact the usersâ€(tm) perceived quality. A cross-sectional observational study was conducted, and 95 patients from the physical therapy department of the Hospital Universitário Gaffrée e Guinle - Universidade Federal do Estado do Rio de Janeiro (HUGG/UNIRIO) - Rio de Janeiro, Brazil, were evaluated by the SERVQUAL questionnaire. A brief questionnaire to identify the sociocultural profile of the patients was also performed. Patients from this health service presented a satisfied status with the treatment, and the population final average value in the questionnaire was 0.057 (a positive value indicates satisfaction). There was an influence of the educational level on the satisfaction status (χ²=17,149; p=0.002). A correlation was found between satisfaction and the dimensions of tangibility (rho=0.56, p=0.05) and empathy (rho=0.46, p=0.01) for the Unsatisfied group. Among the Satisfied group, the dimension that was correlated with the final value of the SERVQUAL was responsiveness (rho=0.44, p=0.01). The final values of the GGUH physical therapy department showed that patients can be satisfied even in a public health service. Satisfaction measures must have a multidimensional approach, and we found that people with more years of study showed lower values of satisfaction.

  3. Cost of delivering secondary-level health care services through public sector district hospitals in India.

    Science.gov (United States)

    Prinja, Shankar; Balasubramanian, Deepak; Jeet, Gursimer; Verma, Ramesh; Kumar, Dinesh; Bahuguna, Pankaj; Kaur, Manmeet; Kumar, Rajesh

    2017-09-01

    Despite an impetus for strengthening public sector district hospitals for provision of secondary health care in India, there is lack of robust evidence on cost of services provided through these district hospitals. In this study, an attempt was made to determine the unit cost of an outpatient visit consultation, inpatient bed-day of hospitalization, surgical procedure and overall per-capita cost of providing secondary care through district hospitals. Economic costing of five randomly selected district hospitals in two north Indian States - Haryana and Punjab, was undertaken. Cost analysis was done using a health system perspective and employing bottom-up costing methodology. Quantity of all resources - capital or recurrent, used for delivering services was measured and valued. Median unit costs were estimated along with their 95 per cent confidence intervals. Sensitivity analysis was undertaken to assess the effect of uncertainties in prices and other assumptions; and to generalize the findings for Indian set-up. The overall annual cost of delivering secondary-level health care services through a public sector district hospital in north India was ' 11,44,13,282 [US Dollars (USD) 2,103,185]. Human resources accounted for 53 per cent of the overall cost. The unit cost of an inpatient bed-day, surgical procedure and outpatient consultation was ' 844 (USD 15.5), ' 3481 (USD 64) and ' 170 (USD 3.1), respectively. With the current set of resource allocation, per-capita cost of providing health care through district hospitals in north India was ' 139 (USD 2.5). The estimates obtained in our study can be used for Fiscal planning of scaling up secondary-level health services. Further, these may be particularly useful for future research such as benefit-incidence analysis, cost-effectiveness analysis and national health accounts including disease-specific accounts in India.

  4. Policing low-level disorder:police use of section 5 of the Public Order Act 1986

    OpenAIRE

    Brown, David; Ellis, Tom

    1996-01-01

    Following a Government review of public disorder law, the Public Order act 1986 introduced a structured series of offences to deal with disorder at all levels. At the lower end of the range, section 5 covers various forms of offensive conduct likely to cause harassment, alarm, or distress to vulnerable members of society.

  5. [Effectiveness of a nutritional education program in lowering blood cholesterol levels in a public health center].

    Science.gov (United States)

    Seki, M; Yamaguchi, T

    1993-06-01

    An educational program for persons found to have high blood cholesterol during health examinations at the Nerima Public Health Center was begun in April, 1989. This program was differed from the usual program in two areas. First, new educational material was developed consisting of a check list of 30 items to assess eating patterns. By checking these items, participants could gain an understanding of what they should change in their eating behavior. Secondly, the table of restricted foods was not used. Participants were advised to achieve healthy eating patterns and followed up with a nutritional consultation that was held after three months, at which time they were interviewed regarding compliance and had their blood cholesterol levels measured. The effectiveness of the new educational program and the relationship between achievement of healthy eating patterns and reduction in blood cholesterol levels were analyzed. The main results were as follows: 1) In subjects (n = 79) who received the new education program in 1989-1990, serum cholesterol levels showed significant reduction, as compared with controls (n = 38) who received the usual education program in 1988-1989. 2) Subjects were divided into three groups according to their changes in serum cholesterol levels,--normalized, improved and unimproved--and the number of items complied with were counted for analysis. The mean score of compliance was highest in the normalized group with significant difference between the normalized and the unimproved groups. 3) The items of the high compliance score in the normalized group were in order of high score "to decrease high-fat meats", "to decrease cakes", "to choose lean meats and poultry without skin" and "to eat vegetables at every meal".

  6. The impact of later trading hours for Australian public houses (hotels) on levels of violence.

    Science.gov (United States)

    Chikritzhs, Tanya; Stockwell, Tim

    2002-09-01

    To examine the impact of later trading hours for licensed hotels (Australian public houses are usually known as "hotels") in Perth, Western Australia, on levels of violent assault on or near these premises. Data on assault offenses reported to police between July 1, 1991, and June 30, 1997, were examined to identify those offenses that occurred on or close to hotels. During this period, 45 (24%) of the 188 hotels meeting study criteria were granted an extended trading permit for 1AM closing ("ETP hotels"), whereas the rest continued to close at midnight ("non-ETP hotels"). A time-series analysis employing linear regression was used to test whether there was a relationship between the introduction of extended trading and monthly rates of assaults associated with ETP hotels, while controlling for the general trend in assault rates among normally trading hotels. Possible confounders and other variables of interest (e.g., levels of alcohol purchases) were also examined. After controlling for the general trend in assaults occurring throughout Perth hotels, there was a significant increase in monthly assault rates for hotels with late trading following the introduction of extended trading permits. This relationship was largely accounted for by higher volumes of high alcohol content beer, wine and distilled spirits purchased by late trading hotels. Late trading was associated with both increased violence in and around Perth hotels and increased levels of alcohol consumption during the study period. It is suggested that greater numbers of patrons and increased levels of intoxication contributed to the observed increase in violence and that systematic planning and evaluation of late trading licenses is required.

  7. Variations in levels of care between nursing home patients in a public health care system.

    Science.gov (United States)

    Døhl, Øystein; Garåsen, Helge; Kalseth, Jorid; Magnussen, Jon

    2014-03-05

    Within the setting of a public health service we analyse the distribution of resources between individuals in nursing homes funded by global budgets. Three questions are pursued. Firstly, whether there are systematic variations between nursing homes in the level of care given to patients. Secondly, whether such variations can be explained by nursing home characteristics. And thirdly, how individual need-related variables are associated with differences in the level of care given. The study included 1204 residents in 35 nursing homes and extra care sheltered housing facilities. Direct time spent with patients was recorded. In average each patient received 14.8 hours direct care each week. Multilevel regression analysis is used to analyse the relationship between individual characteristics, nursing home characteristics and time spent with patients in nursing homes. The study setting is the city of Trondheim, with a population of approximately 180 000. There are large variations between nursing homes in the total amount of individual care given to patients. As much as 24 percent of the variation of individual care between patients could be explained by variation between nursing homes. Adjusting for structural nursing home characteristics did not substantially reduce the variation between nursing homes. As expected a negative association was found between individual care and case-mix, implying that at nursing home level a more resource demanding case-mix is compensated by lowering the average amount of care. At individual level ADL-disability is the strongest predictor for use of resources in nursing homes. For the average user one point increase in ADL-disability increases the use of resources with 27 percent. In a financial reimbursement model for nursing homes with no adjustment for case-mix, the amount of care patients receive does not solely depend on the patients' own needs, but also on the needs of all the other residents.

  8. Maternal and reproductive health financing in Burundi: public-sector contribution levels and trends from 2010 to 2012.

    Science.gov (United States)

    Chaumont, Claire; Muhorane, Carmen; Moreira-Burgos, Isabelle; Juma, Ndereye; Avila-Burgos, Leticia

    2015-10-01

    An understanding of public financial flows to reproductive health (RH) at the country level is key to assessing the extent to which they correspond to political commitments. This is especially relevant for low-income countries facing important challenges in the area of RH. To this end, the present study analyzes public expenditure levels and trends with regards to RH in Burundi between the years 2010 to 2012, looking specifically at financing agents, health providers, and health functions. The analysis was performed using standard RH sub-account methodology. Information regarding public expenditures was gathered from national budgets, the Burundi Ministry of Public Health information system, and from other relevant public institutions. Public RH expenditures in Burundi accounted for $41.163 million international dollars in 2012, which represents an increase of 16 % from 2010. In 2012, this sum represented 0.57 % of the national GDP. The share of total public health spending allocated to RH increased from 15 % in 2010 to 19 % in 2012. In terms of public agents involved in RH financing, the Ministry of Public Health proved to play the most important role. Half of all public RH spending went to primary health care clinics, while more than 70 % of this money was used for maternal health; average public RH spending per woman of childbearing age stagnated during the study period. The flow patterns and levels of public funds to RH in Burundi suggest that RH funding correctly reflects governmental priorities for the period between 2010 and 2012. In a context of general shrinking donor commitment, local governments have come to play a key role in ensuring the efficient use of available resources and the mobilizing of additional domestic funding. A strong and transparent financial tracking system is key to carrying out this role and making progress towards the MDG Goals and development beyond 2015.

  9. Balancing public health and resource limitations: A role for ethical low-level risk communication

    International Nuclear Information System (INIS)

    McGinn, R.E.

    1991-01-01

    Recognition of the pervasiveness of risk in everyday life in modern industrial society has elicited calls for greater efforts to protect individual and public health. Yet, it is increasingly clear that decisions to do so must often be made in the context of significant limits in the amounts of financial resources available for achieving that protection. Achieving risk-free work, residential, and community environments may be so expensive as to render a private business unit uncompetitive or as to divert resources from or prelude commencing with other governmental projects with equal or greater health benefit potential. Ethical low-level risk communication (LLRC) is something risk-generating entities are morally obligated to do. However, such communication also offers important opportunities for such entities to move toward achieving better balances between health and the costs of protecting it. In this paper, the authors elaborate on several features of an ethically ideal LLRC process, focusing on those with aspects they hope are not obvious or common knowledge. In discussing these features, they provide examples of conflicts between health risks and resource limits at the level of the individual private firm, the local community, or the national government, such that LLRC with the feature in question provides an opportunity for mitigating or at least clarifying the conflict in question

  10. Public budgets for energy RD&D and the effects on energy intensity and pollution levels.

    Science.gov (United States)

    Balsalobre, Daniel; Álvarez, Agustín; Cantos, José María

    2015-04-01

    This study, based on the N-shaped cubic model of the environmental Kuznets curve, analyzes the evolution of per capita greenhouse gas emissions (GHGpc) using not just economic growth but also public budgets dedicated to energy-oriented research development and demonstration (RD&D) and energy intensity. The empirical evidence, obtained from an econometric model of fixed effects for 28 OECD countries during 1994-2010, suggests that energy innovations help reduce GHGpc levels and mitigate the negative impact of energy intensity on environmental quality. When countries develop active energy RD&D policies, they can reduce both the rates of energy intensity and the level of GHGpc emissions. This paper incorporates a moderating variable to the econometric model that emphasizes the effect that GDP has on energy intensity. It also adds a variable that reflects the difference between countries that have made a greater economic effort in energy RD&D, which in turn corrects the GHG emissions resulting from the energy intensity of each country.

  11. Leadership and innovation in the public sector: studying the organizational, team and individual level

    NARCIS (Netherlands)

    S.J. Dorsman (Stephan)

    2017-01-01

    markdownabstractPublic sector organizations throughout the world are facing unprecedented challenges. Given these challenges and demands, fostering innovation could obviously be a very useful strategy for public organizations. As proposed by scholars, increased innovativeness is of key importance

  12. (De)Centralization of Public Procurement at the Local Level in the EU

    OpenAIRE

    Boštjan BREZOVNIK; Žan Jan OPLOTNIK; Borut VOJINOVIĆ

    2015-01-01

    The so-called decentralization of public procurement in EU Member States is accepted as the most suitable design of the public procurement system, often justifi ed by greater economic effi ciency and by the possibility of boosting the development of small and medium-sized enterprises, which act on the public procurement market as providers of goods, services and works. Despite the existence of highly decentralized public procurement systems which refl ect the decentralization of administrativ...

  13. Relating road salt to exceedances of the water quality standard for chloride in New Hampshire streams.

    Science.gov (United States)

    Trowbridge, Philip R; Kahl, J Steve; Sassan, Dari A; Heath, Douglas L; Walsh, Edward M

    2010-07-01

    Six watersheds in New Hampshire were studied to determine the effects of road salt on stream water quality. Specific conductance in streams was monitored every 15 min for one year using dataloggers. Chloride concentrations were calculated from specific conductance using empirical relationships. Stream chloride concentrations were directly correlated with development in the watersheds and were inversely related to streamflow. Exceedances of the EPA water quality standard for chloride were detected in the four watersheds with the most development. The number of exceedances during a year was linearly related to the annual average concentration of chloride. Exceedances of the water quality standard were not predicted for streams with annual average concentrations less than 102 mg L(-1). Chloride was imported into three of the watersheds at rates ranging from 45 to 98 Mg Cl km(-2) yr(-1). Ninety-one percent of the chloride imported was road salt for deicing roadways and parking lots. A simple, mass balance equation was shown to predict annual average chloride concentrations from streamflow and chloride import rates to the watershed. This equation, combined with the apparent threshold for exceedances of the water quality standard, can be used for screening-level TMDLs for road salt in impaired watersheds.

  14. Mercury in United Kingdom topsoils; concentrations, pools, and Critical Limit exceedances

    Energy Technology Data Exchange (ETDEWEB)

    Tipping, E., E-mail: et@ceh.ac.uk [Centre for Ecology and Hydrology, Lancaster Environment Centre, Library Avenue, Bailrigg, Lancaster LA1 4AP (United Kingdom); Poskitt, J.M.; Lawlor, A.J.; Wadsworth, R.A. [Centre for Ecology and Hydrology, Lancaster Environment Centre, Library Avenue, Bailrigg, Lancaster LA1 4AP (United Kingdom); Norris, D.A.; Hall, J.R. [Centre for Ecology and Hydrology, Bangor, Gwynedd LL57 2UW (United Kingdom)

    2011-12-15

    The median total mercury concentration in 898 UK rural topsoils, sampled between 1998 and 2008, was 0.095 {mu}g g{sup -1}. Approximate adjustment for unreactive metal produced an estimate of 0.052 {mu}g g{sup -1} for reactive Hg. The highest concentrations were in the north and west, where organic-rich soils with low bulk densities dominate, but the spatial pattern was quite different if soil Hg pools (mg m{sup -2}) were considered, the highest values being near to the industrial north of England and London. Possible toxic effects of Hg were best evaluated by comparison with soil Critical Limits expressed as ratios of Hg to soil organic matter, or soil solution Hg{sup 2+} concentrations, estimated by chemical speciation modelling. Only a few percent of the rural UK soils showed exceedance, and this also applied to rural soils from the whole of Europe. UK urban and industrial soils had higher Hg concentrations and more cases of exceedance. - Highlights: > Concentrations of Hg in rural soils are highest near to industrial areas and London. > Mercury is strongly associated with soil organic matter. > Only a few percent of UK rural soils have Hg levels higher than Critical Limits. > Critical Limit exceedances are found for 15-30% of urban and industrial soils. - Mercury contents of 898 UK and 868 European rural soils are largely lower than Critical Limit values, but appreciable numbers of soils in UK urban and industrial areas show exceedance.

  15. The Efficacy of PCI's Reading Program--Level One: A Report of a Randomized Experiment in Brevard Public Schools and Miami-Dade County Public Schools. Research Summary

    Science.gov (United States)

    Empirical Education Inc., 2008

    2008-01-01

    PCI Education sought scientifically based evidence on the effectiveness of the "PCI Reading Program--Level One" for students with severe disabilities. During the 2007-2008 academic year. Empirical Education conducted a randomized control trial (RCT) in two Florida districts, Brevard and Miami-Dade County Public Schools. For this…

  16. The Efficacy of PCI's "Reading Program--Level One": A Report of a Randomized Experiment in Brevard Public Schools and Miami-Dade County Public Schools. Research Report

    Science.gov (United States)

    Toby, Megan; Ma, Boya; Jaciw, Andrew; Cabalo, Jessica

    2008-01-01

    PCI Education sought scientifically based evidence on the effectiveness of the "PCI Reading Program--Level One" for students with severe disabilities. During the 2007-2008 academic year. Empirical Education conducted a randomized control trial (RCT) in two Florida districts, Brevard and Miami-Dade County Public Schools. For this…

  17. Study on Generic Intervention Levels for Protecting the Public in a Nuclear Accident or Radiological Emergency

    International Nuclear Information System (INIS)

    Suzuki, E. F.; Sordi, G. M. A. A.; Rodrigues, D. L.

    2004-01-01

    Large amounts of radioactive material can be released to the environment in a nuclear accident or radiological emergency. In these cases, social and economical factors should be considered in the actions for protecting the public and to recover the environment, as these actions may affect not only the exposed individuals but also the society as a whole, because of the social impact and high costs. In 1994, the International Atomic Energy Agency, IAEA, published the radiological protection principles for intervention criteria in accident situations involving radioactive materials, as well as numeric values for the generic intervention levels, GIL, for the main countermeasures for protecting the public. These GIL values were selected to achieve broadly the maximum net benefit in many accident situations and, nowadays, those principles still represent the international consensus about this matter. On the other hand, the economic differences between countries can lead the optimization process to get GIL values that are quite different from those recommended. In this context, the monetary value of unit collective averted dose, called alpha-value, is a key element for the determination of the GIL. In this work, the method recommended by the IAEA, based on the human capital approach, was used to estimate the alpha-value for Brazil and the value of US$ 3268 per person-sievert was obtained, considering the year 2000 prices. The per capita costs of the countermeasures for protecting the public, as sheltering, evacuation, temporary relocation and permanent resettlement, were estimated and the cost-benefit analysis technique was applied to estimate the respective GIL applicable in the country. Some of the results for the GILs were smaller than those internationally recommended, even the alpha-value being about six times lower than the alpha-value considered by the IAEA. These results were discussed and they were also compared to values estimated by a similar study accomplished

  18. 78 FR 13607 - Minimum Training Requirements for Entry-Level Commercial Motor Vehicle Operators; Public...

    Science.gov (United States)

    2013-02-28

    ... analyses, including cost/benefit considerations. The entire day's proceedings will be webcast. DATES: The... Vehicle Operators; Public Listening Session AGENCY: Federal Motor Carrier Safety Administration (FMCSA), DOT. ACTION: Notice of public listening session. SUMMARY: FMCSA announces that it will hold a public...

  19. The Ability of Posters to Enhance the Comfort Level with Breastfeeding in a Public Venue in Rural Newfoundland and Labrador.

    Science.gov (United States)

    Vieth, Alissa; Woodrow, Janine; Murphy-Goodridge, Janet; O'Neil, Courtney; Roebothan, Barbara

    2016-02-01

    The acceptance and support of breastfeeding in public venues can influence breastfeeding practices and, ultimately, the health of the population. The primary aim of this study was to investigate whether posters targeted at the general public could improve acceptability of breastfeeding in public places. A convenience sample of 255 participants was surveyed at shopping centers in 2 rural communities of Newfoundland and Labrador. Experimentally, questions were posed to 117 participants pre- and post-exposure to 2 specific posters designed to promote public acceptance of breastfeeding in public. Initially, we surveyed that only 51.9% of participants indicated that they were comfortable with a woman breastfeeding anywhere in public. However, context played a role, whereby a doctor's office (84.5%) or park (81.4%) were the most acceptable public places for breastfeeding, but least acceptable was a business office environment (66.7%). Of participants, 35.4% indicated previously viewing specific posters. We used a visual analog scale to test poster viewing on the acceptability of public breastfeeding in the context of a doctor's office and a restaurant. Results of pre- versus post-viewing of the promotional posters indicated significant improvements in both scenarios: in a doctor's office (P = .035) and in a restaurant (P = .021). Nearly 50% of the surveyed population indicated discomfort with a mother breastfeeding in public. Both cross-sectional and interventional evidence showed that posters significantly improved the reported level of comfort toward seeing breastfeeding in public. © The Author(s) 2015.

  20. Generic versus specific competencies of entry-level public health graduates: employers' perceptions in Poland, the UK, and the Netherlands.

    Science.gov (United States)

    Biesma, Regien G; Pavlova, Milena; Vaatstra, Rina; van Merode, Godefridus G; Czabanowska, Katarzyna; Smith, Tony; Groot, Wim

    2008-08-01

    Constant changes in society and the public health domain force public health professionals into new roles and the development of new competencies. Public health professionals will need to be trained to respond to this challenge. The aim of this comparative study among Poland, the UK and the Netherlands is to identify competence needs for Master of Public Health graduates entering the labour market from a European perspective. A self-administered questionnaire was sent to employers in the three countries, rating the importance of competency in public health on a master's level. In all three countries, interpersonal competencies, like team working and communication skills, are rated as highly important. However, employers in the UK and Poland generally rate public health specific competencies as much more important than their Dutch colleagues. It is concluded that while public health specific knowledge is providing a useful starting point for entry-level public health professionals, employers increasingly recognise the value of generic competencies such as communication and team working skills. The results suggest a stronger emphasis on teaching methods that encourage active learning and the integration of skills, which is crucial for enhancing graduates' employability, and foster an open attitude to multidisciplinary working, which is essential in modern health care.

  1. A Study on OBE Exceedance Criteria Using the CAV Concept for NPPs in Korea

    International Nuclear Information System (INIS)

    Park, Se Moon; Cho, Sung Il; Yun, Kwan Hee

    2009-01-01

    NPPs in Korea have so far complied with the US Regulatory Guide 1.12 Rev.1 (1974) for the seismic monitoring systems. However, researchers in Korea have been considering attempting to comply with Regulatory Guide 1.12 rev.2 (1997) when implementing all future seismic monitoring systems. To comply with the new regulations, Operating Basis Earthquake (OBE) Exceedance Criteria applied with the Cumulative Absolute Velocity (CAV) has to be developed for local use. The CAV was developed in the USA as one reasonable OBE exceedance criterion for NPPs; however, it has not been widely used outside the USA, not-withstanding its solid technical basis. It is, however, expected that the worldwide NPP construction boom will necessitate development and more frequent use of reasonable OBE exceedance criteria. As multi-units (four or more) are situated in one site in Korea, prevention of simultaneous shutdown of multi-unit caused by non damaging earthquakes is very important; otherwise, a serious economic loss could occur, and there could also be a great impact on the stability of the power grid that would arise due to the unnecessary shutdown. Actually, we have had the experience of observing a Peak Ground Acceleration (PGA)-value greater than 0.1g (the current OBE level for Korean NPPs) due to an M=4.8 earthquake (20 th Jan. '07) that did not even cause any damage to the poorly-designed structures nearby. This experience gave a motivation to the KHNP should concern the needs of study on OBE exceedance criteria in view of application of the CAV to Korean seismic situation, which will be more practical. The present paper is intended to show the intermediate result of the research on Operating Basis Earthquake (OBE) exceedance criteria in Korea

  2. (DeCentralization of Public Procurement at the Local Level in the EU

    Directory of Open Access Journals (Sweden)

    Boštjan BREZOVNIK

    2015-10-01

    Full Text Available The so-called decentralization of public procurement in EU Member States is accepted as the most suitable design of the public procurement system, often justifi ed by greater economic effi ciency and by the possibility of boosting the development of small and medium-sized enterprises, which act on the public procurement market as providers of goods, services and works. Despite the existence of highly decentralized public procurement systems which refl ect the decentralization of administrative systems, especially after the recession, there is a stronger tendency for centralization of public procurement in the EU. The so-called aggregation of demand by contracting authorities can be done in order to achieve economies of scale, including lower prices and transaction costs as well as to improve and professionalize the management of procurement procedures (as highlighted in the Directive 2014/24/EU by the European Parliament and the EU Council. However, even in the context of public procurement centralization, local contracting authorities (i.e., public administration authorities and organizations in Member States should be provided with a suffi ciently wide range of possible (centralized organizational structures and contractual (vertical and horizontal public-public partnerships which will allow them to select the most suitable and most economically effective organizational structure for the execution of public procurement.

  3. Level of infertility in regions according to Ministry of Public Health data

    Directory of Open Access Journals (Sweden)

    Tymchenko O.I.

    2014-09-01

    Full Text Available The aim of the research: estimation of morbidity and prevalence, risks of female and male infertility among the different regions of Ukraine. Materials and methods. The Morbidity and prevalence of female and male infertility were calculated according to Ministry of Public Health official statistics (2002-2012 per 1 000 of population of reproductive age (15-44. Relative risk including 95% confidence interval was calculated for each region in comparison with whole Ukraine. Results. In Ukraine infertility level grows. Over the years interrelation of female infertility prevalence to male decreases. In 2002-2012 prevalence of infertility was 400,1±0,59 per 100 000 of women and 87,41±0,28 per 100 000 of men aged 15-44 years, including infertility morbidity - 122,8±0,33 and 33,63±0,17 per 100 000 accordingly. It was detected the increased risk of female and male infertility deve¬lopment in Odessa, Dnipropetrovsk and Zaporozhzhye regions, and decreased risk in Lviv, Rivne, Kyiv, Cherkassy, Kirovograd, Mykolaiv, Sumy, Kharkiv, Lugansk and Donetsk regions.

  4. Exposure to non-ionizing electromagnetic radiation and public health : review of safety levels

    International Nuclear Information System (INIS)

    Ubeda, A.; Trillo, M. A.

    2005-01-01

    The potential health effects of the exposure to non-ionizing electromagnetic radiation are a source of increasing interest on the part of the public and the authorities. This article summarizes the theoretical-experimental basis supporting the safety levels proposed by international committees, and reviews the recent scientific literature on non-ionizing radiation's bioeffects that are relevant to the validation or modification of the present exposure limits. Because of its social interest, special consideration is given to power frequency fields (50-60Hz) and to the radio communication signals of mobile telephony. The paper also describes how interpretations of the scientific evidence, other than those of the international committees, have generated some controversy and have provided a basis for more restrictive limits, like those adopted in Europe by Switzerland and Italy. The article also identifies some gaps in the present scientific knowledge on the bioelectromagnetics discipline and proposes that additional research is needed to complete our present knowledge on the biological responses to non-ionizing radiation. (Author) 80 refs

  5. White dwarf stars exceeding the Chandrasekhar mass limit

    Science.gov (United States)

    Tomaschitz, Roman

    2018-01-01

    The effect of nonlinear ultra-relativistic electron dispersion on the mass-radius relation of high-mass white dwarfs is studied. The dispersion is described by a permeability tensor in the Dirac equation, generated by the ionized high-density stellar matter, which constitutes the neutralizing background of the nearly degenerate electron plasma. The electron dispersion results in a stable mass-radius relation for high-mass white dwarfs, in contrast to a mass limit in the case of vacuum permeabilities. In the ultra-relativistic regime, the dispersion relation is a power law whose amplitude and scaling exponent is inferred from mass and radius estimates of two high-mass white dwarfs, Sirius B and LHS 4033. Evidence for the existence of super-Chandrasekhar mass white dwarfs is provided by several Type Ia supernovae (e.g., SN 2013cv, SN 2003fg, SN 2007if and SN 2009dc), whose mass ejecta exceed the Chandrasekhar limit by up to a factor of two. The dispersive mass-radius relation is used to estimate the radii, central densities, Fermi temperatures, bulk and compression moduli and sound velocities of their white dwarf progenitors.

  6. Delivered volumes of enteral nutrition exceed prescribed volumes.

    Science.gov (United States)

    Walker, Renee Nichole; Utech, Anne; Velez, Maria Eugenia; Schwartz, Katie

    2014-10-01

    Enteral nutrition (EN) provisions are typically calculated based on a 24-hour infusion period. However, feedings are often interrupted for daily activities, procedures, or gastrointestinal intolerance. The study's objective was to determine the delivered EN quantities provided to stable hospitalized patients, using cellular time and measured volumes to verify our EN calculation adjustment. A supply of consecutively numbered ready-to-hang (RTH) EN product was delivered to the bedside of 26 inpatients with established EN tolerance at goal rates on various types of nursing units. The dietitian weighed the volume remaining in the infusing product and recorded the measurement time. On the following days, the dietitian continued to weigh the infusing RTH product and the empty RTH bottles saved by nursing. The primary outcome was the difference between the prescribed and delivered EN provisions, which was calculated with a paired t test. Patients received significantly more calories in the delivered enteral feeding (mean [SD], 1678 [385] kcal) than prescribed calories in the EN order (1489 [246 kcal]; t = 3.736, P = .001), adjusting for observed time. No significant differences were found between nursing units, product, and rate. EN delivered may actually exceed ordered amounts by 5%–21% (mean, 12%) with feeding pump inaccuracy as the primary contributing factor. This differs from what others have found. Our findings support using a volume-based ordering system vs a rate-based ordering system for more accurate EN delivery.

  7. Amino acid production exceeds plant nitrogen demand in Siberian tundra

    Science.gov (United States)

    Wild, Birgit; Eloy Alves, Ricardo J.; Bárta, Jiři; Čapek, Petr; Gentsch, Norman; Guggenberger, Georg; Hugelius, Gustaf; Knoltsch, Anna; Kuhry, Peter; Lashchinskiy, Nikolay; Mikutta, Robert; Palmtag, Juri; Prommer, Judith; Schnecker, Jörg; Shibistova, Olga; Takriti, Mounir; Urich, Tim; Richter, Andreas

    2018-03-01

    Arctic plant productivity is often limited by low soil N availability. This has been attributed to slow breakdown of N-containing polymers in litter and soil organic matter (SOM) into smaller, available units, and to shallow plant rooting constrained by permafrost and high soil moisture. Using 15N pool dilution assays, we here quantified gross amino acid and ammonium production rates in 97 active layer samples from four sites across the Siberian Arctic. We found that amino acid production in organic layers alone exceeded literature-based estimates of maximum plant N uptake 17-fold and therefore reject the hypothesis that arctic plant N limitation results from slow SOM breakdown. High microbial N use efficiency in organic layers rather suggests strong competition of microorganisms and plants in the dominant rooting zone. Deeper horizons showed lower amino acid production rates per volume, but also lower microbial N use efficiency. Permafrost thaw together with soil drainage might facilitate deeper plant rooting and uptake of previously inaccessible subsoil N, and thereby promote plant productivity in arctic ecosystems. We conclude that changes in microbial decomposer activity, microbial N utilization and plant root density with soil depth interactively control N availability for plants in the Arctic.

  8. Population-level assessments should be emphasized over community/ecosystem-level assessments. Environmental Sciences Division Publication No. 1535

    International Nuclear Information System (INIS)

    Van Winkle, W.

    1980-01-01

    Arguments are presented in favor of emphasizing population-level assessments over community/ecosystem-level assessments. The two approaches are compared on each of four issues: (1) the nature of entrainment/impingement impacts; (2) the ability to forecast reliably for a single fish population as contrasted to the ability to forecast for an aquatic community or ecosystem; (3) practical considerations involving money, manpower, time, and the need to make decisions; and (4) the nature of societal and economic concerns. The conclusion on each of these four issues is that population-level assessments provide the optimal approach for evaluating the effects of entrainment and impingement mortality

  9. Improvement of the organizational support of public water management in Ukraine at the national level

    OpenAIRE

    N. V. Vostrikova; V. P. Vostrikov

    2015-01-01

    The article revealed the theoretical and methodological provision of public water management system by formulating the generalized system model and mechanism of state water management. Due to the classical definition of governance and existing approaches to environmental management the interpretation of the term «public water management» is proposed. Using a systematic approach summarizes the system of public water management and considered its main components: control subsystem, controlled s...

  10. Achieving recommended daily physical activity levels through commuting by public transportation: unpacking individual and contextual influences.

    Science.gov (United States)

    Wasfi, Rania A; Ross, Nancy A; El-Geneidy, Ahmed M

    2013-09-01

    This paper estimates the amount of daily walking associated with using public transportation in a large metropolitan area and examines individual and contextual characteristics associated with walking distances. Total walking distance to and from transit was calculated from a travel diary survey for 6913 individuals. Multilevel regression modelling was used to examine the underlying factors associated with walking to public transportation. The physical activity benefits of public transportation varied along gender and socio-economic lines. Recommended minutes of daily physical activity can be achieved for public transportation users, especially train users living in affluent suburbs. Copyright © 2013 Elsevier Ltd. All rights reserved.

  11. Factors affecting public prejudice and social distance on mental illness: analysis of contextual effect by multi-level analysis.

    Science.gov (United States)

    Jang, Hyeongap; Lim, Jun-Tae; Oh, Juhwan; Lee, Seon-Young; Kim, Yong-Ik; Lee, Jin-Seok

    2012-03-01

    While there have been many quantitative studies on the public's attitude towards mental illnesses, it is hard to find quantitative study which focused on the contextual effect on the public's attitude. The purpose of this study was to identify factors that affect the public's beliefs and attitudes including contextual effects. We analyzed survey on the public's beliefs and attitudes towards mental illness in Korea with multi-level analysis. We analyzed the public's beliefs and attitudes in terms of prejudice as an intermediate outcome and social distance as a final outcome. Then, we focused on the associations of factors, which were individual and regional socio-economic factors, familiarity, and knowledge based on the comparison of the intermediate and final outcomes. Prejudice was not explained by regional variables but was only correlated with individual factors. Prejudice increased with age and decreased by high education level. However, social distance controlling for prejudice increased in females, in people with a high education level, and in regions with a high education level and a high proportion of the old. Therefore, social distance without controlling for prejudice increased in females, in the elderly, in highly educated people, and in regions with a high education and aged community. The result of the multi-level analysis for the regional variables suggests that social distance for mental illness are not only determined by individual factors but also influenced by the surroundings so that it could be tackled sufficiently with appropriate considering of the relevant regional context with individual characteristics.

  12. Differences between users of six public parks in Barcelona depending on the level of perceived safety in the neighborhood

    Directory of Open Access Journals (Sweden)

    Félix Pérez Tejera

    2012-03-01

    Full Text Available Research on the relation between fear of crime and public space has been often limited to psychosocial processes (place attachment, social cohesion, collective efficacy and the effect of environmental variables (brightness, graffitis, cleaness. Most of the behavioral aspects involved, however, have been neglected. In this work we carried out a systematic observational study of the types of users (gender, age, ethnicity, signs of poverty of six public parks in Barcelona. We examined whether there would be differences between users of three parks in the neighbourhood with the highest level of fear of crime and the users of three public parks in the neighbourhoods with the highest levels of perceived safety. The analysis showed significant differences in the spatial occupancy patterns between the two neighbourhoods. The differences highlighted processes of avoidance of public space by women, children and the elderly, and processes of spatial segregation depending on ethnicity and the presence of signs of poverty.

  13. The effectiveness of the Danish Organic Action Plan 2020 to increase the level of organic public procurement in Danish public kitchens

    DEFF Research Database (Denmark)

    Sørensen, Nina Nørgaard; Tetens, Inge; Løje, Hanne

    2016-01-01

    and after kitchen employees participated in conversion projects. Public kitchens participating in the nine organic food conversion projects under the Danish Organic Action Plan 2020, initiated during autumn 2012 and spring 2013 and completed in summer 2015. A total of 622 public kitchens. The average...... (median) increase in organic food percentage from baseline to follow-up was 24 percentage points (Pincrease remained significant for seven out of eight kitchens. Furthermore......’, ‘menu planning’, ‘network’ and ‘Organic Cuisine Label method’ to ensure successful implementation. The study reports significant increases in the level of organic food procurement among public kitchens participating in the Danish Organic Action Plan 2020. Recommendations for future organic conversion...

  14. The University of Illinois at Chicago School of Public Health Doctor of Public Health program: an innovative approach to doctoral-level practice leadership development.

    Science.gov (United States)

    Lenihan, Patrick; Welter, Christina; Brandt-Rauf, Paul; Neuberger, Babette; Pinsker, Eve; Petros, Michael; Risley, Kristine

    2015-03-01

    The University of Illinois at Chicago, School of Public Health, Doctor of Public Health degree is designed to build leadership skills and an ability to contribute to the evidence base of practice. The competency-based, distance-format, doctoral-level program for midcareer professionals features an action learning approach in which students apply leadership principles from the virtual classroom to real-world problems at their work sites. Students demonstrate mastery of the competencies and readiness to advance to the dissertation stage through completing a portfolio by using a process of systematic reflection. The practice-oriented dissertation demonstrates the ability to contribute to the evidence base of public health practice in an area of emphasis. Preliminary evaluation data indicate that the program is meeting its intended purposes.

  15. Observed ozone exceedances in Italy: statistical analysis and modelling in the period 2002-2015

    Science.gov (United States)

    Falasca, Serena; Curci, Gabriele; Candeloro, Luca; Conte, Annamaria; Ippoliti, Carla

    2017-04-01

    Local ambient air quality is strongly influenced by anthropogenic emissions and meteorological conditions. The year 2015 is considered by NASA scientists as one of the hottest at the global scale since 1880. Furthermore, in Europe it was the first summer after the introduction of Euro6 regulation, the latest emission standard for passenger vehicles. The goal of this study is twofold: (1) the investigation of the impact of the heat wave occurred in the summer of 2015 on ozone levels and (2) the exploration of the weight of temperature as driver of high-level ozone events with respect to other variables. We performed a quantitative examination of the ozone seasons (May-September) for the period 2002-2015 using ozone concentration and weather data from 24 stations across Italy. The number of exceedances of limit values set by the European directive was calculated for each year, and compared with the trend of ozone concentration and temperature. Furthermore, the data were grouped in clusters of consecutive days of ozone exceedances in order to characterize the duration and the intensity of high ozone events. Finally, we developed a multivariate logistic regression model to investigate the role of a set of independent variables (meteorological, and temporal variables, altitude, number of inhabitants, vehicle emission standard) on the probability of exceedances. Results show that 2015 is one of the hottest years after 2003. During the period 2002-2015, the average number of exceedances per station of the daily maximum 8-hour average is often higher than the limit established by the European directive (25 per year). The highest number of exceedances was 65 per station, reached in 2003. The Po Valley is confirmed as a hot spot for pollution, with more frequent exceedances and a higher sensitivity to temperature, especially at urban sites. Ozone events in 2015 were fewer than recent years, but of longer duration (on average 4 days against 3 days), and with similar mean

  16. Did European temperatures in 1540 exceed present-day records?

    Science.gov (United States)

    Orth, Rene; Vogel, Martha M.; Luterbacher, Jürg; Pfister, Christian; Seneviratne, Sonia I.

    2017-04-01

    There is strong evidence that the year 1540 was exceptionally dry and warm in Central Europe. Here we infer 1540 summer temperatures from the number of dry days (NDDs) in spring (March-May) and summer (June-August) in 1540 derived from historical documentary evidence published elsewhere, and compare our estimates with present-day temperatures. We translate the NDD values into temperature distributions using a linear relationship between modeled temperature and NDD from a 3000 year pre-industrial control simulation with the Community Earth System Model (CESM). Our results show medium confidence that summer mean temperatures (T JJA) and maximum temperatures (TXx) in Central Europe in 1540 were warmer than the respective present-day mean summer temperatures (assessed between 1966-2015). The model-based reconstruction suggests further that with a probability of 40%-70%, the highest daily temperatures in 1540 were even warmer than in 2003, while there is at most a 20% probability that the 1540 mean summer temperature was warmer than that of 2003 in Central Europe. As with other state-of-the-art analyses, the uncertainty of the reconstructed 1540 summer weather in this study is considerable, for instance as extrapolation is required because 1540-like events are not captured by the employed Earth system model (ESM), and neither by other ESMs. However, in addition to paleoclimatological approaches we introduce here an independent methodology to estimate 1540 temperatures, and contribute consequently to a reduced overall uncertainty in the analysis of this event. The characterization of such events and the related climate system functioning is particularly relevant in the context of global warming and the corresponding increase of extreme heat wave magnitude and occurrence frequency. Orth, R., M.M. Vogel, J. Luterbacher, C. Pfister, and S.I. Seneviratne, (2016): Did European temperatures in 1540 exceed present-day records? Env. Res. Lett., 11, 114021, doi: 10.1088/1748-9326/11/11/114021

  17. An experimental study on developing seismic damage indicator appearing OBE exceedance

    International Nuclear Information System (INIS)

    Park, D. S.; Kwon, K. J.; Lee, J. L.

    2000-01-01

    Immediate measurement should be taken depending on the level of seismic damage to nuclear power plants when an earthquake exceeds Operating Base Earthquake by NRC regulatory guide. An earthquake at nuclear plant site is felt with seismic instrument and analyzed by seismic monitoring systems. However, if operators of insufficient knowledge to earthquake can recognize the intensity of the earthquake with a subsidiary indicating model, more immediate response can be conducted. This subsidiary indicating model is called seismic damage indicator. In this regard, an experimental study using shaking table was conducted to develop the seismic damage indicator by CAV and OBE compatible with NRC standard response spectrum. In this test result, stacked acrylic cylinders were manufactured to behave consistently for each direction of seismic load. If the developed SDI is installed in nuclear power plants, it is seemed to be useful in easily determining OBE exceedance easily, and counteracting by plant operator along with the existing seismic monitoring systems

  18. The level playing field - things the public knows all too little about

    International Nuclear Information System (INIS)

    Grimston, M.C.

    1996-01-01

    Over half a century on from the dawn of nuclear fission, the public has yet to make its peace with nuclear power. Early, irrational, promises of unbelievably cheap power, which could never be realized, together with an inherent fear of the nuclear process (tied up with the dread of the atom bomb), have contributed to a lingering mistrust in the minds of the public. This public perception has been little influenced by the industry's attempts at improved public relations. The reasons for this are diverse and complex and have more to do with psychology than with factual reasoning. This report explores these problems and attempts to find the way forward in educating a sceptical public that knows all too little about the field of nuclear power. (Author)

  19. Policy considerations of low-level and intermediate-level radioactive wastes from a public interest perspective

    International Nuclear Information System (INIS)

    Rodgers, S.

    1977-01-01

    A critical, environmentalist view is taken of the problem of low-level radioactive waste disposal. Policy questions and needs for additional data are listed. The lack of a requirement for environmental impact statements prior to site licensing is pointed out. Some of New Mexico's experiences are briefly recounted. The need for definitions for radioactive wastes is pointed out

  20. Power distribution, the environment, and public health. A state-level analysis

    International Nuclear Information System (INIS)

    Boyce, James K.; Klemer, Andrew R.; Templet, Paul H.; Willis, Cleve E.

    1999-01-01

    This paper examines relationships among power distribution, the environment, and public health by means of a cross-sectional analysis of the 50 US states. A measure of inter-state variations in power distribution is derived from data on voter participation, tax fairness, Medicaid access, and educational attainment. We develop and estimate a recursive model linking the distribution of power to environmental policy, environmental stress, and public health. The results support the hypothesis that greater power inequality leads to weaker environmental policies, which in turn lead to greater environmental degradation and to adverse public health outcomes

  1. Power distribution, the environment, and public health. A state-level analysis

    Energy Technology Data Exchange (ETDEWEB)

    Boyce, James K. [Department of Economics, University of Massachusetts, Amherst, MA 01003 (United States); Klemer, Andrew R. [Department of Biology, University of Minnesota, Duluth, MN (United States); Templet, Paul H. [Institute of Environmental Studies, Louisiana State University, Baton Rouge, LA (United States); Willis, Cleve E. [Department of Resource Economics, University of Massachusetts, Amherst, MA 01003 (United States)

    1999-04-15

    This paper examines relationships among power distribution, the environment, and public health by means of a cross-sectional analysis of the 50 US states. A measure of inter-state variations in power distribution is derived from data on voter participation, tax fairness, Medicaid access, and educational attainment. We develop and estimate a recursive model linking the distribution of power to environmental policy, environmental stress, and public health. The results support the hypothesis that greater power inequality leads to weaker environmental policies, which in turn lead to greater environmental degradation and to adverse public health outcomes.

  2. Power distribution, the environment, and public health. A state-level analysis

    Energy Technology Data Exchange (ETDEWEB)

    Boyce, James K. [Department of Economics, University of Massachusetts, Amherst, MA 01003 (United States); Klemer, Andrew R. [Department of Biology, University of Minnesota, Duluth, MN (United States); Templet, Paul H. [Institute of Environmental Studies, Louisiana State University, Baton Rouge, LA (United States); Willis, Cleve E. [Department of Resource Economics, University of Massachusetts, Amherst, MA 01003 (United States)

    1999-04-15

    This paper examines relationships among power distribution, the environment, and public health by means of a cross-sectional analysis of the 50 US states. A measure of inter-state variations in power distribution is derived from data on voter participation, tax fairness, Medicaid access, and educational attainment. We develop and estimate a recursive model linking the distribution of power to environmental policy, environmental stress, and public health. The results support the hypothesis that greater power inequality leads to weaker environmental policies, which in turn lead to greater environmental degradation and to adverse public health outcomes

  3. Acquisition of public lands for disposal of low-level radioactive waste

    International Nuclear Information System (INIS)

    Dawson, J.H.

    1983-09-01

    It is clear that the Federal Land Policy Management Act (FLPMA) gives broadly extended statutory authority to the Bureau of Land Management (BLM) to effect public land transactions. For the purposes of this study, the focus will be on an examination of the boundaries of BLM's powers to effect the exchange and sale of public lands. In the course of examining these powers, consideration will be given also to certain limitations inherent in the statutes which may delay implementation of BLM powers and the consequent effective transfer of public lands. The principal reason for possible delay is the FLPMA requirement for land use planning. Other delay sources could be the requirement for fair market value and the increased prospect of third party judicial challenge. Finally, some consideration will be given to alternative approaches such as the Federal Asset Management Program, the Recreation and Public Purposes Act and State selection of lands

  4. Goals, communication, participation, and feedback : mid-level management and traditional public administration

    NARCIS (Netherlands)

    Favero, N.; Meier, K.J.; O'Toole, Laurence J.

    2012-01-01

    Much recent work in the study of public administration has emphasized new challenges, and relatively unusual aspects of management, such as managerial networking and interorganizational collaboration, cross-sectoral partnerships, the centrality of information technology in contemporary management,

  5. What Use Patterns Were Observed for PEV Drivers at Publicly Accessible AC Level 2 EVSE Sites?

    Energy Technology Data Exchange (ETDEWEB)

    Francfort, James Edward [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2015-12-01

    The EV Project deployed over 4,000 ACL2 EVSE for drivers to charge their plug-in electric vehicle (PEV) when away-from-home. The vast majority of these EVSE stations were installed to be available to all PEV drivers at publicly accessible locations. Some were also deployed for use at workplaces and fleets. This paper examines only the use patterns of PEV drivers using the EVSE intended to be publicly accessible.

  6. Problems in siting low level radioactive wastes: A focus on public participation

    International Nuclear Information System (INIS)

    Bord, R.J.

    1985-01-01

    Public participation programs must develop a means to enlist meaningful public feedback. Besides the traditional public meetings, which generally mobilize the opposition, careful surveys can be done of a representative spectrum of the public getting their judgments about specific criteria. These judgments can be used to shape siting policy. Such an approach would help avoid the criticism that public input is not taken into account. While the suggestions included in this paper go far in dealing with public fear and distrust they cannot guarantee siting success. There are a number of uncontrollable contingencies that can affect any siting program. Another energy crises, for example, may increase the prestige of the nuclear industry and make LLRW siting less onerous. Or, new broadcasts of waste site failures or of nuclear accidents could make LLRW siting more problematic. The problems of waste siting will not disappear nor are the solutions easy ones. They demand serious consideration by talented scientists of all kinds. Waste siting difficulties certainly rank near the top of challenges facing advanced industrial societies. Attempts to site wastes of all kinds have foundered because of strong public opposition. LLRW siting attempts are certain to meet similar problems. Local communities tend to see little or no benefits but high costs in hosting waste sites. Fear of pollution, the unknown aspects of radiation risks, a lack of confidence in governmental agencies, are all factors promoting public resistance. Compounding these problems has been the failure of citizen participation programs to fulfill the functions for which they were designed. Instead of fostering more open communication, regulating conflict, and generating better ideas, participation programs dealing with waste siting tend to generate more conflict and mobilize determined opposition

  7. An analysis of public debt levels in both developed and developing countries

    Directory of Open Access Journals (Sweden)

    Arsić Sonja

    2015-01-01

    Full Text Available The main objective of this paper is pointing out the importance of high public debt problem as well as the underlying causes that have led to rise in public debt in selected countries. The following methods were used in this research: historical method, deduction, generalization methods and statistical methods. By observing data on ten year trend of public debt in selected countries, we have concluded that there is a trend of increase in public debt, as a percentage of the gross domestic product of a country. Each of the analyzed countries (Canada, United Kingdom, Greece, Argentina and Serbia has specific causes that have led to rise in public debt, but the main cause that is common to all countries is the excessive consumption of state organs and reduction of tax revenues that has arisen as a result of reduced economic activity due to the global economic crisis in recent years. By analyzing the data on the trend of public debt in the observed countries in the period from 2003. to 2014., we have concluded that the problem can be solved by increasing gross domestic product, or reducing government spending.

  8. Derivation and Mapping of Critical Loads for Nitrogen and Trends in Their Exceedance in Germany

    Directory of Open Access Journals (Sweden)

    Hans-Dieter Nagel

    2001-01-01

    Full Text Available The term “critical load” means a quantitative estimate of an exposure to one or more pollutants below which significant harmful effects on specified sensitive elements of the environment do not occur, according to present knowledge. In the case of nitrogen, both oxidised and reduced compounds contribute to the total deposition of acidity, which exceeds critical loads in many forest ecosystems. These also cause negative effects through eutrophication. Critical loads of nitrogen were derived for forest soils (deciduous and coniferous forest, natural grassland, acid fens, heathland, and mesotrophic peat bogs. In Germany, a decrease in sulphur emissions over the past 15 years resulted in a reduced exceedance of critical loads for acid deposition. In the same period it was noted that reduction in the emissions of nitrogen oxides and ammonia remained insignificant. Therefore, emissions of nitrogen compounds have become relatively more important and will continue to threaten ecosystem function and stability. The risk of environmental damage remains at an unacceptable level. The German maps show the degree to which the critical loads are exceeded, and they present current developments and an expected future trend. Results indicate that recovery from pollutant stress occurs only gradually.

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

    Science.gov (United States)

    Heywood, Peter; Harahap, Nida P

    2009-04-16

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

  10. Conflict and coordination in the provision of public goods: a conceptual analysis of continuous and step-level games.

    Science.gov (United States)

    Abele, Susanne; Stasser, Garold; Chartier, Christopher

    2010-11-01

    Conflicts between individual and collective interests are ubiquitous in social life. Experimental studies have investigated the resolution of such conflicts using public goods games with either continuous or step-level payoff functions. Game theory and social interdependence theory identify consequential differences between these two types of games. Continuous function games are prime examples of social dilemmas because they always contain a conflict between individual and collective interests, whereas step-level games can be construed as social coordination games. Step-level games often provide opportunities for coordinated solutions that benefit both the collective and the individuals. For this and other reasons, the authors conclude that one cannot safely generalize results obtained from step-level to continuous-form games (or vice versa). Finally, the authors identify specific characteristics of the payoff function in public goods games that conceptually mark the transition from a pure dilemma to a coordination problem nested within a dilemma.

  11. Development of the Teacher Candidates’ Level of being Affected from Public Personnel Selection Examination Scale

    Directory of Open Access Journals (Sweden)

    Fatma SUSAR KIRMIZI

    2015-07-01

    Full Text Available This study aimed to develop a scale to evaluate teacher candidates' level of being affected from the public personnel selection examination. The participants of the study consisted of the final year students at Pamukkale University Education Faculty. The participants were 207 teacher candidates, of whom 143 were female and 64 were male. The validity and reliability study of the scale was conducted on the data gathered from teacher candidates studying at Art Teaching, Music Teaching, Turkish Language Teaching, Social Studies Education, Science Teaching, Psychological Counseling and Guidance Education, Elementary Education and Preschool Education departments of Pamukkale University Education Faculty. The Lawshe technique was used in the evaluation of the scale by experts. To determine the construct validity, factor analysis was performed on the data, and two sub-scales were identified. The factor loading values of the items in the first sub-scale ranged between 0,65 and 0,35, and those in the second sub-scale between 0,75 and 0,39. As a result of the analyses, the "Teacher Candidates' Level of Being Affected From Public Personnel Selection Examination Scale" (TCLBAPPSES including 33 items, 23 negative and 10 positive, and two sub-scales was produced. The Cronbach's Alpha reliability coefficient was found as 0,86 for the first sub-dimension, 0,73 for the second sub-dimension, and 0,91 for the whole scale. As a result, it can be argued that the scale is reliable.-------------Öğretmen Adaylarının Kamu Personeli Seçme Sınavından Etkilenme Düzeyi Ölçeğinin GeliştirilmesiÖzet:Bu çalışmada, öğretmen adaylarının kamu personeli seçme sınavından etkilenme düzeylerini değerlendirmek için bir ölçek geliştirilmesi amaçlanmıştır. Araştırmanın çalışma grubunu Pamukkale Üniversitesi Eğitim Fakültesi son sınıf öğrencileri oluşturmuştur. Araştırmada 143 kız, 64 erkek olmak üzere toplam 207 öğretmen adayına ula

  12. How Multi-Levels of Individual and Team Learning Interact in a Public Healthcare Organisation: A Conceptual Framework

    Science.gov (United States)

    Doyle, Louise; Kelliher, Felicity; Harrington, Denis

    2016-01-01

    The aim of this paper is to review the relevant literature on organisational learning and offer a preliminary conceptual framework as a basis to explore how the multi-levels of individual learning and team learning interact in a public healthcare organisation. The organisational learning literature highlights a need for further understanding of…

  13. Enhancing public access to legal information : A proposal for a new official legal information generic top-level domain

    NARCIS (Netherlands)

    Mitee, Leesi Ebenezer

    2017-01-01

    Abstract: This article examines the use of a new legal information generic Top-Level Domain (gTLD) as a viable tool for easy identification of official legal information websites (OLIWs) and enhancing global public access to their resources. This intervention is necessary because of the existence of

  14. Annual limits on intake for members of the public and derived reference levels of radionuclide concentrations in the environment

    International Nuclear Information System (INIS)

    Mason, G.C.

    1983-01-01

    A proposal is presented recommending the introduction in Australia of Annual Limits on Intake of radionuclides for members of the public and of corresponding reference levels of radionuclide concentrations in the environment. The proposal is related to recent recommendations of the International Commission on Radiological Protection and draft recommendations under consideration by the International Atomic Energy Agency

  15. Segregation Levels in Cleveland Public Schools and the Cleveland Voucher Program. School Choice Issues in the State

    Science.gov (United States)

    Forster, Greg

    2006-01-01

    Examining the widespread claims that private schools have high segregation levels and vouchers will lead to greater segregation, this study finds that both assertions are empirically unsupportable. Private schools participating in Cleveland's voucher program are much less segregated than Cleveland's public schools. This means that students using…

  16. Segregation Levels in Milwaukee Public Schools and the Milwaukee Voucher Program. School Choice Issues in the State

    Science.gov (United States)

    Forster, Greg

    2006-01-01

    This study compares segregation levels in Milwaukee public schools and in private schools participating in the Milwaukee voucher program. Using a segregation index that measures the difference between the percent of students in a school who are white and the percentage of school-age children in the greater metro area who are white, it finds that…

  17. Effect of the Apulia air quality plan on PM10 and benzo(apyrene exceedances

    Directory of Open Access Journals (Sweden)

    L. Trizio

    2016-03-01

    Full Text Available During the last years, several exceedances of PM10 and benzo(apyrene limit values exceedances were recorded in Taranto, a city in southern Italy included in so-called areas at high risk of environmental crisis because of the presence of a heavy industrial district including the largest steel factory in Europe. A study of these critical pollution events showed a close correlation with the wind coming from the industrial site to the adjacent urban area. During 2011, at monitoring sites closes to the industrial area, at least the 65% of PM10 exceedances were related to wind day conditions (characterized by at least 3 consecutive hours of wind coming from 270-360±2deg with an associated speed higher than 7 m/s. For this reason, in 2012 an integrated environmental permit and a regional air quality plan were enacted to reduce pollutant emissions from industrial plants. A study of PM10 levels registered during windy days was performed during critical episodes of pollution highlighting that the difference between windy days and no windy days’ concentrations reduces from 2012 to 2014 in industrial site. False negative events (verified ex-post by observed meteorological data not identified by the forecast model - did not show a significant influence on PM concentration: PM10 values were comparable and sometimes lower than windy days levels. It is reasonable that the new scenario with a relevant reduction emissions form Ilva plant reduced the pollutants contribution from industrial area, contributing to PM10 levels decrease, also in false negative events.

  18. The public sector nursing workforce in Kenya: a county-level analysis.

    Science.gov (United States)

    Wakaba, Mabel; Mbindyo, Patrick; Ochieng, Jacob; Kiriinya, Rose; Todd, Jim; Waudo, Agnes; Noor, Abdisalan; Rakuom, Chris; Rogers, Martha; English, Mike

    2014-01-27

    Kenya's human resources for health shortage is well documented, yet in line with the new constitution, responsibility for health service delivery will be devolved to 47 new county administrations. This work describes the public sector nursing workforce likely to be inherited by the counties, and examines the relationships between nursing workforce density and key indicators. National nursing deployment data linked to nursing supply data were used and analyzed using statistical and geographical analysis software. Data on nurses deployed in national referral hospitals and on nurses deployed in non-public sector facilities were excluded from main analyses. The densities and characteristics of the public sector nurses across the counties were obtained and examined against an index of county remoteness, and the nursing densities were correlated with five key indicators. Of the 16,371 nurses in the public non-tertiary sector, 76% are women and 53% are registered nurses, with 35% of the nurses aged 40 to 49 years. The nursing densities across counties range from 1.2 to 0.08 per 1,000 population. There are statistically significant associations of the nursing densities with a measure of health spending per capita (P value = 0.0028) and immunization rates (P value = 0.0018). A higher county remoteness index is associated with explaining lower female to male ratio of public sector nurses across counties (P value public sector countrywide is complicated by mal-distribution and varying workforce characteristics (for example, age profile) across counties. All stakeholders should support improvements in human resources information systems and help address personnel shortages and mal-distribution if equitable, quality health-care delivery in the counties is to be achieved.

  19. Planktivory in the changing Lake Huron zooplankton community: Bythotrephes consumption exceeds that of Mysis and fish

    Science.gov (United States)

    Bunnell, D.B.; Hunter, R. Douglas; Warner, D.M.; Chriscinske, M.A.; Roseman, E.F.

    2011-01-01

    Oligotrophic lakes are generally dominated by calanoid copepods because of their competitive advantage over cladocerans at low prey densities. Planktivory also can alter zooplankton community structure. We sought to understand the role of planktivory in driving recent changes to the zooplankton community of Lake Huron, a large oligotrophic lake on the border of Canada and the United States. We tested the hypothesis that excessive predation by fish (rainbow smelt Osmerus mordax, bloater Coregonus hoyi) and invertebrates (Mysis relicta, Bythotrephes longimanus) had driven observed declines in cladoceran and cyclopoid copepod biomass between 2002 and 2007. We used a field sampling and bioenergetics modelling approach to generate estimates of daily consumption by planktivores at two 91-m depth sites in northern Lake Huron, U.S.A., for each month, May-October 2007. Daily consumption was compared to daily zooplankton production. Bythotrephes was the dominant planktivore and estimated to have eaten 78% of all zooplankton consumed. Bythotrephes consumption exceeded total zooplankton production between July and October. Mysis consumed 19% of all the zooplankton consumed and exceeded zooplankton production in October. Consumption by fish was relatively unimportant - eating only 3% of all zooplankton consumed. Because Bythotrephes was so important, we explored other consumption estimation methods that predict lower Bythotrephes consumption. Under this scenario, Mysis was the most important planktivore, and Bythotrephes consumption exceeded zooplankton production only in August. Our results provide no support for the hypothesis that excessive fish consumption directly contributed to the decline of cladocerans and cyclopoid copepods in Lake Huron. Rather, they highlight the importance of invertebrate planktivores in structuring zooplankton communities, especially for those foods webs that have both Bythotrephes and Mysis. Together, these species occupy the epi-, meta- and

  20. A Comparison of the Industriousness Levels of KEEP and Public School Students. Technical Report #55.

    Science.gov (United States)

    Antill, Ellen; Tharp, Roland G.

    This report compares the on-task behavior (industriousness) of K-3 students in the demonstration school of the Kamehameha Early Education Program (KEEP) with that of children from classes in four public schools. Industriousness was measured by tallying the occurrence of such behaviors as working on an appropriate task, attending to the teacher, or…

  1. Exploring Levels of Job Satisfaction among Teachers in Public Secondary Schools in Tanzania

    Science.gov (United States)

    Msuya, Ombeni William

    2016-01-01

    A case study on the role of extrinsic factors (hygiene factors) and socio-demographic factors in determining job satisfaction among teachers in public secondary schools in Tanzania was undertaken. Biographical variables pertaining to teachers' age, sex, marital status and work experience were investigated to determine whether they had any…

  2. Preliminary results of mercury levels in raw and cooked seafood and their public health impact.

    Science.gov (United States)

    Costa, Fernanda do N; Korn, Maria Graças A; Brito, Geysa B; Ferlin, Stacy; Fostier, Anne H

    2016-02-01

    Mercury is toxic for human health and one of the main routes of exposure is through consumption of contaminated fish and shellfish. The objective of this work was to assess the possible mercury contamination of bivalves (Anomalocardia brasiliana, Lucina pectinata, Callinectes sapidus), crustacean (C. sapidus) and fish (Bagre marinus and Diapterus rhombeus) collected on Salinas da Margarida, BA (Brazil), a region which carciniculture, fishing and shellfish extraction are the most important economic activities. The effect of cooking on Hg concentration in the samples was also studied. The results showed that Hg concentration was generally higher in the cooked samples than in raw samples. This increase can be related to the effect of Hg pre-concentration, formation of complexes involving mercury species and sulfhydryl groups present in tissues and/or loss of water and fat. The highest concentrations were found in B. marinus samples ranging 837.0-1585.3 μg kg(-1), which exceeded those recommended by Brazilian Health Surveillance Agency (ANVISA). In addition, Hg values found in the other samples also suggest the monitoring of the Hg concentrations in seafood consumed from the region. Copyright © 2015 Elsevier Ltd. All rights reserved.

  3. Health Care Public Sector Share and the U.S. Life Expectancy Lag: A Country-level Longitudinal Study.

    Science.gov (United States)

    Reynolds, Megan M

    2018-04-01

    Growing research on the political economy of health has begun to emphasize sociopolitical influences on cross-national differences in population health above and beyond economic growth. While this research investigates the impact of overall public health spending as a share of GDP ("health care effort"), it has for the most part overlooked the distribution of health care spending across the public and private spheres ("public sector share"). I evaluate the relative contributions of health care effort, public sector share, and GDP to the large and growing disadvantage in U.S. life expectancy at birth relative to peer nations. I do so using fixed effects models with data from 16 wealthy democratic nations between 1960 and 2010. Results indicate that public sector share has a beneficial effect on longevity net of the effect of health care effort and that this effect is nonlinear, decreasing in magnitude as levels rise. Moreover, public sector share is a more powerful predictor of life expectancy at birth than GDP per capita. This study contributes to discussions around the political economy of health, the growth consensus, and the American lag in life expectancy. Policy implications vis-à-vis the U.S. Affordable Care Act are discussed.

  4. Study of Some Demographic Properties Influencing the Burnout Levels of Nurses in Public Hospitals by CHAID Analysis

    Directory of Open Access Journals (Sweden)

    Zübeyir BAĞCI

    2015-12-01

    Full Text Available In this study, it is aimed to identify the burnout levels of nurses which prevent them from doing their business more efficiently and to examine the effects of various demographic variables on burnout. The data necessary for the research have been gathered from 256 nurses working in public hospitals within borders of central district of Denizli province using “Maslach Burnout Inventory”. They were analyzed by SPSS and CHAID was used as the analysis method. In consequence it has been determined that nurses experience low-level emotional exhaustion, average-level depersonalization and high-level decrease in personal accomplishment. It has also been concluded that burnout levels are affected by demographic properties such as age, marital status, tenure of office, daily workload, education and income level

  5. Generic intervention levels for protecting the public in the event of a nuclear accident or radiological emergency

    International Nuclear Information System (INIS)

    1993-04-01

    Many international organizations are in the process of developing common safety standards for protection against ionizing radiation and for the safety of radiation sources. This document is intended to provide input to the final specification of intervention levels, at which actions of various kinds to protect members oft the public after an accident are advised. It provides the radiation protection principles underlying such intervention levels and proposes numerical values for these levels based on an analysis of some of the more directly quantifiable factors involved. Factors such as social disruption, psychological factors and political considerations are discussed, but are explicitly excluded from the derivation. Refs, figs and tabs

  6. Exceeding Conventional Photovoltaic Efficiency Limits Using Colloidal Quantum Dots

    Science.gov (United States)

    Pach, Gregory F.

    Colloidal quantum dots (QDs) are a widely investigated field of research due to their highly tunable nature in which the optical and electronic properties of the nanocrystal can be manipulated by merely changing the nanocrystal's size. Specifically, colloidal quantum dot solar cells (QDSCs) have become a promising candidate for future generation photovoltaic technology. Quantum dots exhibit multiple exciton generation (MEG) in which multiple electron-hole pairs are generated from a single high-energy photon. This process is not observed in bulk-like semiconductors and allows for QDSCs to achieve theoretical efficiency limits above the standard single-junction Shockley-Queisser limit. However, the fast expanding field of QDSC research has lacked standardization of synthetic techniques and device design. Therefore, we sought to detail methodology for synthesizing PbS and PbSe QDs as well as photovoltaic device fabrication techniques as a fast track toward constructing high-performance solar cells. We show that these protocols lead toward consistently achieving efficiencies above 8% for PbS QDSCs. Using the same methodology for building single-junction photovoltaic devices, we incorporated PbS QDs as a bottom cell into a monolithic tandem architecture along with solution-processed CdTe nanocrystals. Modeling shows that near-peak tandem device efficiencies can be achieved across a wide range of bottom cell band gaps, and therefore the highly tunable band gap of lead-chalcogenide QDs lends well towards a bottom cell in a tandem architecture. A fully functioning monolithic tandem device is realized through the development of a ZnTe/ZnO recombination layer that appropriately combines the two subcells in series. Multiple recent reports have shown nanocrystalline heterostructures to undergo the MEG process more efficiency than several other nanostrucutres, namely lead-chalcogenide QDs. The final section of my thesis expands upon a recent publication by Zhang et. al., which

  7. Public health leadership competency level among health professionals in a South Eastern European country

    Directory of Open Access Journals (Sweden)

    Orjola Pampuri

    2015-12-01

    the overall scores and the subscale scores of the current and the required level of leadership competencies among health professionals. Results: Mean value of the overall summary score for the 52 items of the instrument was significantly lower for the current leadership competency level compared with the required leadership competency level (138.4±11.2 vs. 159.7±25.3, respectively; P<0.001. Most of the subscales’ scores were significantly higher for the required than for the current leadership competency level. Conclusion: Our study provides useful evidence about the current and the required level of leadership competencies among health professionals in transitional Albania. Findings of this study may help policymakers in Albania to identify the gap between the required and the current level of leadership competencies among health  professionals. Furthermore, findings of this study should be expanded in the neighbouring countries of the South Eastern European region and beyond.

  8. Datasets will not be made accessible to the public due to the fact that they include household level data with PII.

    Data.gov (United States)

    U.S. Environmental Protection Agency — Datasets will not be made accessible to the public due to the fact that they include household level data with PII. This dataset is not publicly accessible because:...

  9. Was it worthwhile? Where have the benefits of rooftop solar photovoltaic generation exceeded the cost?

    Science.gov (United States)

    Vaishnav, Parth; Horner, Nathaniel; Azevedo, Inês L.

    2017-09-01

    We estimate the lifetime magnitude and distribution of the private and public benefits and costs of currently installed distributed solar PV systems in the United States. Using data for recently-installed systems, we estimate the balance of benefits and costs associated with installing a non-utility solar PV system today. We also study the geographical distribution of the various subsidies that are made available to owners of rooftop solar PV systems, and compare it to distributions of population and income. We find that, after accounting for federal subsidies and local rebates and assuming a discount rate of 7%, the private benefits of new installations will exceed private costs only in seven of the 19 states for which we have data and only if customers can sell excess power to the electric grid at the retail price. These states are characterized by abundant sunshine (California, Texas and Nevada) or by high electricity prices (New York). Public benefits from reduced air pollution and climate change impact exceed the costs of the various subsidies offered system owners for less than 10% of the systems installed, even assuming a 2% discount rate. Subsidies flowed disproportionately to counties with higher median incomes in 2006. In 2014, the distribution of subsidies was closer to that of population income, but subsidies still flowed disproportionately to the better-off. The total, upfront, subsidy per kilowatt of installed capacity has fallen from 5200 in 2006 to 1400 in 2014, but the absolute magnitude of subsidy has soared as installed capacity has grown explosively. We see considerable differences in the balance of costs and benefits even within states, indicating that local factors such as system price and solar resource are important, and that policies (e.g. net metering) could be made more efficient by taking local conditions into account.

  10. Level of infertility in regions according to Ministry of Public Health data.

    OpenAIRE

    Tymchenko, O. I.; Mykytenko, D. O.; Koba, O. P.; Lynchak, O. V.

    2014-01-01

    The aim of the research: estimation of morbidity and prevalence, risks of female and male infertility among the different regions of Ukraine. Materials and methods. The Morbidity and prevalence of female and male infertility were calculated according to Ministry of Public Health official statistics (2002-2012) per 1 000 of population of reproductive age (15-44). Relative risk including 95% confidence interval was calculated for each region in comparison with whole Ukraine. Results. In Ukrain...

  11. Public-private collaboration and scientific impact: an analysis at the level of the individual researcher

    Energy Technology Data Exchange (ETDEWEB)

    Bloch, C.; Ryan, T.K.; Andersen, J.P.

    2016-07-01

    This paper examines whether citation impact for individual researchers differs when collaborating with industry compared to work only involving academic researchers. To do this, we have identified a group of corresponding authors with addresses in Denmark with articles involving public-private collaboration for 2008-2010 and thereafter constructed a list of all articles authored by these researchers during the period 2006-2012. (Author)

  12. When real life wind speed exceeds design wind assumptions

    Energy Technology Data Exchange (ETDEWEB)

    Winther-Jensen, M; Joergensen, E R [Risoe National Lab., Roskilde (Denmark)

    1999-03-01

    Most modern wind turbines are designed according to a standard or a set of standards to withstand the design loads with a defined survival probability. Mainly the loads are given by the wind conditions on the site defining the `design wind speeds`, normally including extreme wind speeds given as an average and a peak value. The extreme wind speeds are normally (e.g. in the upcoming IEC standard for wind turbine safety) defined as having a 50-year recurrence period. But what happens when the 100 or 10,000 year wind situation hits a wind turbine? Results on wind turbines of wind speeds higher than the extreme design wind speeds are presented based on experiences especially from the State of Gujarat in India. A description of the normal approach of designing wind turbines in accordance with the standards in briefly given in this paper with special focus on limitations and built-in safety levels. Based on that, other possibilities than just accepting damages on wind turbines exposed for higher than design wind speeds are mentioned and discussed. The presentation does not intend to give the final answer to this problem but is meant as an input to further investigations and discussions. (au)

  13. Food formulation and not processing level: Conceptual divergences between public health and food science and technology sectors.

    Science.gov (United States)

    Botelho, R; Araújo, W; Pineli, L

    2018-03-04

    Observed changes in eating and drinking behaviors in economically developing countries are associated with increase of obesity and related chronic diseases. Researchers from field of public health (PH) have attributed this problem to food processing and have created new food classification systems to support their thesis. These classifications conceptually differ from processing level concepts in food science, and state to people that food processing is directly related to nutritional impact of food. Our work aims to compare the concept of food processing from the standpoint of food science and technology (FST) and public health and to discuss differences related to formulation or level of processing of products and their impact on nutritional quality. There is a misconception between food processing/unit operation/food technology and formulation or recipes. For the public health approach, classification is based on food products selection and the use of ingredients that results in higher consumption of sugar, sodium, fat, and additives, whereas in FST, processing level is based on the intensity and amount of unit operations to enhance shelf life, food safety, food quality, and availability of edible parts of raw materials. Nutritional quality of a product or preparation is associated with formulation/recipe and not with the level of processing, with few exceptions. The impact of these recommendations on the actual comprehension of food processing and quality must be considered by the population.

  14. Public opposition to the siting of the high-level nuclear waste repository: The importance of trust

    International Nuclear Information System (INIS)

    Pijawka, K.D.; Mushkatel, A.H.

    1991-01-01

    This paper examines several dimensions of public opposition to the proposed siting of the high-level nuclear waste repository at Yucca Mountain. In order to provide a context for the public's views of the repository in metropolitan Clark County, both governmental studies of the repository siting process are analyzed, as well as elements of the Nuclear Waste Policy Act. This analysis suggests that one potentially key component of the public's opposition to the siting, as well as their perceptions of risk of the facility, may be the result of a lack of trust in the Department of Energy. Empirical analysis of survey data collected in Nevada in 1988 confirms the strong relationship between political trust and repository risk perceptions

  15. Teaching/learning strategies for the essentials of baccalaureate nursing education for entry-level community/public health nursing.

    Science.gov (United States)

    Callen, Bonnie; Smith, Claudia M; Joyce, Barbara; Lutz, Jayne; Brown-Schott, Nancy; Block, Derryl

    2013-01-01

    The purpose of this article is to describe teaching/learning strategies for each of the 15 Essentials of Baccalaureate Nursing Education for Entry-Level Community/Public Health Nursing (ACHNE, 2009). Carper's ways of knowing serve as foundations for creating classroom and clinical experiences that focus on clinical action with community as client. Each community/public health essential is defined with relevance to community/public health nursing practice. Five teaching/learning strategies have been delineated for each essential with suggestions of teaching resources and/or target population application. Teaching/learning strategies that focus on community as client, population health, and the essential knowledge and competencies of C/PH nursing will help ensure preparation of baccalaureate prepared nurses with knowledge and skills to improve the health of populations. © 2013 Wiley Periodicals, Inc.

  16. The Effect of a High School Speech Course on Public Speaking Anxiety for Students in a College-Level Public Speaking Class

    Science.gov (United States)

    Johnson, Karen Hill

    2012-01-01

    Literature suggested public speaking is American's most feared activity. Additionally, the public speaking curriculum was removed from the K-12 school system after 2001. This study aimed to examine the effect of previous public speaking instruction, public speaking extra-curricular activity, gender, and self-esteem on public speaking anxiety…

  17. Driven to Support: Individual- and County-Level Factors Associated With Public Support for Active Transportation Policies.

    Science.gov (United States)

    Cradock, Angie L; Barrett, Jessica L; Chriqui, Jamie F; Evenson, Kelly R; Goins, Karin Valentine; Gustat, Jeanette; Heinrich, Katie M; Perry, Cynthia K; Scanze, Michele; Schmid, Thomas L; Tabak, Rachel G; Umstattd Meyer, M Renee; Valko, Cheryl

    2018-03-01

    To assess predictors of stated support for policies promoting physically active transportation. Cross-sectional. US counties selected on county-level physical activity and obesity health status. Participants completing random-digit dialed telephone survey (n = 906). Survey measures assessed stated support for 5 policies to promote physically active transportation, access to active transportation facilities, and time spent in a car. County-level estimates included household car dependence and funding for bicycle-pedestrian projects. Multivariable generalized linear mixed models using binary distribution and logit link, accounting for clustering within county. Respondents supported policies for accommodating bicyclists and pedestrians through street improvements (89%), school active transportation programs (75%), employer-funded active commuting incentives (67%), and allocation of public funding (68%) and tax support (56%) for building and maintaining public transit. Residents spending >2 h/d (vs public transit (OR: 1.85; CI: 1.24-2.77) improvements. Residents in counties investing >$1.6 million in bicycle and pedestrian improvements expressed greater support for funding (OR: 1.71; CI: 1.04-2.83) and tax increases (OR: 1.73; CI: 1.08-2.75) for transit improvements compared to those with lower prior investments (transportation is higher where relevant investments in active transportation infrastructure are large (>$1.6 M), public transit is nearby, and respondents drive >2 h/d.

  18. Lead and cadmium levels of commonly administered pediatric syrups in Nigeria: A public health concern?

    International Nuclear Information System (INIS)

    Orisakwe, Orish Ebere; Nduka, John Kanayochukwu

    2009-01-01

    Fifty different pediatric syrups were randomly sampled from patent medicine stores and pharmaceutical shops within Awka, in Anambra State between November 2007 and May 2008. Syrups were ashed before digestion using conc. aqua regia, HCl:HNO 3 (3:1) and lead and cadmium were assayed with AAS 205A. Results revealed that 60 and 98% of the sample size had lead and cadmium respectively. The lead levels ranged from 0.01 in chloroquine to 1.08 mg/l in magcid suspension. The highest level of cadmium was seen in magcid suspension with concentration of 2.45 mg/l while lowest concentration of 0.01 in emzolyn and colipan. About 41.2% of the locally made syrup had none detectable levels of lead while all the syrup had detectable levels of cadmium. Lead levels ranged from 0.01 mg/l in cadiphen manufactured in Dholka, India to 0.09 in maxiquine made in England. About 68.8% of the imported syrups of the imported syrups had non detectable levels of lead. Chloramphenicol and zentel albendazole syrups had 0.60 and 0.88 mg/l of cadmium respectively. Bellis cough syrup showed the lowest level (0.01 mg/l) of cadmium. Only erythromycin suspension representing 6.3% had non detectable level of cadmium of the imported syrups. Due to the Cd and Pb levels found, we suggest that the behaviour scenario (here, self administration without medical assistance) should be properly taken under control. Along with this, contamination sources or vulnerable practices during syrups preparation should be also assessed in a tiered approach, towards the minimization of noxious presence in syrups and the promotion of quality of Nigerian-made products.

  19. Lead and cadmium levels of commonly administered pediatric syrups in Nigeria: A public health concern?

    Energy Technology Data Exchange (ETDEWEB)

    Orisakwe, Orish Ebere, E-mail: eorish@aol.com [Toxicology Unit, Department of Pharmacology,College of Health Sciences, Nnamdi Azikiwe University,Nnewi Campus. P.M.B. 5001, Nnewi, Anambra State (Nigeria); Nduka, John Kanayochukwu [Environmental Chemistry and Toxicology Research Unit, Pure and Industrial Chemistry Department, Nnamdi Azikiwe University, P.M.B. 5025, Awka Anambra State (Nigeria)

    2009-11-15

    Fifty different pediatric syrups were randomly sampled from patent medicine stores and pharmaceutical shops within Awka, in Anambra State between November 2007 and May 2008. Syrups were ashed before digestion using conc. aqua regia, HCl:HNO{sub 3} (3:1) and lead and cadmium were assayed with AAS 205A. Results revealed that 60 and 98% of the sample size had lead and cadmium respectively. The lead levels ranged from 0.01 in chloroquine to 1.08 mg/l in magcid suspension. The highest level of cadmium was seen in magcid suspension with concentration of 2.45 mg/l while lowest concentration of 0.01 in emzolyn and colipan. About 41.2% of the locally made syrup had none detectable levels of lead while all the syrup had detectable levels of cadmium. Lead levels ranged from 0.01 mg/l in cadiphen manufactured in Dholka, India to 0.09 in maxiquine made in England. About 68.8% of the imported syrups of the imported syrups had non detectable levels of lead. Chloramphenicol and zentel albendazole syrups had 0.60 and 0.88 mg/l of cadmium respectively. Bellis cough syrup showed the lowest level (0.01 mg/l) of cadmium. Only erythromycin suspension representing 6.3% had non detectable level of cadmium of the imported syrups. Due to the Cd and Pb levels found, we suggest that the behaviour scenario (here, self administration without medical assistance) should be properly taken under control. Along with this, contamination sources or vulnerable practices during syrups preparation should be also assessed in a tiered approach, towards the minimization of noxious presence in syrups and the promotion of quality of Nigerian-made products.

  20. Prevalence of cardiovascular risk factors and socioeconomic level among public-sector workers in Angola.

    Science.gov (United States)

    Capingana, Daniel P; Magalhães, Pedro; Silva, Amílcar B T; Gonçalves, Mauer A A; Baldo, Marcelo P; Rodrigues, Sérgio L; Simões, Cristóvão C F; Ferreira, Albano V L; Mill, José G

    2013-08-07

    Cardiovascular diseases are the leading cause of death in the majority of developed and developing countries. African countries are currently facing an increase in both cardiovascular and transmitted diseases. In addition, cardiovascular risk varies among different socioeconomic groups. Thus, we determined the prevalence of modifiable cardiovascular risk factors in apparently healthy public-sector workers and investigated possible relationships with socioeconomic status. We employed a cross-sectional study comprising 42.2% (n = 615) of the public-sector workers at Agostinho Neto University, 48% (n = 294) male and 52% (n= 321) female, with ages between 20 and 72 years and from various socioeconomic groups. The study was conducted from February 2009 to December 2010. Personal, anthropometric, biochemical, hemodynamic, socioeconomic, and physical activity data were collected. The prevalence rates of cardiovascular risk factors were as follows: hypertension, 45.2% (men 46.3%, women 44.2%, P > 0.05); hypercholesterolemia, 11.1% (men 10.5%, women 11.5%, P > 0.05); low high-density lipoprotein (HDL) cholesterol, 50.1% (men 36.9%, women 62.3%; P 0.05); smoking, 7.2% (men 10.2%, women 4.4%; P 0.05); overweight, 29.3% (men 27.3%, women 31.2%, P > 0.05); obesity, 19.6% (men 9.2%, women 29.0%; P socioeconomic status, 41.0% had three or more risk factors. The results of this study suggest the existence of a high prevalence of multiple risk factors for cardiovascular disease in apparently healthy public-sector workers in Angola. The workers in lower socioeconomic groups had higher incidences of hypertension, smoking, and left ventricular hypertrophy.

  1. Public and state responses to high-level nuclear waste disposal: Learning from policy failure

    International Nuclear Information System (INIS)

    Kraft, M.E.

    1991-01-01

    Nuclear waste policy in the United States has faded in large part because of public and state opposition to repository siting. However, that outcome was not inevitable. This paper argues that better policy design and greater attention to the crucial tasks of policy legitimation both by the U.S. Congress and by the Department of Energy might have significantly increased the chances for successful implementation. Even though the program now has a highly uncertain future, suggestions are offered for policy learning and change that may increase the probability of success

  2. Public perceptions of planning objectives for regional level management of wild reindeer in Norway

    OpenAIRE

    Kaltenborn, Bjørn Petter; Hongslo, Eirin; Gundersen, Vegard; Andersen, Oddgeir

    2015-01-01

    We examined community perceptions of preferred objectives for wild reindeer management in Southern Norway as the former population-based model is being replaced with an area-based, multi-level regional management model spanning large mountain regions. Communally oriented objectives are favoured over economic benefits to landowners. Environmental attitudes discriminate on many of the issues and can be useful factors in sorting out levels of support for proposed management actions and compromis...

  3. The Correlation Of Knowledge And Education Level Of The Patients With The Gastritis Incident At Sindangbarang Public Health Center Cianjur

    Directory of Open Access Journals (Sweden)

    Drs. Oktoruddin Harun

    2017-02-01

    Full Text Available Gastritis is usually regarded as a thing paltry but gastritis was the beginning of a a disease that can be big problem for us. Based on the previous research at Public Health Center sindangbarang cianjur District were found scene gastritis from 10 patients 7 had less knowledgeable 1 respondents had knowledge cased and 2 respondents had good of knowledge. It is suspected that the incidence of gastritis has to do with knowledge and education level of the patients. The purpose of this research is to identify corelation betwen knowledge and education level of the patients outpatient with the gastritis at Public Health Center sindangbarang cianjur District. Research methodology used survey analytic correlative with design cross sectional .Data analyzed by univariat and bivariat with statistics chi square test. Population in this research were out patients Public Health Center sindangbarag. The sample 120 respondents with total of sampling. The results of the study were corelation knowledge of to gastritis incident based on the analysis of bivariat by using test chi-square computerized the results of statistical corel tests obtained p value 0.013 0.05 so H0 rejected. While relations education level with the gastritis incident based on the results of the analysis bivariat test chi-square use computerized obtained the results of statistical tests obtained p value 0.0001 0.05 so H0 rejected it could be concluded a significant between knowledge and the level of education with the gastritis incident corelation at Public Health Center sindangbarang cianjur District it is advised that need to effort to promotional and preventive especially with regard to knowledge of gastritis as information about gastritis and counseling on a preventive manner gastritis that can reduce or prevent disease gastritis.

  4. Public services on a district level. The environment closer to the people. More sustainability or not?

    International Nuclear Information System (INIS)

    De Boer, J.; Van Drunen, M.A.; Lammers, P.E.M.; Olsthoorn, A.A.

    2000-01-01

    One way to stimulate households in the Netherlands socially, culturally and economically is to provide them with technological services and tools that are economically and ecologically sound and contribute to sustainability. Every technological service or tool has social, cultural and economical stimuli. However, those incentives are not used systematically in the present Dutch environmental policy. Therefore, an important question in this study is whether those incentives can be used such that they can contribute to sustainability more than the performance level of the technology. In this study special attention is paid to the level on which the services and tools for households in a specific district are organized and provided and how it can contribute to sustainability. In chapter 2 the incentives for sustainable behavior of households are described. In chapter 3 three scenarios are introduced in which the district level is explained by comparing them with two other levels: the micro-level (per households) and the macro-level (per province, national, international). In chapter 4 the expectations with respect to the services and tools and sustainability for the three scenarios are evaluated. Examples of experiments and case studies are spread over the report. 61 refs

  5. Determinants and impacts of public agricultural research in Japan: Product level evidence on agricultural Kosetsushi

    Science.gov (United States)

    Fukugawa, Nobuya

    2017-12-01

    The public sector is an important source of agricultural research as the agricultural sector in many countries consists of a number of individual farmers who have difficulty in bearing the cost of research and development. Public institutes for testing and research called Kosetsushi help agriculture and manufacturing improve labor productivity through technology transfer activities, whereby constituting an important component of regional innovation systems in Japan. This study establishes panel data of agricultural Kosetsushi and examines whether their research activities are responsive to local needs and which type of research effort is conducive to the promotion of agricultural product innovations. Estimation results reveal variations across plants in the impacts of agricultural clusters on research on the plant conducted by Kosetsushi located in the cluster. A positive impact is observed only for vegetable while negative or statistically insignificant relationships are found for rice, fruit, and flower. The impact of research on plant breeding on agricultural product innovations also varies across plants. Policy implications of the major findings are discussed.

  6. Spot volume exceeds 2 million lbs (again); restricted price hits $10/lb

    International Nuclear Information System (INIS)

    Anon.

    1995-01-01

    This article is the January 1995 uranium market summary. Volume on the spot concentrates market exceeded 2 million lbs equivalent for the second consecutive month. Six deals took place; four in the spot concentrates market, one in the conversion market, and one in the enrichment market. No deals took place in the medium or long-term market. The upper end of the restricted price range reached $10.00 per lb U3O8, its highest level since December 1993. The lower end of the restricted price range strengthened to $9.75. The lower end of the spot conversion price range strengthed to $5.70 per kg U, and SWU prices firmed to the $75.00 to $87.00 level

  7. Study on Public Exposure and External Radiation Level at Gamma Green House and around MINT Dengkil Complex Boarder

    International Nuclear Information System (INIS)

    Faizal Azrin Abdul Razalim; Ismail Sulaiman; Khairuddin Mohamad Kontol; Ahmad Bazlie Abdul Kadir; Noor Fadilla Ismail; Hassan Sham; Ahmad Zainuri Mohd Dzomir

    2014-01-01

    This paper will discussing on the measurement of external radiation and the dose level which is acceptable to the public around the Gamma Green House and the border between Malaysian Nuclear Agency and housing project developed by Mah Sing Group. This research is made to verify the level of safety, especially for civilians residing in this area and to ensure compliance with the limit that has been set by the authorities, AELB (BSS/2010). Measurement method used in this research by using survey meter, TLD and OSL. (author)

  8. [Change of secondhand smoke levels in a public hospital in Budapest after implementation of anti-smoking policy in 2011].

    Science.gov (United States)

    Tárnoki, Dávid László; Tárnoki, Adám Domonkos; Csáthy, László; Travers, Mark J

    2013-04-28

    Our previous 2009 study demonstrated high secondhand smoke levels throughout a public hospital in Budapest. To compare changes in indoor air pollution level between 2009 and 2012, before and after the Hungarian anti-smoking policy legislation adopted in 2011. TSI SidePak AM510 Personal Aerosol Monitor was used. In-patient care department PM2.5 levels declined by 92% from 87.7 μg/m3 to 6.9 μg/m3. Non-patient care area PM2.5 level increased by 67% from 64.8 μg/m3 to 108.0 μg/m3. The increase was driven entirely by a large increase in the level in public toilets. Excluding these, there was a 83% drop in PM2.5 in non-patient care areas from 64.8 μg/m3 to 11.1 μg/m3. PM2.5 decreased significantly due to the 2011 law. However, smoking still occurred in the hospital, albeit in less frequently visited areas. A stricter enforcement of this beneficial law is needed to reach a comprehensive smoke-free hospital environment.

  9. Noise level in intensive care units of a public university hospital in Santa Marta (Colombia).

    Science.gov (United States)

    Garrido Galindo, A P; Camargo Caicedo, Y; Vélez-Pereira, A M

    2016-10-01

    To evaluate the noise level in adult, pediatric and neonatal intensive care units of a university hospital in the city of Santa Marta (Colombia). A descriptive, observational, non-interventional study with follow-up over time was carried out. Continuous sampling was conducted for 20 days for each unit using a type i sound level meter, filter frequency in A weighting and Fast mode. We recorded the maximum values, the 90th percentile as background noise, and the continuous noise level. The mean hourly levels in the adult unit varied between 57.40±1.14-63.47±2.13dBA, with a maximum between 71.55±2.32-77.22±1.94dBA, and a background noise between 53.51±1.16-60.26±2.10dBA; in the pediatric unit the mean hourly levels varied between 57.07±3.07-65.72±2.46dBA, with a maximum of 68.69±3.57-79.06±2.34dBA, and a background noise between 53.33±3.54-61.96±2.85dBA; the neonatal unit in turn presented mean hourly values between 59.54±2.41-65.33±1.77dBA, with a maximum value between 67.20±2.13-77.65±3.74dBA, and a background noise between 55.02±2.03-58.70±1.95dBA. Analysis of variance revealed a significant difference between the hourly values and between the different units, with the time of day exhibiting a greater influence. The type of unit affects the noise levels in intensive care units, the pediatric unit showing the highest values and the adult unit the lowest values. However, the parameter exerting the greatest influence upon noise level is the time of day, with higher levels in the morning and evening, and lower levels at night and in the early morning. Copyright © 2015 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.

  10. Relationship between the public's belief in recovery, level of mental illness stigma, and previous contact.

    Science.gov (United States)

    Barczyk, Amanda N

    2015-01-01

    Disbelief exits that individuals who have a mental health condition are able to recover and fully function in life. This study analyzed 1,437 adults from the 2006 General Social Survey. Structural equation modeling (1) examined the relationship between respondents' level of prejudicial attitudes and social distance (i.e., stigma) toward individuals who have a mental health condition and their belief in the potential of recovery (2) tested whether previous contact with an individual who received treatment was a mediator. Findings indicated that the belief in recovery led to lower levels of social distance. Prejudicial attitudes were found to be a predictor of one's level of social distance. Previous contact was not a mediator however; males, minorities and those with less education were less likely to have had previous contact. Results indicated a need to emphasize the probability of recovering from a mental health condition when developing target-specific stigma reducing strategies.

  11. Blood lead level studies by the Public Health Service in an industrial stress area

    Energy Technology Data Exchange (ETDEWEB)

    Jantzen, G.

    1981-12-01

    The general directions of the European Community concerning lead resulted to be useful for analysing the biologic impact on the population living in an industrial immission area and for differentiating within this locality affected and non-affected residential districts. Consequently the social-hygienic and regional-hygienic measures are limited and justified territorially. The environmental parameters, their relation to the distance at which an industrial plant is situated and the blood lead values are indicated. Recommendations are given, which concern the protection of health and even the reconstruction of the residential area by immission-reducing measures. It was found that the lead impact on children is higher than that on grown-ups. Tables illustrate the symptomatology of lead impacts, its relation to blood lead concentration, the degree of impact measured in children and grown-ups and the corresponding necessary measures as auxiliary methods for the Public Health Service and the physicians.

  12. Kyoto and beyond : A plan of action to meet and exceed Manitoba's Kyoto targets

    International Nuclear Information System (INIS)

    2002-10-01

    This document represents the next step in Manitoba's effort to mitigate the effects of climate change. A message from the Manitoba Premier and the Minister of Conservation of Manitoba are included in the introduction. The Action Plan is based in part on the discussion among climate experts and public input gathered in the course of the 2001 task force and the 2001 public forum on climate change. A rise in average global temperatures is affecting most of the planet, which is due in part to the upsetting of the balance of greenhouse gases in the atmosphere as a result of human activities. It is affecting weather patterns, water, agriculture, forests, health and welfare, and life in the North. The Manitoba government is committed to meeting and exceeding the reduction targets set under the Kyoto Protocol through renewable electricity, Selkirk conversion, ethanol, methane capture, and other measures targeted toward industry. Energy efficiency also plays a big part in the process of reducing greenhouse gas emissions. The government is leading by example, and also investing in knowledge. It is promoting technology development and innovation while enhancing awareness and understanding. All sectors are being encouraged to implement appropriate measures. The various initiatives undertaken by each department and organization under each of those headings are described. figs

  13. Serum lead levels in civil servicemen and public transport drivers in ...

    African Journals Online (AJOL)

    Background: The risk of exposure to lead varies significantly with source and exposure rates. Short-term exposure to high levels of lead can cause clinical symptoms starting from vomiting and ending with coma, even death. Objective: To describe the prevalence of occupational exposure with lead (Pb) health hazard in ...

  14. 78 FR 52116 - Request for Public Comment on a Review Level Alternative Dispute Resolution Program

    Science.gov (United States)

    2013-08-22

    .... Department of Labor's Occupational Safety and Health Administration (``OSHA'') at the trial level before an... and voluntary procedures to promote case settlement. Under the program, an administrative law judge acts as a settlement judge and oversees the ADR process. If a case does not settle, an administrative...

  15. Cost of delivering secondary-level health care services through public sector district hospitals in India

    Directory of Open Access Journals (Sweden)

    Shankar Prinja

    2017-01-01

    Interpretation & conclusions: The estimates obtained in our study can be used for Fiscal planning of scaling up secondary-level health services. Further, these may be particularly useful for future research such as benefit-incidence analysis, cost-effectiveness analysis and national health accounts including disease-specific accounts in India.

  16. The role of public involvement in managing political conflict: A comparative case study of public involvement activities in siting low-level radioactive waste disposal facilities

    International Nuclear Information System (INIS)

    Tzoumis, K.A.

    1992-01-01

    A model of political conflict based on the components of scope, intensity and visibility is used to rank the degree of conflict for states hosting a low-level radioactive waste facility in the US. Data were gathered from sixty-five telephone interviews and comparisons made with ten national experts. Public involvement and compensation packages (reviewed in Chapter IV) to be potential conflict management tools for practitioners. The role of the governor and the complexity of the siting process are two additional factors that are important in escalating a conflict. Technical factors of complexity and source of the waste along with the past performance of the company handling the facility have no link to conflict. Conflict escalation is proposed as a means towards understanding the agenda-building process

  17. OPG's deep geologic repository for low and intermediate level waste - public participation and aboriginal engagement

    International Nuclear Information System (INIS)

    Wilson, M.

    2011-01-01

    Ontario Power Generation (OPG)'s Public Participation and Aboriginal Engagement Program for the proposed Deep Geologic Repository (DGR) for low and intermediate level waste (L and ILW) began with the signing of a Memorandum of Understanding (MOU) in 2002 between OPG and the Municipality of Kincardine. The MOU set out the terms under which the two parties would jointly study the feasibility of different options for the long-term management of L and ILW at the Bruce nuclear site. A consultant, independent from both the Municipality of Kincardine and OPG, was retained to manage the assessment of options as well as a communication plan to ensure the public and Aboriginal peoples were kept apprised of all activities associated with the MOU. This early commitment to transparency and openness, with its ensuing opportunities for the public and Aboriginal peoples to become informed, ask questions, and engage in meaningful two-way dialogue about the early assessment of options, established the foundation and later became the hallmark of the DGR Project's Public Participation and Aboriginal Engagement program. This paper provides an overview of the development, nature and results of that program as it has evolved through the early investigative stages of options and through the environmental assessment and licencing process for the proposed DGR Project. (author)

  18. Interactional Strategies Used by Low Level Learners in Public Speaking Class

    Directory of Open Access Journals (Sweden)

    Yuli Astutik

    2017-10-01

    Full Text Available This research article described the interactional strategies used by low learners in public speaking class. A qualitative study on whether or not low learners used the aspects of interactional strategies was the main focus. This paper also aimed to know what aspects mostly used and the factors that cause this problem. Observing and interviewing to six subjects regarding on the use of interactional strategies: exemplification, confirmation checks, comprehension checks, repetition, clarification requests, repetition requests, exemplification requests, and assistance appeal were carried out. Finding indicated that from six low learners, only two who did not apply interactional strategies in all situations. Four students have applied 3 – 4 interactional strategies in the case they were as the speaker. In another side, when they were the listeners, they did not apply the interactional strategies. The result showed that repetition was the interactional strategy mostly used by low learners. Nevertheless, the reason of using it was not proper reason. The further finding indicated some factors cause low learners did not use four interactional strategies such as fluency, grammar, lack of vocabulary and pronunciation in addition to the English practice merely in the formal situation.

  19. Cameroon mid-level providers offer a promising public health dentistry model

    Directory of Open Access Journals (Sweden)

    Achembong Leo

    2012-11-01

    Full Text Available Background Oral health services are inadequate and unevenly distributed in many developing countries, particularly those in sub-Saharan Africa. Rural areas in these countries and poorer sections of the population in urban areas often do not have access to oral health services mainly because of a significant shortage of dentists and the high costs of care. We reviewed Cameroon’s experience with deploying a mid-level cadre of oral health professionals and the feasibility of establishing a more formal and predictable role for these health workers. We anticipate that a task-shifting approach in the provision of dental care will significantly improve the uneven distribution of oral health services particularly in the rural areas of Cameroon, which is currently served by only 3% of the total number of dentists. Methods The setting of this study was the Cameroon Baptist Convention Health Board (BCHB, which has four dentists and 42 mid-level providers. De-identified data were collected manually from the registries of 10 Baptist Convention clinics located in six of Cameroon’s 10 regions and then entered into an Excel format before importing into STATA. A retrospective abstraction of all entries for patient visits starting October 2010, and going back in time until 1500 visits were extracted from each clinic. Results This study showed that mid-level providers in BCHB clinics are offering a full scope of dental work across the 10 clinics, with the exception of treatment for major facial injuries. Mid-level providers alone performed 93.5% of all extractions, 87.5% of all fillings, 96.5% of all root canals, 97.5% of all cleanings, and 98.1% of all dentures. The dentists also typically played a teaching role in training the mid-level providers. Conclusions The Ministry of Health in Cameroon has an opportunity to learn from the BCHB model to expand access to oral health care across the country. This study shows the benefits of using a simple, workable, low

  20. Is wealthier always healthier? The impact of national income level, inequality, and poverty on public health in Latin America.

    Science.gov (United States)

    Biggs, Brian; King, Lawrence; Basu, Sanjay; Stuckler, David

    2010-07-01

    Despite findings indicating that both national income level and income inequality are each determinants of public health, few have studied how national income level, poverty and inequality interact with each other to influence public health outcomes. We analyzed the relationship between gross domestic product (GDP) per capita in purchasing power parity, extreme poverty rates, the gini coefficient for personal income and three common measures of public health: life expectancy, infant mortality rates, and tuberculosis (TB) mortality rates. Introducing poverty and inequality as modifying factors, we then assessed whether the relationship between GDP and health differed during times of increasing, decreasing, and decreasing or constant poverty and inequality. Data were taken from twenty-two Latin American countries from 1960 to 2007 from the December 2008 World Bank World Development Indicators, World Health Organization Global Tuberculosis Database 2008, and the Socio-Economic Database for Latin America and the Caribbean. Consistent with previous studies, we found increases in GDP have a sizable positive impact on population health. However, the strength of the relationship is powerfully influenced by changing levels of poverty and inequality. When poverty was increasing, greater GDP had no significant effect on life expectancy or TB mortality, and only led to a small reduction in infant mortality rates. When inequality was rising, greater GDP had only a modest effect on life expectancy and infant mortality rates, and no effect on TB mortality rates. In sharp contrast, during times of decreasing or constant poverty and inequality, there was a very strong relationship between increasing GDP and higher life expectancy and lower TB and infant mortality rates. Finally, inequality and poverty were found to exert independent, substantial effects on the relationship between national income level and health. Wealthier is indeed healthier, but how much healthier depends on how

  1. Feasibility and utility of mapping disease risk at the neighbourhood level within a Canadian public health unit: an ecological study

    Directory of Open Access Journals (Sweden)

    Wanigaratne Susitha

    2010-05-01

    Full Text Available Abstract Background We conducted spatial analyses to determine the geographic variation of cancer at the neighbourhood level (dissemination areas or DAs within the area of a single Ontario public health unit, Wellington-Dufferin-Guelph, covering a population of 238,326 inhabitants. Cancer incidence data between 1999 and 2003 were obtained from the Ontario Cancer Registry and were geocoded down to the level of DA using the enhanced Postal Code Conversion File. The 2001 Census of Canada provided information on the size and age-sex structure of the population at the DA level, in addition to information about selected census covariates, such as average neighbourhood income. Results Age standardized incidence ratios for cancer and the prevalence of census covariates were calculated for each of 331 dissemination areas in Wellington-Dufferin-Guelph. The standardized incidence ratios (SIR for cancer varied dramatically across the dissemination areas. However, application of the Moran's I statistic, a popular index of spatial autocorrelation, suggested significant spatial patterns for only two cancers, lung and prostate, both in males (p Conclusion This paper demonstrates the feasibility and utility of a systematic approach to identifying neighbourhoods, within the area served by a public health unit, that have significantly higher risks of cancer. This exploratory, ecologic study suggests several hypotheses for these spatial patterns that warrant further investigations. To the best of our knowledge, this is the first Canadian study published in the peer-reviewed literature estimating the risk of relatively rare public health outcomes at a very small areal level, namely dissemination areas.

  2. Promoting social responsibility for health: health impact assessment and healthy public policy at the community level.

    Science.gov (United States)

    Mittelmark, M B

    2001-09-01

    The 1997 Jakarta Declaration on Health Promotion into the 21st Century called for new responses to address the emerging threats to health. The declaration placed a high priority on promoting social responsibility for health, and it identified equity-focused health impact assessment as a high priority for action. This theme was among the foci at the 2000 Fifth Global Conference on Health Promotion held in Mexico. This paper, which is an abbreviation of a technical report prepared for the Mexico conference, advances arguments for focusing on health impact assessment at the local level. Health impact assessment identifies negative health impacts that call for policy responses, and identifies and encourages practices and policies that promote health. Health impact assessment may be highly technical and require sophisticated technology and expertise. But it can also be a simple, highly practical process, accessible to ordinary people, and one that helps a community come to grips with local circumstances that need changing for better health. To illustrate the possibilities, this paper presents a case study, the People Assessing Their Health (PATH) project from Eastern Nova Scotia, Canada. It places ordinary citizens, rather than community elites, at the very heart of local decision-making. Evidence from PATH demonstrates that low technology health impact assessment, done by and for local people, can shift thinking beyond the illness problems of individuals. It can bring into consideration, instead, how programmes and policies support or weaken community health, and illuminate a community's capacity to improve local circumstances for better health. This stands in contrast to evidence that highly technological approaches to community-level health impact assessment can be self-defeating. Further development of simple, people-centred, low technology approaches to health impact assessment at the local level is called for.

  3. Implementation of laser technology and treatment at county level in the Swedish Public Dental Service.

    Science.gov (United States)

    Bergholm, Åsa; Östberg, Anna-Lena; Gabre, Pia

    2014-01-01

    The aim of this study was to obtain an understanding of the factors that affected the way new technology and methods were used in dentistry after a training program. A qualitative research method was used to collect data. Nine dentists working in the Public Dental Service (PDS) in Uppsala County in Sweden agreed to be interviewed in the study. They worked in five different clinics, all with laser equipment, and had received training in the use of lasers. The interviews were tape recorded and transcribed, and were analysed using manifest and latent qualitative content analysis. The categories in this study were identified as "Prerequisites and obstacles to imple- mentation", "Attitudes to laser technology and treatments" and "Laser technology in the future'". The dentists described working with lasers as complicated and problematic. They had concerns about the method relating to the working environment, evidence of efficacy of treatment, costs, and benefits for patients and dentists. The main finding was that the decision to adopt the technology seemed to be based on individual perceptions of the value of lasers compared to other ways of achieving the same goal. They provided uniform proposals regarding how an organization should implement new methods, including an emphasis on the importance of preparation and having opportunities to be able to test and evaluate the technology. Another important factor was support from surrounding staff, colleagues and management. Despite all the barriers, the respondents were positive about working with lasers in the future, mainly due to their belief that patients would demand laser treatment. In conclusion both individual and organizational factors affected the extent to which the respondents used the laser. The main finding was the individual perception of the value of lasers compared to other methods which could achieve the same goal.

  4. Siting low-level radioactive waste disposal facilities: The public policy dilemma

    International Nuclear Information System (INIS)

    English, M.R.

    1993-01-01

    The book's focus is on one overwhelming problems facing the compacts and states: figuring out where low-level waste disposal sites should be located. The author discusses the central issues underlying this dilemma - authority, trust, risk, justice - and the roles each plays in determining whether the siting processes are regarded as legitimate. The structure of the book provides a mix of narrative, fact and philosophy and adds to the body of well researched information saying that is is not only right but more efficient to develop and implement a just process

  5. Intranet and village community: optimization of public service based on electronic government at the local level

    Science.gov (United States)

    Pradana, G. W.; Fanida, E. H.; Niswah, F.

    2018-01-01

    The demand for good governance is directed towards the realization of efficiency, effectiveness, and clean government. The move is demonstrated through national and regional levels to develop and implement electronic government concepts. Through the development of electronic government is done structuring management systems and work processes in the government environment by optimizing the utilization of information technology. One of the real forms of electronic government (e-Gov) implementation at the local level is the Intranet Sub-District program in Sukodono Sub-District, Sidoarjo. Intranet Sub-District is an innovation whose purpose is to realize the availability of information on the utilization of management, distribution, and storage of official scripts, and also the optimal delivery of information and communication in the implementation of guidance and supervision of local administration. The type of this paper is descriptive with a qualitative approach and focus on the implementation of the Intranet District Program in Sukodono District, Sidoarjo. The findings of the study are the limited number of human resources who have mastered ICT, the uneven network, the adequacy of institutional needs and the existence of budget support from the authorized institution and the information system has not accommodated all the service needs.

  6. Patient and public attitudes towards informed consent models and levels of awareness of Electronic Health Records in the UK

    Science.gov (United States)

    Riordan, Fiona; Papoutsi, Chrysanthi; Reed, Julie E.; Marston, Cicely; Bell, Derek; Majeed, Azeem

    2015-01-01

    Background The development of Electronic Health Records (EHRs) forms an integral part of the information strategy for the National Health Service (NHS) in the UK, with the aim of facilitating health information exchange for patient care and secondary use, including research and healthcare planning. Implementing EHR systems requires an understanding of patient expectations for consent mechanisms and consideration of public awareness towards information sharing as might be made possible through integrated EHRs across primary and secondary health providers. Objectives To explore levels of public awareness about EHRs and to examine attitudes towards different consent models with respect to sharing identifiable and de-identified records for healthcare provision, research and planning. Methods A cross-sectional questionnaire survey was administered to adult patients and members of the public in primary and secondary care clinics in West London, UK in 2011. In total, 5331 individuals participated in the survey, and 3157 were included in the final analysis. Results The majority (91%) of respondents expected to be explicitly asked for consent for their identifiable records to be accessed for health provision, research or planning. Half the respondents (49%) did not expect to be asked for consent before their de-identified records were accessed. Compared with White British respondents, those from all other ethnic groups were more likely to anticipate their permission would be obtained before their de-identified records were used. Of the study population, 59% reported already being aware of EHRs before the survey. Older respondents and individuals with complex patterns of interaction with healthcare services were more likely to report prior awareness of EHRs. Individuals self-identifying as belonging to ethnic groups other than White British, and those with lower educational qualifications were less likely to report being aware of EHRs than White British respondents and

  7. Indoor air pollution levels in public buildings in Thailand and exposure assessment.

    Science.gov (United States)

    Klinmalee, Aungsiri; Srimongkol, Kasama; Kim Oanh, Nguyen Thi

    2009-09-01

    Levels of pollutants including PM2.5 and PM2.5 composition (black carbon and water soluble ions), SO(2), NO(2), CO, CO(2), and BTEX (benzene, toluene, ethylbenzene, xylene) were monitored for indoor and outdoor air at a university campus and a shopping center, both located in the Northern suburb of Bangkok. Sampling was done during December 2005-February 2006 on both weekdays and weekends. At the university, indoor monitoring was done in two different air conditioned classrooms which shows the I/O ratios for all pollutants to be below 0.5-0.8 during the weekends. However, on weekdays the ratios for CO(2) and most detected BTEX were above 1.0. The concept of classroom occupancy was defined using a function of the student number in a lecture hour and the number of lecture hours per day. Classroom 2, which had a higher occupancy than classroom 1, was characterized by higher concentrations of most pollutants. PM2.5 was an exception and was higher in classroom 1 (37 microg/m(3), weekdays) as compared to classroom 2 (26 microg/m(3), weekdays) which was likely linked to the dust resuspension from the carpeted floor in the former. Monitoring was also done in the shopping mall at three different sites. Indoor pollutants levels and the I/O ratios at the shopping mall were higher than at the university. Levels of all pollutants measured at the car park, except for toluene and CO(2), were the highest. I/O ratios of the pollutants at the mall were above 1.0, which indicates the relatively higher influence of the indoor sources. However, the black carbon content in PM2.5 outdoor is higher than indoor, which suggest the important contribution from outdoor combustion sources such as the traffic. Major sources of outdoor air pollution in the areas were briefly discussed. Exposure modeling was applied using the time activity and measured pollutant concentrations to assess the exposure of different groups of people in the study areas. High exposure to PM2.5, especially for the people

  8. Legal issues in the harmonization of different levels of public authority in Russia: The case of natural resource development

    Energy Technology Data Exchange (ETDEWEB)

    Borodach, M. V; Keeping, J.

    2002-03-31

    One of the key challenges faced by policy makers in Russia is working out a reasonable division of responsibilities between the central government -- the government of the Russian Federation -- and the various political units which comprise the country. Unfortunately, the 1993 Constitution is not in all respects clear on division of powers and responsibilities. As a result, many inter-jurisdictional questions arise that unless resolved, will have incalculable impact on the development of Russia's natural resources. This article discusses some of the factors that must be considered in addressing the total harmonization of powers of the various levels of authority in Russia which have a bearing on the development of subsoil resources. These include: (1) clarification of powers possessed by different levels of public authority in the Russian federation with regard to subsoil resources; (2) mechanisms for harmonizing the powers of the various levels of public authority in Russia, (3) special features of the political organization of the Tyumen region, Russia's most important oil and gas producing area, and (4) the role of new political and territorial units in the system of Russian federalism. 6 end-notes.

  9. How much Baltic salmon can be consumed without exceeding the tolerable safety limit ?

    Energy Technology Data Exchange (ETDEWEB)

    Kristiansen, H.R. [Mobile Nutrients Ltd. (Denmark)

    2004-09-15

    Because Baltic salmon is a top predator preying on sprat, herring and tobis, it is very vulnerable to contamination with dioxin and PCBs. The EU safety limit (SL) for fish is 4 picogram (pg) WHOTEQ g{sup -1} fresh fish. In April 2004, Danish commercial salmon fishing was banned to in the Baltic sea around Bornholm and Gotland (mainly ICES areas 25, 26), because the Food Administration reported dioxin levels exceeding the intervention level of 3 pg g{sup -1} fresh salmon. Their report was based on data from 10 individual salmon, and 3 pooled samples, each with 10 salmon. Since dioxins are widespread in the environment, the human population face a trade off to produce sufficient food that is safe to eat and avoid eating contaminated food. The world population is increasing, and the demand for healthy food is steadily increasing. Consequently, there is a need for risk assessments, where the consequences of eating foods with different grades of contamination is evaluated. The evaluation must be based on data of high quality, and because dioxin accumulation is a slow proces, the risk assessments should consider long time periods of months and years instead of days and weeks. The purpose of the present study is to evaluate the statistical variation of dioxin data from Baltic herring and salmon. The data are used to calculate the quantity of herring and salmon, that humans of different body weight can eat without exceeding the tolerable daily intake (TDI). (In dietary recommendations exposure from dairy products etc. must also be taken into account). A PCDD/F box model is proposed that subtract losses during cooking and postprandially.

  10. Development of a structural model to analyze public opinion on a high-level radioactive waste facility

    International Nuclear Information System (INIS)

    Flynn, J.; Slovic, P.; Mertz, C.K.; Burns, W.

    1991-01-01

    Studies show that Nevada residents and state officials oppose the proposed high-level radioactive waste repository project at Yucca Mountain. Nevada residents view the Yucca Mountain repository as having extremely high risk; nuclear experts, in contrast, feel the risks are very low. These experts have suggested that public risk perceptions may be reduced by better program management, increased trust in the federal government, and/or by increased benefits and compensation for accepting a repository. The model described in this paper is designed to examine the relationship between risk perception and various strategies for risk management using a confirmatory multivariate method known as covariance structure analysis

  11. Choosing wisely after publication of level I evidence in breast cancer radiotherapy.

    Science.gov (United States)

    Niska, Joshua R; Keole, Sameer R; Pockaj, Barbara A; Halyard, Michele Y; Patel, Samir H; Northfelt, Donald W; Gray, Richard J; Wasif, Nabil; Vargas, Carlos E; Wong, William W

    2018-01-01

    Recent trials in early-stage breast cancer support hypofractionated whole-breast radiotherapy (WBRT) as part of breast-conserving therapy (BCT). Evidence also suggests that radiotherapy (RT) omission may be reasonable for some patients over 70 years. Among radiation-delivery techniques, intensity-modulated RT (IMRT) is more expensive than 3-dimensional conformal RT (3DCRT). Based on this evidence, in 2013, the American Society for Radiation Oncology (ASTRO) recommended hypofractionated schedules for women aged ≥50 years with early-stage breast cancer and avoiding routine use of IMRT for WBRT. To assess response to level I evidence and adherence to ASTRO recommendations, we evaluated the pattern of RT use for early-stage breast cancer at our National Comprehensive Cancer Network institution from 2006 to 2008 and 2011 to 2013 and compared the results with national trends. Data from a prospective database were extracted to include patients treated with BCT, aged ≥50 years, with histologic findings of invasive ductal carcinoma, stage T1-T2N0M0, estrogen receptor-positive, and HER2 normal. We retrospectively reviewed the medical records and estimated costs based on 2016 Hospital Outpatient Prospective Payment System (technical fees) and Medicare Physician Fee Schedule (professional fees). Among 55 cases from 2006 to 2008, treatment regimens were 11% hypofractionated, 69% traditional schedule, and 20% RT omission (29% of patients were aged >70 years). Among 83 cases from 2011 to 2013, treatment regimens were 54% hypofractionated, 19% traditional schedule, and 27% RT omission (48% of patients were aged >70 years). 3DCRT was used for all WBRT treatments. Direct medical cost estimates were as follows: 15 fractions 3DCRT, $7,197.87; 15 fractions IMRT, $11,232.33; 25 fractions 3DCRT, $9,731.39; and 25 fractions IMRT, $16,877.45. Despite apparent resistance to shorter radiation schedules in the United States, we demonstrate that rapid practice change in response to level I

  12. Choosing wisely after publication of level I evidence in breast cancer radiotherapy

    Directory of Open Access Journals (Sweden)

    Niska JR

    2018-02-01

    Full Text Available Joshua R Niska,1 Sameer R Keole,1 Barbara A Pockaj,2 Michele Y Halyard,1 Samir H Patel,1 Donald W Northfelt,3 Richard J Gray,2 Nabil Wasif,2 Carlos E Vargas,1 William W Wong1 1Department of Radiation Oncology, 2Division of General Surgery, 3Division of Hematology and Medical Oncology, Mayo Clinic Hospital, Phoenix, AZ, USA Background: Recent trials in early-stage breast cancer support hypofractionated whole-breast radiotherapy (WBRT as part of breast-conserving therapy (BCT. Evidence also suggests that radiotherapy (RT omission may be reasonable for some patients over 70 years. Among radiation-delivery techniques, intensity-modulated RT (IMRT is more expensive than 3-dimensional conformal RT (3DCRT. Based on this evidence, in 2013, the American Society for Radiation Oncology (ASTRO recommended hypofractionated schedules for women aged ≥50 years with early-stage breast cancer and avoiding routine use of IMRT for WBRT. To assess response to level I evidence and adherence to ASTRO recommendations, we evaluated the pattern of RT use for early-stage breast cancer at our National Comprehensive Cancer Network institution from 2006 to 2008 and 2011 to 2013 and compared the results with national trends. Methods: Data from a prospective database were extracted to include patients treated with BCT, aged ≥50 years, with histologic findings of invasive ductal carcinoma, stage T1-T2N0M0, estrogen receptor-positive, and HER2 normal. We retrospectively reviewed the medical records and estimated costs based on 2016 Hospital Outpatient Prospective Payment System (technical fees and Medicare Physician Fee Schedule (professional fees. Results: Among 55 cases from 2006 to 2008, treatment regimens were 11% hypofractionated, 69% traditional schedule, and 20% RT omission (29% of patients were aged >70 years. Among 83 cases from 2011 to 2013, treatment regimens were 54% hypofractionated, 19% traditional schedule, and 27% RT omission (48% of patients were aged >70

  13. Necessary contents of public outreach for high level radioactive waste disposal

    International Nuclear Information System (INIS)

    Kanzaki, Noriko; Okamoto, Koji

    2011-01-01

    Nuclear power generation is one of the solutions for global warming. However, the nuclear power generation technology can not be completed unless the disposal method of the radioactive waste is decided. Various actions are performed about the High Level Radioactive Waste (HLW) disposal in particular in each country. However, planning of HLW disposal site was not successful, except Finland and Sweden. In Japan, geological disposal of HLW was selected. The operating body and the capital management body are also decided. Up to the present, no municipality apply the disposal site candidate. An important social element for HLW disposal is careful explanation and communication for municipality. For this purpose, a symposium to explain necessity of HLW is held in each district in Japan. The symposium is not successful, because of lack of carefulness to local situation considered. In this study, we evaluates the questionnaire by the symposium attendee to extract the idea and requests by the local people. With these questionnaire, the responsibility of the government should be more enhanced. Also, the detail answer to the people's questions are needed. Using these knowledge, the HLW disposal social acceptance has been discussed. (author)

  14. Measuring the level of public understanding of total solar eclipse from the mass media: Palembang as sample

    Science.gov (United States)

    Purwati, F. G.; Ekawanti, N.; Luthfiandari; Premadi, P. W.

    2016-11-01

    The Total Solar Eclipse (TSE) on the 9th March 2016 received a huge attention from the mass media. Some of them intensively write articles about it even months before the TSE day. As we know media plays strategic role not only in raising public awareness but also interest. The aim of this project is to study the relation between the number of accesses to the media information and how well public learned the information delivered by the media. We prepared questionnaire consisting of seven semi-multiple choices on how public got information about TSE. We gave them choices of what they had heard to measure their basic understanding of TSE. Furthermore we add two “wrong” choices in the last questions to identify less serious respondents. We analyze 60 respondents of Palembang who visited Ampera bridge area. Our result shows no correlation between the number of information access and the level of understanding about TSE. We also found that local media did not provide the scientific content of TSE as well as the national media.

  15. Deriving staff and public doses in a PET/CT facility from measured radiation levels using thermoluminescent dosimetry

    International Nuclear Information System (INIS)

    Al-Haj, A. N.; Lobriguito, A. M.; Arafah, A.; Parker, R.

    2011-01-01

    The introduction of PET/CT at King Faisal Specialist Hospital and Research Centre for whole body and brain imaging has become favourable for diagnosis of cancer. There is no data available on the PET/CT dose to staff and members of the public for different activities of 18 F [fluorodeoxyglucose (FDG)] and for longer patient holding time. The study aims to determine and evaluate staff and public doses by using thermoluminescent dosemeters monthly readings for a 7-month deployment period and by using direct measurements of dose rates at 30 cm and 1 m distances from the patients after injection. The whole body doses per procedure and per administered activity of 18 F (FDG) were estimated. A dose map inside the PET/CT was generated to provide information of the dose levels in different locations. The Pearson correlation showed a strong correlation (r 2 = 0.71) between the dose per activity and the number of patients. Optimisation of radiation protection of staff and members of the public was investigated and recommendations were given. (authors)

  16. Burden of diabetes mellitus attributable to demographic levels in Qatar: an emerging public health problem.

    Science.gov (United States)

    Bener, Abdulbari; Kim, Eun-Jung; Mutlu, Fatih; Eliyan, Afnan; Delghan, Hamsa; Nofal, Enas; Shalabi, Luma; Wadi, Nada

    2014-01-01

    Diabetes is one of the main contributors to ill health and premature mortality worldwide and its prevalence has been rising during the last decades. The aim of the present study was to quantify the burden of disease in terms of deaths and loss of healthy life years (DALYs) attributed to diabetes by its demographic levels in the State of Qatar. The methods were largely based on the established Global Burden of Disease methodology and use the burden of disease in terms of disability adjusted life years (DALYs) and the years lost due to disability (YLD) as the outcome measure. We calculated years lost due to disability (YLD) and years life lost (YLL) attributable to diabetes. The study was conducted during the period from June 2013 to January 2014. The study findings revealed that disability adjusted life years (DALYs) has been increasing across the years and reached to 4.35 in 2011 from 2.58 in 2007. DALYs for men was remarkably higher than women during the period (2007-2011). Diabetes mellitus was the 6th leading cause of disease burden in Qatar (3.8%). The YLD showed a sharp increase in men (2.52 in 2011 from 1.34 in 2007) and women (1.05 in 2011 from 0.33 in 2007) during the year 2011. YLL portion of women enlarged considerably in 2011 (0.10) compared to 2010 (0.04). YLL for men and women was fluctuating across the years with a decrease in 2011 (18%) from 2007 (35%). Men and women in the age group 30-44 years had the highest peak across the years. The study findings revealed that diabetes disease burden was considerably high in Qatar, particularly in the working age group. DALYs has been increasing across the years. Copyright © 2014 Diabetes India. Published by Elsevier Ltd. All rights reserved.

  17. Analyzing the equity of public primary care provision in Kenya: variation in facility characteristics by local poverty level

    Directory of Open Access Journals (Sweden)

    Toda Mitsuru

    2012-12-01

    Full Text Available Abstract Introduction Equitable access to health care is a key health systems goal, and is a particular concern in low-income countries. In Kenya, public facilities are an important resource for the poor, but little is known on the equity of service provision. This paper assesses whether poorer areas have poorer health services by investigating associations between public facility characteristics and the poverty level of the area in which the facility is located. Methods Data on facility characteristics were collected from a nationally representative sample of public health centers and dispensaries across all 8 provinces in Kenya. A two-stage cluster randomized sampling process was used to select facilities. Univariate associations between facility characteristics and socioeconomic status (SES of the area in which the facility was located were assessed using chi-squared tests, equity ratios and concentration indices. Indirectly standardized concentration indices were used to assess the influence of SES on facility inputs and service availability while controlling for facility type, province, and remoteness. Results For most indicators, we found no indication of variation by SES. The clear exceptions were electricity and laboratory services which showed evidence of pro-rich inequalities, with equity ratios of 3.16 and 3.43, concentration indices of 0.09 (p Conclusions The paper shows how local area poverty data can be combined with national health facility surveys, providing a tool for policy makers to assess the equity of input and service availability. There was little evidence of inequalities for most inputs and services, with the clear exceptions of electricity and laboratory services. However, efforts are required to improve the availability of key inputs and services across public facilities in all areas, regardless of SES.

  18. Nutrient intakes of US infants, toddlers, and preschoolers meet or exceed dietary reference intakes.

    Science.gov (United States)

    Butte, Nancy F; Fox, Mary Kay; Briefel, Ronette R; Siega-Riz, Anna Maria; Dwyer, Johanna T; Deming, Denise M; Reidy, Kathleen C

    2010-12-01

    To assess the usual nutrient intakes of 3,273 US infants, toddlers, and preschoolers, aged 0 to 47 months, surveyed in the Feeding Infants and Toddlers Study (FITS) 2008; and to compare data on the usual nutrient intakes for the two waves of FITS conducted in 2002 and 2008. The FITS 2008 is a cross-sectional survey of a national random sample of US children from birth through age 47 months. Usual nutrient intakes derived from foods, beverages, and supplements were ascertained using a telephone-administered, multiple-pass 24-hour dietary recall. Infants aged birth to 5 months (n=382) and 6 to 11 months (n=505), toddlers aged 12 to 23 months (n=925), and preschoolers aged 24 to 47 months (n=1,461) were surveyed. All primary caregivers completed one 24-hour dietary recall and a random subsample (n=701) completed a second 24-hour dietary recall. The personal computer version of the Software for Intake Distribution Estimation was used to estimate the 10th, 25th, 50th, 75th, and 90th percentiles, as well as the proportions below and above cutoff values defined by the Dietary Reference Intakes or the 2005 Dietary Guidelines for Americans. Usual nutrient intakes met or exceeded energy and protein requirements with minimal risk of vitamin and mineral deficiencies. The usual intakes of antioxidants, B vitamins, bone-related nutrients, and other micronutrients were adequate relative to the Adequate Intakes or Estimated Average Requirements, except for iron and zinc in a small subset of older infants, and vitamin E and potassium in toddlers and preschoolers. Intakes of synthetic folate, preformed vitamin A, zinc, and sodium exceeded Tolerable Upper Intake Level in a significant proportion of toddlers and preschoolers. Macronutrient distributions were within acceptable macronutrient distribution ranges, except for dietary fat, in some toddlers and preschoolers. Dietary fiber was low in the vast majority of toddlers and preschoolers, and saturated fat intakes exceeded

  19. Level of service for pedestrian movement towards the performance of passenger information in public transport stations in Klang Valley

    Science.gov (United States)

    Ramli, M. Z.; Hanipah, M. H.; Lee, L. G.; Loo, K. F.; Wong, J. K.; Zawawi, M. H.; Fuad, N. F. S.

    2017-09-01

    Rapid growth in car ownership in Malaysia plays a major role to traffic congestion. Hence, public transportation is crucial to cater the residents in high-density area especially in Klang Valley. Signage information in public transport station is one of an important passenger information system. Poor placement of sign information will decrease the efficiency of passenger flow and caused congestion in the station. Passenger information system is very useful for trip planning and decision making. Therefore, it is interesting to study the performance of passenger information system in focusing the movement behavior of pedestrian at non-peak period. Thus, the study on pedestrian movement during non-peak period on weekdays and weekends in mass transit stations and bus transit stations in Klang Valley was carried out by using video observation. The observation of the pedestrian movement was made in Mass Transit Station 1 in the middle of Kuala Lumpur and Mass Transit Station 2 in southern of Kuala Lumpur. The other site was focused at Bus Transit Station 1 in Putrajaya and Bus Transit Station 2 in Kajang. Findings shown that Mass Transit Station 1 having the best facility in terms of passenger information which the level of service obtained is LOS A, while the lowest level of service which is LOS E was obtained in Bus Transit Station 2.

  20. Assessing public health policy approaches to level-up the gradient in health inequalities: the Gradient Evaluation Framework.

    Science.gov (United States)

    Davies, J K; Sherriff, N S

    2014-03-01

    This paper seeks to introduce and analyse the development of the Gradient Evaluation Framework (GEF) to facilitate evaluation of policy actions for their current or future use in terms of their 'gradient friendliness'. In particular, this means their potential to level-up the gradient in health inequalities by addressing the social determinants of health and thereby reducing decision-makers' chances of error when developing such policy actions. A qualitative developmental study to produce a policy-based evaluation framework. The scientific basis of GEF was developed using a comprehensive consensus-building process. This process followed an initial narrative review, based on realist review principles, which highlighted the need for production of a dedicated evaluation framework. The consensus-building process included expert workshops, a pretesting phase, and external peer review, together with support from the Gradient project Scientific Advisory Group and all Gradient project partners, including its Project Steering Committee. GEF is presented as a flexible policy tool resulting from a consensus-building process involving experts from 13 European countries. The theoretical foundations which underpin GEF are discussed, together with a range of practical challenges. The importance of systematic evaluation at each stage of the policy development and implementation cycle is highlighted, as well as the socio-political context in which policy actions are located. GEF offers potentially a major contribution to the public health field in the form of a practical, policy-relevant and common frame of reference for the evaluation of public health interventions that aim to level-up the social gradient in health inequalities. Further research, including the need for practical field testing of GEF and the exploration of alternative presentational formats, is recommended. Copyright © 2013 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  1. Distribution of physical therapists working on public and private establishments in different levels of complexity of health care in Brazil.

    Science.gov (United States)

    Costa, Larissa R; Costa, José L R; Oishi, Jorge; Driusso, Patricia

    2012-01-01

    The Brazilian Health System is organized on a regional and hierarchical form with three levels of complexity of health care. The Primary Care represents the first element of a continuing health care process, complemented by specialized actions. However, the centrality of the specialized care is still a problem in Brazil, especially in the private sector. Studies on the distribution of professionals in the health system allowing the formulation of appropriate policies are needed. To investigate the distribution of physical therapists in the levels of complexity of health care and between public and private establishments, according to data from the National Register of Health Service Providers (NRHSP). A descriptive cross-sectional study was performed considering NRHSP-national bank data collected in March 2010 and demographic census 2010 data. Data were analyzed through descriptive statistics techniques. We identified 53,181 registries of physical therapists, 60% linked to the private sector. Only 13% of all entries were linked to primary care. The predominance in specialized care occurred in the public sector (65%) and private sector (100%). The specialized establishments of private sector linked to the southeast region (16,043) were the main sites of physical therapists. Only the public sector in the south had a majority in the Primary Care. When considering the sizes of the cities, there is focus on specialist care in bigger cities. This study identified the concentration of physical therapists in the specialized care, mostly in metropolis and big cities and in the private sector, with restricted to participation in the primary care.

  2. PUBLIC EMPLOYEES' LEVEL OF AWARENESS AND PERCEPTION ON SEXUAL ABUSE OF CHILDREN IN ONLINE ENVIRONMENTS: TURKEY CASE

    Directory of Open Access Journals (Sweden)

    Sedat Şen

    2017-01-01

    Full Text Available The purpose of this study is to measure the level of awareness and perception of Turkish public personnel working in public institutions regarding the problem of online child pornography. Participants include 100 public officials positioned in various ministries. Quantitative research method was used in order to obtain information from participants. A questionnaire was submitted to the participants with meetings in person or via the Internet and data were collected. In order to ensure reliability and validity issues, expert opinion was sought as a means to measure validity and reliability. Necessary corrections were made based on the feedback provided. Outputs from the questionnaire were analyzed using the SPSS and the findings were evaluated. The results showed that participants who are rather young with high education levels, well-versed in national regulations, they have the knowledge about digital citizenship; however, it was found that they were not informed about technical issues such as international activities related to child pornography (CP, online child pornography, Darknet, p2p networks and hash databases. The findings showed that the reason behind the lack of awareness on some of these phenomena was the inherent problems in the education system and the insufficiency of the curriculum. Findings clearly show that it is necessary to establish an organic network among several ministries which are responsible for the fight with child pornography. Furthermore, to create a national CP images (Hash database which can detect the IP number and other information of the ones who share such images online using a national analysis software is another solution proposed.

  3. D-fence Against the Canadian Winter: Making Insufficient Vitamin D Levels a Higher Priority for Public Health

    Directory of Open Access Journals (Sweden)

    Jennifer D. Zwicker

    2015-04-01

    Full Text Available With most of the country situated above the latitude of the 42nd parallel north, there is a significant portion of the Canadian population that is not getting enough of the sunshine vitamin during the winter. Vitamin D is naturally produced when skin is exposed to sunlight, however during the winter months in Canada the sun is too low in the sky for this to occur. A full quarter of the Canadian population is estimated to have vitamin D levels so low as to be considered insufficient or deficient by Health Canada guidelines. Increasing vitamin D intake should be considered a public health priority. Vitamin D deficiency is known to be linked to rickets in children and osteomalacia in adults (bone softening and malformation as well as osteoporosis (loss of bone density, increasing susceptibility to fractures. However a growing body of evidence also suggests that vitamin D may have a role in the prevention of chronic diseases such as heart disease, high blood pressure, diabetes, cancer, cognitive decline, Parkinson’s disease, multiple sclerosis and arthritis. There is, of course, no way to change Canada’s proximity to the equator. But there are ways to help Canadians get more vitamin D through dietary intake. Improving the vitamin D status of the Canadian population through food fortification and dietary supplements represents an inexpensive intervention that can improve the health of the population, but debate remains over how much vitamin D the Canadian population needs and how to ensure the population adheres to whatever recommendations are made. Food fortification has already demonstrated its effectiveness in improving vitamin D levels (as it has for other public health priorities, such as with iodized salt. Decades ago, the prevalence of rickets in Canadian children led health professionals to lobby for, and win, legislation making vitamin D fortification mandatory for milk. Other foods, such as orange juice, milk of plant origin and

  4. The contribution of school-level factors to contraceptive use among adolescents in New York city public high schools

    Science.gov (United States)

    Kaplan, Deborah L.

    Every year approximately 17,000 adolescents ages 15-19 become pregnant in New York City. Most of these pregnancies are unintended and only a small percent of adolescents use effective contraception, with wide disparities by race/ethnicity and poverty level. While many studies have identified factors associated with contraceptive use, most research has focused on individual level factors, with little attention to the contribution of the school environment to sexual risk behavior and contraceptive use. This study investigates the effect of school-level factors on contraceptive use among adolescents in NYC public high schools before and after controlling for individual-level factors, and whether this effect varies with race/ethnicity. Using a cross-sectional design, the NYC Youth Risk Behavior Survey (YRBS) individual-level datasets for 2007, 2009 and 2011 were linked to a school-level dataset. Variables were selected based on empirical findings on factors associated with sexual behaviors, including contraceptive use, by adolescents. The analytic sample included all YRBS respondents aged 14 or older who reported having sexual intercourse in the past three months and had complete responses to the YRBS questions on contraceptive use at last sex (N=8,054). The chi square test of significance was used to evaluate significant associations between independent variables and contraceptive use in bivariate analyses; variables with a p value < 0.1 were included in the multivariable analyses. Binary and multinomial logistic regression analyses were conducted to estimate the strength of the associations of school-level factors with contraceptive use among sexually active adolescents. Findings included that use of any contraception and/or hormonal contraception at last sexual intercourse was associated with attending schools with a higher six-year graduation rate, higher percent of students strongly agreeing they were safe in their classrooms, higher percent of teachers at the

  5. Efficiency and Productivity of County-level Public Hospitals Based on the Data Envelopment Analysis Model and Malmquist Index in Anhui, China

    Directory of Open Access Journals (Sweden)

    Nian-Nian Li

    2017-01-01

    Conclusions: In 2010–2015, the relative service efficiency of 12 county-level public hospitals in Anhui Province showed a decreasing trend, and the service efficiency of each hospital changed. In the past 6 years, although some hospitals have been effective, the efficiency of the county-level public hospitals in Anhui Province has not improved significantly, and the total factor productivity has not been effectively improved. County-level public hospitals need to combine their own reality to find their own deficiencies.

  6. 29 CFR 4.162 - Fringe benefits under contracts exceeding $2,500.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 1 2010-07-01 2010-07-01 true Fringe benefits under contracts exceeding $2,500. 4.162... Compensation Standards § 4.162 Fringe benefits under contracts exceeding $2,500. (a) Pursuant to the statutory... contain a provision specifying the fringe benefits to be furnished the various classes of service...

  7. 40 CFR 1045.107 - What are the not-to-exceed emission standards?

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 32 2010-07-01 2010-07-01 false What are the not-to-exceed emission... Emission Standards and Related Requirements § 1045.107 What are the not-to-exceed emission standards? Not...) For engines equipped with a catalyst, use NTE multipliers from the following table across the...

  8. Individual- and area-level disparities in access to the road network, subway system and a public bicycle share program on the Island of Montreal, Canada.

    Science.gov (United States)

    Fuller, Daniel; Gauvin, Lise; Kestens, Yan

    2013-02-01

    Few studies have examined potential disparities in access to transportation infrastructures, an important determinant of population health. To examine individual- and area-level disparities in access to the road network, public transportation system, and a public bicycle share program in Montreal, Canada. Examining associations between sociodemographic variables and access to the road network, public transportation system, and a public bicycle share program, 6,495 adult respondents (mean age, 48.7 years; 59.0 % female) nested in 33 areas were included in a multilevel analysis. Individuals with lower incomes lived significantly closer to public transportation and the bicycle share program. At the area level, the interaction between low-education and low-income neighborhoods showed that these areas were significantly closer to public transportation and the bicycle share program controlling for individual and urbanicity variables. More deprived areas of the Island of Montreal have better access to transportation infrastructure than less-deprived areas.

  9. Understanding tobacco control policy at the national level: bridging the gap between public policy and tobacco control advocacy

    Directory of Open Access Journals (Sweden)

    Marc C. Willemsen

    2018-03-01

    Full Text Available Background While some countries have advanced tobacco control policies, other countries struggle to adopt and implement FCTC's measures. This presentation uncovers the main factors that explain such variations, taking insights from public policy and political science as a starting point for a case study. Methods A case study of tobacco control policy making in the Netherlands, covering the period from the 1960s until the present. The study consisted of a systematic search and analysis of documents and proceedings of parliamentary debates on tobacco policy, supplemented with 22 interviews with key informants from the government, health organisations, politicians, and the tobacco industry. In addition, documents from the Truth Tobacco Industry Documents database, pertaining to the influence of the tobacco industry on Dutch policy making, were analysed. Results The Dutch government started relatively late to regulate tobacco. The choices in tobacco control policy making at the national level and the tempo in which they are made are explained by the interaction of the five main elements of the tobacco control policy making process: Relatively stable context factors (constitutional structures, 'rules of the policy making game', national cultural values Relatively dynamic context factors (regime changes, EU regulation and FCTC guidelines, changing social norms, public support Transfer of ideas (availability and interpretation of scientific evidence Pro and anti-tobacco control networks and coalitions (their organisational and lobby strength Agenda-setting (changes in problem definition, issue framing, media advocacy Conclusions Despite worldwide convergence of tobacco control policies, accelerated by the ratification of the FCTC treaty by most nations, governments develop approaches to tobacco control in line with cultural values, ideological preferences and specific national institutional arrangements. There is no one-size-fits-all approach. The

  10. Prediction in Partial Duration Series With Generalized Pareto-Distributed Exceedances

    DEFF Research Database (Denmark)

    Rosbjerg, Dan; Madsen, Henrik; Rasmussen, Peter Funder

    1992-01-01

    As a generalization of the common assumption of exponential distribution of the exceedances in Partial duration series the generalized Pareto distribution has been adopted. Estimators for the parameters are presented using estimation by both method of moments and probability-weighted moments......-weighted moments. Maintaining the generalized Pareto distribution as the parent exceedance distribution the T-year event is estimated assuming the exceedances to be exponentially distributed. For moderately long-tailed exceedance distributions and small to moderate sample sizes it is found, by comparing mean...... square errors of the T-year event estimators, that the exponential distribution is preferable to the correct generalized Pareto distribution despite the introduced model error and despite a possible rejection of the exponential hypothesis by a test of significance. For moderately short-tailed exceedance...

  11. AWARENESS AS A FACTOR OF INFLUENCE ON THE LEVEL OF PUBLIC SATISFACTION WITH LOCAL SELF-GOVERNMENT ACTIVITIES

    Directory of Open Access Journals (Sweden)

    Kiseleva N. V.

    2014-12-01

    Full Text Available In the modern period of the development of statehood in Russia the significant increase of attention is attributed to the issue of effectiveness of state power and government not only on the federal and regional levels, but on the local level as well. In 2009 there was developed and implemented the system of indicators of the effectiveness’ estimates of the activity of local self-government. The system of effectiveness’ estimates included sociological indices of satisfaction of population. Implementation of sociological indices in the system of effectiveness’ estimates of the activity of local self-government brought positive responses from academic community, politicians, managers, and the public. In the article the analysis of influence of cognitive factor (being kept informed on the level of social contentment of the activity of local self-government’ bodies is done. We do this, based on the results of sociological studies of the major Russian research organizations and data from the aggregate reports, which deal with the monitoring of effectiveness of local self-government of some subjects in the Central federal district of Russia.

  12. Level of risk for alcohol consumption among the drivers of an urban public transportation company in Medellín

    Directory of Open Access Journals (Sweden)

    Carlos F. Molina C

    2011-11-01

    Full Text Available Objective: to study the level of risk for alcohol consumption among drivers from a public transportation company. Methodology: a cross-sectional observational study with a sample of 145 drivers from a transportation company in Medellin, Colombia. A self-survey was used that included socio-demographic data, work organization data, and the audittest to measure the level of risk for alcohol consumption. Results: the socio-demographic and work organization profiles, together with the risk level values are consistent with the findings of previous national and international studies. The audit test results showed that 12.5% of the subjects had a score greater than or equal to 8. This is a global indicator of risky and harmful consumption. Furthermore, the score of 17% of the subjects suggested probable dependence. Conclusions: this study’s findings suggest that further research is required in order to establish the grounds for designing a coordinated proposal integrating the actions of each of the Social Security System’s actors. Such proposal should be based on the policy for decreasing consumption of psychoactive substances in the working population

  13. Utilizing public scientific web lectures to teach contemporary physics at the high school level: A case study of learning

    Directory of Open Access Journals (Sweden)

    Shulamit Kapon1,*

    2011-10-01

    Full Text Available This paper describes a teaching experiment designed to examine the learning (i.e., retention of content and conceptual development that takes place when public scientific web lectures delivered by scientists are utilized to present advanced ideas in physics to students with a high school background in physics. The students watched an exemplary public physics web lecture that was followed by a collaborative generic activity session. The collaborative session involved a guided critical reconstruction of the main arguments in the lecture, and a processing of the key analogical explanations. Then the students watched another exemplary web lecture on a different topic. The participants (N=14 were divided into two groups differing only in the order in which the lectures were presented. The students’ discussions during the activities show that they were able to reason and demonstrate conceptual progress, although the physics ideas in the lectures were far beyond their level in physics. The discussions during the collaborative session contributed significantly to the students’ understanding. We illustrate this point through an analysis of one of these discussions between two students on an analogical explanation of the Aharonov-Bohm effect that was presented in one of the lectures. The results from the tests that were administered to the participants several times during the intervention further support this contention.

  14. Utilizing public scientific web lectures to teach contemporary physics at the high school level: A case study of learning

    Science.gov (United States)

    Kapon, Shulamit; Ganiel, Uri; Eylon, Bat Sheva

    2011-12-01

    This paper describes a teaching experiment designed to examine the learning (i.e., retention of content and conceptual development) that takes place when public scientific web lectures delivered by scientists are utilized to present advanced ideas in physics to students with a high school background in physics. The students watched an exemplary public physics web lecture that was followed by a collaborative generic activity session. The collaborative session involved a guided critical reconstruction of the main arguments in the lecture, and a processing of the key analogical explanations. Then the students watched another exemplary web lecture on a different topic. The participants (N=14) were divided into two groups differing only in the order in which the lectures were presented. The students’ discussions during the activities show that they were able to reason and demonstrate conceptual progress, although the physics ideas in the lectures were far beyond their level in physics. The discussions during the collaborative session contributed significantly to the students’ understanding. We illustrate this point through an analysis of one of these discussions between two students on an analogical explanation of the Aharonov-Bohm effect that was presented in one of the lectures. The results from the tests that were administered to the participants several times during the intervention further support this contention.

  15. Level of satisfaction of clients of public pharmacies dispensing high-cost drugs in Espírito Santo, Brazil

    Directory of Open Access Journals (Sweden)

    Karla Oliveira dos Santos Cassaro

    Full Text Available ABSTRACT The aim of this study was to evaluate the level of satisfaction of pharmaceutical services and to determine the socioeconomic profile of public pharmacy clients. This is a cross-sectional observational study using a quantitative approach. The sample was calculated from the monthly number of patients seen in pharmacies and was stratified for each pharmacy. Data were analysed using SPSS 11.5 software and by observing the simple relative frequencies for qualitative variables. For the quantitative variables, the analysis of variance (ANOVA and post-hoc Fisher tests were performed. Data are expressed as mean ± standard deviation (SD. The results show that, in general, patients at "Farmácias cidadãs" are satisfied with the services. However, when stratified, we found that the greatest satisfaction was related only to structural and organizational aspects, while the pharmaceutical services are unsatisfactory. When relating satisfaction to the socioeconomic characteristics, a difference between waiting time (39.07 ± 19.53, attendance by pharmacist (8.91 ± 5.14 and education was observed. It is concluded that users are satisfied with the services of state "Farmácias cidadãs" of Espírito Santo, but there should be improvements in relation to pharmaceutical services and the interpersonal relationships between health professionals and users of the public health system in Brazil.

  16. 1987 annual report on low-level radioactive waste management progress: Report to Congress in response to Public Law 99-240

    International Nuclear Information System (INIS)

    1988-08-01

    In response to Section 7(b) of the Low-Level Radioactive Waste Policy Amendments Act of 1985 (Public Law 99-240), this report summarizes the progress of states and low-level radioactive waste compacts in 1987 in establishing new low-level waste disposal facilities. It also reports the volume of low-level waste received for disposal in 1987 by commercially operated low-level waste disposal facilities

  17. Proposed nomination of Yucca Mountain as a potential high-level radioactive waste repository. Correspondence and request for oral presentations for US Department of Energy public hearings

    International Nuclear Information System (INIS)

    1983-01-01

    This volume contains correspondence and requests by the public citizens for oral presentation at the public hearings for the proposed nomination of Yucca Mountain as a potential high-level radioactive waste repository. Written comments are also included on: the proposed nomination; the issues to be addressed in the Environmental Assessment; and the issues to be addressed by any Site Characterization Plan, if developed

  18. The Role of Pr in the Public Sector. Case Study on Pr Professionalization at the Local Level in Romania

    Directory of Open Access Journals (Sweden)

    Delia Cristiana BALABAN

    2009-10-01

    Full Text Available Although the idea of creating internal andexternal links within and between institutions isa relatively established one, the public relationsdomain can be considered a new branch of thepromotion process, mainly in the public sector inRomania. This paper aims at creating an overviewof the profile of public relations departments withinpublic institutions. In this research we aspire touncover the main elements that characterize theprofile of public relations departments within publicinstitutions, from the point of view of their qualityand professionalism. Moreover, this researchaims to establish whether there are differencesconcerning the public relations profile betweenpublic administration institutions and other specific public institutions.

  19. A public health framework to translate risk factors related to political violence and war into multi-level preventive interventions.

    Science.gov (United States)

    De Jong, Joop T V M

    2010-01-01

    Political violence, armed conflicts and human rights violations are produced by a variety of political, economic and socio-cultural factors. Conflicts can be analyzed with an interdisciplinary approach to obtain a global understanding of the relative contribution of risk and protective factors. A public health framework was designed to address these risk factors and protective factors. The framework resulted in a matrix that combined primary, secondary and tertiary interventions with their implementation on the levels of the society-at-large, the community, and the family and individual. Subsequently, the risk and protective factors were translated into multi-sectoral, multi-modal and multi-level preventive interventions involving the economy, governance, diplomacy, the military, human rights, agriculture, health, and education. Then the interventions were slotted in their appropriate place in the matrix. The interventions can be applied in an integrative form by international agencies, governments and non-governmental organizations, and molded to meet the requirements of the historic, political-economic and socio-cultural context. The framework maps the complementary fit among the different actors while engaging themselves in preventive, rehabilitative and reconstructive interventions. The framework shows how the economic, diplomatic, political, criminal justice, human rights, military, health and rural development sectors can collaborate to promote peace or prevent the aggravation or continuation of violence. A deeper understanding of the association between risk and protective factors and the developmental pathways of generic, country-specific and culture-specific factors leading to political violence is needed.

  20. What could have caused pre-industrial biomass burning emissions to exceed current rates?

    Directory of Open Access Journals (Sweden)

    G. R. van der Werf

    2013-01-01

    Full Text Available Recent studies based on trace gas mixing ratios in ice cores and charcoal data indicate that biomass burning emissions over the past millennium exceeded contemporary emissions by up to a factor of 4 for certain time periods. This is surprising because various sources of biomass burning are linked with population density, which has increased over the past centuries. We have analysed how emissions from several landscape biomass burning sources could have fluctuated to yield emissions that are in correspondence with recent results based on ice core mixing ratios of carbon monoxide (CO and its isotopic signature measured at South Pole station (SPO. Based on estimates of contemporary landscape fire emissions and the TM5 chemical transport model driven by present-day atmospheric transport and OH concentrations, we found that CO mixing ratios at SPO are more sensitive to emissions from South America and Australia than from Africa, and are relatively insensitive to emissions from the Northern Hemisphere. We then explored how various landscape biomass burning sources may have varied over the past centuries and what the resulting emissions and corresponding CO mixing ratio at SPO would be, using population density variations to reconstruct sources driven by humans (e.g., fuelwood burning and a new model to relate savanna emissions to changes in fire return times. We found that to match the observed ice core CO data, all savannas in the Southern Hemisphere had to burn annually, or bi-annually in combination with deforestation and slash and burn agriculture exceeding current levels, despite much lower population densities and lack of machinery to aid the deforestation process. While possible, these scenarios are unlikely and in conflict with current literature. However, we do show the large potential for increased emissions from savannas in a pre-industrial world. This is mainly because in the past, fuel beds were probably less fragmented compared to the

  1. ACNP Public Education Program on nuclear medicine and related low-level waste issues. Final technical report, 7 July 1980-30 June 1983

    International Nuclear Information System (INIS)

    The goal of the ACNP Public Education Program was to educate and inform the greatest number of people in the areas of radiation and health and, in turn, to gain the public's understanding of Nuclear Medicine. The related low-level waste issues also were incorporated into the program. To carry out the program's objectives and design to educate the public, the ACNP established a Speaker Bureau which consists of those members of the ACNP and the Society of Nuclear Medicine (SNM) who go through the training seminars, conducted by ACNP, and are available to speak publicly about Nuclear Medicine and related low-level waste issues. In addition, the ACNP developed the necessary audiovisual and printed materials to be used in their own right or as supplemental tools. Promotion of the Speakers Bureau and the audiovisual materials to the media and other various public forums was undertaken

  2. Levels and Patterns of Objectively Assessed Physical Activity and Compliance with Different Public Health Guidelines in University Students

    Science.gov (United States)

    Arias-Palencia, Natalia María; Solera-Martínez, Monserrat; Gracia-Marco, Luis; Silva, Pedro; Martínez-Vizcaíno, Vicente; Cañete-García-Prieto, Jorge; Sánchez-López, Mairena

    2015-01-01

    Background Physical activity (PA) is associated with health enhancement. The aim of this study was to assess: 1) levels and patterns of PA in university students by using accelerometers; and 2) the percentage of fulfilment of PA recommendations for adults, according to different public health guidelines. Methods Observational cross-sectional study (Cuenca’s Adults Study) involving 296 (206 women) healthy Spanish university students aged 18–25 years old. Participants wore the ActiGraph GT1M accelerometer for seven consecutive days. Total PA, steps and time spent in sedentary time, light, moderate, vigorous, and moderate to vigorous PA (MVPA) was assessed, and the prevalence of sufficient PA was calculated according to various public health guidelines. Results No sex differences in total PA were found. University students were more sedentary during weekend days than weekdays (pstudents met the recommendation of 150 min/week of MVPA or 75 min/week of vigorous PA, in PA bouts of at least 10 min. using the same definition, but on five or more days a week, only 0.5% students were found to meet the recommendation. In addition, only 0.5% of students met the recommendation of 30 min/day of MVPA, at least five days a week and in bouts of at least 10 min. Finally, 28.1% of the students met the recommendation of 10,000 steps/day. Conclusions Our study shows a high incidence of sedentary time in university students. The number of students meeting PA recommendations significantly differed depending on the recommendation proposed. Specific strategies to promote PA in this population are necessary as well as an agreement as to which PA guidelines should be used. PMID:26536605

  3. To determine the level of satisfaction among medical students of a public sector medical university regarding their academic activities

    Directory of Open Access Journals (Sweden)

    Manzar Bushra

    2011-10-01

    Full Text Available Abstract Background An ongoing evaluation system is essential to determine if the academic system in place has worked to produce a better product, hence the objective of our study was to evaluate the satisfaction level among medical students regarding their academic teaching and assessment method and what measures will they suggest for the future to rectify the current situation. This questionnaire based cross sectional study was conducted in a public sector medical university from February to July 2010. A well structured questionnaire was administered to a random sample of 375 final year medical students. However 292 of the students provided informed consent and filled in the questionnaire which included their demographic profile as well as questions in line with the study objective. Data was entered in a Statistical Package for Social Sciences (SPSS version.16 and analyzed using descriptive statistics. Findings The male to female ratio in our study was 1:2. Most of the students (57.2% were dissatisfied with the quality of teaching in the university. Fifty-seven percent of the participants believed that the current standard of their institute were not at par with those of international medical universities. BCQ's were the mode of examination questions preferred by the majority of the students. Most of the students (66.1% wanted the university to conduct career planning seminars to help them plan their career. Conclusions These results suggest that the students of public sector medical universities are unsatisfied from current academic facilities and teaching activities. Students recommend increased emphasis on better lectures and practical training as well as a need to incorporate career planning sessions for the students to help plan them their future career paths.

  4. Clinical skills required of ophthalmic nurse practitioners in tertiary level public hospitals in the Western Cape Province

    Directory of Open Access Journals (Sweden)

    U. Kyriacos

    2009-09-01

    Full Text Available Background: South Africa has a 32-year history of training ophthalmic nurse practitioners (ONPs. The role and required skills and competencies of ONPs are not well documented in the international literature and are also absent from South African publications, including South African Nursing Council publications. Aim: This study aims to inform curriculum development and human resource planning by reporting on the clinical skills expected of ONPs by members of multidisciplinary ophthalmology teams. Method: A limited survey was undertaken in the ophthalmology wards and outpatient departments of three tertiary level hospitals in the Western Cape Province. A researcher-designed structured self-completion questionnaire was distributed to 30 ophthalmology practitioners: doctors, nurses and technicians. Respondents were asked to indicate the expected clinical skills of ONPs. Findings: All questionnaires were completed. All respondents favoured ONPs taking histories and performing emergency eye irrigations. There was less support for more complex procedures, such as B-scans. One-third of respondents did not expect ONPs to have skills in eight key areas, including examination of the anterior chamber angle for glaucoma. No statistically significant differences were found between responses of doctors and nurses, with one exception: more nurses (15/18 than doctors (4/10 had confidence in the ONP undertaking basic eye examinations for ocular motility (Fisher‘s exact test, P = 0 .035. Conclusion: In the study settings, ONPs are not using their specialist skills to the full. Not all practitioners were receptive to ONPs using the skills that they had acquired during their postgraduate diploma, threatening the educational effectiveness of this initiative.

  5. Impact of Texas Public School Board Members' Level of Training and Professional Development on Superintendent Tenure

    Science.gov (United States)

    Flores, Alexandro Miguel

    2017-01-01

    The role of the public school superintendent, with its increasing challenges and demands, can be considered one of the most daunting roles in American public education today. Consequently, frequent turnover in the top leadership position inhibits many public schools from reaching set academic, financial, and organizational goals. As a result, any…

  6. Report to Congress in response to Public Law 99-240: 1990 Annual report on low-level radioactive waste management progress

    International Nuclear Information System (INIS)

    1991-09-01

    This report summarizes the progress during 1990 of states and compact regions in establishing new low-level radioactive waste disposal facilities. It also provides summary information on the volume of low-level radioactive waste received for disposal in 1990 by commercially operated low-level radioactive waste disposal facilities. This report is in response to section 7 (b) of the Low-Level Radioactive Waste Policy Act, as amended by Public Law 99-240

  7. On the level of coverage and citation of publications by mechanicians of the national academy of sciences of Ukraine in the Scopus database

    Science.gov (United States)

    Guz, A. N.; Rushchitsky, J. J.

    2009-11-01

    The paper analyzes the level of coverage and citation of publications by mechanicians of the National Academy of Sciences of Ukraine (NASU) in the Scopus database. Two groups of mechanicians are considered. One group includes 66 doctors of sciences of the S. P. Timoshenko Institute of Mechanics as representatives of the oldest institute of the NASU. The other group includes 34 members (academicians and corresponding members) of the Division of Mechanics of the NASU as representatives of the authoritative community of mechanicians in Ukraine. The results are presented for each scientist in the form of two indices—the total number of publications accessible in the database as the level of coverage of the scientist's publications in this database and the h-index as the citation level of these publications. This paper may be considered to continue the papers [6-12] published in Prikladnaya Mekhanika (International Applied Mechanics) in 2005-2009

  8. Prediction in Partial Duration Series With Generalized Pareto-Distributed Exceedances

    DEFF Research Database (Denmark)

    Rosbjerg, Dan; Madsen, Henrik; Rasmussen, Peter Funder

    1992-01-01

    As a generalization of the common assumption of exponential distribution of the exceedances in Partial duration series the generalized Pareto distribution has been adopted. Estimators for the parameters are presented using estimation by both method of moments and probability-weighted moments...... distributions (with physically justified upper limit) the correct exceedance distribution should be applied despite a possible acceptance of the exponential assumption by a test of significance....

  9. Problem drinking and exceeding guidelines for 'sensible' alcohol consumption in Scottish men: associations with life course socioeconomic disadvantage in a population-based cohort study

    Directory of Open Access Journals (Sweden)

    Benzeval Michaela

    2008-09-01

    Full Text Available Abstract Background With surveys suggesting that exceeding guidelines for 'sensible' alcohol intake is commonplace, the health and social impact of modifying intake on a population level is potentially considerable. If public health interventions are to be successfully implemented, it is first important to identify correlates of such behaviours, including socioeconomic disadvantage. This was the aim of the present study. Methods Population-representative cohort study of 576 men from the West of Scotland. Data on life course socioeconomic position were collected in 1988 (at around 55 years of age. Alcohol consumption patterns (detailed seven day recall and problem drinking (CAGE questionnaire were ascertained in 1990/2 (at around 59 years of age. A relative index of inequality was computed to explore the comparative strength of different indicators of social circumstances from different periods of the life course. Results Socioeconomic adversity in both early life and in adulthood was related to an increased risk of exceeding the weekly and daily alcohol guidelines, with adult indicators of socioeconomic position revealing the strongest associations. Of these, material indicators of socioeconomic deprivation in adulthood – car ownership, housing tenure – were marginally more strongly related to heavy alcohol intake and problem drinking than education, income and occupational social class. A substantial proportion of the influence of early life deprivation on alcohol intake was mediated via adult socioeconomic position. Similar results were apparent when problem drinking was the outcome of interest. Conclusion In men in this cohort, exposure to disadvantaged social circumstances across the lifecourse, but particularly in adulthood, is associated with detrimental patterns of alcohol consumption and problem drinking in late middle age.

  10. Effects of a blended learning approach on student outcomes in a graduate-level public health course.

    Science.gov (United States)

    Kiviniemi, Marc T

    2014-03-11

    Blended learning approaches, in which in-person and online course components are combined in a single course, are rapidly increasing in health sciences education. Evidence for the relative effectiveness of blended learning versus more traditional course approaches is mixed. The impact of a blended learning approach on student learning in a graduate-level public health course was examined using a quasi-experimental, non-equivalent control group design. Exam scores and course point total data from a baseline, "traditional" approach semester (n = 28) was compared to that from a semester utilizing a blended learning approach (n = 38). In addition, student evaluations of the blended learning approach were evaluated. There was a statistically significant increase in student performance under the blended learning approach (final course point total d = 0.57; a medium effect size), even after accounting for previous academic performance. Moreover, student evaluations of the blended approach were very positive and the majority of students (83%) preferred the blended learning approach. Blended learning approaches may be an effective means of optimizing student learning and improving student performance in health sciences courses.

  11. The Effect of Corporate Tax Avoidance on the Level of Corporate Cash Holdings: Evidence from Indonesian Public Listed Companies

    Directory of Open Access Journals (Sweden)

    Muhammad Irham Kurniawan

    2017-12-01

    Full Text Available This study aims to examine the effect of corporate tax avoidance to the corporate cash holdings. Recent tax avoidance research found that tax avoidance is able to facilitate managerial rent extraction in the form of transfer of resources owned by the company. This study attempts to test how the relationship of tax avoidance with the amount of cash held by the company. The sample consists of 46 non-financial, non-property, non-real estate and non-construction companies from 2009-2016, with a total 368 observations. The study uses two different cash holdings measures to test the robustness of the research results. This study cannot find evidence that tax avoidance have a significant relationship to the level of cash holdings in public companies in Indonesia. Both measurements of cash holdings gave the same conclusions to the results of the study. This study provides an insight that agency theory in the context of tax avoidance and corporate cash holdings in developing countries such as Indonesia needs to be explored further as the agency conflict in Indonesia as a developing country is more principal-principal conflicts.

  12. Estimating the Potential Risks of Sea Level Rise for Public and Private Property Ownership, Occupation and Management

    Directory of Open Access Journals (Sweden)

    Georgia Warren-Myers

    2018-04-01

    Full Text Available The estimation of future sea level rise (SLR is a major concern for cities near coastlines and river systems. Despite this, current modelling underestimates the future risks of SLR to property. Direct risks posed to property include inundation, loss of physical property and associated economic and social costs. It is also crucial to consider the risks that emerge from scenarios after SLR. These may produce one-off or periodic events that will inflict physical, economic and social implications, and direct, indirect and consequential losses. Using a case study approach, this paper combines various forms of data to examine the implications of future SLR to further understand the potential risks. The research indicates that the financial implications for local government will be loss of rates associated with total property loss and declines in value. The challenges identified are not specific to this research. Other municipalities worldwide experience similar barriers (i.e., financial implications, coastal planning predicaments, data paucity, knowledge and capacity, and legal and political challenges. This research highlights the need for private and public stakeholders to co-develop and implement strategies to mitigate and adapt property to withstand the future challenges of climate change and SLR.

  13. Effects of a blended learning approach on student outcomes in a graduate-level public health course

    Science.gov (United States)

    2014-01-01

    Background Blended learning approaches, in which in-person and online course components are combined in a single course, are rapidly increasing in health sciences education. Evidence for the relative effectiveness of blended learning versus more traditional course approaches is mixed. Method The impact of a blended learning approach on student learning in a graduate-level public health course was examined using a quasi-experimental, non-equivalent control group design. Exam scores and course point total data from a baseline, “traditional” approach semester (n = 28) was compared to that from a semester utilizing a blended learning approach (n = 38). In addition, student evaluations of the blended learning approach were evaluated. Results There was a statistically significant increase in student performance under the blended learning approach (final course point total d = 0.57; a medium effect size), even after accounting for previous academic performance. Moreover, student evaluations of the blended approach were very positive and the majority of students (83%) preferred the blended learning approach. Conclusions Blended learning approaches may be an effective means of optimizing student learning and improving student performance in health sciences courses. PMID:24612923

  14. Chemical, physical, and radiological quality of selected public water supplies in Florida, January-May 1979. Water-resources investigations

    International Nuclear Information System (INIS)

    Franks, B.J.; Irwin, G.A.

    1980-01-01

    Most public water supplies sampled in Florida meet the National Interim Primary and Proposed Secondary Drinking Water Regulations. This conclusion is based on a water quality reconnaissance of 131 raw and treated public supplies throughout the State during the period January through May 1979. In a few public supplies, primary drinking water regulation maximum contaminant levels were exceeded for mercury, turbidity, and gross alpha particle activity. Secondary drinking water regulations were also occasionally exceeded in some public supplies for such parameters as chloride, pH, color, dissolved solids, iron, and manganese

  15. 36 CFR 3.15 - What is the maximum noise level for the operation of a vessel?

    Science.gov (United States)

    2010-07-01

    ... level for the operation of a vessel? 3.15 Section 3.15 Parks, Forests, and Public Property NATIONAL PARK... level for the operation of a vessel? (a) A person may not operate a vessel at a noise level exceeding... vessel is being operated in excess of the noise levels established in paragraph (a) of this section may...

  16. The Impact of Low-Level Lead Toxicity on School Performance among Hispanic Subgroups in the Chicago Public Schools.

    Science.gov (United States)

    Blackowicz, Michael J; Hryhorczuk, Daniel O; Rankin, Kristin M; Lewis, Dan A; Haider, Danish; Lanphear, Bruce P; Evens, Anne

    2016-08-01

    Environmental lead exposure detrimentally affects children's educational performance, even at very low blood lead levels (BLLs). Among children in Chicago Public Schools (CPS), the severity of the effects of BLL on reading and math vary by racial subgroup (White vs. Hispanic vs. non-Hispanic Black). We investigated the impact of BLL on standardized test performance by Hispanic subgroup (Mexican, Puerto Rican, and Other Hispanic). We examined 12,319 Hispanic children born in Chicago between 1994 and 1998 who were tested for BLL between birth and 2006 and enrolled in the 3rd grade at a CPS school between 2003 and 2006. We linked the Chicago birth registry, the Chicago Blood Lead Registry, and 3rd grade Illinois Standard Achievement Test (ISAT) scores to examine associations between BLL and school performance. Primary analyses were restricted to children with BLL below 10 µg/dL (0.483 µmol/L). BLLs below 10 µg/dL (0.483 µmol/L) were inversely associated with reading and math scores in all Hispanic subgroups. Adjusted Relative Risks (RRadj) and 95% confidence intervals (CI) for reading and math failure were 1.34 (95% CI = 1.25, 1.63) and 1.53 (95% CI = 1.32, 1.78), respectively, per each additional 5 µg/dL of lead exposure for Hispanic children; RRadj did not differ across subgroups. We estimate that 7.0% (95% CI = 1.8, 11.9) of reading and 13.6% (95% CI = 7.7, 19.2) of math failure among Hispanic children can be attributed to exposure to BLLs of 5-9 µg/dL (0.242 to 0.435 µmol/L) vs. 0-4 µg/dL (0-0.193 µmol/L). The RRadj of math failure for each 5 µg/dL (0.242 µmol/L) increase in BLL was notably (p = 0.074) stronger among black Puerto Rican children (RRadj = 5.14; 95% CI = 1.65-15.94) compared to white Puerto Rican children (RRadj = 1.50; 95% CI = 1.12-2.02). Early childhood lead exposure is associated with poorer achievement on standardized reading and math tests in the 3rd grade for Mexican, Puerto Rican, and Other Hispanic children enrolled in Chicago

  17. Predicted and observed therapeutic dose exceedances of ionizable pharmaceuticals in fish plasma from urban coastal systems.

    Science.gov (United States)

    Scott, W Casan; Du, Bowen; Haddad, Samuel P; Breed, Christopher S; Saari, Gavin N; Kelly, Martin; Broach, Linda; Chambliss, C Kevin; Brooks, Bryan W

    2016-04-01

    Instream flows of the rapidly urbanizing watersheds and estuaries of the Gulf of Mexico in Texas (USA) are increasingly dominated by reclaimed waters. Though ionizable pharmaceuticals have received increasing attention in freshwaters, many research questions remain unanswered, particularly in tidally influenced urban coastal systems, which experience significant spatiotemporal variability in pH that influences bioavailability and bioaccumulation. The authors coupled fish plasma modeling of therapeutic hazard values with field monitoring of water chemistry variability and pharmaceutical occurrence to examine whether therapeutic hazards to fish existed within these urban coastal ecosystems and whether therapeutic hazards differed within and among coastal locations and seasons. Spatial and temporal fluctuations in pH within study sites altered the probability of encountering pharmaceutical hazards to fish. Significant water quality differences were consistently observed among traditional parameters and pharmaceuticals collected from surface and bottom waters, which are rarely sampled during routine surface water quality assessments. The authors then compared modeling predictions of fish plasma concentrations of pharmaceuticals to measured plasma levels from various field-collected fish species. Diphenhydramine and diltiazem were observed in plasma of multiple species, and diltiazem exceeded human therapeutic doses in largemouth bass, catfish, and mullet inhabiting these urban estuaries. Though the present study only examined a small number of target analytes, which represent a microcosm of the exposome of these fish, coastal systems are anticipated to be more strongly influenced by continued urbanization, altered instream flows, and population growth in the future. Unfortunately, aquatic toxicology information for diltiazem and many other pharmaceuticals is not available for marine and estuarine organisms, but such field observations suggest that potential adverse

  18. Physically based probability criterion for exceeding radionuclide concentration limits in heterogeneous bedrock

    International Nuclear Information System (INIS)

    Worman, A.; Xu, S.; Dverstorp, B.

    2004-01-01

    A significant problem in a risk analysis of the repository for high-level nuclear waste is to estimate the barrier effect of the geosphere. The significant spatial variability of the rock properties implies that migrating RNs encounter a distribution of bedrock properties and mass-transfer mechanisms in different proportions along the transport paths. For practical reasons, we will never be able to know exactly this distribution of properties by performing a reasonable amount of measurements in a site investigation. On the contrary, recent experimental studies reveal that crystalline bedrock can possess a marked heterogeneity of various physical and geochemical properties that potentially may have a certain impact on the transport of RNs in fractured bedrock. Also current field investigation techniques provide only fragmentary information of the properties of the geosphere. This is a basic motivation for treating flows of water and solute elements in groundwaters by means of stochastic continuum models. The stochastic analysis is based on the idea that we know only certain point values of the property fields and use this information to estimate intermediate values. The probabilistic properties of the stochastic analysis are suitable input variables for risk analyses of the relevant sequence of extreme events for which empirical observations are rare or non-existing. The purpose of this paper is to outline the implications of the stochastic approach for estimating probabilities that certain concentration limits are exceeded at discharge points from. the bedrock in case of a leakage from the waste repository. The analysis is restricted to the water flow and solute transport in the bedrock alone without consideration of the full sequence of events in a full risk analysis and the Bayesian statistics involved in such conditioned (and cross-correlated) event series. The focus is on the implication for the risk analysis of the auto-covariance structure in bedrock

  19. How Much Do We Spend? Creating Historical Estimates of Public Health Expenditures in the United States at the Federal, State, and Local Levels.

    Science.gov (United States)

    Leider, Jonathon P; Resnick, Beth; Bishai, David; Scutchfield, F Douglas

    2018-04-01

    The United States has a complex governmental public health system. Agencies at the federal, state, and local levels all contribute to the protection and promotion of the population's health. Whether the modern public health system is well situated to deliver essential public health services, however, is an open question. In some part, its readiness relates to how agencies are funded and to what ends. A mix of Federalism, home rule, and happenstance has contributed to a siloed funding system in the United States, whereby health agencies are given particular dollars for particular tasks. Little discretionary funding remains. Furthermore, tracking how much is spent, by whom, and on what is notoriously challenging. This review both outlines the challenges associated with estimating public health spending and explains the known sources of funding that are used to estimate and demonstrate the value of public health spending.

  20. Public involvement: the critical path in siting controversial facilities. Proceedings of the Nuclear Energy Low-Level Waste Mangement Program conference

    International Nuclear Information System (INIS)

    1986-01-01

    The purpose of the conference was to: exchange information among those responsible for, or interested in, the development of new low-level waste disposal facilities; acquaint participants with past experiences of states and organizations in enfranchising the public in the siting of controversial facilities; and discuss various mechanisms and techniques for effectively involving the public in decision-making processes. The conference addressed four major topics: lessons from past experiences; mechanisms and techniques for public involvement, conflict resolution, and working constructively with the media. A series of presentations on each topic was followed by questions and discussion among presenters and conference participants. Several key points emerged as the conference proceeded

  1. Relative political and value proximity in mediated public diplomacy: The effect of state-level homophily on international frame building

    NARCIS (Netherlands)

    Sheafer, T.; Shenhav, S.R.; Takens, J.H.; van Atteveldt, W.H.

    2014-01-01

    This article applies the homophily thesis to public diplomacy and offers an empirical examination of a country's success in its mediated public diplomacy efforts. It analyzes international frame building, the process of creating or changing media frames in the international communications arena, by

  2. The art of alignment transaction cost economics and the provision of public services at the local level

    NARCIS (Netherlands)

    van Genugten, M.L.

    2008-01-01

    This book is situated against the background of the debate on recent institutional changes in the public sector. These changes concern the privatization, liberalization and autonomization of different kinds of public services. The main incentives for introducing such new modes of governance were,

  3. Review to give the public clear information on near surface disposal project of low-level radioactive wastes generated from research, industrial and medical facilities

    International Nuclear Information System (INIS)

    Shobu, Nobuhiro; Amazawa, Hiroya; Koibuchi, Hiroto; Nakata, Hisakazu; Kato, Masatoshi; Takao, Tomoe; Terashima, Daisuke; Tanaka, Yoshie; Shirasu, Hisanori

    2013-12-01

    Japan Atomic Energy Agency (hereafter abbreviated as “JAEA”) has promoted near surface disposal project for low-level radioactive wastes generated from research, industrial and medical facilities after receiving project approval from the government in November 2009. JAEA has carried out public information about low-level radioactive wastes disposal project on the web site. When some town meetings are held toward mutual understanding with the public, more detailed and clear explanations for safety management of near surface disposal are needed especially. Therefore, the information provision method to make the public understand should be reviewed. Moreover, a web-based survey should be carried out in order to get a sense of what the public knows, what it values and where it stands on nuclear energy and radiation issues, because the social environment surrounding nuclear energy and radiation issues has drastically changed as a result of the accident at the Fukushima Daiichi Nuclear Power Station on March 11, 2011. This review clarified the points to keep in mind about public information on near surface disposal project for low-level radioactive wastes generated from research, industrial and medical facilities, and that public awareness and understanding toward nuclear energy and radiation was changed before and after the accident at Fukushima Daiichi Nuclear Power Plant. (author)

  4. ASSESSING EXPOSURE TO THE PUBLIC FROM LOW LEVEL RADIOACTIVE WASTE (LLW) TRANSPORTATION TO THE NEVADA TEST SITE

    International Nuclear Information System (INIS)

    Miller, J.J.; Campbell, S.; Church, B.W.; Shafer, D. S.; Gillespie, D.; Sedano, S.; Cebe, J.J.

    2003-01-01

    The United States (U.S.) Department of Energy (DOE) Nevada Test Site (NTS) is one of two regional sites where low-level radioactive waste (LLW) from approved DOE and U.S. DOD generators across the United States is disposed. In federal fiscal year (FY) 2002, over 57,000 cubic meters of waste was transported to and disposed at the NTS. DOE and U.S. Department of Transportation (DOT) regulations ensure that radiation exposure from truck shipments to members of the public is negligible. Nevertheless, particularly in rural communities along transportation routes in Utah and Nevada, there is perceived risk from members of the public about incremental exposure from LLW trucks, especially when ''Main Street'' and the LLW transportation route are the same. To better quantify the exposure to gamma radiation, a stationary monitoring array of four pressurized ion chambers (PICs) have been set up in a pullout just before LLW trucks reach the entrance to the NTS. The PICs are positioned at a distance of one meter from the sides of the truck trailer and at a height appropriate for the design of the trucks that will be used in FY2003 to haul LLW to the NTS. The use of four PICs (two on each side of the truck) is to minimize and to correct for non-uniformity where radiation levels from waste packages vary from side to side, and from front to back in the truck trailer. The PIC array is being calibrated by collecting readings from each PIC exposed to a known 137Cs source that was positioned at different locations on a flatbed stationed in the PIC array, along with taking secondary readings from other known sources. Continuous data collection using the PICs, with and without a truck in the array, is being used to develop background readings. In addition, acoustic sensors are positioned on each side of the PIC array to record when a large object (presumably a truck) enters the array. In FY2003, PIC surveys from as many incoming LLW trucks as possible will be made and survey data

  5. Impact of Type 2 Myocardial Infarction (MI) on Hospital-Level MI Outcomes: Implications for Quality and Public Reporting.

    Science.gov (United States)

    Arora, Sameer; Strassle, Paula D; Qamar, Arman; Wheeler, Evan N; Levine, Alexandra L; Misenheimer, Jacob A; Cavender, Matthew A; Stouffer, George A; Kaul, Prashant

    2018-03-26

    The International Classification of Diseases (ICD) coding system does not recognize type 2 myocardial infarction (MI) as a separate entity; therefore, patients with type 2 MI continue to be categorized under the general umbrella of non-ST-segment-elevation myocardial infarction (NSTEMI). We aim to evaluate the impact of type 2 MI on hospital-level NSTEMI metrics and discuss the implications for quality and public reporting. We conducted a single-center retrospective analysis of 1318 patients discharged with a diagnosis of NSTEMI between July 2013 and October 2014. The Third Universal Definition was used to define type 1 and type 2 MI. Weighted Kaplan-Meier curves were used to analyze risk of mortality and readmission. Overall, 1039 patients met NSTEMI criteria per the Third Universal Definition; of those, 264 (25.4%) had type 2 MI. Patients with type 2 MI were older, were more likely to have chronic kidney disease, and had lower peak troponin levels. Compared with type 1 MI patients, those with type 2 MI had higher inpatient mortality (17.4% versus 4.7%, P <0.0001) and were more likely to die from noncardiovascular causes (71.7% versus 25.0%, P <0.0001). Despite weighting for patient characteristics and discharge medications, patients with type 2 MI had higher mortality at both 30 days (risk ratio: 3.63; 95% confidence interval, 1.67-7.88) and 1 year (risk ratio: 1.98; 95% confidence interval, 1.44-2.73) after discharge. Type 2 MI was also associated with a lower 30-day cardiovascular-related readmission (risk ratio: 0.49; 95% confidence interval, 0.12-2.06). NSTEMI metrics are significantly affected by type 2 MI patients. Type 2 MI patients have distinct etiologies, are managed differently, and have higher mortality compared with patients with type 1 MI. Moving forward, it may be appropriate to exclude type 2 MI data from NSTEMI quality metrics. © 2018 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley.

  6. What we need to know ...and when. Educating the public about nuclear terrorist risks can help raise levels of security

    International Nuclear Information System (INIS)

    Khripunov, I.

    2006-01-01

    Nuclear power infrastructures could be the target of terrorist acts of theft, sabotage, unauthorized access or other malicious acts given their radiological and chemical content and potential for building weapons. Attacks on its major components, including fuel production, reactors, waste handling, and reprocessing facilities, would lead to serious consequences-even if there is little or no damage to a nuclear power plant itself and other related structures. Public fear of nuclear radiation, in combination with a possibly massive resultant blackout and other aggravating factors, could create significant distress and panic. In other words, successful terrorist attempts to attack nuclear power infrastructure can easily bring about systemic disaster. Systemic risks impact society on a large scale and their effects may spread much further from the original hazardous source. Those risks widely affect systems that society depends on, such as health, transport, environment, telecommunications. Their consequences may be technical, social, environmental, psychological and economic and involve different stakeholders. In this context, however, one important stakeholder has been under-appreciated, under-utilized and somewhat misunderstood: the general public. The nuclear power infrastructure must learn how to efficiently communicate to the public and develop better options for public risk communication that relate to deliberate attacks or accidents. The public is also a challenging stockholder because citizens are deeply split regarding the acceptability and value of nuclear power generation and tend to express their feelings emotionally. However, there is growing recognition that because of skyrocketing oil prices and evidence of the greenhouse effect, nuclear power may be approaching renaissance. Hence, the public must no longer be looked upon only as potential victims or panicked masses but rather as an important contributing factor for better nuclear security throughout

  7. Seres Vivos. Nivel I. Basado en el curso de estudios de Ciencia de Montgomery County Public Schools. (Living Beings. Level 1. Based on the Montgomery County Public Schools Science Studies Program).

    Science.gov (United States)

    Senger, Graciela

    This curriculum unit, developed by the Montgomery County Public Schools, Maryland, was designed for use in the elementary level foreign language immersion program. It is geared toward the first grade science classroom. The unit includes instructional and performance objectives, necessary vocabulary lists, optional language structure sections,…

  8. Exploring the linkages among urban form travel behavior and public health with person level data from smart phone applications.

    Science.gov (United States)

    2013-09-01

    The interaction between the built environment, travel behavior and public health is now a major concern for both : researchers and urban planners. Currently, there is little empirical research that explores and examines the : relationship between eac...

  9. Efficiency and Productivity of County-level Public Hospitals Based on the Data Envelopment Analysis Model and Malmquist Index in Anhui, China.

    Science.gov (United States)

    Li, Nian-Nian; Wang, Cun-Hui; Ni, Hong; Wang, Heng

    2017-12-05

    China began to implement the national medical and health system and public hospital reforms in 2009 and 2012, respectively. Anhui Province is one of the four pilot provinces, and the medical reform measures received wide attention nationwide. The effectiveness of the above reform needs to get attention. This study aimed to master the efficiency and productivity of county-level public hospitals based on the data envelopment analysis (DEA) model and Malmquist index in Anhui, China, and then provide improvement measures for the future hospital development. We chose 12 country-level hospitals based on geographical distribution and the economic development level in Anhui Province. Relevant data that were collected in the field and then sorted were provided by the administrative departments of the hospitals. DEA models were used to calculate the dynamic efficiency and Malmquist index factors for the 12 institutions. During 2010-2015, the overall average relative service efficiency of 12 county-level public hospitals was 0.926, and the number of hospitals achieved an effective DEA for each year from 2010 to 2015 was 4, 6, 7, 7, 6, and 8, respectively, as measured using DEA. During this same period, the average overall production efficiency was 0.983, and the total productivity factor had declined. The overall production efficiency of five hospitals was >1, and the rest are productivity has not been effectively improved. County-level public hospitals need to combine their own reality to find their own deficiencies.

  10. What could have caused pre-industrial biomass burning emissions to exceed current rates?

    NARCIS (Netherlands)

    van der Werf, G. R.; Peters, W.; van Leeuwen, T. T.; Giglio, L.

    2012-01-01

    Recent studies based on trace gas mixing ratios in ice cores and charcoal data indicate that biomass burning emissions over the past millennium exceeded contemporary emissions by up to a factor of 4 for certain time periods. This is surprising because various sources of biomass burning are linked

  11. How "ought" exceeds but implies "can": Description and encouragement in moral judgment.

    Science.gov (United States)

    Turri, John

    2017-11-01

    This paper tests a theory about the relationship between two important topics in moral philosophy and psychology. One topic is the function of normative language, specifically claims that one "ought" to do something. Do these claims function to describe moral responsibilities, encourage specific behavior, or both? The other topic is the relationship between saying that one "ought" to do something and one's ability to do it. In what respect, if any, does what one "ought" to do exceed what one "can" do? The theory tested here has two parts: (1) "ought" claims function to both describe responsibilities and encourage people to fulfill them (the dual-function hypothesis); (2) the two functions relate differently to ability, because the encouragement function is limited by the person's ability, but the descriptive function is not (the interaction hypothesis). If this theory is correct, then in one respect "ought implies can" is false because people have responsibilities that exceed their abilities. But in another respect "ought implies can" is legitimate because it is not worthwhile to encourage people to do things that exceed their ability. Results from two behavioral experiments support the theory that "ought" exceeds but implies "can." Results from a third experiment provide further evidence regarding an "ought" claim's primary function and how contextual features can affect the interpretation of its functions. Copyright © 2017 Elsevier B.V. All rights reserved.

  12. What could have caused pre-industrial biomass burning emissions to exceed current rates?

    NARCIS (Netherlands)

    Werf, van der G.R.; Peters, W.; Leeuwen, van T.T.; Giglio, L.

    2013-01-01

    Recent studies based on trace gas mixing ratios in ice cores and charcoal data indicate that biomass burning emissions over the past millennium exceeded contemporary emissions by up to a factor of 4 for certain time periods. This is surprising because various sources of biomass burning are linked

  13. 40 CFR 141.208 - Special notice for exceedance of the SMCL for fluoride.

    Science.gov (United States)

    2010-07-01

    ... exceed 2 mg/l because of this cosmetic dental problem. For more information, please call [name of water system contact] of [name of community water system] at [phone number]. Some home water treatment units... drinking water provided by your community water system [name] has a fluoride concentration of [insert value...

  14. Magnitude of flood flows for selected annual exceedance probabilities in Rhode Island through 2010

    Science.gov (United States)

    Zarriello, Phillip J.; Ahearn, Elizabeth A.; Levin, Sara B.

    2012-01-01

    Heavy persistent rains from late February through March 2010 caused severe widespread flooding in Rhode Island that set or nearly set record flows and water levels at many long-term streamgages in the State. In response, the U.S. Geological Survey, in partnership with the Federal Emergency Management Agency, conducted a study to update estimates of flood magnitudes at streamgages and regional equations for estimating flood flows at ungaged locations. This report provides information needed for flood plain management, transportation infrastructure design, flood insurance studies, and other purposes that can help minimize future flood damages and risks. The magnitudes of floods were determined from the annual peak flows at 43 streamgages in Rhode Island (20 sites), Connecticut (14 sites), and Massachusetts (9 sites) using the standard Bulletin 17B log-Pearson type III method and a modification of this method called the expected moments algorithm (EMA) for 20-, 10-, 4-, 2-, 1-, 0.5-, and 0.2-percent annual exceedance probability (AEP) floods. Annual-peak flows were analyzed for the period of record through the 2010 water year; however, records were extended at 23 streamgages using the maintenance of variance extension (MOVE) procedure to best represent the longest period possible for determining the generalized skew and flood magnitudes. Generalized least square regression equations were developed from the flood quantiles computed at 41 streamgages (2 streamgages in Rhode Island with reported flood quantiles were not used in the regional regression because of regulation or redundancy) and their respective basin characteristics to estimate magnitude of floods at ungaged sites. Of 55 basin characteristics evaluated as potential explanatory variables, 3 were statistically significant—drainage area, stream density, and basin storage. The pseudo-coefficient of determination (pseudo-R2) indicates these three explanatory variables explain 95 to 96 percent of the variance

  15. Anthropometric Indicators in Children Referred to a Tertiary-level Public Health Care Institution from Buenos Aires, Argentina

    International Nuclear Information System (INIS)

    Janjetic, Mariana Andrea; Mantero, Paula; Zubillaga, Marcela Beatriz; Boccio, José; Goldman, Cinthia

    2014-01-01

    Full text: Introduction: Stunting is a multifactorial phenomenon with a high prevalence in developing countries. Helicobacter pylori, a bacterium that colonizes the gastric mucosa, has been related to growth impairment due to micronutrient malabsorption. However this hypothesis remains controversial. Objective: The aim of our work was to determine anthropometric indicators in children referred to a Tertiary-level Public Health Care Institution from Buenos Aires, Argentina, for upper gastrointestinal symptoms evaluation. Methods: 525 children (4-16 y) assisting to the Gastroenterology Unit of the Hospital de Niños “Sor María Ludovica”, La Plata, Argentina, were diagnosed for H. pylori infection by the 13C-Urea Breath Test. Weight and height were measured for calculation of anthropometric indicators height for age (HAZ), weight for age (WAZ) and Body Mass Index for age (BMI) using the Anthro Plus 2007 software of the World Health Organization. Statistical analysis was performed by Student’s t Test, Mann-Whitney Test and lineal regression. Results: Prevalence of H. pylori infection was 25.1% (95% CI, 21.5-29.5), with a mean age of the children similar in both groups, 10.1y (95% CI, 9.8-10.3y). Mean HAZ and WAZ were -0.40 (95% CI, -0.57-[-0.22]) and -0.31 (95% CI, -0.51-[-0.11]) in the positive group, and -0.18 (95% CI, -0.28-[-0.09]) and -0.10 (95% CI, -0.21-0.01) in the negative group. HAZ was significantly lower in the positive group (p = 0.04), while no significant differences were found for WAZ (p = 0.07) and BMI for age (p = 0.20) between both groups. However, after adjusting for confounding factors these differences were no longer significant. Stunting was found in 4.5% (95% CI, 2.1-9.6) and 3.3% (95% CI, 1.9-5.6) of the H. pylori positive and negative children respectively, while underweight was observed in 5.3% (95% CI, 2.6-10.5) and 6.7% (95% CI, 4.6-9.6) of the above mentioned groups. Conclusions: Prevalence of stunting and underweight were low in

  16. RISK ANALYSIS AND INTERNAL CONTROL ASSESSMENT - PREMISES FOR IMPROVING MANAGEMENT AT THE LEVEL OF ROMANIAN PUBLIC ENTITIES

    Directory of Open Access Journals (Sweden)

    CRISTINA MARIA VOINEA

    2015-10-01

    Full Text Available Romania, as a European Union member state, has undergone, in recent years, a complex process of reform in all activity fields. This includes the current process of public administration reform, which aims to improve the management, the administrative capacity and the manner in which the entire Romanian public sector is organized. In this study, we intend to portray the manner in which the internal control system and the internal audit structure of a Romanian public entity are shaped into form. For exemplification, we chose the internal audit mission titled “The Accounting System and Its Reliability”. We will identify the risks, we will assess them and we will also propose measures through which the entity’s management may mitigate these risks by correcting registered deviations.

  17. Navigating the evidentiary turn in public health: Sensemaking strategies to integrate genomics into state-level chronic disease prevention programs.

    Science.gov (United States)

    Senier, Laura; Smollin, Leandra; Lee, Rachael; Nicoll, Lauren; Shields, Michael; Tan, Catherine

    2018-06-23

    In the past decade, healthcare delivery has faced two major disruptions: the mapping of the human genome and the rise of evidence-based practice. Sociologists have documented the paradigmatic shift towards evidence-based practice in medicine, but have yet to examine its effect on other health professions or the broader healthcare arena. This article shows how evidence-based practice is transforming public health in the United States. We present an in-depth qualitative analysis of interview, ethnographic, and archival data to show how Michigan's state public health agency has navigated the turn to evidence-based practice, as they have integrated scientific advances in genomics into their chronic disease prevention programming. Drawing on organizational theory, we demonstrate how they managed ambiguity through a combination of sensegiving and sensemaking activities. Specifically, they linked novel developments in genomics to a long-accepted public health planning model, the Core Public Health Functions. This made cutting edge advances in genomics more familiar to their peers in the state health agency. They also marshaled state-specific surveillance data to illustrate the public health burden of hereditary cancers in Michigan, and to make expert panel recommendations for genetic screening more locally relevant. Finally, they mobilized expertise to help their internal colleagues and external partners modernize conventional public health activities in chronic disease prevention. Our findings show that tools and concepts from organizational sociology can help medical sociologists understand how evidence-based practice is shaping institutions and interprofessional relations in the healthcare arena. Copyright © 2018 Elsevier Ltd. All rights reserved.

  18. Critical Factors for Open Data Publication and Use : A Comparison of City-level, Regional, and Transnational Cases

    NARCIS (Netherlands)

    susha, Iryna; Zuiderwijk-van Eijk, AMG; Charalabidis, Y; Parycek, P; Janssen, M.F.W.H.A.

    2015-01-01

    There is a lack of research concerning the factors influencing the success or failure of open data initiatives. Based on the results of two workshops, we provide a list of 47 success factors for open data publication and 18 success factors for open data use. We further use three case studies

  19. The Relationship of Public Relations and Board-Level Boundary-Spanning Roles to Corporate Social Responsibility.

    Science.gov (United States)

    Ferguson, Mary Ann; And Others

    The annual reports of 197 publicly held American corporations were analyzed to determine the relationship of corporate social responsibility activities to boundary-spanning activities (attempts to relate the firm to the outside world). Data gathered included (1) the number of directors from inside and outside a corporation, (2) the number of…

  20. Magnitude of flood flows for selected annual exceedance probabilities for streams in Massachusetts

    Science.gov (United States)

    Zarriello, Phillip J.

    2017-05-11

    The U.S. Geological Survey, in cooperation with the Massachusetts Department of Transportation, determined the magnitude of flood flows at selected annual exceedance prob­abilities (AEPs) at streamgages in Massachusetts and from these data developed equations for estimating flood flows at ungaged locations in the State. Flood magnitudes were deter­mined for the 50-, 20-, 10-, 4-, 2-, 1-, 0.5-, and 0.2-percent AEPs at 220 streamgages, 125 of which are in Massachusetts and 95 are in the adjacent States of Connecticut, New Hamp­shire, New York, Rhode Island, and Vermont. AEP flood flows were computed for streamgages using the expected moments algorithm weighted with a recently computed regional skew­ness coefficient for New England.Regional regression equations were developed to estimate the magnitude of floods for selected AEP flows at ungaged sites from 199 selected streamgages and for 60 potential explanatory basin characteristics. AEP flows for 21 of the 125 streamgages in Massachusetts were not used in the final regional regression analysis, primarily because of regulation or redundancy. The final regression equations used general­ized least squares methods to account for streamgage record length and correlation. Drainage area, mean basin elevation, and basin storage explained 86 to 93 percent of the variance in flood magnitude from the 50- to 0.2-percent AEPs, respec­tively. The estimates of AEP flows at streamgages can be improved by using a weighted estimate that is based on the magnitude of the flood and associated uncertainty from the at-site analysis and the regional regression equations. Weighting procedures for estimating AEP flows at an ungaged site on a gaged stream also are provided that improve estimates of flood flows at the ungaged site when hydrologic characteristics do not abruptly change.Urbanization expressed as the percentage of imperviousness provided some explanatory power in the regional regression; however, it was not statistically

  1. [Intersectoral experience to bridge the gap between human resources in public health and the technical-operational level for Peruvian Voluntary Military Service members].

    Science.gov (United States)

    Romaní-Romaní, Franco; Curisinche-Rojas, Maricela; Arteaga, Norka Rojas; Lopez, Pedro Riega; Cabezas, César

    2016-01-01

    There is a gap between human resources and technical-operational education that limits the Peruvian health system's ability to implement public health interventions. The Peruvian Ministry of Health, through the National Health Institute and the Ministry of Defense, implemented a Public Health Training Program addressed to young full-time military servicemen, on the basis of the competency profile of a public health technician. The program consists of seven thematic units given in 390 hours, 200 of which correspond to classroom and field practices. Between July 2014 and December 2015, the program has been carried out in 10 venues of the three armed forces, training and certifying 405 young servicemen. The intervention provides the military service with an additional educational benefit, making it more appealing as a chance for development and opens up a line of work in the public health sector for young people in more remote areas. This experience seeks to increase public health-trained human resources to a technical-operational level. In collaboration with regional governments, graduates are expected to be welcomed and included in the public health system.

  2. Development of Thresholds and Exceedance Probabilities for Influent Water Quality to Meet Drinking Water Regulations

    Science.gov (United States)

    Reeves, K. L.; Samson, C.; Summers, R. S.; Balaji, R.

    2017-12-01

    Drinking water treatment utilities (DWTU) are tasked with the challenge of meeting disinfection and disinfection byproduct (DBP) regulations to provide safe, reliable drinking water under changing climate and land surface characteristics. DBPs form in drinking water when disinfectants, commonly chlorine, react with organic matter as measured by total organic carbon (TOC), and physical removal of pathogen microorganisms are achieved by filtration and monitored by turbidity removal. Turbidity and TOC in influent waters to DWTUs are expected to increase due to variable climate and more frequent fires and droughts. Traditional methods for forecasting turbidity and TOC require catchment specific data (i.e. streamflow) and have difficulties predicting them under non-stationary climate. A modelling framework was developed to assist DWTUs with assessing their risk for future compliance with disinfection and DBP regulations under changing climate. A local polynomial method was developed to predict surface water TOC using climate data collected from NOAA, Normalized Difference Vegetation Index (NDVI) data from the IRI Data Library, and historical TOC data from three DWTUs in diverse geographic locations. Characteristics from the DWTUs were used in the EPA Water Treatment Plant model to determine thresholds for influent TOC that resulted in DBP concentrations within compliance. Lastly, extreme value theory was used to predict probabilities of threshold exceedances under the current climate. Results from the utilities were used to produce a generalized TOC threshold approach that only requires water temperature and bromide concentration. The threshold exceedance model will be used to estimate probabilities of exceedances under projected climate scenarios. Initial results show that TOC can be forecasted using widely available data via statistical methods, where temperature, precipitation, Palmer Drought Severity Index, and NDVI with various lags were shown to be important

  3. Impact analysis of TOTEM data at the LHC: black disk limit exceeded

    CERN Document Server

    Alkin, A; Kovalenko, O; Troshin, S M

    2015-01-01

    We discuss the profile of the impact--parameter dependent elastic scattering amplitude. Extraction of impact-parameter dependence from the dataset with inclusion of the experimental data on elastic scattering at the LHC energies helps to reveal the asymptotics of hadron interactions. Analysis of the data clearly indicates that the impact-parameter elastic scattering amplitude exceed the black disk limit at the LHC energy 7TeV and the inelastic overlap function reaches its maximum value at $b>0$

  4. Waste isolation in the U.S., technical programs and public education. Volume 2 - low level waste, volume reduction methodologies and economics. Vol. 2

    International Nuclear Information System (INIS)

    Post, R.G.

    1984-01-01

    This volume presents information regarding low-level waste, volume reduction methodologies and economics. Topics include: public education on nuclear waste; economics of low-level waste management systems; operating experience with advanced volume reduction techniques; solidification of waste; operating experience with advanced volume reduction techniques--incineration; regional plans for the disposal of low-level waste; radwaste system modifications at nuclear power plants; operating experience with advanced volume reduction techniques--operations and on-site storage issues; and economic impact of 10CFR61

  5. Large deviation estimates for exceedance times of perpetuity sequences and their dual processes

    DEFF Research Database (Denmark)

    Buraczewski, Dariusz; Collamore, Jeffrey F.; Damek, Ewa

    2016-01-01

    In a variety of problems in pure and applied probability, it is of relevant to study the large exceedance probabilities of the perpetuity sequence $Y_n := B_1 + A_1 B_2 + \\cdots + (A_1 \\cdots A_{n-1}) B_n$, where $(A_i,B_i) \\subset (0,\\infty) \\times \\reals$. Estimates for the stationary tail dist......-time exceedance probabilities of $\\{ M_n^\\ast \\}$, yielding a new result concerning the convergence of $\\{ M_n^\\ast \\}$ to its stationary distribution.......In a variety of problems in pure and applied probability, it is of relevant to study the large exceedance probabilities of the perpetuity sequence $Y_n := B_1 + A_1 B_2 + \\cdots + (A_1 \\cdots A_{n-1}) B_n$, where $(A_i,B_i) \\subset (0,\\infty) \\times \\reals$. Estimates for the stationary tail...... distribution of $\\{ Y_n \\}$ have been developed in the seminal papers of Kesten (1973) and Goldie (1991). Specifically, it is well-known that if $M := \\sup_n Y_n$, then ${\\mathbb P} \\left\\{ M > u \\right\\} \\sim {\\cal C}_M u^{-\\xi}$ as $u \\to \\infty$. While much attention has been focused on extending...

  6. Does public health system provide adequate financial risk protection to its clients? Out of pocket expenditure on inpatient care at secondary level public health institutions: Causes and determinants in an eastern Indian state.

    Science.gov (United States)

    Rout, Sarit Kumar; Choudhury, Sarmistha

    2018-02-09

    This study is undertaken to estimate the out of pocket expenditure (OOPE) for various diseases and its determinants at secondary level public health facilities in Odisha. A cross-sectional survey was conducted among the inpatients utilising secondary level public health facilities in the 2 districts of Odisha. More than 80% of the inpatients were selected conveniently, and data on OOPE and socioeconomic status of patients were collected. The OOPE was estimated separately on surgery, nonsurgery, and child birth conditions. Ordinary least square regression models were developed to explain the factors determining OOPE. The mean OOPE for the secondary care facility was Indian National Rupee 3136.14, (95% CI: 2869.08-3403.19), of which, Indian National Rupee 1622.79 (95% CI: 1462.70-1782.89) was on medicine constituting 79% of total medical expenditure. The mean OOPE on surgery was highest followed by nonsurgery and child birth conditions. The OOPE is mainly influenced by caste and educational status of patients as revealed by the regression results. With increase in social status, the OOPE increases and the results are statistically significant. This evidence should be used to design financial strategies to reduce OOPE at secondary care public health facilities, which is largely due to medicine, diagnostic services, and transport expenditure. Efforts should be made to protect the interest of the poor, who utilise public health facility in a low resource setting in India. Copyright © 2018 John Wiley & Sons, Ltd.

  7. The Daily Mail has been trying to raise public anxiety over teenagers, sex and the contraceptive pill to reckless levels.

    Science.gov (United States)

    Corcoran, C

    The Daily Mail is opposed to the provision of family planning counseling and argues that all family planning advice is a conspiracy of the Left. The publication recently devoted its front page to a story claiming that 10% of girls take oral contraception by reaching age 15 years. This study was based upon 13 words in a 13-page Department of Health document published weeks earlier which stated that an estimated 10% of resident women aged 14-15 years attended family planning clinics. Only like-minded conservatives were called upon to comment in the publication. The Family Planning Association's press office fielded many calls the morning the story broke, explaining to callers that the organization was pleased to see that so many young people were using family planning clinics' services and that it hoped the figures would increase in the future in the interest of checking the incidence of unplanned pregnancy, abortion, and sexually transmitted diseases. Related radio news coverage ensued.

  8. Augmented Reality in Scientific Publications-Taking the Visualization of 3D Structures to the Next Level.

    Science.gov (United States)

    Wolle, Patrik; Müller, Matthias P; Rauh, Daniel

    2018-03-16

    The examination of three-dimensional structural models in scientific publications allows the reader to validate or invalidate conclusions drawn by the authors. However, either due to a (temporary) lack of access to proper visualization software or a lack of proficiency, this information is not necessarily available to every reader. As the digital revolution is quickly progressing, technologies have become widely available that overcome the limitations and offer to all the opportunity to appreciate models not only in 2D, but also in 3D. Additionally, mobile devices such as smartphones and tablets allow access to this information almost anywhere, at any time. Since access to such information has only recently become standard practice, we want to outline straightforward ways to incorporate 3D models in augmented reality into scientific publications, books, posters, and presentations and suggest that this should become general practice.

  9. Encouraging planetary sciences students at the Master level with observations using small telescopes that lead to their publication

    Science.gov (United States)

    Sanchez-Lavega, A.; Ordoñez-Etxeberria, I.; del Rio Gaztelurrutia, T.; Illarramendi, M. A.; Perez-Hoyos, S.; Hueso, R.; Rojas, J. F.

    2017-12-01

    We present a set of practical experiments carried out with the students of the Master in Space Science and Technology of the University of the Basque Country (A. Sanchez-Lavega et al., Eur. J. of Eng. Education. 2014) using small telescopes that have been published in refereed journals. The telescopes (from 15 to 50 cm in aperture) and instruments pertain to the Aula EspaZio Gela Observatory (http://www.ehu.eus/aula-espazio/presentacion.html). The students have participated in some cases as co-authors of the publications or in presentations at meetings which encourages them to continue their scientific career towards PhD studies. Dedicated observations with these small telescopes with the participation of the planetary amateur community have also been employed in scientific research and publications. A series of examples are presented.

  10. Relationships among exceedences of metals criteria, the results of ambient bioassays, and community metrics in mining-impacted streams.

    Science.gov (United States)

    Griffith, Michael B; Lazorchak, James M; Herlihy, Alan T

    2004-07-01

    If bioassessments are to help diagnose the specific environmental stressors affecting streams, a better understanding is needed of the relationships between community metrics and ambient criteria or ambient bioassays. However, this relationship is not simple, because metrics assess responses at the community level of biological organization, while ambient criteria and ambient bioassays assess or are based on responses at the individual level. For metals, the relationship is further complicated by the influence of other chemical variables, such as hardness, on their bioavailability and toxicity. In 1993 and 1994, U.S. Environmental Protection Agency (U.S. EPA) conducted a Regional Environmental Monitoring and Assessment Program (REMAP) survey on wadeable streams in Colorado's (USA) Southern Rockies Ecoregion. In this ecoregion, mining over the past century has resulted in metals contamination of streams. The surveys collected data on fish and macroinvertebrate assemblages, physical habitat, and sediment and water chemistry and toxicity. These data provide a framework for assessing diagnostic community metrics for specific environmental stressors. We characterized streams as metals-affected based on exceedence of hardness-adjusted criteria for cadmium, copper, lead, and zinc in water; on water toxicity tests (48-h Pimephales promelas and Ceriodaphnia dubia survival); on exceedence of sediment threshold effect levels (TELs); or on sediment toxicity tests (7-d Hyalella azteca survival and growth). Macroinvertebrate and fish metrics were compared among affected and unaffected sites to identify metrics sensitive to metals. Several macroinvertebrate metrics, particularly richness metrics, were less in affected streams, while other metrics were not. This is a function of the sensitivity of the individual metrics to metals effects. Fish metrics were less sensitive to metals because of the low diversity of fish in these streams.

  11. A decentralised model of psychiatric care: Profile, length of stay and outcome of mental healthcare users admitted to a district-level public hospital in the Western Cape

    Directory of Open Access Journals (Sweden)

    Eileen Thomas

    2015-02-01

    Full Text Available Background. There is a lack of studies assessing the profile and outcome of psychiatric patients at entry-level public hospitals that are prescribed by the Mental Health Care Act to provide a decentralised model of psychiatric care. Objective. To assess the demographic and clinical profile as well as length of stay and outcomes of mental healthcare users admitted to a district-level public hospital in the Western Cape.  Method. Demographic data, clinical diagnosis, length of stay, referral profile and outcomes of patients (N=487 admitted to Helderberg Hospital during the period 1 January 2011 - 31 December 2011 were collected.  Results. Psychotic disorders were the most prevalent (n=287, 59% diagnoses, while 228 (47% of admission episodes had comorbid/secondary diagnoses. Substance use disorders were present in 184 (38% of admission episodes, 37 (57% of readmissions and 19 (61% of abscondments. Most admission episodes (n=372, 76% were discharged without referral to specialist/tertiary care.  Conclusion. Methamphetamine use places a significant burden on the provision of mental healthcare services at entry-level care. Recommendations for improving service delivery at this district-level public hospital are provided.

  12. Availability, Level of Use and Constraints to Use of Electronic Resources by Law Lecturers in Public Universities in Nigeria

    Science.gov (United States)

    Amusa, Oyintola Isiaka; Atinmo, Morayo

    2016-01-01

    (Purpose) This study surveyed the level of availability, use and constraints to use of electronic resources among law lecturers in Nigeria. (Methodology) Five hundred and fifty-two law lecturers were surveyed and four hundred and forty-two responded. (Results) Data analysis revealed that the level of availability of electronic resources for the…

  13. Trans-Regional Logistics in Carinthia: Perspectives and Vision on the Transport Infrastructure Development on the Business and Public Level

    Directory of Open Access Journals (Sweden)

    Michael Plasch

    2014-06-01

    Full Text Available Regional logistics development plans have become a key element for an effective – regional economy in Austria. Efforts to develop the region of Carinthia – which represents a substantial transport hub on the Baltic–Adriatic Axis – depend on targeted infrastructure investments combined with well-utilized and accessible modes of transport. As decisions on transport mode choice are made within companies, their involvement in planning processes is crucial. Therefore a more consistent approach to Carinthia’s logistics infrastructure developments is required. The view of regional businesses is considered a significant basis for further public and managerial decision making with regard to the importance of future logistics developments.

  14. Significance of beach geomorphology on fecal indicator bacteria levels.

    Science.gov (United States)

    Donahue, Allison; Feng, Zhixuan; Kelly, Elizabeth; Reniers, Ad; Solo-Gabriele, Helena M

    2017-08-15

    Large databases of fecal indicator bacteria (FIB) measurements are available for coastal waters. With the assistance of satellite imagery, we illustrated the power of assessing data for many sites by evaluating beach features such as geomorphology, distance from rivers and canals, presence of piers and causeways, and degree of urbanization coupled with the enterococci FIB database for the state of Florida. We found that beach geomorphology was the primary characteristic associated with enterococci levels that exceeded regulatory guidelines. Beaches in close proximity to marshes or within bays had higher enterococci exceedances in comparison to open coast beaches. For open coast beaches, greater enterococci exceedances were associated with nearby rivers and higher levels of urbanization. Piers and causeways had a minimal contribution, as their effect was often overwhelmed by beach geomorphology. Results can be used to understand the potential causes of elevated enterococci levels and to promote public health. Copyright © 2017 Elsevier Ltd. All rights reserved.

  15. Predictors and consequences of rural clients' satisfaction level in the district public-private mixed health system of Bangladesh

    NARCIS (Netherlands)

    Roy, Ashim; van der Weijden, Trudy; de Vries, Nanne

    2017-01-01

    Background: We investigated predictors of the rural clients' satisfaction level (CSL), and interlinks between perceived specific service quality (PSSQ), perceived utility value (PUV), CSL, and clients' reactions (CR) towards current and future utilization of providers and facilities in the

  16. Exceedance of critical loads and of critical limits impacts tree nutrition across Europe

    DEFF Research Database (Denmark)

    Waldner, P.; Thimonier, A.; Graf Pannatier, E.

    2015-01-01

    solution tended to be related to less favourable nutritional status. Context Forests have been exposed to elevated atmospheric deposition of acidifying and eutrophying sulphur and nitrogen compounds for decades. Critical loads have been identified, below which damage due to acidification and eutrophication...... are not expected to occur. Aims We explored the relationship between the exceedance of critical loads and inorganic nitrogen concentration, the base cation to aluminium ratio in soil solutions, as well as the nutritional status of trees. Methods We used recent data describing deposition, elemental concentrations....... Conclusion The findings support the hypothesis that elevated nitrogen and sulphur deposition can lead to imbalances in tree nutrition....

  17. Ballistic Transport Exceeding 28 μm in CVD Grown Graphene.

    Science.gov (United States)

    Banszerus, Luca; Schmitz, Michael; Engels, Stephan; Goldsche, Matthias; Watanabe, Kenji; Taniguchi, Takashi; Beschoten, Bernd; Stampfer, Christoph

    2016-02-10

    We report on ballistic transport over more than 28 μm in graphene grown by chemical vapor deposition (CVD) that is fully encapsulated in hexagonal boron nitride. The structures are fabricated by an advanced dry van-der-Waals transfer method and exhibit carrier mobilities of up to three million cm(2)/(Vs). The ballistic nature of charge transport is probed by measuring the bend resistance in cross- and square-shaped devices. Temperature-dependent measurements furthermore prove that ballistic transport is maintained exceeding 1 μm up to 200 K.

  18. Four-Terminal All-Perovskite Tandem Solar Cells Achieving Power Conversion Efficiencies Exceeding 23%

    Energy Technology Data Exchange (ETDEWEB)

    Zhu, Kai [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Zhao, Dewei [University of Toledo; Wang, Changlei [University of Toledo; Wuhan University; Song, Zhaoning [University of Toledo; Yu, Yue [University of Toledo; Chen, Cong [University of Toledo; Zhao, Xingzhong [Wuhan University; Yan, Yanfa [University of Toledo

    2018-02-09

    We report on fabrication of 4-terminal all-perovskite tandem solar cells with power conversion efficiencies exceeding 23% by mechanically stacking semitransparent 1.75 eV wide-bandgap FA0.8Cs0.2Pb(I0.7Br0.3)3 perovskite top cells with 1.25 eV low-bandgap (FASnI3)0.6(MAPbI3)0.4 bottom cells. The top cells use MoOx/ITO transparent electrodes and achieve transmittance up to 70% beyond 700 nm.

  19. Surgeon-level reporting presented by funnel plot is understood by doctors but inaccurately interpreted by members of the public.

    Science.gov (United States)

    Bhalla, Ashish; Mehrotra, Prerna; Amawi, Falah; Lund, Jonathan N

    2015-01-01

    Risk-adjusted outcome data for general surgeons practicing in the United Kingdom were published for the first time in 2013 with the aim of increasing transparency, improving standards, and providing the public with information to aid decision making. Most specialties used funnel plots to present their data. We assess the ability of members of the public (MoP), medical students, nonsurgical doctors (NSD), and surgeons to understand risk-adjusted surgical outcome data. A fictitious outcome dataset was created and presented in the form of a funnel plot to 10 participants from each of the aforementioned group. Standard explanatory text was provided. Each participant was given 5 minutes to review the funnel plot and complete a questionnaire. For each question, there was only 1 correct answer. Completion rate was 100% (n = 40). No difference existed between NSD and surgeons. A significant difference for identification of the "worst performing surgeon" was noted between surgeons and MoP (p plot significantly "more difficult" to interpret than surgeons did (p < 0.01) and NSD (p < 0.01). MoP found these data significantly more "difficult to understand" and were less likely to both spot "outliers" and use this data to inform decisions than doctors. Surgeons should be aware that outcome data may require an alternative method of presentation to be understood by MoP. Copyright © 2015 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  20. Pollution level, phase distribution and health risk of polycyclic aromatic hydrocarbons in indoor air at public places of Hangzhou, China

    International Nuclear Information System (INIS)

    Lu Hao; Zhu Lizhong; Chen Shuguang

    2008-01-01

    PAHs pollution survey in air of public places was conducted in Hangzhou, China. The most serious PAHs pollution was observed in indoor air of shopping centers and the slightest was in train stations. The molecular weight of chrysene (MW 228) appeared to be the dividing line for the PAHs with a larger or smaller distribution in the vapor or particulate phase. Concentrations of 15 PAHs on PM 2.5 accounted for 71.3% of total particulate PAHs, and followed by PM 2.5-10 fraction (17.6%) and >PM 10 fraction (11.1%). In shopping centers and supermarkets, emission of 2-4 rings PAHs occurred from indoor sources, whereas 5-6 rings PAHs predominantly originated from transport of outdoor air. In temples, PAHs in indoor air mainly originated from incense burning. Health risks associated with the inhalation of PAHs were assessed, and naphthalene made the greatest contribution (62.4%) to the total health risks. - Concentrations of PAHs in the air of selected public places in Hangzhou correspond to 10 -3 life-time lung cancer risk

  1. Public Reporting of Hospital-Level Cancer Surgical Volumes in California: An Opportunity to Inform Decision Making and Improve Quality.

    Science.gov (United States)

    Clarke, Christina A; Asch, Steven M; Baker, Laurence; Bilimoria, Karl; Dudley, R Adams; Fong, Niya; Holliday-Hanson, Merry L; Hopkins, David S P; Imholz, Elizabeth M; Malin, Jennifer; Moy, Lisa; O'Sullivan, Maryann; Parker, Joseph P; Saigal, Christopher S; Spurlock, Bruce; Teleki, Stephanie; Zingmond, David; Lang, Lance

    2016-10-01

    Most patients, providers, and payers make decisions about cancer hospitals without any objective data regarding quality or outcomes. We developed two online resources allowing users to search and compare timely data regarding hospital cancer surgery volumes. Hospital cancer surgery volumes for all California hospitals were calculated using ICD-9 coded hospital discharge summary data. Cancer surgeries included (bladder, brain, breast, colon, esophagus, liver, lung, pancreas, prostate, rectum, and stomach) were selected on the basis of a rigorous literature review to confirm sufficient evidence of a positive association between volume and mortality. The literature could not identify threshold numbers of surgeries associated with better or worse outcomes. A multidisciplinary working group oversaw the project and ensured sound methodology. In California in 2014, about 60% of surgeries were performed at top-quintile-volume hospitals, but the per-hospital median numbers of surgeries for esophageal, pancreatic, stomach, liver, or bladder cancer surgeries were four or fewer. At least 670 patients received cancer surgery at hospitals that performed only one or two surgeries for a particular cancer type; 72% of those patients lived within 50 miles of a top-quintile-volume hospital. There is clear potential for more readily available information about hospital volumes to help patient, providers, and payers choose cancer surgery hospitals. Our successful public reporting of hospital volumes in California represents an important first step toward making publicly available even more provider-specific data regarding cancer care quality, costs, and outcomes, so those data can inform decision-making and encourage quality improvement.

  2. Exposure level of carbon monoxide and respirable suspended particulate in public transportation modes while commuting in urban area of Guangzhou, China

    Science.gov (United States)

    Chan, L. Y.; Lau, W. L.; Zou, S. C.; Cao, Z. X.; Lai, S. C.

    This study examined commuter exposure to respirable suspended particulate (PM 10 and PM 2.5) and carbon monoxide (CO) in public transportation modes in Guangzhou, China. During the sampling period, a total of 80 CO, 80 PM 10 and 56 PM 2.5 samples were conducted in four popular commuting modes (subway, air-conditioned bus, non-air-conditioned bus and taxi) while running in typical urban routes. The results show that the PM 10 as well as CO level is greatly influenced by the mode of transport. The highest mean PM 10 and CO level was obtained in a non-air-conditioned bus (203 μg m -3) and in an air-conditioned taxi (28.7 ppm) , respectively. Noticeably, the exposure levels in subway are lower than those in the roadway transports. The ventilation condition of the transport is also a crucial factor affecting the in-vehicle level. There was statistically significant difference of PM10 (ptransports, which provide service at regular intervals regardless of the time of day. The PM 2.5 inter-microenvironment variation is similar to the pattern of PM 10. The PM 2.5 to PM 10 ratio in the transports was high, ranging from 76% to 83%. The poor vehicle emission controls, poor vehicle maintenance, plus the slow moving traffic condition with frequent stops are believed to be the major causes of high in-vehicle levels in some public commuting trips.

  3. Investigation of the possibility of exceeding the Greenwald density limit during ECRH in T-10

    International Nuclear Information System (INIS)

    Alikaev, V.V.; Borshchegovskii, A.A.; Volkov, V.V.; Dremin, M.M.; Esipchuk, Yu.V.; Kakurin, A.M.; Kirneva, N.A.; Kislov, A.Ya.; Kislov, D.A.; Klimanov, I.V.; Kochin, V.A.; Krupin, V.A.; Krylov, S.V.; Myalton, T.B.; Novikov, A.Yu.; Notkin, G.E.; Pavlov, Yu.D.; Piterskii, V.V.; Poznyak, V.I.; Roi, I.N.

    2000-01-01

    In T-10 experiments, attempts were made to significantly exceed the Greenwald limit n-bar Gr during high-power (P ab = 750 kW) electron-cyclotron resonance heating (ECRH) and gas puffing. Formally, the density limit (n-bar e ) lim exceeding the Greenwald limit ((n-bar) e ) lim /n-bar Gr = 1.8) was achieved for q L = 8.2. However, as q L decreased, the ratio (n-bar e ) lim /n-bar Gr also decreased, approaching unity at q L ≅ 3. It was suggested that the 'current radius' (i.e., the radius of the magnetic surface enclosing the bulk of the plasma current I p ), rather than the limiter radius, was the parameter governing the value of (n-bar e ) lim . In the ECRH experiments, no substantial degradation of plasma confinement was observed up to n-bar e ∼ 0.9(n-bar e ) lim regardless of the ratio (n(bar sign) e ) lim /n-bar Gr . In different scenarios of the density growth up to (n-bar e ) lim , two types of disruptions related to the density limit were observed

  4. Jupiter's Auroral Energy Input Observed by Hisaki/EXCEED and its Modulations by Io's Volcanic Activity

    Science.gov (United States)

    Tao, C.; Kimura, T.; Tsuchiya, F.; Murakami, G.; Yoshioka, K.; Kita, H.; Yamazaki, A.; Kasaba, Y.; Yoshikawa, I.; Fujimoto, M.

    2016-12-01

    Aurora is an important indicator representing the momentum transfer from the fast-rotating outer planet to the magnetosphere and the energy input into the atmosphere through the magnetosphere-ionosphere coupling. Long-term monitoring of Jupiter's northern aurora was achieved by the Extreme Ultraviolet (EUV) spectrometer called EXCEED (Extreme Ultraviolet Spectroscope for Exospheric Dynamics) onboard JAXA's Earth-orbiting planetary space telescope Hisaki until today after its launch in September 2013. We have proceeded the statistical survey of the Jupiter's auroral energy input into the upper atmosphere. The auroral electron energy is estimated using a hydrocarbon color ratio (CR) adopted for the wavelength range of EXCEED, and the emission power in the long wavelength range 138.5-144.8 nm is used as an indicator of total emitted power before hydrocarbon absorption and auroral electron energy flux. Temporal dynamic variation of the auroral intensity was detected when Io's volcanic activity and thus EUV emission from the Io plasma torus are enhanced in the early 2015. Average of the total input power over 80 days increases by 10% with sometimes sporadically more than a factor of 3 upto 7, while the CR indicates the auroral electron energy decrease by 20% during the volcanic event compared to the other period. This indicates much more increase in the current system and Joule heating which contributes heating of the upper atmosphere. We will discuss the impact of this event on the upper atmosphere and ionosphere.

  5. Public Health and Climate Change Adaptation at the Federal Level: One Agency’s Response to Executive Order 13514

    Science.gov (United States)

    Schramm, Paul J.; Luber, George

    2014-01-01

    Climate change will likely have adverse human health effects that require federal agency involvement in adaptation activities. In 2009, President Obama issued Executive Order 13514, Federal Leadership in Environmental, Energy, and Economic Performance. The order required federal agencies to develop and implement climate change adaptation plans. The Centers for Disease Control and Prevention (CDC), as part of a larger Department of Health and Human Services response to climate change, is developing such plans. We provide background on Executive Orders, outline tenets of climate change adaptation, discuss public health adaptation planning at both the Department of Health and Human Services and the CDC, and outline possible future CDC efforts. We also consider how these activities may be better integrated with other adaptation activities that manage emerging health threats posed by climate change. PMID:24432931

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

    Science.gov (United States)

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

    2016-11-01

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

  7. Number of Salmonella on Chicken Breast Filet at Retail Level and Its Implications for Public Health Risk

    NARCIS (Netherlands)

    Straver, J.M.; Janssen, A.F.W.; Linnemann, A.R.; Boekel, van T.; Beumer, R.R.; Zwietering, M.H.

    2007-01-01

    This study aimed to characterize the number of Salmonella on chicken breast filet at the retail level and to evaluate if this number affects the risk of salmonellosis. From October to December 2005, 220 chilled raw filets (without skin) were collected from five local retail outlets in The

  8. Calling genotypes from public RNA-sequencing data enables identification of genetic variants that affect gene-expression levels

    NARCIS (Netherlands)

    Deelen, Patrick; Zhernakova, Daria V.; de Haan, Mark; van der Sijde, Marijke; Bonder, Marc Jan; Karjalainen, Juha; van der Velde, K. Joeri; Abbott, Kristin M.; Fu, Jingyuan; Wijmenga, Cisca; Sinke, Richard J.; Swertz, Morris A.; Franke, Lude

    2015-01-01

    Background: RNA-sequencing (RNA-seq) is a powerful technique for the identification of genetic variants that affect gene-expression levels, either through expression quantitative trait locus (eQTL) mapping or through allele-specific expression (ASE) analysis. Given increasing numbers of RNA-seq

  9. State-Level Farmers Market Activities: A Review of CDC-Funded State Public Health Actions That Support Farmers Markets.

    Science.gov (United States)

    Kahin, Sahra A; Wright, Demia S; Pejavara, Anu; Kim, Sonia A

    Introducing farmers markets to underserved areas, or supporting existing farmers markets, can increase access and availability of fruits and vegetables and encourage healthy eating. Since 2003, the Centers for Disease Control and Prevention (CDC)'s Division of Nutrition, Physical Activity, and Obesity (DNPAO) has provided guidance and funding to state health departments (SHDs) to support the implementation of interventions, including activities around farmers markets, to address healthy eating, and improve the access to and availability of fruits and vegetables at state and community levels. For this project, we identified state-level farmers market activities completed with CDC's DNPAO funding from 2003 to 2013. State-level was defined as actions taken by the state health department that influence or support farmers market work across the state. We completed an analysis of SHD farmers market activities of 3 DNPAO cooperative agreements from 2003 to 2013: State Nutrition and Physical Activity Programs to Prevent Obesity and Other Chronic Diseases; Nutrition, Physical Activity and Obesity Program; and Communities Putting Prevention to Work. To identify state farmers market activities, data sources for each cooperative agreement were searched using the key words "farm," "market," "produce market," and "produce stand." State data with at least one state-level farmers market action present were then coded for the presence of itemized activities. Across all cooperative agreements, the most common activities identified through analysis included the following: working on existing markets and nutrition assistance benefit programs, supporting community action, and providing training and technical assistance. Common partners were nutrition assistance benefit program offices and state or regional Department of Agriculture or agricultural extension offices. Common farmers market practices and evidence-based activities, such as nutrition assistance benefits programs and land

  10. Development of intervention levels for the protection of the public in the event of a major nuclear accident. Past, present and future

    International Nuclear Information System (INIS)

    Emmerson, B.W.

    1989-01-01

    Since the mid-1950's nuclear energy has played an increasing role in meeting the world demand for electricity production. Although during this period incidents and accidents have occurred, in most cases their effect was confined to the plant. Three accidents, however, were sufficienty serious as to involve off-site consequences for the public. The experience from each contributed significantly in the development of current emergency response criteria and planning arrangements at the national and international level. This paper summarizes these contributions as they relate to the development of intervention levels for the protection of the public in the event of an accidental release of radioactive materials to the environment. It indicates the various measures taken by those countries that were affected by the release from the Chernobyl accident and reviews the subsequent actions by relevant international organizations to provide more comprehensive guidance on applying the principles of intervention and developing derived levels, particularly those aimed at controlling the consumption of contamined foodstuffs, or their movement in international trade. Finally, it considers the prospects for developing a more harmonized intervention approach based on the guidance now being completed at the international level [fr

  11. Stress Factors among Nurses at the Primary and Secondary Level of Public Sector Health Care: The Case of Slovenia

    OpenAIRE

    Jasmina Starc

    2018-01-01

    BACKGROUND: Working in nursing is mentally and physically demanding and is one of the most stressful professions. AIM: To determine the basic causes of stress and examine the symptoms of stress among healthcare professionals at the primary and secondary level of health care. MATERIAL AND METHODS: The research was based on the descriptive and causal non-experimental method of empirical research. The independent samples t-test was used. RESULTS: The survey results have shown that th...

  12. Quantitative Analysis of Dynamic Behaviours of Rural Areas at Provincial Level Using Public Data of Gross Domestic Product

    DEFF Research Database (Denmark)

    Chen, Yi; Zhang, Guangfeng; Li, Yiyang

    2013-01-01

    A spatial approach that incorporates three economic components and one environmental factor has been developed to evaluate the dynamic behaviours of the rural areas at a provincial level. An artificial fish swarm algorithm with variable population size (AFSAVP) is proposed for the spatial problem......, and the results have shown that the modelling method based on GDP data can assess the spatial dynamic behaviours and can be taken as an operational tool for the policy planners....

  13. Depreciation of public goods in spatial public goods games

    Science.gov (United States)

    Shi, Dong-Mei; Zhuang, Yong; Li, Yu-Jian; Wang, Bing-Hong

    2011-10-01

    In real situations, the value of public goods will be reduced or even lost because of external factors or for intrinsic reasons. In this work, we investigate the evolution of cooperation by considering the effect of depreciation of public goods in spatial public goods games on a square lattice. It is assumed that each individual gains full advantage if the number of the cooperators nc within a group centered on that individual equals or exceeds the critical mass (CM). Otherwise, there is depreciation of the public goods, which is realized by rescaling the multiplication factor r to (nc/CM)r. It is shown that the emergence of cooperation is remarkably promoted for CM > 1 even at small values of r, and a global cooperative level is achieved at an intermediate value of CM = 4 at a small r. We further study the effect of depreciation of public goods on different topologies of a regular lattice, and find that the system always reaches global cooperation at a moderate value of CM = G - 1 regardless of whether or not there exist overlapping triangle structures on the regular lattice, where G is the group size of the associated regular lattice.

  14. Depreciation of public goods in spatial public goods games

    International Nuclear Information System (INIS)

    Shi, Dong-Mei; Zhuang, Yong; Li, Yu-Jian; Wang, Bing-Hong

    2011-01-01

    In real situations, the value of public goods will be reduced or even lost because of external factors or for intrinsic reasons. In this work, we investigate the evolution of cooperation by considering the effect of depreciation of public goods in spatial public goods games on a square lattice. It is assumed that each individual gains full advantage if the number of the cooperators n c within a group centered on that individual equals or exceeds the critical mass (CM). Otherwise, there is depreciation of the public goods, which is realized by rescaling the multiplication factor r to (n c /CM)r. It is shown that the emergence of cooperation is remarkably promoted for CM > 1 even at small values of r, and a global cooperative level is achieved at an intermediate value of CM = 4 at a small r. We further study the effect of depreciation of public goods on different topologies of a regular lattice, and find that the system always reaches global cooperation at a moderate value of CM = G − 1 regardless of whether or not there exist overlapping triangle structures on the regular lattice, where G is the group size of the associated regular lattice

  15. Technical meeting on progress in managing, and limiting the consequences of events exceeding the design basis

    International Nuclear Information System (INIS)

    Fabian, H.

    2004-01-01

    The Technical Groups on 'Reactor Safety' and 'Thermodynamics and Fluid Dynamics' of the Kerntechnische Gesellschaft e.V. organized a joint technical meeting on 'Progress in Managing, and Limiting the Consequences of, Events Exceeding the Design Basis' at the FTU Training Center of the Karlsruhe Research Center. The topic chosen, the papers presented, the presenters, and the non-technical part of the program met with lively interest on the part of institutions in the nuclear field. These were the objectives of the technical meeting: - Establishing a forum for communicating relevant topics. - In-depth discussion of the main topic, i.e. the advanced development of reactor safety, research in the field, and its application, in twenty selected papers presented by speakers from different institutions. - Presentation of topical work in a nuclear technology institution, the Karlsruhe Research Center. (orig.) [de

  16. Positive and negative gain exceeding unity magnitude in silicon quantum well metal-oxide-semiconductor transistors

    Science.gov (United States)

    Hu, Gangyi; Wijesinghe, Udumbara; Naquin, Clint; Maggio, Ken; Edwards, H. L.; Lee, Mark

    2017-10-01

    Intrinsic gain (AV) measurements on Si quantum well (QW) n-channel metal-oxide-semiconductor (NMOS) transistors show that these devices can have |AV| > 1 in quantum transport negative transconductance (NTC) operation at room temperature. QW NMOS devices were fabricated using an industrial 45 nm technology node process incorporating ion implanted potential barriers to define a lateral QW in the conduction channel under the gate. While NTC at room temperature arising from transport through gate-controlled QW bound states has been previously established, it was unknown whether the quantum NTC mechanism could support gain magnitude exceeding unity. Bias conditions were found giving both positive and negative AV with |AV| > 1 at room temperature. This result means that QW NMOS devices could be useful in amplifier and oscillator applications.

  17. Water splitting-biosynthetic system with CO₂ reduction efficiencies exceeding photosynthesis.

    Science.gov (United States)

    Liu, Chong; Colón, Brendan C; Ziesack, Marika; Silver, Pamela A; Nocera, Daniel G

    2016-06-03

    Artificial photosynthetic systems can store solar energy and chemically reduce CO2 We developed a hybrid water splitting-biosynthetic system based on a biocompatible Earth-abundant inorganic catalyst system to split water into molecular hydrogen and oxygen (H2 and O2) at low driving voltages. When grown in contact with these catalysts, Ralstonia eutropha consumed the produced H2 to synthesize biomass and fuels or chemical products from low CO2 concentration in the presence of O2 This scalable system has a CO2 reduction energy efficiency of ~50% when producing bacterial biomass and liquid fusel alcohols, scrubbing 180 grams of CO2 per kilowatt-hour of electricity. Coupling this hybrid device to existing photovoltaic systems would yield a CO2 reduction energy efficiency of ~10%, exceeding that of natural photosynthetic systems. Copyright © 2016, American Association for the Advancement of Science.

  18. A revised formula for 3-body recombination that cannot exceed the unitarity limit

    International Nuclear Information System (INIS)

    Greene, Chris H.; Esry, B.D.; Suno, H.

    2004-01-01

    We discuss the recent developments in theory and experiment that bear on our understanding of three-body recombination at ultracold temperatures. Some of these predictions include the fourth-power dependence of the three-body rate on the two-body scattering lenght a, the appearance of quantum mechanical shape resonance and Feshbach resonances, and the existence of destructive interference minima at large positive scattering lenghts. At very large scattering lenghts, however, the a 4 dependence of the recombination rate eventually will exceed the unitarity limit. We propose in this paper a simple way to correct this problem, permitting an approximate extension of previous predictions to slightly higher energies above the three-body fragmentation threshold. A preliminary comparison is carried out with a very recent experiment by Grimm and coworkers, showing reasonable agreement

  19. Response Load Extrapolation for Wind Turbines during Operation Based on Average Conditional Exceedance Rates

    DEFF Research Database (Denmark)

    Toft, Henrik Stensgaard; Naess, Arvid; Saha, Nilanjan

    2011-01-01

    to cases where the Gumbel distribution is the appropriate asymptotic extreme value distribution. However, two extra parameters are introduced by which a more general and flexible class of extreme value distributions is obtained with the Gumbel distribution as a subclass. The general method is implemented...... within a hierarchical model where the variables that influence the loading are divided into ergodic variables and time-invariant non-ergodic variables. The presented method for statistical response load extrapolation was compared with the existing methods based on peak extrapolation for the blade out......The paper explores a recently developed method for statistical response load (load effect) extrapolation for application to extreme response of wind turbines during operation. The extrapolation method is based on average conditional exceedance rates and is in the present implementation restricted...

  20. Global biomass production potentials exceed expected future demand without the need for cropland expansion.

    Science.gov (United States)

    Mauser, Wolfram; Klepper, Gernot; Zabel, Florian; Delzeit, Ruth; Hank, Tobias; Putzenlechner, Birgitta; Calzadilla, Alvaro

    2015-11-12

    Global biomass demand is expected to roughly double between 2005 and 2050. Current studies suggest that agricultural intensification through optimally managed crops on today's cropland alone is insufficient to satisfy future demand. In practice though, improving crop growth management through better technology and knowledge almost inevitably goes along with (1) improving farm management with increased cropping intensity and more annual harvests where feasible and (2) an economically more efficient spatial allocation of crops which maximizes farmers' profit. By explicitly considering these two factors we show that, without expansion of cropland, today's global biomass potentials substantially exceed previous estimates and even 2050s' demands. We attribute 39% increase in estimated global production potentials to increasing cropping intensities and 30% to the spatial reallocation of crops to their profit-maximizing locations. The additional potentials would make cropland expansion redundant. Their geographic distribution points at possible hotspots for future intensification.

  1. Gusts and shear within hurricane eyewalls can exceed offshore wind turbine design standards

    Science.gov (United States)

    Worsnop, Rochelle P.; Lundquist, Julie K.; Bryan, George H.; Damiani, Rick; Musial, Walt

    2017-06-01

    Offshore wind energy development is underway in the U.S., with proposed sites located in hurricane-prone regions. Turbine design criteria outlined by the International Electrotechnical Commission do not encompass the extreme wind speeds and directional shifts of hurricanes stronger than category 2. We examine a hurricane's turbulent eyewall using large-eddy simulations with Cloud Model 1. Gusts and mean wind speeds near the eyewall of a category 5 hurricane exceed the current Class I turbine design threshold of 50 m s-1 mean wind and 70 m s-1 gusts. Largest gust factors occur at the eye-eyewall interface. Further, shifts in wind direction suggest that turbines must rotate or yaw faster than current practice. Although current design standards omit mention of wind direction change across the rotor layer, large values (15-50°) suggest that veer should be considered.

  2. Quasi-ballistic carbon nanotube array transistors with current density exceeding Si and GaAs

    Science.gov (United States)

    Brady, Gerald J.; Way, Austin J.; Safron, Nathaniel S.; Evensen, Harold T.; Gopalan, Padma; Arnold, Michael S.

    2016-01-01

    Carbon nanotubes (CNTs) are tantalizing candidates for semiconductor electronics because of their exceptional charge transport properties and one-dimensional electrostatics. Ballistic transport approaching the quantum conductance limit of 2G0 = 4e2/h has been achieved in field-effect transistors (FETs) containing one CNT. However, constraints in CNT sorting, processing, alignment, and contacts give rise to nonidealities when CNTs are implemented in densely packed parallel arrays such as those needed for technology, resulting in a conductance per CNT far from 2G0. The consequence has been that, whereas CNTs are ultimately expected to yield FETs that are more conductive than conventional semiconductors, CNTs, instead, have underperformed channel materials, such as Si, by sixfold or more. We report quasi-ballistic CNT array FETs at a density of 47 CNTs μm−1, fabricated through a combination of CNT purification, solution-based assembly, and CNT treatment. The conductance is as high as 0.46 G0 per CNT. In parallel, the conductance of the arrays reaches 1.7 mS μm−1, which is seven times higher than the previous state-of-the-art CNT array FETs made by other methods. The saturated on-state current density is as high as 900 μA μm−1 and is similar to or exceeds that of Si FETs when compared at and equivalent gate oxide thickness and at the same off-state current density. The on-state current density exceeds that of GaAs FETs as well. This breakthrough in CNT array performance is a critical advance toward the exploitation of CNTs in logic, high-speed communications, and other semiconductor electronics technologies. PMID:27617293

  3. General aviation accidents related to exceedance of airplane weight/center of gravity limits.

    Science.gov (United States)

    Boyd, Douglas D

    2016-06-01

    Obesity, affects a third of the US population and its corollary occupant weight adversely impacts safe flight operations. Increased aircraft weight results in longer takeoff/landing distances, degraded climb gradients and airframe failure may occur in turbulence. In this study, the rate, temporal changes, and lethality of accidents in piston-powered, general aviation aircraft related to exceeding the maximum aircraft weight/center of gravity (CG) limits were determined. Nation-wide person body mass were from the National Health and Nutrition Examination Survey. The NTSB database was used to identify accidents related to operation of aircraft outside of their weight/CG envelope. Statistical analyses employed T-tests, proportion tests and a Poisson distribution. While the average body mass climbed steadily (p<0.001) between 1999 and 2014 the rate of accidents related to exceedance of the weight/CG limits did not change (p=0.072). However, 57% were fatal, higher (p<0.001) than the 21% for mishaps attributed to other causes/factors. The majority (77%) of accidents were due to an overloaded aircraft operating within its CG limits. As to the phase of flight, accidents during takeoff and those occurring enroute carried the lowest (50%) and highest (85%) proportion of fatal accidents respectively. While the rate of general aviation accidents related to operating an aircraft outside of its weight/CG envelope has not increased over the past 15 years, these types of accidents carry a high risk of fatality. Airmen should be educated as to such risks and to dispel the notion held by some that flights may be safely conducted with an overloaded aircraft within its CG limits. Copyright © 2016 Elsevier Ltd. All rights reserved.

  4. Nonsynonymous substitution in abalone sperm fertilization genes exceeds substitution in introns and mitochondrial DNA

    Science.gov (United States)

    Metz, Edward C.; Robles-Sikisaka, Refugio; Vacquier, Victor D.

    1998-01-01

    Strong positive Darwinian selection acts on two sperm fertilization proteins, lysin and 18-kDa protein, from abalone (Haliotis). To understand the phylogenetic context for this dramatic molecular evolution, we obtained sequences of mitochondrial cytochrome c oxidase subunit I (mtCOI), and genomic sequences of lysin, 18-kDa, and a G protein subunit. Based on mtDNA differentiation, four north Pacific abalone species diverged within the past 2 million years (Myr), and remaining north Pacific species diverged over a period of 4–20 Myr. Between-species nonsynonymous differences in lysin and 18-kDa exons exceed nucleotide differences in introns by 3.5- to 24-fold. Remarkably, in some comparisons nonsynonymous substitutions in lysin and 18-kDa genes exceed synonymous substitutions in mtCOI. Lysin and 18-kDa intron/exon segments were sequenced from multiple red abalone individuals collected over a 1,200-km range. Only two nucleotide changes and two sites of slippage variation were detected in a total of >29,000 nucleotides surveyed. However, polymorphism in mtCOI and a G protein intron was found in this species. This finding suggests that positive selection swept one lysin allele and one 18-kDa allele to fixation. Similarities between mtCOI and lysin gene trees indicate that rapid adaptive evolution of lysin has occurred consistently through the history of the group. Comparisons with mtCOI molecular clock calibrations suggest that nonsynonymous substitutions accumulate 2–50 times faster in lysin and 18-kDa genes than in rapidly evolving mammalian genes. PMID:9724763

  5. Derived intervention levels for application in controlling radiation doses to the public in the event of a nuclear accident or radiological emergency

    International Nuclear Information System (INIS)

    1986-01-01

    This document sets out the principles and procedures for estimating derived intervention levels (DILs) and illustrates the application of these procedures to the estimation of DILs for a range of nuclides and exposure pathways, as aids to decisions on the application of protective measures for the public in the early and intermediate phases of a nuclear accident. The levels are derived subject to a number of assumptions about the intervention level of dose, the characteristics of the released material, the habits of the exposed individuals and local environmental conditions. Some guidance is given on the sensitivity of the estimated DILs to plausible variations in the above assumptions. The detailed procedures described in the document for estimating DILs and illustrations of their application are limited to accidental releases to the atmosphere

  6. Non-state security governances and the implications for local-level citizenship in Danish semi-public city spaces

    DEFF Research Database (Denmark)

    Jensen, Thomas Søgaard

    directed at promoting peace and restoring the feel good factor - in public city space in Denmark. What precisely "security" is, what it should mean, and what should be done to guarantee it, has always been contested on an empirically level. The reason for this is that security often deals with social order......, being both the ontological condition of order, in the sense of absence of "real" and culturally constructed dangers, risks, and anxieties, and the political means to ensure this order. Based on a 5 month ethnographic field work among private security guards policing new kinds of public city spaces...... the globalisation and privatisation/commercialisation of security provision and how this development can be explained. Drawing on my own empirical data I hereafter argue that commercial security governance and local understandings of threats to (feelings of) security are not so much shaped by imaginaries...

  7. Bioeffects and health risks of low-level exposures to radiofrequency and microwave fields-scientific facts and public concerns

    International Nuclear Information System (INIS)

    Szmigielski, Stanislaw

    2001-01-01

    Radiofrequency (RF) and microwave (MW) radiations, parts of the electromagnetic spectrum at wave frequencies of 0.1 - 300 MHz and 300 MHz - 300 GHz, respectively, can penetrate human tissues and exert various bioeffects at relatively low field power densities. Exposure of the general public to RF/MW radiation in the environment is generally below intensities which are considered as responsible for evoking such bioeffects. Use of mobile phones (MP) considerably increased local exposure to 900 or 1800 MHz MWs and raised concerns of the risk of brain tumors and other neoplasms of the head. At present the experimental and epidemiological bulk of evidence is too limited for valid assessment of the risks. Health consequences of long-term use of MPs are not known in detail, but available data indicate that development of non-specific health symptoms is possible, at least in 'MW-hypersensitive' subjects. In contrast to cellular terminals, which emit locally relatively high intensity MW fields, transmitting antennas and base stations contribute to MW environmental contaminations only with a small portion of the energy and do not pose established health risks. Two available epidemiological studies of brain cancer morbidity in MP users did not confirm an increased risk for all types of neoplasms, but unexplained excesses of particular types and/or locations of the tumors has been reported. Experimental investigations revealed the possibility of epigenetic activity of certain MW exposures (frequently limited to particular frequencies and/or modulations of the carrier wave), but there exists no satisfactory support from epidemiological studies for the increased cancer risk in MW-exposed subjects. However, there exist single epidemiological studies which indicate increased mortality of certain types of neoplasms in workers exposed to microwave radiation. As an example, the multiyear study of cancer morbidity in Polish military personnel exposed to 2 - 10 W/m2 will be presented

  8. Levels of Depression and Anxiety Post-Mastectomy in Breast Cancer Patients at a Public Sector Hospital in Karachi.

    Science.gov (United States)

    Khan, Sara; Khan, Naveed Ali; Rehman, Ata Ur; Khan, Iqra; Samo, Khursheed A; Memon, Amjad Siraj

    2016-01-01

    There is a noticeable change in the approach with which women nowadays seek help for diseases like breast cancer, primarily due to awareness campaigns, but what happens after surgical procedures is of great significance too. This study focused on the several psychological connotations attached to mastectomy and how the patients cope. To understand the pattern of anxiety and level of depression among Pakistani patients undergoing mastectomy. The sample size consisted of 88 patients who had undergone mastectomy at the different surgical units of the Civil Hospital, Karachi, from January 2012- December 2014; The questionnaire was administered before they were discharged i.e. within 3 days of surgical procedures. The patients were asked if they were willing to participate in this study, those who agreed signed the consent form and then we preceded by asking questions with a standardized tool. A self made questionnaire was constructed keeping in mind the nature and specification of the disease, which consisted of 20 questions related to anxiety and depression, focusing on a mixture of psychological and physiological symptoms. There were a total of 88 patients out of which 36 (41%) were aged 51 to 60 years, 24 (27.2%) of the patients were in the age category of 41 to 50 years, 17 aged 61 and above (19.3%) and only 11 (12.5%) 30-40 years of age, the youngest of all the age categories. The pattern of depression and anxiety was found to be similar among all age categories, severe depression and anxiety predominating over moderate level of such symptoms, with only relatively few patients sufering mild or no depression symptoms. It was concluded that going through mastectomy leads to moderate to severe levels of depression and anxiety, primarily because the females feel incomplete and insecure after losing a part of themselves.

  9. [Identification of mycobacteria to the species level by molecular methods in the Public Health Laboratory of Bogotá, Colombia].

    Science.gov (United States)

    Hernández-Toloza, Johana Esther; Rincón-Serrano, María de Pilar; Celis-Bustos, Yamile Adriana; Aguillón, Claudia Inés

    2016-01-01

    Global epidemiology of non-tuberculous mycobacteria (NTM) is unknown due to the fact that notification is not required in many countries, however the number of infection reports and outbreaks caused by NTM suggest a significant increase in the last years. Traditionally, mycobacteria identification is made through biochemical profiles which allow to differentiate M. tuberculosis from NTM, and in some cases the mycobacteria species. Nevertheless, these methods are technically cumbersome and time consuming. On the other hand, the introduction of methods based on molecular biology has improved the laboratory diagnosis of NTM. To establish the NTM frequency in positive cultures for acid-fast bacilli (AAFB) which were sent to Laboratorio de Salud Pública de Bogotá over a 12 month period. A total of 100 positive cultures for acid-fast bacilli from public and private hospitals from Bogotá were identified by both biochemical methods and the molecular methods PRA (PCR-restriction enzyme analysis) and multiplex-PCR. Furthermore, low prevalence mycobacteria species and non-interpretable results were confirmed by 16SrDNA sequentiation analysis. Identification using the PRA method showed NMT occurrence in 11% of cultures. In addition, this molecular methodology allowed to detect the occurrence of more than one mycobacteria in 4% of the cultures. Interestingly, a new M. kubicae pattern of PCR-restriction analysis is reported in our study. Using a mycobacteria identification algorithm, which includes the molecular method PRA, improves the diagnostic power of conventional methods and could help to advance both NTM epidemiology knowledge and mycobacteriosis control. Copyright © 2015 Elsevier España, S.L.U. y Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica. All rights reserved.

  10. Firm-level perspectives on public sector engagement with private healthcare providers: survey evidence from Ghana and Kenya.

    Directory of Open Access Journals (Sweden)

    Neeraj Sood

    Full Text Available BACKGROUND: Health systems in Sub-Saharan Africa (SSA are in urgent need of improvement. The private health sector is a major provider of care in the region and it will remain a significant actor in the future. Any efforts by SSA governments to improve health systems performance therefore has to account for the private health sector. Regional and international actors increasingly recognize importance of effectively engaging with the private health sector, and initiatives to improve engagement are underway in several countries. However, there is little systematic analysis of private health providers' view and experience with engagement. METHODOLOGY/PRINCIPAL FINDINGS: In this study we surveyed private health facilities in Kenya and Ghana to understand the extent to which and how governments interact and engage with these facilities. The results suggest that government engagement with private health facilities is quite limited. The primary focus of this engagement is "command-and-control" type regulations to improve the quality of care. There is little attention paid to building the capacity of health care businesses through either technical or financial assistance. The vast majority of these facilities also receive no government assistance in meeting public health and social goals. Finally, government engagement with private pharmacies is often neglected and clinics receive a disproportionate share of government assistance. CONCLUSIONS/SIGNIFICANCE: Overall, our findings suggest that there may be considerable untapped potential for greater engagement with private health facilities--particularly pharmacies. Improving engagement will likely help governments with limited resources to better take advantage of the private sector capacity to meet access and equity objectives and to accelerate the achievement of the Millennium Development Goals.

  11. Firm-Level Perspectives on Public Sector Engagement with Private Healthcare Providers: Survey Evidence from Ghana and Kenya

    Science.gov (United States)

    Sood, Neeraj; Burger, Nicholas; Yoong, Joanne; Kopf, Dan; Spreng, Connor

    2011-01-01

    Background Health systems in Sub-Saharan Africa (SSA) are in urgent need of improvement. The private health sector is a major provider of care in the region and it will remain a significant actor in the future. Any efforts by SSA governments to improve health systems performance therefore has to account for the private health sector. Regional and international actors increasingly recognize importance of effectively engaging with the private health sector, and initiatives to improve engagement are underway in several countries. However, there is little systematic analysis of private health providers' view and experience with engagement. Methodology/Principal Findings In this study we surveyed private health facilities in Kenya and Ghana to understand the extent to which and how governments interact and engage with these facilities. The results suggest that government engagement with private health facilities is quite limited. The primary focus of this engagement is “command-and-control” type regulations to improve the quality of care. There is little attention paid to building the capacity of health care businesses through either technical or financial assistance. The vast majority of these facilities also receive no government assistance in meeting public health and social goals. Finally, government engagement with private pharmacies is often neglected and clinics receive a disproportionate share of government assistance. Conclusions/Significance Overall, our findings suggest that there may be considerable untapped potential for greater engagement with private health facilities—particularly pharmacies. Improving engagement will likely help governments with limited resources to better take advantage of the private sector capacity to meet access and equity objectives and to accelerate the achievement of the Millennium Development Goals. PMID:22132092

  12. A review of low-level air pollution and adverse effects on human health: implications for epidemiological studies and public policy

    Science.gov (United States)

    Olmo, Neide Regina Simões; do Nascimento Saldiva, Paulo Hilário; Braga, Alfésio Luís Ferreira; Lin, Chin An; de Paula Santos, Ubiratan; Pereira, Luiz Alberto Amador

    2011-01-01

    The aim of this study was to review original scientific articles describing the relationship between atmospheric pollution and damage to human health. We also aimed to determine which of these studies mentioned public policy issues. Original articles relating to atmospheric pollution and human health published between 1995 and 2009 were retrieved from the PubMed database and analyzed. This study included only articles dealing with atmospheric pollutants resulting primarily from vehicle emissions. Three researchers were involved in the final selection of the studies, and the chosen articles were approved by at least two of the three researchers. Of the 84 non-Brazilian studies analyzed, 80 showed an association between atmospheric pollution and adverse effects on human health. Moreover, 66 showed evidence of adverse effects on human health, even at levels below the permitted emission standards. Three studies mentioned public policies aimed at changing emission standards. Similarly, the 29 selected Brazilian studies reported adverse associations with human health, and 27 showed evidence of adverse effects even at levels below the legally permitted emission standards. Of these studies, 16 mentioned public policies aimed at changing emission standards. Based on the Brazilian and non-Brazilian scientific studies that have been conducted, it can be concluded that, even under conditions that are compliant with Brazilian air quality standards, the concentration of atmospheric pollutants in Brazil can negatively affect human health. However, as little discussion of this topic has been generated, this finding demonstrates the need to incorporate epidemiological evidence into decisions regarding legal regulations and to discuss the public policy implications in epidemiological studies. PMID:21655765

  13. The Los Angeles County Community Disaster Resilience Project — A Community-Level, Public Health Initiative to Build Community Disaster Resilience

    Directory of Open Access Journals (Sweden)

    David Eisenman

    2014-08-01

    Full Text Available Public health officials need evidence-based methods for improving community disaster resilience and strategies for measuring results. This methods paper describes how one public health department is addressing this problem. This paper provides a detailed description of the theoretical rationale, intervention design and novel evaluation of the Los Angeles County Community Disaster Resilience Project (LACCDR, a public health program for increasing community disaster resilience. The LACCDR Project utilizes a pretest–posttest method with control group design. Sixteen communities in Los Angeles County were selected and randomly assigned to the experimental community resilience group or the comparison group. Community coalitions in the experimental group receive training from a public health nurse trained in community resilience in a toolkit developed for the project. The toolkit is grounded in theory and uses multiple components to address education, community engagement, community and individual self-sufficiency, and partnerships among community organizations and governmental agencies. The comparison communities receive training in traditional disaster preparedness topics of disaster supplies and emergency communication plans. Outcome indicators include longitudinal changes in inter-organizational linkages among community organizations, community member responses in table-top exercises, and changes in household level community resilience behaviors and attitudes. The LACCDR Project is a significant opportunity and effort to operationalize and meaningfully measure factors and strategies to increase community resilience. This paper is intended to provide public health and academic researchers with new tools to conduct their community resilience programs and evaluation research. Results are not yet available and will be presented in future reports.

  14. Increasing Public Access to Scientific Research through Stakeholder Involvement: Ecological Effects of Sea Level Rise in the Northern Gulf of Mexico

    Science.gov (United States)

    Hagen, S. C.; Stephens, S. H.; DeLorme, D. E.; Ruple, D.; Graham, L.

    2013-12-01

    Sea level rise (SLR) has the potential to have a myriad of deleterious effects on coastal ecology and human infrastructure. Stakeholders, including managers of coastal resources, must be aware of potential consequences of SLR and adjust their plans accordingly to protect and preserve the resources under their care. Members of the public, particularly those who live or work in coastal areas, should also be informed about the results of scientific research on the effects of SLR. However, research results are frequently published in venues or formats to which resource managers and the broader public have limited access. It is imperative for scientists to move beyond traditional publication venues in order to more effectively disseminate the results of their research (Dennison, W. 2007, Estu. Coast. Shelf Sci. 77, 185). One potentially effective way to advance public access to research is to incorporate stakeholder involvement into the research project process in order to target study objectives and tailor communication products toward stakeholder needs (Lemos, M. & Morehouse, B. 2005, Glob. Env. Chg. 15, 57). However, it is important to manage communication and clarify participant expectations during this type of research (Gawith, M. et al. 2009, Glob. Env. Chg. 19, 113). This presentation describes the process being undertaken by an ongoing 5-year multi-disciplinary NOAA-funded project, Ecological Effects of Sea Level Rise in the Northern Gulf of Mexico (EESLR-NGOM), to improve accessibility and utility of scientific research results through stakeholder engagement. The EESLR-NGOM project is assessing the ecological risks from SLR along the Mississippi, Alabama and Florida Panhandle coasts, coastal habitats, and floodplains. It has incorporated stakeholder involvement throughout the research process so as to better target and tailor the emerging research products to meet resource managers' needs, as well as to facilitate eventual public dissemination of results. An

  15. Wintertime indoor air levels of PM10, PM2.5 and PM1 at public places and their contributions to TSP.

    Science.gov (United States)

    Liu, Yangsheng; Chen, Rui; Shen, Xingxing; Mao, Xiaoling

    2004-04-01

    From 26 October 2002 to 8 March 2003, particulate matter (PM) concentrations (total suspended particles [TSP], PM10, PM2.5 and PM1) were measured at 49 public places representing different environments in the urban area of Beijing. The objectives of this study were (1) to characterize the indoor PM concentrations in public places, (2) to evaluate the potential indoor sources and (3) to investigate the contribution of PM10 to TSP and the contributions of PM2.5 and PM1 to PM10. Additionally, The indoor and outdoor particle concentrations in the same type of indoor environment were employed to investigate the I/O level, and comparison was made between I/O levels in different types of indoor environment. Construction activities and traffic condition were the major outdoor sources to influence the indoor particle levels. The contribution of PM10 to TSP was even up to 68.8%, while the contributions of PM2.5 and PM1 to PM10 were not as much as that of PM10 to TSP.

  16. Street-level bureaucracy and policy implementation in community public health nursing: a qualitative study of the experiences of student and novice health visitors.

    Science.gov (United States)

    Hughes, Alison; Condon, Louise

    2016-11-01

    Aim To explore the experiences of student and novice health visitors in implementing health visiting policy reform pre- and post-qualification. In England, public health nursing has been subject to major policy reform. The Health Visitor Implementation Plan (2011) set out a plan to recruit increasing numbers of nurses and midwives to the profession to deliver an expanded and refocussed health visiting service. Exploring this policy change from the viewpoint of those new to health visiting offers a unique perspective into how a specific policy vision is translated into nursing practice. A descriptive qualitative study in which participants were enrolled on a one-year post-graduate health visiting course at a University in South West of England. Qualitative data were collected pre- and post-qualification. A total of 16 interviews and a focus group were conducted with nine participants between September 2012 and March 2013. Findings Descriptive data were interpreted using Lipsky's theoretical framework of street-level bureaucracy. Three themes emerged which relate to this 'bottom-up' perspective on policy implementation; readiness to operationalise policy, challenges in delivering the service vision; and using discretion in delivering the vision. Community public health nurses operate as street-level bureaucrats in negotiating the demands of policy and practice, and by this means, attempt to reconcile professional values with institutional constraints. Barriers to policy implementation at a local level mediate the effects of policy reform, ultimately impacting upon outcomes for children and families.

  17. Public health risk assessment of groundwater contamination in Batman, Turkey.

    Science.gov (United States)

    Nalbantcilar, M Tahir; Pinarkara, Sukru Yavuz

    2016-08-01

    In this study, a comprehensive analysis of groundwater was performed to assess contamination and phenol content in Batman, Turkey, particularly in residential areas near agriculture, livestock and oil industry facilities. From these areas, where potentially contaminated groundwater used for drinking and irrigation threatens public health, 30 groundwater samples were collected and analyzed for heavy metal concentrations (Al, As, B, Ba, Ca, Cd, Cl, Co, Cr, Cu, Fe, Hg, Li, Mg, Mn, Mo, Na, Ni, NO3, P, Pb, phenol, S, Sb, Se, SO4, Sr, U, and Zn). Compared with the standards of the Environmental Protection Agency, Al, Fe, and Mn concentrations in groundwater exceeded secondary drinking water regulations, NO3 concentrations were high for maximum contaminant levels, and As, Pb, and U concentrations exceeded maximum contaminant level goals in all samples. Ni, Sb, and Se concentrations also exceeded limits set by the Turkish Standards Institution. Nearly all samples revealed concentrations of Se, Sb, Hg, and phenol due to nearby petroleum refineries, oil storage plants, and agricultural and livestock areas. The results obtained from this study indicate that the groundwater in Batman contains elements in concentrations that approach or exceed limits and thus threatens public health with increased blood cholesterol, decreased blood sugar, and circulatory problems.

  18. 40 CFR 141.209 - Special notice for nitrate exceedances above MCL by non-community water systems (NCWS), where...

    Science.gov (United States)

    2010-07-01

    ... Water Violations § 141.209 Special notice for nitrate exceedances above MCL by non-community water... 40 Protection of Environment 22 2010-07-01 2010-07-01 false Special notice for nitrate exceedances above MCL by non-community water systems (NCWS), where granted permission by the primacy agency under Â...

  19. Scoring methods and results for qualitative evaluation of public health impacts from the Hanford high-level waste tanks. Integrated Risk Assessment Program

    International Nuclear Information System (INIS)

    Buck, J.W.; Gelston, G.M.; Farris, W.T.

    1995-09-01

    The objective of this analysis is to qualitatively rank the Hanford Site high-level waste (HLW) tanks according to their potential public health impacts through various (groundwater, surface water, and atmospheric) exposure pathways. Data from all 149 single-shell tanks (SSTs) and 23 of the 28 double-shell tanks (DSTs) in the Tank Waste Remediation System (TWRS) Program were analyzed for chemical and radiological carcinogenic as well as chemical noncarcinogenic health impacts. The preliminary aggregate score (PAS) ranking system was used to generate information from various release scenarios. Results based on the PAS ranking values should be considered relative health impacts rather than absolute risk values

  20. Stress Factors among Nurses at the Primary and Secondary Level of Public Sector Health Care: The Case of Slovenia

    Directory of Open Access Journals (Sweden)

    Jasmina Starc

    2018-02-01

    Full Text Available BACKGROUND: Working in nursing is mentally and physically demanding and is one of the most stressful professions. AIM: To determine the basic causes of stress and examine the symptoms of stress among healthcare professionals at the primary and secondary level of health care. MATERIAL AND METHODS: The research was based on the descriptive and causal non-experimental method of empirical research. The independent samples t-test was used. RESULTS: The survey results have shown that those employed in nursing are exposed to stressful situations on a daily basis, most often involving psychological or physical violence in the workplace (M = 4.2, dealing with death (M = 3.9, lack of personnel (M = 3.9 and a high frequency of patients (M = 3.8. The following stress factors cause women greater stress than they do men: relationships among co-workers (t = 2.745; p = 0.006, psychological or physical violence in the workplace (t = 3.492; p = 0.001, and working with difficult patients (t = 2.427; p = 0.017. CONCLUSION: To manage risks, employees and employers must work together and establish a suitable safety and organisational culture, which would enable them to manage and reduce stress.

  1. Stress Factors among Nurses at the Primary and Secondary Level of Public Sector Health Care: The Case of Slovenia.

    Science.gov (United States)

    Starc, Jasmina

    2018-02-15

    Working in nursing is mentally and physically demanding and is one of the most stressful professions. To determine the basic causes of stress and examine the symptoms of stress among healthcare professionals at the primary and secondary level of health care. The research was based on the descriptive and causal non-experimental method of empirical research. The independent samples t-test was used. The survey results have shown that those employed in nursing are exposed to stressful situations on a daily basis, most often involving psychological or physical violence in the workplace (M = 4.2), dealing with death (M = 3.9), lack of personnel (M = 3.9) and a high frequency of patients (M = 3.8). The following stress factors cause women greater stress than they do men: relationships among co-workers (t = 2.745; p = 0.006), psychological or physical violence in the workplace (t = 3.492; p = 0.001), and working with difficult patients (t = 2.427; p = 0.017). To manage risks, employees and employers must work together and establish a suitable safety and organisational culture, which would enable them to manage and reduce stress.

  2. The impact of later trading hours for hotels (public houses) on breath alcohol levels of apprehended impaired drivers.

    Science.gov (United States)

    Chikritzhs, Tanya; Stockwell, Tim

    2007-10-01

    To examine the impact of extended trading permits (ETPs) for licensed hotels in Perth, Western Australia on impaired driver breath alcohol levels (BALs) between July 1993 and June 1997. Forty-three hotels obtained ETPs allowing later closing hours and 130 maintained standard closing time (controls). Impaired driver BALs were linked to 'last place of drinking' hotels. Before and after period BALs of drivers who last drank at ETP or non-ETP hotels were compared by time of day of apprehension and sex, controlling for age. Impaired female drivers apprehended between 10.01 p.m. and 12 midnight (before closing time) had significantly lower BALs after drinking at ETP hotels. Male drivers aged 18-25 years and apprehended between 12.01 and 2.00 a.m. after drinking at ETP hotels had significantly higher BALs than drivers who drank at non-ETP hotels. At peak times for alcohol-related offences, late trading is associated with higher BALs among those drinkers most at risk of alcohol-related harm.

  3. Beyond the cold hit: measuring the impact of the national DNA data bank on public safety at the city and county level.

    Science.gov (United States)

    Gabriel, Matthew; Boland, Cherisse; Holt, Cydne

    2010-01-01

    Over the past decade, the Combined DNA Index System (CODIS) has increased solvability of violent crimes by linking evidence DNA profiles to known offenders. At present, an in-depth analysis of the United States National DNA Data Bank effort has not assessed the success of this national public safety endeavor. Critics of this effort often focus on laboratory and police investigators unable to provide timely investigative support as a root cause(s) of CODIS' failure to increase public safety. By studying a group of nearly 200 DNA cold hits obtained in SFPD criminal investigations from 2001-2006, three key performance metrics (Significance of Cold Hits, Case Progression & Judicial Resolution, and Potential Reduction of Future Criminal Activity) provide a proper context in which to define the impact of CODIS at the City and County level. Further, the analysis of a recidivist group of cold hit offenders and their past interaction with law enforcement established five noteworthy criminal case resolution trends; these trends signify challenges to CODIS in achieving meaningful case resolutions. CODIS' effectiveness and critical activities to support case resolutions are the responsibility of all criminal justice partners in order to achieve long-lasting public safety within the United States.

  4. Revised guidance of the principles for establishing intervention levels for the protection of the public in the event of a nuclear accident or radiological emergency

    International Nuclear Information System (INIS)

    1988-07-01

    An IAEA Advisory Group met in February 1987 to: i) review existing Agency guidance on intervention levels of dose and whether, and if so, what, revision is required; ii) consider whether, and if so, what additional guidance is required on limiting the stochastic risk and collective dose equivalent, and; iii) consider whether, and if so, what, additional guidance should be developed on derived intervention levels. The purpose of this Interim Report is to present to a broader audience the initial conclusions and recommendations of the Advisory Group in order that they may be used in conjunction with the guidance currently presented in Safety Series No. 72, pending publication of the revised Safety Series, scheduled for late 1989. 14 refs

  5. An integrated approach to identify the origin of PM10 exceedances.

    Science.gov (United States)

    Amodio, M; Andriani, E; de Gennaro, G; Demarinis Loiotile, A; Di Gilio, A; Placentino, M C

    2012-09-01

    This study was aimed to the development of an integrated approach for the characterization of particulate matter (PM) pollution events in the South of Italy. PM(10) and PM(2.5) daily samples were collected from June to November 2008 at an urban background site located in Bari (Puglia Region, South of Italy). Meteorological data, particle size distributions and atmospheric dispersion conditions were also monitored in order to provide information concerning the different features of PM sources. The collected data allowed suggesting four indicators to characterize different PM(10) exceedances. PM(2.5)/PM(10) ratio, natural radioactivity, aerosol maps and back-trajectory analysis and particle distributions were considered in order to evaluate the contribution of local anthropogenic sources and to determine the different origins of intrusive air mass coming from long-range transport, such as African dust outbreaks and aerosol particles from Central and Eastern Europe. The obtained results were confirmed by applying principal component analysis to the number particle concentration dataset and by the chemical characterization of the samples (PM(10) and PM(2.5)). The integrated approach for PM study suggested in this paper can be useful to support the air quality managers for the development of cost-effective control strategies and the application of more suitable risk management approaches.

  6. How to evaluate the risks of exceeding limits: geostatistical models and their application to air pollution

    International Nuclear Information System (INIS)

    Fouquet, Ch. de; Deraisme, J.; Bobbia, M.

    2007-01-01

    Geo-statistics is increasingly applied to the study of environmental risks in a variety of sectors, especially in the fields of soil decontamination and the evaluation of the risks due to air pollution. Geo-statistics offers a rigorous stochastic modeling approach that makes it possible to answer questions expressed in terms of uncertainty and risk. This article focusses on nonlinear geo-statistical methods, based on the Gaussian random function model, whose essential properties are summarised. We use two examples to characterize situations where direct and thus rapid methods provide appropriate solutions and cases that inevitably require more laborious simulation techniques. Exposure of the population of the Rouen metropolitan area to the risk of NO 2 pollution is assessed by simulations, but the surface area where the pollution exceeds the threshold limit can be easily estimated with nonlinear conditional expectation techniques. A second example is used to discuss the bias introduced by direct simulation, here of a percentile of daily SO 2 concentration for one year in the city of Le Havre; an operational solution is proposed. (authors)

  7. Biomaterials recycling: bioglasses obtained from reuse of hydroxyapatite (HA) bovine bone with term exceeded validity

    International Nuclear Information System (INIS)

    Silva, A.C.; Santos, S.C.; Braga, F.J.C.; Aparecida, A.H.

    2012-01-01

    The hydroxyapatite (HA) is a reference bioceramic for bone replacement and regeneration medical practice, becoming one of the most produced and researched bone graft material. Since it is a material for biomedical application, the manufacture and storage of this bioceramic must comply with severe conservation criteria, and its validity date is the lawful major factor for disposal. Materials with the exceeded expiration date are usually discarded and incinerated, resulting in ash, environmental contamination and energy expenditure. This study evaluates the possibility of reuse of bovine HA collected after its validity date as raw material to obtain bioglass, aiming to natural resources saving and environmental emissions mitigation. 45S5 similar compositions were obtained by melting the materials at 1500 ° C, followed by rapid cooling and annealing thermal treatment (500 ° C for 2h), analytical grade chemical reagents were used to set the final composition. The obtained materials were characterized by X-ray diffraction, infrared spectroscopy (FT-IR), and hydrolysis resistance techniques. The results of comparative chemical resistance (Hydrolytic) tests indicate the potential use of the materials developed for bone replacement applications. (author)

  8. Do drug treatment facilities increase clients' exposure to potential neighborhood-level triggers for relapse? A small-area assessment of a large, public treatment system.

    Science.gov (United States)

    Jacobson, Jerry O

    2006-03-01

    Research on drug treatment facility locations has focused narrowly on the issue of geographic proximity to clients. We argue that neighborhood conditions should also enter into the facility location decision and illustrate a formal assessment of neighborhood conditions at facilities in a large, metropolitan area, taking into account conditions clients already face at home. We discuss choice and construction of small-area measures relevant to the drug treatment context, including drug activity, disadvantage, and violence as well as statistical comparisons of clients' home and treatment locations with respect to these measures. Analysis of 22,707 clients discharged from 494 community-based outpatient and residential treatment facilities that received public funds during 1998-2000 in Los Angeles County revealed no significant mean differences between home and treatment neighborhoods. However, up to 20% of clients are exposed to markedly higher levels of disadvantage, violence, or drug activity where they attend treatment than where they live, suggesting that it is not uncommon for treatment locations to increase clients' exposure to potential environmental triggers for relapse. Whereas on average both home and treatment locations exhibit higher levels of these measures than the household locations of the general population, substantial variability in public treatment clients' home neighborhoods calls into question the notion that they hail exclusively from poor, high drug activity areas. Shortcomings of measures available for neighborhood assessment of treatment locations and implications of the findings for other areas of treatment research are also discussed.

  9. Application of physiological parameters of a sample of the Brazilian population in different levels of exercise, on the deposition model of the ICRP Publication 66

    International Nuclear Information System (INIS)

    Reis, Arlene A. dos; Cardoso, Joaquim C.S.; Lourenco, Maria C.

    2005-01-01

    The Human Respiratory Tract Model (HRTM) proposed by the ICRP Publication 66 accounts for the morphology and physiology of the respiratory tract. The characteristics of air drawn into the lungs and exhaled are greatly influenced by the morphology of the respiratory tract, which causes numerous changes in pressure, flow rate, direction and humidity as air moves into and out of the lungs. The model uses morphological and physiological parameters from the Caucasian man to establish deposition fractions in the respiratory tract regions. The ICRP recommends, for a reliable evaluation of the regional deposition, the use of parameters from a local population when information is available. The main purpose of this study is to verify the influence in using the morphology and physiology parameters representative of a sample of the Brazilian population, in different levels of exercise, on the deposition model of the ICRP Publication 66. The deposition model was implemented using software Excel for Windows (version 2000). The results suggest a significant variation in fractional deposition when Brazilian parameters are applied in the model. The variations are not the same for all regions of the respiratory tract and depend on levels of exercise. (author)

  10. Recycling of fresh concrete exceeding and wash water in concrete mixing plants

    Directory of Open Access Journals (Sweden)

    Férriz Papí, J. A.

    2014-03-01

    Full Text Available The exceeding concrete and washing equipment water are a matter to solve in concrete production. This paper explains several possibilities for recycling and analyses the products obtained with one recycling equipment. The objective of this work is to study the possibility to increase the percentage of recycling in new mixes. The developed study relates wash water density and fine particles content. Besides, mortar and concrete samples were tested introducing different quantities of these fine particles, substituting cement, sand or only as an addition. Consistency, compressive strength, setting time, absorption, and capillarity were tested. The results indicated an improvement of the studied properties in some percentages when substituting sand. It confirms the possibility to introduce larger quantities of wash water in new concrete mixes, with corrections in sand quantity depending on water density.Los hormigones frescos sobrantes y aguas procedentes de la limpieza de equipos son un inconveniente a resolver en las plantas de hormigón. Este artículo explica varias posibilidades de reciclado y analiza los productos obtenidos en un equipo reciclador concreto, con el objetivo de estudiar el incremento del porcentaje de reciclaje en nuevas amasadas. El estudio realizado relaciona la densidad del agua de lavado y el contenido de partículas finas. Además, ensaya muestras de mortero y hormigón realizando sustituciones de estas partículas finas por cemento, arena o simplemente como adición. Determina consistencia, resistencia a compresión, principio y fin de fraguado, absorción y capilaridad. Los resultados indicaron un incremento general de las propiedades estudiadas en algunos porcentajes de sustitución por arena. Ello confirma la posibilidad de introducir mayores cantidades de agua de lavado en nuevas amasadas de hormigón, mediante correcciones en la dosificación de arena en función de la densidad del agua.

  11. Doctors' experience of coordination across care levels and associated factors. A cross-sectional study in public healthcare networks of six Latin American countries.

    Science.gov (United States)

    Vázquez, María-Luisa; Vargas, Ingrid; Garcia-Subirats, Irene; Unger, Jean-Pierre; De Paepe, Pierre; Mogollón-Pérez, Amparo Susana; Samico, Isabella; Eguiguren, Pamela; Cisneros, Angelica-Ivonne; Huerta, Adriana; Muruaga, María-Cecilia; Bertolotto, Fernando

    2017-06-01

    Improving coordination between primary care (PC) and secondary care (SC) has become a policy priority in recent years for many Latin American public health systems looking to reinforce a healthcare model based on PC. However, despite being a longstanding concern, it has scarcely been analyzed in this region. This paper analyses the level of clinical coordination between PC and SC experienced by doctors and explores influencing factors in public healthcare networks of Argentina, Brazil, Chile, Colombia, Mexico and Uruguay. A cross-sectional study was carried out based on a survey of doctors working in the study networks (348 doctors per country). The COORDENA questionnaire was applied to measure their experiences of clinical management and information coordination, and their related factors. Descriptive analyses were conducted and a multivariate logistic regression model was generated to assess the relationship between general perception of care coordination and associated factors. With some differences between countries, doctors generally reported limited care coordination, mainly in the transfer of information and communication for the follow-up of patients and access to SC for referred patients, especially in the case of PC doctors and, to a lesser degree, inappropriate clinical referrals and disagreement over treatments, in the case of SC doctors. Factors associated with a better general perception of coordination were: being a SC doctor, considering that there is enough time for coordination within consultation hours, job and salary satisfaction, identifying the PC doctor as the coordinator of patient care across levels, knowing the doctors of the other care level and trusting in their clinical skills. These results provide evidence of problems in the implementation of a primary care-based model that require changes in aspects of employment, organization and interaction between doctors, all key factors for coordination. Copyright © 2017 The Authors. Published

  12. Publicity and public relations

    Science.gov (United States)

    Fosha, Charles E.

    1990-01-01

    This paper addresses approaches to using publicity and public relations to meet the goals of the NASA Space Grant College. Methods universities and colleges can use to publicize space activities are presented.

  13. Identification and understanding the factors affecting the public and political acceptance of long term storage of spent fuel and high-level radioactive wastes

    International Nuclear Information System (INIS)

    Gorea, Valica

    2006-01-01

    In the end of 2004, according to the information available to the IAEA, there were 440 nuclear reactors operating worldwide, with a total net capacity of 366.3 GW(e), 6 of them being connected to the grid in 2004 ( 2 in Ukraine, one each in China, Japan and the Russian Federation and a reconnection in Canada) by comparison with 2 connections and 2 re-connections in 2003. Also, in the end of 2004, 26 nuclear power plants were under construction with a total net capacity of 20.8 GW(e). The conclusion accepted by common consent is that the nuclear power is still in progress and represents one of the options for power security on long and middle term. If we refer to the nuclear fusion which will produce commercial electric power, over 30 - 40 years, in practically unlimited quantities, the above underlining becomes even more evident. Fortunately, besides the beneficent characteristics, such as: clean, stable as engendering and price, has also a negative characteristic, which generally breathes fear into the people: radioactive waste. A classification of the radioactive waste is not the target of this presentation. I just want to point that a nuclear power plant produces during the time spent fuel - long life high radioactive, generating heat. Another high radioactive waste have similar characteristics (HLW = High Level Waste) for which reason these two categories of wastes are treated together. The spent fuel and the High Level Waste are interim stored for cooling, for around 50 years, afterwards it is transferred to the final repository where it will be kept for hundreds of years, in the case of an open fuel cycle and this is also the case of Cernavoda NPP. Taking into consideration that the Cernavoda Unit 1 reaches the age of 10 years of commercial running during December 2006, it results that the issue of the final disposal is not such urgent as it looks. The objectives of long term management of radioactive waste are public health and protection of the environment

  14. Rapidly star-forming galaxies adjacent to quasars at redshifts exceeding 6.

    Science.gov (United States)

    Decarli, R; Walter, F; Venemans, B P; Bañados, E; Bertoldi, F; Carilli, C; Fan, X; Farina, E P; Mazzucchelli, C; Riechers, D; Rix, H-W; Strauss, M A; Wang, R; Yang, Y

    2017-05-24

    The existence of massive (10 11 solar masses) elliptical galaxies by redshift z ≈ 4 (refs 1, 2, 3; when the Universe was 1.5 billion years old) necessitates the presence of galaxies with star-formation rates exceeding 100 solar masses per year at z > 6 (corresponding to an age of the Universe of less than 1 billion years). Surveys have discovered hundreds of galaxies at these early cosmic epochs, but their star-formation rates are more than an order of magnitude lower. The only known galaxies with very high star-formation rates at z > 6 are, with one exception, the host galaxies of quasars, but these galaxies also host accreting supermassive (more than 10 9 solar masses) black holes, which probably affect the properties of the galaxies. Here we report observations of an emission line of singly ionized carbon ([C ii] at a wavelength of 158 micrometres) in four galaxies at z > 6 that are companions of quasars, with velocity offsets of less than 600 kilometres per second and linear offsets of less than 100 kiloparsecs. The discovery of these four galaxies was serendipitous; they are close to their companion quasars and appear bright in the far-infrared. On the basis of the [C ii] measurements, we estimate star-formation rates in the companions of more than 100 solar masses per year. These sources are similar to the host galaxies of the quasars in [C ii] brightness, linewidth and implied dynamical mass, but do not show evidence for accreting supermassive black holes. Similar systems have previously been found at lower redshift. We find such close companions in four out of the twenty-five z > 6 quasars surveyed, a fraction that needs to be accounted for in simulations. If they are representative of the bright end of the [C ii] luminosity function, then they can account for the population of massive elliptical galaxies at z ≈ 4 in terms of the density of cosmic space.

  15. Application of at-site peak-streamflow frequency analyses for very low annual exceedance probabilities

    Science.gov (United States)

    Asquith, William H.; Kiang, Julie E.; Cohn, Timothy A.

    2017-07-17

    The U.S. Geological Survey (USGS), in cooperation with the U.S. Nuclear Regulatory Commission, has investigated statistical methods for probabilistic flood hazard assessment to provide guidance on very low annual exceedance probability (AEP) estimation of peak-streamflow frequency and the quantification of corresponding uncertainties using streamgage-specific data. The term “very low AEP” implies exceptionally rare events defined as those having AEPs less than about 0.001 (or 1 × 10–3 in scientific notation or for brevity 10–3). Such low AEPs are of great interest to those involved with peak-streamflow frequency analyses for critical infrastructure, such as nuclear power plants. Flood frequency analyses at streamgages are most commonly based on annual instantaneous peak streamflow data and a probability distribution fit to these data. The fitted distribution provides a means to extrapolate to very low AEPs. Within the United States, the Pearson type III probability distribution, when fit to the base-10 logarithms of streamflow, is widely used, but other distribution choices exist. The USGS-PeakFQ software, implementing the Pearson type III within the Federal agency guidelines of Bulletin 17B (method of moments) and updates to the expected moments algorithm (EMA), was specially adapted for an “Extended Output” user option to provide estimates at selected AEPs from 10–3 to 10–6. Parameter estimation methods, in addition to product moments and EMA, include L-moments, maximum likelihood, and maximum product of spacings (maximum spacing estimation). This study comprehensively investigates multiple distributions and parameter estimation methods for two USGS streamgages (01400500 Raritan River at Manville, New Jersey, and 01638500 Potomac River at Point of Rocks, Maryland). The results of this study specifically involve the four methods for parameter estimation and up to nine probability distributions, including the generalized extreme value, generalized

  16. Radial and azimuthal distribution of Io's oxygen neutral cloud observed by Hisaki/EXCEED

    Science.gov (United States)

    Koga, R.; Tsuchiya, F.; Kagitani, M.; Sakanoi, T.; Yoneda, M.; Yoshikawa, I.; Yoshioka, K.; Murakami, G.; Yamazaki, A.; Kimura, T.; Smith, H. T.

    2017-12-01

    We report the spatial distributions of oxygen neural cloud surrounding Jupiter's moon Io and along Io's orbit observed by the HISAKI satellite. Atomic oxygen and sulfur in Io's atmosphere escape from the exobase and move to corona ( 5.8 Io radii) mainly due to atmospheric sputtering. Io plasma torus is formed by ionization of these atoms by electron impact and charge exchange processes. It is essential to examine the dominant source of Io plasma torus, particularly in the vicinity of Io (5.8 Io radii; extended neutral clouds). The spatial distribution of oxygen and sulfur neutral clouds is important to understand the source. The extreme ultraviolet spectrometer called EXCEED (Extreme Ultraviolet Spectroscope for Exospheric Dynamics) installed on the Hisaki satellite observed Io plasma torus continuously in 2014-2015, and we carried out the monitoring of the distribution of atomic oxygen emission at 130.4 nm. The emission averaged over the distance range of 4.5-6.5 Jovian radii on the dawn and dusk sides strongly depends on the Io phase angle (IPA), and has a emission peak between IPA of 60-90 degrees on the dawn side, and between 240-270 degrees on the dusk side, respectively. It also shows the asymmetry with respect to Io's position: the intensity averaged for IPA 60-90 degrees (13.3 Rayleighs (R)) is 1.2 times greater than that for IPA 90-120 degrees (11.1 R) on the dawn side. The similar tendency is found on the dusk side. Weak atomic oxygen emission (4 R) uniformly distributes in every IPA. We also examined the radial distribution of the oxygen neutral cloud during the same period and found the emission peak near Io's orbit with decreasing the intensity toward 8.0 Jupiter radii. The results show the high density component of the oxygen neutral cloud is concentrated around Io and extends mainly toward leading side of Io. In addition, the low density neutrals uniformly exist along Io's orbit. Both components extend radially outward up to 8 Jovian radii with

  17. NAGT: Partnering to Expand and Improve the Teaching of Earth Sciences at all Levels of Instruction while Increasing Earth Literacy to the General Public

    Science.gov (United States)

    Herbstrith, K. G.

    2016-12-01

    Now more than ever, we need an Earth literate public and a workforce that can develop and be engaged in viable solutions to current and future environmental and resource challenges. The National Association of Geoscience Teachers (NAGT) is a member driven organization dedicated to fostering improvement in the teaching of the Earth Sciences at all levels of formal and informal instruction, to emphasizing the cultural significance of the Earth sciences and to disseminating knowledge in this field to the general public. NAGT offers a number of ways to partner and collaborate including our sponsored sessions, events and programs; two publications; workshop programming; three topical focused divisions; educational advocacy; and website offerings hosted through the Science Education Resource Center (SERC). A growing number of associations, institutions, projects, and individual educators are strengthening their professional networks by partnering with NAGT. Locating and connecting members of the Earth education community with shared values and interest is an important part of collaborating and NAGT's topical divisions assist community members who wish to work on the topics of 2-year college faculty, geoscience education research, and teacher preparation. The NAGT website and the linked websites of its collaborating partners provides a peer reviewed venue for educators to showcase their pedagogy and to learn best practices of others. The annual Earth Educators' Rendezvous is an opportunity to network face-to-face with the Earth education community, strengthening our relationships while working with those who share our interests and challenges while also learning from those who have divergent experiences. NAGT is a non-profit organization that advocates for the advancement of the geosciences and supports the work of Earth educators and geoscience education researchers. For more information about NAGT, visit our website at www.nagt.org

  18. The Impact of Job Satisfaction on the Turnover Intent of Executive Level Central Office Administrators in Texas Public School Districts: A Quantitative Study of Work Related Constructs

    Directory of Open Access Journals (Sweden)

    Johnny O’Connor

    2018-05-01

    Full Text Available The purpose of this study was to examine the relationship between job satisfaction and turnover intent of executive level central office administrators in Texas public school districts. For the intent of this study, executive level central office administrators were defined as staff members who serve in one of the following roles in a school district: assistant, associate, area, or deputy superintendent. The data were collected from a random sample of 234 participants in which survey instruments of job satisfaction and turnover intent were used. Each instrument was created on a five-point Likert scale. Based on the results of the study, it was concluded that a moderate inverse relationship exists between job satisfaction and turnover intent and job satisfaction explained 41.3% of an executive level central office administrator’s intent for turnover. Research related to this employee group is lacking. Therefore, not much is known regarding how it relates to their attitude towards work-related factors. Learning more about job satisfaction and turnover intention of these individuals could have long term implications since it relates to mitigating the shortage of superintendent candidates available to fill the growing number of vacancies as well as recruitment, retention, and increased work productivity of these staff.

  19. PREVALENCE OF LOW BACK PAIN AND LEVEL OF KNOWLEDE ABOUT PATIENT HANDLING AND SHIFTING TECHNIQUES AMONG NURSES OF A PUBLIC SECTOR HOSPITAL IN KARACHI A SURVEY

    Directory of Open Access Journals (Sweden)

    Ferkhanda Imdad

    2016-04-01

    Full Text Available Background: Low back pain has been found to be the most prevailing musculoskeletal condition as well as a common cause of absence from workplace. Studies report that low back pain is common and accounts for a large number of reported disabilities among nurses. In fact nursing have one of the highest levels of back injury in all occupation groups. The aim of this study is to determine the prevalence of low back pain among nurses in a public sector teaching hospital of Karachi. This study has mainly focused on confounding factors leading to low back pain and level of education among nurses regarding patients handling or shifting techniques. Methods: A self-administered questionnaires comprises of three sections, were used to collect data. The first section requested for socio-demographic information, followed by medical history of back pain during last month and during last year.The second section assessed the medical history of LBP in two categories i.e. during last month and during last year.The third and last section inquired about participants’ level of education about ergonomics with simply in yes or no pattern.The questionnaires were given to 100 nurses. All questionnaires were completed in the presence of theresearcher. Out of 100 questionnaires distributed and recorded, only 47 participants returned the questionnaire. Results: Statistical Package for the Social Sciences (SPSS version 19.0 was used for statistical analysis. Relationship between the prevalence of low back pain and training in patient moving techniques, manual material handling techniques is significant (p=0.017,p= 0.068. There is a weak relationship with the knowledge of ergonomics, biomechanics and back pain preventive measures (p=0.719,p=0.457,p=0.704. Conclusion: More than two third of the participated nurses were well trained in transfer techniques, manual material training and preventive measures of back pain. But they lack the biomechanical knowledge. The prevalence

  20. A Study of the Failure Wave Phenomenon in Glasses at Peak Stresses Exceeding the HEL

    International Nuclear Information System (INIS)

    Kanel, G. I.; Razorenov, S. V.; Savinykh, A. S.; Rajendran, A.; Chen Zhen

    2006-01-01

    Shock-wave experiments with two glasses of different hardness have been carried out at shock stress levels above the Hugoniot elastic limit. A comparison between the measured free surface velocity histories from two plate impact experiments performed at approximately the same shock stress level (one with a single thick target plate, and the other with several adjacent target plates of total thickness equal to that of the thick target plate) revealed: 1) at shock loading the failure wave is not formed at stress levels above the HEL, indicating suppression of the fracture process by plasticity, 2) at gradual compression the failure wave process occurs as the stress increases above the failure threshold up to the stress at which plastic deformation begins

  1. Estimation of peak discharge quantiles for selected annual exceedance probabilities in northeastern Illinois

    Science.gov (United States)

    Over, Thomas M.; Saito, Riki J.; Veilleux, Andrea G.; Sharpe, Jennifer B.; Soong, David T.; Ishii, Audrey L.

    2016-06-28

    This report provides two sets of equations for estimating peak discharge quantiles at annual exceedance probabilities (AEPs) of 0.50, 0.20, 0.10, 0.04, 0.02, 0.01, 0.005, and 0.002 (recurrence intervals of 2, 5, 10, 25, 50, 100, 200, and 500 years, respectively) for watersheds in Illinois based on annual maximum peak discharge data from 117 watersheds in and near northeastern Illinois. One set of equations was developed through a temporal analysis with a two-step least squares-quantile regression technique that measures the average effect of changes in the urbanization of the watersheds used in the study. The resulting equations can be used to adjust rural peak discharge quantiles for the effect of urbanization, and in this study the equations also were used to adjust the annual maximum peak discharges from the study watersheds to 2010 urbanization conditions.The other set of equations was developed by a spatial analysis. This analysis used generalized least-squares regression to fit the peak discharge quantiles computed from the urbanization-adjusted annual maximum peak discharges from the study watersheds to drainage-basin characteristics. The peak discharge quantiles were computed by using the Expected Moments Algorithm following the removal of potentially influential low floods defined by a multiple Grubbs-Beck test. To improve the quantile estimates, regional skew coefficients were obtained from a newly developed regional skew model in which the skew increases with the urbanized land use fraction. The drainage-basin characteristics used as explanatory variables in the spatial analysis include drainage area, the fraction of developed land, the fraction of land with poorly drained soils or likely water, and the basin slope estimated as the ratio of the basin relief to basin perimeter.This report also provides the following: (1) examples to illustrate the use of the spatial and urbanization-adjustment equations for estimating peak discharge quantiles at ungaged

  2. The importance of public sector health facility-level data for monitoring changes in maternal mortality risks among communities: the case of pakistan.

    Science.gov (United States)

    Jain, Anrudh K; Sathar, Zeba; Salim, Momina; Shah, Zakir Hussain

    2013-09-01

    This paper illustrates the importance of monitoring health facility-level information to monitor changes in maternal mortality risks. The annual facility-level maternal mortality ratios (MMRs), complications to live births ratios and case fatality ratios (CFRs) were computed from data recorded during 2007 and 2009 in 31 upgraded public sector health facilities across Pakistan. The facility-level MMR declined by about 18%; both the number of Caesarean sections and the episodes of complications as a percentage of live births increased; and CFR based on Caesarean sections and episodes of complications declined by 29% and 37%, respectively. The observed increases in the proportion of women with complications among those who come to these facilities point to a reduction in the delay in reaching facilities (first and second delays; Thaddeus & Maine, 1994); the decrease in CFRs points to improvements in treating obstetric complications and a reduction in the delay in receiving treatment once at facilities (the third delay). These findings point to a decline in maternal mortality risks among communities served by these facilities. A system of woman-level data collection instituted at health facilities with comprehensive emergency obstetric care is essential to monitor changes in the effects of any reduction in the three delays and any improvement in quality of care or the effectiveness of treating pregnancy-related complications among women reaching these facilities. Such a system of information gathering at these health facilities would also help policymakers and programme mangers to measure and improve the effectiveness of safe-motherhood initiatives and to monitor progress being made toward achieving the fifth Millennium Development Goal.

  3. Error propagation in spatial modeling of public health data: a simulation approach using pediatric blood lead level data for Syracuse, New York.

    Science.gov (United States)

    Lee, Monghyeon; Chun, Yongwan; Griffith, Daniel A

    2018-04-01

    Lead poisoning produces serious health problems, which are worse when a victim is younger. The US government and society have tried to prevent lead poisoning, especially since the 1970s; however, lead exposure remains prevalent. Lead poisoning analyses frequently use georeferenced blood lead level data. Like other types of data, these spatial data may contain uncertainties, such as location and attribute measurement errors, which can propagate to analysis results. For this paper, simulation experiments are employed to investigate how selected uncertainties impact regression analyses of blood lead level data in Syracuse, New York. In these simulations, location error and attribute measurement error, as well as a combination of these two errors, are embedded into the original data, and then these data are aggregated into census block group and census tract polygons. These aggregated data are analyzed with regression techniques, and comparisons are reported between the regression coefficients and their standard errors for the error added simulation results and the original results. To account for spatial autocorrelation, the eigenvector spatial filtering method and spatial autoregressive specifications are utilized with linear and generalized linear models. Our findings confirm that location error has more of an impact on the differences than does attribute measurement error, and show that the combined error leads to the greatest deviations. Location error simulation results show that smaller administrative units experience more of a location error impact, and, interestingly, coefficients and standard errors deviate more from their true values for a variable with a low level of spatial autocorrelation. These results imply that uncertainty, especially location error, has a considerable impact on the reliability of spatial analysis results for public health data, and that the level of spatial autocorrelation in a variable also has an impact on modeling results.

  4. Physical Activity Level and Sedentary Behaviors among Public School Children in Dakar (Senegal Measured by PAQ-C and Accelerometer: Preliminary Results

    Directory of Open Access Journals (Sweden)

    Adama Diouf

    2016-10-01

    Full Text Available Background: Physical inactivity and sedentary lifestyles are major risk factors of childhood obesity. This study aimed to measure physical activity (PA levels by accelerometer and Physical Activity Questionnaire for Older Children (PAQ-C among Senegalese school children and the relation with Body Mass Index (BMI and body composition. Methodology: 156 pupils 8–11 years old were randomly selected in four elementary public schools of Dakar. BMI z-score was used to categorize children according to their weight status. PA was measured by PAQ-C in the 156 pupils and by accelerometer (Actigraph GT3X+, Pensacola, FL, USA in a subsample of 42 children. Body composition was determined by deuterium dilution method. Results: PAQ-C results were comparable in the 156 and 42 pupils. The 42 pupils presented a light activity measured by accelerometer, while PAQ-C classified the majority of them (57%; n = 24 in the moderate PA level. Children spent most of their time (min/day in sedentary activities and light activities than in moderate and intense activity levels. Accumulation of 60 min/day Moderate-to-Vigorous Physical Activity (MVPA was achieved by 54.8% (n = 23 of the pupils. MVPA decreased in girls in relation to their body fatness. There was a significant difference in MVPA between boys and girls. Similarly, overweight/obese (45 ± 16 min/day children had lower MVPA than their normal and underweight peers (88 ± 34 and 74 ± 36 min/day, respectively; p = 0.004. Conclusions: The two methods are inconsistent for measuring light and moderate PA levels. Although PAQ-C is an uncomplicated routine method, various activities were not adapted for genuine activities in Senegalese children and therefore needs to be validated in African children.

  5. Physical Activity Level and Sedentary Behaviors among Public School Children in Dakar (Senegal) Measured by PAQ-C and Accelerometer: Preliminary Results.

    Science.gov (United States)

    Diouf, Adama; Thiam, Mbeugué; Idohou-Dossou, Nicole; Diongue, Ousmane; Mégné, Ndé; Diallo, Khady; Sembène, Pape Malick; Wade, Salimata

    2016-10-10

    Background : Physical inactivity and sedentary lifestyles are major risk factors of childhood obesity. This study aimed to measure physical activity (PA) levels by accelerometer and Physical Activity Questionnaire for Older Children (PAQ-C) among Senegalese school children and the relation with Body Mass Index (BMI) and body composition. Methodology : 156 pupils 8-11 years old were randomly selected in four elementary public schools of Dakar. BMI z -score was used to categorize children according to their weight status. PA was measured by PAQ-C in the 156 pupils and by accelerometer (Actigraph GT3X+, Pensacola, FL, USA) in a subsample of 42 children. Body composition was determined by deuterium dilution method. Results : PAQ-C results were comparable in the 156 and 42 pupils. The 42 pupils presented a light activity measured by accelerometer, while PAQ-C classified the majority of them (57%; n = 24) in the moderate PA level. Children spent most of their time (min/day) in sedentary activities and light activities than in moderate and intense activity levels. Accumulation of 60 min/day Moderate-to-Vigorous Physical Activity (MVPA) was achieved by 54.8% ( n = 23) of the pupils. MVPA decreased in girls in relation to their body fatness. There was a significant difference in MVPA between boys and girls. Similarly, overweight/obese (45 ± 16 min/day) children had lower MVPA than their normal and underweight peers (88 ± 34 and 74 ± 36 min/day, respectively; p = 0.004). Conclusions : The two methods are inconsistent for measuring light and moderate PA levels. Although PAQ-C is an uncomplicated routine method, various activities were not adapted for genuine activities in Senegalese children and therefore needs to be validated in African children.

  6. Atmospheric dry and wet deposition of sulphur and nitrogen species and assessment of critical loads of acidic deposition exceedance in South Africa

    Directory of Open Access Journals (Sweden)

    Stuart J. Piketh

    2011-03-01

    Full Text Available We tested the hypothesis that acidic atmospheric pollution deposition, originating from the South African central industrial area, poses an environmental threat across a larger region within the dispersal footprint. A network of 37 passive monitoring sites to measure SO2 and NO2 was operated from August 2005 to September 2007. The area extended over the entire northern and eastern interior of South Africa. Monitoring locations were chosen to avoid direct impacts from local sources such as towns, mines and highways. Dry deposition rates of SO2 and NO2 were calculated from the measured concentrations. Concentrations of sulphur and nitrogen species in wet deposition from a previous study were used in conjunction with measured rainfall for the years 2006 and 2007 to estimate the wet deposition over the region. The calculated total (non-organic acidic deposition formed the basis for an assessment of exceedance of critical loads based on sensitivity of the regional soils. Regional soil sensitivity was determined by combining two major soil attributes available in the World Inventory of Soil Emission Potentials (International Soil Reference and Information Centre. Results indicate that certain parts of the central pollution source area on the South African Highveld have the potential for critical load exceedance, while limited areas downwind show lower levels of exceedance. Areas upwind and remote areas up and downwind, including forested areas of the Drakensberg escarpment, do not show any exceedance of the critical loads.

  7. Public health assessment for Carroll and Dubies Sewage Disposal, Port Jervis, Orange County, New York, Region 2. Cerclis No. NYD010968014. Final report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-04-26

    The Carroll and Dubies site contains seven former waste water lagoons which received waste from septic tanks and industries (primarily two cosmetic manufacturers). On-site shallow oil, subsurface soil, lagoon surface water and sludge, and groundwater are contaminated with volatile and semi-volatile organic compounds and metals at levels exceeding public health assessment comparison values. Off-site groundwater samples taken near the site, in the direction of groundwater flow, contain volatile organic compounds at levels exceeding public health assessment comparison values. There are no past or current exposures to site-related chemicals at levels that are a public health concern; therefore, the site is categorized as no apparent public health hazard as long as the site is properly remediated.

  8. The role of global public health strategy in non-profit organisational change at country level: lessons from the joining of Save the Children and Merlin in Myanmar.

    Science.gov (United States)

    Campbell, Fiona M; Balabanova, Dina; Howard, Natasha

    2018-01-01

    The paper presents a case study that critically assesses the role of global strategy 'Public Health on the Frontline 2014-2015' ('the Strategy') in supporting Merlin and Save the Children's organisational change and future programme of the combined organisation in Myanmar. Research was undertaken in 2014 in Myanmar. Twenty-six individual and three group interviews were conducted with stakeholders, and 10 meetings relevant to the country organisational transition process were observed. A conceptual framework was developed to assess the role of the global strategy in supporting the country change process. Several positive aspects of the global strategy were found, as well as critical shortcomings in its support to the organisational change process at country level. The strategy was useful in signalling Save the Children's intention to scale up humanitarian health provision. However, it had only limited influence on the early change process and outcomes in Myanmar. Results highlight several aspects that would enhance the role of a global strategy at country level. Lessons can be applied by organisations undertaking a similar process. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  9. Principles for establishing intervention levels for the protection of the public in the event of a nuclear accident or radiological emergency

    International Nuclear Information System (INIS)

    1985-01-01

    This Safety Guide is based on the report of an Advisory Group which met in Vienna in October 1984 in order to develop guidance on the radiation protection principles concerning emergency response planning and the establishment of intervention levels to be applied for the protection of the public in the event of a nuclear accident or radiological emergency. It considers the relationship between emergency response planning and various accident sequences, examines the pathways for radiation exposure and the sources of advice to decision makers during each of the three main accident phases, and specifies the dosimetric quantities that apply. The relevant pathological effects that must be protected against are summarized and the measures that may need to be implemented to provide protection with respect to each of the exposure pathways are discussed. It sets out the principles which underline decisions on intervention planning for each of the accident phases, gives guidance on dose values for the introduction of relevant protective measures and considers the application of cost-benefit analysis and the determination of the optimum dose level at which to withdraw protective measures

  10. Road Rage Menace: A Cross-sectional Study to Assess Driver Anger Level in Public Motor Vehicle Drivers in a City in Central India

    Directory of Open Access Journals (Sweden)

    Sanjay Dixit

    2011-07-01

    Full Text Available Introduction: Road rage and aggressive driving is a prevalent condition in today’s society due to motorists’ frustrations during heavy traffic volumes. Objective: This study was done to assess the level of anger amongst the drivers of public transport vehicles in Indore, using Driving Anger Scale (DAS by Deffenbacher et. al. and various factors affecting it. Material and Methods: A cross-sectional study was conducted among 135 drivers of Public transport vehicle drivers (Star bus, City-van and star cab drivers in Indore to assess their anger level using Driving Anger Scale. The participants were required to record the amount of anger they would experience in response to each item in the scale (1=not at all angry, 2=a little angry, 3=some anger, 4=much anger, 5=very much angry. Results: The mean DAS score in Indore was found to be 3.013 and in the three organizations namely Star bus drivers, City van drivers and Star cab drivers was 2.92, 3.08 and 3.04 respectively. The DAS score of drivers with respect to the 6 sub-scales were: hostile gestures (Star bus -3.42,City van -3.67,Star cab -3.38, slow driving (Star bus -2.73,City van driv-2.78,Star cab-3.17, traffic obstructions (Star bus-2.85,City van -3.25,Star cab-3.18, discourtesy (Star bus -3.23,City van-3.33,Star cab -3.25and police presence (Star bus -2.15,City van -1.99,Star cab -2.78, illegal driving (Star bus -3.04,City van -3.14,Star cab -2.89. The DAS scores of the drivers did not vary significantly with age group, experience, and educational qualification. Conclusion: Though DAS scores did not vary between the three groups of drivers, however average level anger for various given circumstances commonly found in the Indian traffic scenario was on the higher side.

  11. Design and operation of a coaxial plasma gun at magnetic fields exceeding 0.5 megagauss

    International Nuclear Information System (INIS)

    Conte, D.; Bird, G.; Boyer, C.; Davis, J.; Seiler, S.; Turchi, P.

    1981-01-01

    The use of coaxial plasma guns to accumulate and concentrate electromagnetic and kinetic energy at high currents and power flux levels has been examined experimentally. For these studies, apparatus was designed to employ magnetic fields approaching 1MG, using the AFWL Shiva capacitor bank as the current source (1.9 MJ, 120 KV). The design divided the system into two major component regions: 1) a reusable cylindrical transition to the Shiva bank, an 2) disposable guns and feed plates

  12. How and when China will exceed its renewable energy deployment targets

    International Nuclear Information System (INIS)

    Santalco, Aldo

    2012-01-01

    This paper is focused on the renewable energy targets set by China in its 12th National Development Plan 2011–2015. In particular, the paper examines deployment targets and the means to achieve them, for hydro, wind and solar. These are its priority technologies, in which the country has a level of competitive advantage. For each of these energy sources, four projections have been produced. These projections show whether and when China will meet its deployment targets in terms of the cumulative amount of gigawatts (GW) of installed capacity by 2015. In doing this, historical data from 2005 to 2010 has been analyzed for all three energy sources. Both the average annual growth rate (AAGR), and the compound average growth rate (CAGR) have been computed, in terms of the world averages and China's national performance over this period. AAGR and CAGR have been used for producing four scenarios for each renewable energy, and a logarithmic scale has been applied to them in order to make them more reliable by smoothing out excessive fluctuations. The most likely scenarios for each technology are described. Finally, the gap between these scenarios and the respective national targets set for 2015 and 2020 are calculated. - Highlights: ► The competitive advantages of China for the Renewable Energy Deployment Targets. ► Hydro target met by 2012 with a GW level higher than 31% the target by 2015. ► Wind target met by 2012 with a GW level higher than 35% the target by 2015. ► Solar target met by 2014 with a GW level higher than 23% the target by 2015. ► Best scenarios and gap analysis for 2015 and 2020 targets.

  13. Inactive Publics: The Forgotten Publics in Public Relations.

    Science.gov (United States)

    Hallahan, Kirk

    2000-01-01

    Notes that recent public relations theory has largely ignored inactive publics, stakeholder groups that demonstrate low levels of knowledge and involvement in the organization or its products, services, candidates, or causes, but are important to an organization. Examines the nature of inactive publics and proposes a model that locates inactive…

  14. Plasma levels of n-3 fatty acids and risk of coronary heart disease among Japanese: The Japan Public Health Center-based (JPHC) study.

    Science.gov (United States)

    Hamazaki, Kei; Iso, Hiroyasu; Eshak, Ehab S; Ikehara, Satoyo; Ikeda, Ai; Iwasaki, Motoki; Hamazaki, Tomohito; Tsugane, Shoichiro

    2018-05-01

    Higher intake of fish or n-3 polyunsaturated fatty acids (PUFAs) has been associated with reduced risk of coronary heart disease (CHD). However, it is unclear whether increased blood levels of n-3 PUFAs are associated with reduced risk of CHD in the Japanese population. The relationship between circulating levels of n-3 PUFAs (eicosapentaenoic acid + docosapentaenoic acid + docosahexaenoic acid) and risk of CHD was examined in a nested case-control study among participants in the Japan Public Health Center (JPHC)-based Study Cohort. Plasma n-3 PUFA phospholipid levels were measured at baseline by gas chromatography in 209 cases with CHD and 418 controls matched for sex, age, date of blood draw, time elapsed since last meal before blood collection, and study location. The CHD cases (n = 209) comprised 168 cases of myocardial infarction and 41 of sudden cardiac death, otherwise classified as 157 non-fatal and 52 fatal coronary events, respectively. Mean duration of follow-up was 13.5 years. Multivariate conditional logistic analysis showed no significant association between n-3 PUFAs and risk of total CHD. The odds ratio (OR) for the highest versus lowest quartiles of plasma n-3 PUFAs was 0.79 (95% confidence interval [95% CI]: 0.41-1.51, p for trend = 0.51). Subtype analysis of CHD revealed that the multivariate ORs for the highest versus lowest quartiles for n-3 PUFAs were 0.91 (95% CI: 0.43-1.89, p for trend = 0.90) for myocardial infarction, 0.08 (95% CI: 0.01-0.88, p for trend = 0.04) for sudden cardiac death, 0.89 (95% CI: 0.42-1.89, p for trend = 0.97) for nonfatal coronary events, and 0.12 (95% CI: 0.02-0.75, p for trend = 0.03) for fatal coronary events. Plasma n-3 PUFA levels were not associated with risk of total CHD but were inversely associated with risks of sudden cardiac death and fatal coronary events among middle-aged Japanese individuals. Copyright © 2017 Elsevier B.V. All rights reserved.

  15. Randomised and non-randomised studies to estimate the effect of community-level public health interventions: definitions and methodological considerations.

    Science.gov (United States)

    Schmidt, Wolf-Peter

    2017-01-01

    The preferred method to evaluate public health interventions delivered at the level of whole communities is the cluster randomised trial (CRT). The practical limitations of CRTs and the need for alternative methods continue to be debated. There is no consensus on how to classify study designs to evaluate interventions, and how different design features are related to the strength of evidence. This article proposes that most study designs for the evaluation of cluster-level interventions fall into four broad categories: the CRT, the non-randomised cluster trial (NCT), the controlled before-and-after study (CBA), and the before-and-after study without control (BA). A CRT needs to fulfil two basic criteria: (1) the intervention is allocated at random; (2) there are sufficient clusters to allow a statistical between-arm comparison. In a NCT, statistical comparison is made across trial arms as in a CRT, but treatment allocation is not random. The defining feature of a CBA is that intervention and control arms are not compared directly, usually because there are insufficient clusters in each arm to allow a statistical comparison. Rather, baseline and follow-up measures of the outcome of interest are compared in the intervention arm, and separately in the control arm. A BA is a CBA without a control group. Each design may provide useful or misleading evidence. A precise baseline measurement of the outcome of interest is critical for causal inference in all studies except CRTs. Apart from statistical considerations the exploration of pre/post trends in the outcome allows a more transparent discussion of study weaknesses than is possible in non-randomised studies without a baseline measure.

  16. Using systems thinking and the Intervention Level Framework to analyse public health planning for complex problems: Otitis media in Aboriginal and Torres Strait Islander children.

    Science.gov (United States)

    Durham, Jo; Schubert, Lisa; Vaughan, Lisa; Willis, Cameron D

    2018-01-01

    documents were reviewed. We examined surveys and interviews with six key informants. Twenty-four individual and 3 group interviews were conducted across central and community level informants. One hundred and four items were coded from the 20 documents and 156 items from interview data. For both data sets, the majority of activities were coded at the structural elements level. The results suggested three key areas where further work is needed to drive sustained improvements: 1) build the governance structures needed for paradigm shift to achieve a multi-sectoral approach; 2) develop shared system level goals; 3) develop system-wide feedback processes. Sustained progress in improving ear health within Aboriginal and Torres Strait Islander children requires a holistic, system-wide approach. To advance such work, governance structures for multi-sectoral collaboration including the development of joint goals and monitoring and feedback are required. Intervening at these higher leverage points could have a profound effect on persistent public health issues.

  17. Seasonal variation exceeds effects of salmon carcass additions on benthic food webs in the Elwha River

    Science.gov (United States)

    Morley, S.A.; Coe, H.J.; Duda, J.J.; Dunphy, L.S.; McHenry, M.L.; Beckman, B.R.; Elofson, M.; Sampson, E. M.; Ward, L.

    2016-01-01

    Dam removal and other fish barrier removal projects in western North America are assumed to boost freshwater productivity via the transport of marine-derived nutrients from recolonizing Pacific salmon (Oncorhynchus spp.). In anticipation of the removal of two hydroelectric dams on the Elwha River in Washington State, we tested this hypothesis with a salmon carcass addition experiment. Our study was designed to examine how background nutrient dynamics and benthic food webs vary seasonally, and how these features respond to salmon subsidies. We conducted our experiment in six side channels of the Elwha River, each with a spatially paired reference and treatment reach. Each reach was sampled on multiple occasions from October 2007 to August 2008, before and after carcass placement. We evaluated nutrient limitation status; measured water chemistry, periphyton, benthic invertebrates, and juvenile rainbow trout (O. mykiss) response; and traced salmon-derived nutrient uptake using stable isotopes. Outside of winter, algal accrual was limited by both nitrogen and phosphorous and remained so even in the presence of salmon carcasses. One month after salmon addition, dissolved inorganic nitrogen levels doubled in treatment reaches. Two months after addition, benthic algal accrual was significantly elevated. We detected no changes in invertebrate or fish metrics, with the exception of 15N enrichment. Natural seasonal variability was greater than salmon effects for the majority of our response metrics. Yet seasonality and synchronicity of nutrient supply and demand are often overlooked in nutrient enhancement studies. Timing and magnitude of salmon-derived nitrogen utilization suggest that uptake of dissolved nutrients was favored over direct consumption of carcasses. The highest proportion of salmon-derived nitrogen was incorporated by herbivores (18–30%) and peaked 1–2 months after carcass addition. Peak nitrogen enrichment in predators (11–16%) occurred 2–3

  18. Opinions of Spanish pig producers on the role, the level and the risk to public health of antimicrobial use in pigs.

    Science.gov (United States)

    Moreno, Miguel A

    2014-08-01

    Antimicrobial use is a major driver of antimicrobial resistance and prescribers (physicians and veterinarians) and end users (patients, food producers and pet owners) are the cornerstones of this scenario. Intensive pig farming is a livestock activity that has a high antimicrobial use. This study is based on the opinions of pig producers. The study was done at national level and comprised two independent cross-sectional surveys using a questionnaire-based methodology and face-to-face interviews carried out between April and October, 2010. The collected data, which consisted of opinions of producers on 48 farrow-to-finish farms and 62 finisher farms, showed that, irrespective of farm type, pig producers in Spain have an imperfect knowledge of the main use of antimicrobials. Antimicrobials are perceived as valuable cost-effective tools for animal health and husbandry and there is little concern among pig producers about the harmful effects on public health of on-farm antimicrobial use. Copyright © 2014 Elsevier Ltd. All rights reserved.

  19. Risk evaluation of embedded, single-walled liquid low-level waste piping at Oak Ridge National Laboratory. ESD Publication 4315

    International Nuclear Information System (INIS)

    1994-10-01

    Four categories of liquid low-level radioactive waste (LLLW) systems are defined in the Federal Facility Agreement (FFA) for the Oak Ridge Reservation (ORR). Categories A and B are new and fully compliant existing systems, respectively: Category C is singly contained and must be removed from service, and Category D is inactive. The FFA requires that secondary containment and leak detection be provided for all Category A and B piping in the LLLW System at Oak Ridge National Laboratory (ORNL); however, as noted in the D2 revision of the secondary containment design demonstration report (DOE 1994), some sections of single-walled embedded piping in Category B underground vaults at three ORNL facilities do not meet this requirement. A risk evaluation was performed in order compare the potential radiation dose to a member of the public that could result from a postulated leak in the single-walled pipes with projected radiation exposure to the workers who would modify the piping to meet FFA requirements. The risk to human health from replacing segments of embedded, single-walled piping in the LLW system is higher than the risk of leaving the piping as it is

  20. Modelling the risk of Pb and PAH intervention value exceedance in allotment soils by robust logistic regression

    International Nuclear Information System (INIS)

    Papritz, A.; Reichard, P.U.

    2009-01-01

    Soils of allotments are often contaminated by heavy metals and persistent organic pollutants. In particular, lead (Pb) and polycyclic aromatic hydrocarbons (PAHs) frequently exceed legal intervention values (IVs). Allotments are popular in European countries; cities may own and let several thousand allotment plots. Assessing soil contamination for all the plots would be very costly. Soil contamination in allotments is often linked to gardening practice and historic land use. Hence, we predict the risk of IV exceedance from attributes that characterize the history and management of allotment areas (age, nearby presence of pollutant sources, prior land use). Robust logistic regression analyses of data of Swiss allotments demonstrate that the risk of IV exceedance can be predicted quite precisely without costly soil analyses. Thus, the new method allows screening many allotments at small costs, and it helps to deploy the resources available for soil contamination surveying more efficiently. - The contamination of allotment soils, expressed as frequency of intervention value exceedance, depends on the age and further attributes of the allotments and can be predicted by logistic regression.

  1. Methods for estimating annual exceedance-probability discharges and largest recorded floods for unregulated streams in rural Missouri.

    Science.gov (United States)

    2014-01-01

    Regression analysis techniques were used to develop a : set of equations for rural ungaged stream sites for estimating : discharges with 50-, 20-, 10-, 4-, 2-, 1-, 0.5-, and 0.2-percent : annual exceedance probabilities, which are equivalent to : ann...

  2. 48 CFR 736.602-5 - Short selection process for procurements not to exceed the simplified acquisition threshold.

    Science.gov (United States)

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Short selection process for procurements not to exceed the simplified acquisition threshold. 736.602-5 Section 736.602-5... CONTRACTING CONSTRUCTION AND ARCHITECT-ENGINEER CONTRACTS Architect-Engineer Services 736.602-5 Short...

  3. 48 CFR 636.602-5 - Short selection processes for contracts not to exceed the simplified acquisition threshold.

    Science.gov (United States)

    2010-10-01

    ... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Short selection processes... ARCHITECT-ENGINEER CONTRACTS Architect-Engineer Services 636.602-5 Short selection processes for contracts not to exceed the simplified acquisition threshold. The short selection process described in FAR 36...

  4. 48 CFR 436.602-5 - Short selection process for contracts not to exceed the simplified acquisition threshold.

    Science.gov (United States)

    2010-10-01

    ... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Short selection process for contracts not to exceed the simplified acquisition threshold. 436.602-5 Section 436.602-5 Federal... ARCHITECT-ENGINEER CONTRACTS Architect-Engineer Service 436.602-5 Short selection process for contracts not...

  5. 48 CFR 836.602-5 - Short selection process for contracts not to exceed the simplified acquisition threshold.

    Science.gov (United States)

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Short selection process for contracts not to exceed the simplified acquisition threshold. 836.602-5 Section 836.602-5 Federal... AND ARCHITECT-ENGINEER CONTRACTS Architect-Engineer Services 836.602-5 Short selection process for...

  6. Susceptibility of forests in the northeastern USA to nitrogen and sulfur deposition: critical load exceedance and forest health

    Science.gov (United States)

    N. Duarte; L.H. Pardo; M.J. Robin-Abbott

    2013-01-01

    The objectives of this study were to assess susceptibility to acidification and nitrogen (N) saturation caused by atmospheric deposition to northeastern US forests, evaluate the benefits and shortcomings of making critical load assessments using regional data, and assess the relationship between expected risk (exceedance) and forest health. We calculated the critical...

  7. A comparison of hospital administrative costs in eight nations: US costs exceed all others by far.

    Science.gov (United States)

    Himmelstein, David U; Jun, Miraya; Busse, Reinhard; Chevreul, Karine; Geissler, Alexander; Jeurissen, Patrick; Thomson, Sarah; Vinet, Marie-Amelie; Woolhandler, Steffie

    2014-09-01

    A few studies have noted the outsize administrative costs of US hospitals, but no research has compared these costs across multiple nations with various types of health care systems. We assembled a team of international health policy experts to conduct just such a challenging analysis of hospital administrative costs across eight nations: Canada, England, Scotland, Wales, France, Germany, the Netherlands, and the United States. We found that administrative costs accounted for 25.3 percent of total US hospital expenditures--a percentage that is increasing. Next highest were the Netherlands (19.8 percent) and England (15.5 percent), both of which are transitioning to market-oriented payment systems. Scotland and Canada, whose single-payer systems pay hospitals global operating budgets, with separate grants for capital, had the lowest administrative costs. Costs were intermediate in France and Germany (which bill per patient but pay separately for capital projects) and in Wales. Reducing US per capita spending for hospital administration to Scottish or Canadian levels would have saved more than $150 billion in 2011. This study suggests that the reduction of US administrative costs would best be accomplished through the use of a simpler and less market-oriented payment scheme. Project HOPE—The People-to-People Health Foundation, Inc.

  8. Imidacloprid-susceptible Nilaparvata lugens individuals exceeded resistant individuals in a mixture population with density pressure.

    Science.gov (United States)

    Yu, Na; Tian, Jiahua; Zhang, Yixi; Li, Zhong; Liu, Zewen

    2018-01-01

    Fitness costs associated with insecticide resistance in pest insects have mainly been studied under optimal laboratory conditions. However, resistant insects face more stressors than just insecticides in the field, and how the resistant population reacts to these stressors is of practical importance for the control of pest insects such as the brown planthopper Nilaparvata lugens. The aim of the present study was to explore the impact of population density on the competitiveness of resistant and susceptible individuals. Two isogenic N. lugens populations, a highly imidacloprid-resistant population (HZ-R) with a resistance ratio (RR) of 227.10 and a relatively susceptible population (HZ-S) with an RR of 2.99, were created from a field-resistant population (HZ; RR 62.51). The high resistance levels of HZ-R and HZ were mainly attributable to the overexpression of multiple cytochrome P450 (CYP) genes such as CYP6ER1, CYP6AY1, CYP6CW1 and CYP4CE1 compared with HZ-S, this being supported by piperonyl butoxide synergism. HZ-R was observed to be more resistant to thiacloprid and etofenprox compared with HZ and HZ-S. Most interestingly, in high population density treatments, HZ-S individuals were much more competitive than HZ-R individuals. Imidacloprid-resistant individuals of N. lugens are less competitive than their susceptible counterparts under density pressure. © 2017 Society of Chemical Industry. © 2017 Society of Chemical Industry.

  9. Electronic cigarette nicotine delivery can exceed that of combustible cigarettes: a preliminary report.

    Science.gov (United States)

    Ramôa, Carolina P; Hiler, Marzena M; Spindle, Tory R; Lopez, Alexa A; Karaoghlanian, Nareg; Lipato, Thokozeni; Breland, Alison B; Shihadeh, Alan; Eissenberg, Thomas

    2016-04-01

    Electronic cigarettes (ECIGs) aerosolise a liquid that usually contains propylene glycol and/or vegetable glycerine, flavourants and the dependence-producing drug, nicotine, in various concentrations. This laboratory study examined the relationship between liquid nicotine concentration and plasma nicotine concentration and puffing behaviour in experienced ECIG users. Sixteen ECIG-experienced participants used a 3.3-Volt ECIG battery attached to a 1.5-Ohm dual-coil 'cartomiser' loaded with 1 mL of a flavoured propylene glycol/vegetable glycerine liquid to complete four sessions, at least 2 days apart, that differed by nicotine concentration (0, 8, 18 or 36 mg/mL). In each session, participants completed two 10-puff ECIG-use bouts (30 s puff interval) separated by 60 min. Venous blood was sampled to determine plasma nicotine concentration. Puff duration, volume and average flow rate were measured. Immediately after bout 1, mean plasma nicotine concentration was 5.5 ng/mL (SD=7.7) for 0 mg/mL liquid, with significantly (pcombustible cigarette. The rationale for this higher level of nicotine delivery is uncertain. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  10. The effects of green infrastructure on exceedance of critical shear stress in Blunn Creek watershed

    Science.gov (United States)

    Shannak, Sa'd.

    2017-10-01

    Green infrastructure (GI) has attracted city planners and watershed management professional as a new approach to control urban stormwater runoff. Several regulatory enforcements of GI implementation created an urgent need for quantitative information on GI practice effectiveness, namely for sediment and stream erosion. This study aims at investigating the capability and performance of GI in reducing stream bank erosion in the Blackland Prairie ecosystem. To achieve the goal of this study, we developed a methodology to represent two types of GI (bioretention and permeable pavement) into the Soil Water Assessment Tool, we also evaluated the shear stress and excess shear stress for stream flows in conjunction with different levels of adoption of GI, and estimated potential stream bank erosion for different median soil particle sizes using real and design storms. The results provided various configurations of GI schemes in reducing the negative impact of urban stormwater runoff on stream banks. Results showed that combining permeable pavement and bioretention resulted in the greatest reduction in runoff volumes, peak flows, and excess shear stress under both real and design storms. Bioretention as a stand-alone resulted in the second greatest reduction, while the installation of detention pond only had the least reduction percentages. Lastly, results showed that the soil particle with median diameter equals to 64 mm (small cobbles) had the least excess shear stress across all design storms, while 0.5 mm (medium sand) soil particle size had the largest magnitude of excess shear stress. The current study provides several insights into a watershed scale for GI planning and watershed management to effectively reduce the negative impact of urban stormwater runoff and control streambank erosion.

  11. Internal respiration of Amazon tree stems greatly exceeds external CO2 efflux

    Directory of Open Access Journals (Sweden)

    J. Q. Chambers

    2012-12-01

    Full Text Available Respiration in tree stems is an important component of forest carbon balance. The rate of CO2 efflux from the stem has often been assumed to be a measure of stem respiration. However, recent work in temperate forests has demonstrated that stem CO2 efflux can either overestimate or underestimate respiration rate because of emission or removal of CO2 by transport in xylem water. Here, we studied gas exchange from stems of tropical forest trees using a new approach to better understand respiration in an ecosystem that plays a key role in the global carbon cycle. Our main questions were (1 is internal CO2 transport important in tropical trees, and, if so, (2 does this transport result in net release of CO2 respired in the roots at the stem, or does it cause the opposite effect of net removal of stem-respired CO2? To answer these questions, we measured the ratio of stem CO2 efflux to O2 influx. This ratio, defined here as apparent respiratory quotient (ARQ, is expected to equal 1.0 if carbohydrates are the substrate for respiration, and the net transport of CO2 in the xylem water is negligible. Using a stem chamber approach to quantifying ARQ, we found values of 0.66 ± 0.18. These low ARQ values indicate that a large portion of respired CO2 (~ 35% is not emitted locally, and is probably transported upward in the stem. ARQ values of 0.21 ± 0.10 were found for the steady-state gas concentration within the stem, sampled by in-stem equilibration probes. These lower values may result from the proximity to the xylem water stream. In contrast, we found ARQ values of 1.00 ± 0.13 for soil respiration. Our results indicate the existence of a considerable internal flux of CO2 in the stems of tropical trees. If the transported CO2 is used in the canopy as a substrate for photosynthesis, it could account for up to 10% of the C fixed by the tree, and perhaps serve as a mechanism that buffers the response of the tree to changing CO2 levels. Our results also

  12. The Hawkesbury-Nepean region: has the optimum population size been exceeded?

    Science.gov (United States)

    Jones, A; Pearson, B

    1995-01-01

    bloom in 1988. Improvement in the present level of environmental quality is viewed as depending on reduced consumption, better technology, and improved social organization.

  13. Chemical and physical quality of selected public water supplies in Florida, August-September 1976

    Science.gov (United States)

    Irwin, G.A.; Healy, Henry G.

    1978-01-01

    Results of a 1976 water-quality reconnaissance made by the U.S. Geological Survey indicated that, with few exceptions, all public water supplies in Florida are of high quality and meet the standards set forth in the National Interim Primary Drinking Water Regulations. Occasionally the concentrations of fluoride, turbidity, cadmium, chromium, and lead approximated, equaled, or exceeded maximum contaminant levels with exceedences occurring very infrequently. The pesticides 2,4-D and silvex, were detected in some public supplies throughout the State mainly in surface water. Although pesticides were not detected in concentrations approaching the maximum levels established in the regulations, their presence does signal that the activities of man are beginning to affect some water resources. (Woodard-USGS)

  14. Scaling Up: Kilolumen Solid-State Lighting Exceeding 100 LPW via Remote Phosphor

    Energy Technology Data Exchange (ETDEWEB)

    Waqidi Falicoff

    2008-09-15

    This thirty-month project was successful in attaining its ambitious objectives of demonstrating a radically novel 'remote-phosphor' LED light source that can out-perform conventional conformal coated phosphor LED sources. Numerous technical challenges were met with innovative techniques and optical configurations. This product development program for a new generation of solid-state light sources has attained unprecedented luminosity (over 1 kilo-lumen) and efficacy (based on the criterion lumens per 100mw radiant blue). LPI has successfully demonstrated its proprietary technology for optical synthesis of large uniform sources out of the light output of an array of separated LEDs. Numerous multiple blue LEDs illuminate single a phosphor patch. By separating the LEDs from the phosphor, the phosphor and LEDs operate cooler and with higher efficiency over a wide range of operating conditions (from startup to steady state). Other benefits of the system include: better source uniformity, more types of phosphor can be used (chemical interaction and high temperatures are no longer an issue), and the phosphor can be made up from a pre-manufactured sheet (thereby lowering cost and complexity of phosphor deposition). Several laboratory prototypes were built and operated at the expected high performance level. The project fully explored two types of remote phosphor system: transmissive and reflective. The first was found to be well suited for a replacement for A19 type incandescent bulbs, as it was able to replicate the beam pattern of a traditional filament bulb. The second type has the advantages that it is pre-collimate source that has an adjustable color temperature. The project was divided in two phases: Phase I explored a transmissive design and Phase II of the project developed reflective architectures. Additionally, in Phase II the design of a spherical emitting transmissive remote phosphor bulb was developed that is suitable for replacement of A19 and

  15. [Health impact and treatment costs of community-acquired pneumonia in children in the first level of public attention in Argentina].

    Science.gov (United States)

    Bernztein, Ricardo; Drake, Ignacio

    2009-04-01

    Community acquired pneumonia in children remains an important cause of childhood deaths throughout the world that can be prevented by the use of antibiotics and access to medical care. Both were reduced in 2001 when Argentina suffered a severe social crisis. Among the responses to the crisis, the Remediar Program provided free essential medicines to the socially vulnerable population. Assess the health impact and costs of the provision of free medicines at the first level of public attention for childhood pneumonia. Three designs: 1. Ecological study with cross comparisons of diagnoses, prescriptions, beneficiaries by individual provinces of Remediar forms. children under 15 years old attended at 6 thousand health centres in Argentina, encompassing 24 Argentine provinces from March 2005 until February 2006. 2. Counterfactual approach. 3. Calculation of drug costs per unit of outcome. Over 15 million prescriptions were identified, 2,420 children under 1 year, 19,205 of 1 to 4 years and 15,977 from 5 to 14 years old with pneumonia. 90% of beneficiaries received antibiotics, most often amoxicillin. In children's under 5 years of age, Remediar coverage was 27.8%, with greater impact in the poorest provinces. The likely impact was 4,322 lives saved or 310,325 years of life lost avoided if mortality without antibiotics was 20%. Indigents who had children with pneumonia saved by medicines 14.3% of their income. Each life saved could have cost US $ 6.46 and each year of life lost averted US $ 0.09. This work highlights the impact of a low-cost health program for the treatment of vulnerable populations with childhood pneumonia in Argentina.

  16. Parental educational level and cardiovascular disease risk factors in schoolchildren in large urban areas of Turkey: Directions for public health policy

    Directory of Open Access Journals (Sweden)

    Hayran Osman

    2005-02-01

    Full Text Available Abstract Background It is widely accepted that the development of atherosclerosis starts at an early age. However, there are very few studies evaluating the prevalence of the common clinical and behavioral cardiovascular disease (CVD risk factors among children, especially in developing countries. The aim of the present cross-sectional survey was to evaluate the distribution of blood lipid profile and various behavioral (i.e. dietary habits, physical activity status factors related to CVD risk and its relationships to paternal (PEL and maternal educational level (MEL among primary schoolchildren in Turkey. Methods In three major metropolises in Turkey (Istanbul, Ankara and Izmir, a random sample of 1044 children aged 12 and 13 years old was examined. ANOVA was applied to evaluate the tested hypothesis, after correcting for multiple comparisons (Tukey correction. Results After controlling for energy and fat intake, physical activity status and Body Mass Index (BMI, it was found that mostly PEL had a significant positive effect for most of the subgroups examined (Lower vs. Higher and Medium vs. Higher on TC and HDL-cholesterol and a negative effect on TC/HDL ratio for both genders. Furthermore, both boys and girls with higher PEL and MEL were found to have higher energy intake derived from fat and protein than their counterparts with Medium and Lower PEL and MEL, while the opposite was observed for the percentage of energy derived from carbohydrates. Conclusions Our study provides indications for a possible association between an adverse lipid profile, certain dietary patterns and Higher PEL and MEL among schoolchildren in Turkey. These findings underline the possible role of social status, indicated by the degree of education of both parents, in developing certain health behaviors and health indices among Turkish children and provide some guidance for Public Health Policy.

  17. [Urban air pollution with heavy metals and evaluating risk for public health].

    Science.gov (United States)

    Kazimov, M A; Alieva, R Kh; Alieva, N V

    2014-01-01

    The authors presented hygienic evaluation of ambient air in various districts of Baku city with heavy metals--lead, cadmium, chromium, nickel, copper and zinc. The metals contents of the air were assessed indirectly by their levels in soils of the areas under study. Findings are that soil levels of zinc, chromium and nickel exceeded those of the other metals by a degree. The highest levels were seen in the industrial area that can be assigned to a territory with highest risk for public health. The calculated daily doses of heavy metals inhaled by humans and levels of total daily doses inhaled by adult inhabitants could be risk factors in chronic exposure.

  18. Recommended action levels for radon in dwellings

    International Nuclear Information System (INIS)

    1988-01-01

    The recommendation made by a group appointed by the Directorate of Public Health, arrives at the conclusion that radon in Norwegian dwellings implies a substantial health problem for the country. For this reason it is recommended that actions should be taken to reduce the radiation exposure from radon in Norway. Upper levels for such actions are set to 200 Bq/m 3 (radon in air of dwellings) for new contructions. For existing dwellings having concentrations of 200 - 800 Bq/m 3 , simple and unexpensive remedial actions to reduce levels are sufficient. When levels exceed 800 Bq/m 3 , more elaborate and costly actions are necessary. An evaluation of the extent of the radon problem in Norway is included, together with a survey of the cost and benefit involved in choosing various levels for remedial actions

  19. Key Ingredients-Target Groups, Methods and Messages, and Evaluation-of Local-Level, Public Interventions to Counter Stigma and Discrimination: A Lived Experience Informed Selective Narrative Literature Review.

    Science.gov (United States)

    Ashton, Laura J; Gordon, Sarah E; Reeves, Racheal A

    2018-04-01

    A proliferation of recent literature provides substantial direction as to the key ingredients-target groups, messages and methods, and evaluation-of local-level, public interventions to counter stigma and discrimination. This paper provides a selective narrative review of that literature from the perspective or standpoint of anti-stigma experts with lived experience of mental distress, the key findings of which have been synthesised and presented in diagrammatic overviews (infographics). These are intended to guide providers in planning, delivering and evaluating lived experience-directed local-level, public interventions to counter stigma and discrimination in accord with current best practice.

  20. [Do vitamins from foods fortified exceed the allowed limits? Study carried out in population young adolescent and young adult of the metropolitan region of Chile].

    Science.gov (United States)

    Freixas Sepúlveda, Alejandra; Díaz Narváez, Víctor Patricio; Durán Agüero, Samuel; Gaete Verdugo, María Cristina

    2013-01-01

    In order to analyze the usual consumption of vitamins in an adolescent population and young adult in the Metropolitan Region, were 213 food fortified with vitamins of the Chilean market. A survey of consumption and nutrient intake was calculated. The result added vitamins added to food. The normality of the variables of the intake was assessed and data were subjected to analysis of descriptive statisticians and percentiles are determined. Estimated percentages of subjects whose values exceed those fixed for DDR and UL listed for each vitamin and percentage of excess for each case. Discriminant analysis was performed using the M Box test. The correlation canonical and the Statisticians Wilks were estimated. Finally it was estimated the percentage of correctly classified data. Data were processed by the program SPSS 20.0 with a significance level of α ≤ 0.05. The results indicate that you for all the studied vitamins, the percentage of subjects who more than the DDR is for total folate (96.4%) and the lowest percentage is given for the vitamin E and B12 in young adult women. The percentage of subjects who exceed the UL values is greatest for the vitamin B3 (91.9%). According to the canonical correlation, there are differences in behavior between the groups. It is recommended to monitor the behavior and consumption of food fortified with vitamins, especially of the complex B and A. Copyright © AULA MEDICA EDICIONES 2013. Published by AULA MEDICA. All rights reserved.

  1. Procedures for conducting probabilistic safety assessments of nuclear power plants (level 3). Off-site consequences and estimation of risks to the public

    International Nuclear Information System (INIS)

    1996-01-01

    This report is concerned with the analysis of the release of radionuclides and their transfer through the environment, and with the assessment of the public health and economic consequences of an accident. 65 refs, 4 figs, 1 tab

  2. The impact of low-level lead toxicity on school performance among children in the Chicago Public Schools: a population-based retrospective cohort study.

    Science.gov (United States)

    Evens, Anne; Hryhorczuk, Daniel; Lanphear, Bruce P; Rankin, Kristin M; Lewis, Dan A; Forst, Linda; Rosenberg, Deborah

    2015-04-07

    Environmental lead exposure poses a risk to educational performance, especially among poor, urban children. Previous studies found low-level lead exposure was a risk factor for diminished academic abilities, however, this study is distinct because of the very large sample size and because it controlled for very low birth weight and early preterm birth-two factors closely associated with lower academic performance. In this study we examined the association between lead concentration in whole blood (B-Pb) of Chicago Public School (CPS) children and their performance on the 3(rd) grade Illinois Standard Achievement Tests (ISAT) reading and math scores. We examined 58,650 children born in Chicago between 1994 and 1998 who were tested for blood lead concentration between birth and 2006 and enrolled in the 3(rd) grade at a CPS school between 2003 and 2006. We linked the Chicago birth registry, the Chicago Blood Lead Registry, and 3(rd) grade ISAT scores to examine associations between B-Pb and school performance. After adjusting for other predictors of school performance including poverty, race/ethnicity, gender, maternal education and very low birth weight or preterm-birth, we found that B-Pbs below 10 μg/dL were inversely associated with reading and math scores in 3(rd) grade children. For a 5 μg/dL increase in B-Pb, the risk of failing increased by 32% for reading (RR = 1.32, 95%CI = 1.26, 1.39) and math (RR = 1.32, 95%CI = 1.26, 1.39). The effect of lead on reading was non-linear with steeper failure rates at lower B-Pbs. We estimated that 13% of reading failure and 14.8% of math failure can be attributed to exposure to blood lead concentrations of 5 to 9 vs. 0 to 4 μg/dL in Chicago school children. Early childhood lead exposure is associated with poorer achievement on standardized reading and math tests in the third grade, even at very low B-Pbs. Preventing lead exposure in early childhood is critical to improving school performance.

  3. Learning from and for rare floods in Dresden – how public officials interpret damage simulation results at the building type level

    Directory of Open Access Journals (Sweden)

    Hutter Gerard

    2016-01-01

    Full Text Available Public officials in Dresden are concerned about learning from and for rare flood events like the Elbe river flood in August 2002. This is interesting because research on individual as well as organizational learning from rare events indicates that this kind of learning faces significant difficulties (e.g., overestimation of rare events for decision-making based on “emotionalized event experience”. Up to now, only little is known what and how public officials in Dresden specifically learn from and for rare floods. Therefore, the paper follows an exploratory purpose in line with principles of qualitative social research. Firstly, the paper explores dealing with rare floods with reference to a conceptual framework that highlights relations between regulative, normative, and cognitive institutions on the one hand and learning of public officials on the other. Secondly, it adopts a single case study design in Dresden with embedded sub-cases that are defined with reference to organizations of FRM. The case study shows, among others, that regulations like the Floods Directive are important for justifying FRM with regard to rare flood events which is less obvious than it sounds. However, public officials display different interpretations of the term “rare flood event”, for instance, in the context of analysing the consequences of floods on the building stock. Furthermore, the case study findings indicate that public officials may follow alternative approaches to sustain commitment in the context of rare flood events (systematic versus pragmatic approach.

  4. Good-to-Great Superintendents: An Examination of Jim Collins' Good-to-Great Level Five Leadership Attributes as Demonstrated by the Leadership Behaviors of Superintendents of High-Performing California Public Single-School Districts

    Science.gov (United States)

    Brown, James D.

    2010-01-01

    Purpose: The purpose of this study was to examine Collins' good-to-great Level Five leadership attributes, as demonstrated by the leadership behaviors of superintendents of high-performing California public single-school districts. Methodology: The researcher used a case study design to conduct this study. Personal interviews were conducted in…

  5. Extreme Temperature Exceedances Change more Rapidly Under Future Warming in Regions of non-Gaussian Short Temperature Distribution Tails

    Science.gov (United States)

    Loikith, P. C.; Neelin, J. D.; Meyerson, J.

    2017-12-01

    Regions of shorter-than-Gaussian warm and cold side temperature distribution tails are shown to occur in spatially coherent patterns in the current climate. Under such conditions, warming may be manifested in more complex ways than if the underlying distribution were close to Gaussian. For example, under a uniform warm shift, the simplest prototype for future warming, a location with a short warm side tail would experience a greater increase in extreme warm exceedances compared to if the distribution were Gaussian. Similarly, for a location with a short cold side tail, a uniform warm shift would result in a rapid decrease in extreme cold exceedances. Both scenarios carry major societal and environmental implications including but not limited to negative impacts on human and ecosystem health, agriculture, and the economy. It is therefore important for climate models to be able to realistically reproduce short tails in simulations of historical climate in order to boost confidence in projections of future temperature extremes. Overall, climate models contributing to the fifth phase of the Coupled Model Intercomparison Project capture many of the principal observed regions of short tails. This suggests the underlying dynamics and physics occur on scales resolved by the models, and helps build confidence in model projections of extremes. Furthermore, most GCMs show more rapid changes in exceedances of extreme temperature thresholds in regions of short tails. Results therefore suggest that the shape of the tails of the underlying temperature distribution is an indicator of how rapidly a location will experience changes to extreme temperature occurrence under future warming.

  6. The Need to Increase Regulatory Controls on Imports and Exports came from the Detection of an Argentine Import Containing Exceeding Pellets of Ir-192

    International Nuclear Information System (INIS)

    Samsolo, N.A.; Vidal, D.N.

    2011-01-01

    In Argentina, radioactive sources for application in Industrial Gamma radiography are manufactured using small metallic discs called pellets of radioactive isotope Ir-192, that are imported. They have to be shipped in specially sealed recipients according to their high radioactive levels. These recipients are large enough to contain activities as high as 296 TBq and are therefore approved as Type B(U) packages. This paper thoroughly describes a particular import of this material in which an exceeding 220 ± 2 Pellets (75,62 TBq) was found. The total amount of activity had not been declared adequately by the consignor. The corresponding notification to the Argentine Nuclear Regulatory Authority (NRA) was made by the importer and national manufacturer at the moment these particular Pellets were to be used for source production. The exceeding material doubled that which had been authorized to be imported. After the notification and since the material had entered to the country illicitly, customs legislations were applied in a legal process in which the Nuclear Regulatory Authority participated as well. The decision of the judge was to ship the exceeding cargo again to its proceeding country. However, a significant time had passed since the cargo arrived and the pellets had stuck to each other due to high temperature. This made them impossible to handle in order to encapsulate them as special form radioactive material again for their shipment in the available Type B(U) package. In the outcome, the material was retained at the manufacturer facilities, in its original packaging, with suitable radiological and physical conditions to guarantee safety and security, waiting until its activity had decayed to acceptable levels for its shipment as Type A package. As a result, a need to require further technical specifications from the vendor was detected. These specifications should warn about the period in which these Pellets may be utilized for source production before

  7. The need to increase regulatory controls on imports and exports came from the detection of an Argentine import containing exceeding pellets of Ir-192

    International Nuclear Information System (INIS)

    Samsolo, Nicolas; Vidal, Dora

    2008-01-01

    In Argentina, radioactive sources for application in industrial gamma radiography are manufactured using small metallic discs called pellets of radioactive isotope Ir-192, that are imported. They are to be shipped in specially sealed recipients according to their high radioactive levels. These recipients are large enough to contain activities as high as 296 TBq and are therefore approved as type B (U) packages. This paper thoroughly describes a particular import of this material in which an exceeding 220±2 pellets (75,62 TBq) was found. The total amount of activity had not been declared adequately by the consignor. The corresponding notification to the Argentine Nuclear Regulatory Authority (NRA) was made by the importer and national manufacturer at the moment these particular pellets were to be used for source production. The exceeding material doubled that which had been authorized to be imported. After the notification and since the material had entered to the country Illicitly, customs legislation were applied in a legal process in which the Nuclear regulatory Authority participated as well. The decision of the judge was to ship the exceeding cargo again to its proceeding country. However, a significant time had passed since the cargo arrived and the pellets has struck to each other due to high temperature. This made them impossible to handle in order to encapsulate them as special form radioactive material again for their shipment in the available Type B (U) package. In the outcome, the material was retained at the manufacturer facilities, in its original packaging, with suitable radiological and physical conditions to guarantee safety and security, waiting until its activity had decayed to acceptable levels for its shipments as type A package. As a result, a need to require further technical specifications from the vendor was detected. These specifications should warn about the period in which these pellets may be utilized for source production before

  8. Public relations effectiveness in public health institutions.

    Science.gov (United States)

    Springston, Jeffrey K; Weaver Lariscy, Ruth Ann

    2005-01-01

    This article explores public relations effectiveness in public health institutions. First, the two major elements that comprise public relations effectiveness are discussed: reputation management and stakeholder relations. The factors that define effective reputation management are examined, as are the roles of issues and crisis management in building and maintaining reputation. The article also examines the major facets of stakeholder relations, including an inventory of stakeholder linkages and key audiences, such as the media. Finally, methods of evaluating public relations effectiveness at both the program level and the institutional level are explored.

  9. 1992 annual report on low-level radioactive waste management progress; Report to Congress in response to Public Law 99-240

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1993-11-01

    This report summarizes the progress States and compact regions made during 1992 in establishing new low-level radioactive waste disposal facilities. It also provides summary information on the volume of low-level radioactive waste received for disposal in 1992 by commercially operated low-level radioactive waste disposal facilities. This report is in response to section 7 (b) of the Low-Level Radioactive Waste Policy Act.

  10. Panorama 2017 - What public policies are required to stimulate European electric vehicle sales up to 2030? At what cost, and with what level of social equality?

    International Nuclear Information System (INIS)

    Hache, Emmanuel; Tchung-Ming, Stephane; Cheze, Benoit; Gastineau, Pascal

    2016-06-01

    The growth of electric vehicle sales is extremely reliant on the public policy tools used to promote the adoption of these vehicles. The results are extremely heterogeneous depending on whether we use policies designed to support their purchase (scrapping premiums, subsidies) or taxation policies (fuel tax, carbon tax) aimed at encouraging substitution

  11. A comparison of 17 author-level bibliometric indicators for researchers in Astronomy, Environmental Science, Philosophy and Public Health in Web of Science and Google Scholar

    DEFF Research Database (Denmark)

    Wildgaard, Lorna Elizabeth

    2015-01-01

    were calculated for 512 researchers in Astronomy, Environmental Science, Philosophy and Public Health. Indicator scores and scholar rankings calculated in Web of Science (WoS) and Google Scholar (GS) were analyzed. The indexing policies of WoS and GS were found to have a direct effect on the amount...

  12. Clinical Features of Ground Glass Opacity-Dominant Lung Cancer Exceeding 3.0 cm in the Whole Tumor Size.

    Science.gov (United States)

    Suzuki, Shigeki; Sakurai, Hiroyuki; Yotsukura, Masaya; Masai, Kyohei; Asakura, Keisuke; Nakagawa, Kazuo; Motoi, Noriko; Watanabe, Shun-Ichi

    2018-05-01

    Ground glass opacity (GGO)-dominant lung adenocarcinoma sized 3.0 cm or less in the whole tumor size is widely known to have an excellent prognosis and is regarded as early lung cancer. However, the characteristics and prognosis of lung cancer showing GGO exceeding 3.0 cm remains unclear. From 2002 through 2012, we reviewed 3,735 lung cancers that underwent complete resection at our institution. We identified 160 lung cancers (4.3%) showing GGO exceeding 3.0 cm on thin-section computed tomography and divided them into three types by the consolidation/tumor ratio (CTR) using cutoff values of 0.25 and 0.5. We compared the characteristics and prognosis among these types. Type A (CTR, 0 to ≤0.25), type B (CTR, >0.25 to ≤0.5), and type C (CTR, >0.5 to 3.0 cm can be considered to be in a group of patients with nodal-negative disease and an excellent prognosis. Copyright © 2018 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

  13. Occurrence of 210Po and Biological Effects of Low-Level Exposure: The Need for Research

    OpenAIRE

    Seiler, Ralph L.; Wiemels, Joseph L.

    2012-01-01

    Background: Polonium-210 (210Po) concentrations that exceed 1 Bq/L in drinking-water supplies have been reported from four widely separated U.S. states where exposure to it went unnoticed for decades. The radionuclide grandparents of 210Po are common in sediments, and segments of the public may be chronically exposed to low levels of 210Po in drinking water or in food products from animals raised in contaminated areas. Objectives: We summarized information on the environmental behavior, bioki...

  14. Public Values

    DEFF Research Database (Denmark)

    Beck Jørgensen, Torben; Rutgers, Mark R.

    2015-01-01

    administration is approached in terms of processes guided or restricted by public values and as public value creating: public management and public policy-making are both concerned with establishing, following and realizing public values. To study public values a broad perspective is needed. The article suggest......This article provides the introduction to a symposium on contemporary public values research. It is argued that the contribution to this symposium represent a Public Values Perspective, distinct from other specific lines of research that also use public value as a core concept. Public...... a research agenda for this encompasing kind of public values research. Finally the contributions to the symposium are introduced....

  15. Utilization of Professional Mental Health Services Related to Population-Level Screening for Anxiety, Depression, and Post-traumatic Stress Disorder Among Public High School Students.

    Science.gov (United States)

    Prochaska, John D; Le, Vi Donna; Baillargeon, Jacques; Temple, Jeff R

    2016-08-01

    This study examines results from three mental health screening measures in a cohort of adolescent public school students in seven public schools in Southeast Texas affiliated with the Dating it Safe study. We estimated the odds of receiving professional mental health treatment in the previous year given results from different mental health screening batteries: the CES-D 10 battery for depression screening, the Screen for Child Anxiety Related Disorders, and the Primary Care Posttraumatic Stress Disorder screen. Overall, students with higher scores on screening instruments for depression, posttraumatic stress disorder, and combinations of screening instruments were more likely to have sought past-year professional mental health treatment than non-symptomatic youth. However, the proportion of students screening positive and receiving professional treatment was low, ranging from 11 to 16 %. This study emphasizes the need for broader evaluation of population-based mental health screening among adolescents.

  16. NRC Task Force report on review of the Federal/State program for regulation of commercial low-level radioactive waste burial grounds. Analysis of public comments

    International Nuclear Information System (INIS)

    1977-09-01

    Correspondence after publication of NUREG-0217 in the Federal Register is listed by docket. A summary of the comments is given. Comments on the task force conclusions on federal/state roles, comprehensive regulator program, and need to study alternatives, provide adequate capacity, and avoid proliferation are analyzed. A breakdown of the comments of states, industry, and others on the task force conclusions and recommendations is tabulated

  17. Public Relations in the Public Sector

    DEFF Research Database (Denmark)

    Valentini, Chiara

    2013-01-01

    the findings. The study also suffers from the limits of a quantitative research approach, which provides less elaborate accounts of public communication officers’ perceptions of the strategic role of communication in the public sector. Originality/value of paper: This study contributes to the existing......Purpose of the paper: The aim of this study is to examine the level of strategic management of public administrations and information and communication programs by public communication officers in Italy. Methodology: The study is quantitative in nature. It was constructed according to the findings...... of the Excellence Project in Public Relations and thus applies a research instrument similar to that used in other international scholarly investigations in public relations. The population comprises civil servants working in information and communication activities for Italian public administrations. Findings...

  18. Baseline Goblet Cell Mucin Secretion in the Airways Exceeds Stimulated Secretion over Extended Time Periods, and Is Sensitive to Shear Stress and Intracellular Mucin Stores.

    Directory of Open Access Journals (Sweden)

    Yunxiang Zhu

    Full Text Available Airway mucin secretion studies have focused on goblet cell responses to exogenous agonists almost to the exclusion of baseline mucin secretion (BLMS. In human bronchial epithelial cell cultures (HBECCs, maximal agonist-stimulated secretion exceeds baseline by ~3-fold as measured over hour-long periods, but mucin stores are discharged completely and require 24 h for full restoration. Hence, over 24 h, total baseline exceeds agonist-induced secretion by several-fold. Studies with HBECCs and mouse tracheas showed that BLMS is highly sensitive to mechanical stresses. Harvesting three consecutive 1 h baseline luminal incubations with HBECCs yielded equal rates of BLMS; however, lengthening the middle period to 72 h decreased the respective rate significantly, suggesting a stimulation of BLMS by the gentle washes of HBECC luminal surfaces. BLMS declined exponentially after washing HBECCs (t1/2 = 2.75 h, to rates approaching zero. HBECCs exposed to low perfusion rates exhibited spike-like increases in BLMS when flow was jumped 5-fold: BLMS increased >4 fold, then decreased within 5 min to a stable plateau at 1.5-2-fold over control. Higher flow jumps induced proportionally higher BLMS increases. Inducing mucous hyperplasia in HBECCs increased mucin production, BLMS and agonist-induced secretion. Mouse tracheal BLMS was ~6-fold higher during perfusion, than when flow was stopped. Munc13-2 null mouse tracheas, with their defect of accumulated cellular mucins, exhibited similar BLMS as WT, contrary to predictions of lower values. Graded mucous metaplasia induced in WT and Munc13-2 null tracheas with IL-13, caused proportional increases in BLMS, suggesting that naïve Munc13-2 mouse BLMS is elevated by increased mucin stores. We conclude that BLMS is, [i] a major component of mucin secretion in the lung, [ii] sustained by the mechanical activity of a dynamic lung, [iii] proportional to levels of mucin stores, and [iv] regulated differentially from agonist

  19. Baseline Goblet Cell Mucin Secretion in the Airways Exceeds Stimulated Secretion over Extended Time Periods, and Is Sensitive to Shear Stress and Intracellular Mucin Stores

    Science.gov (United States)

    Doyle, Sean P.; Nguyen, Kristine; Ribeiro, Carla M. P.; Vasquez, Paula A.; Forest, M. Gregory; Lethem, Michael I.; Dickey, Burton F.; Davis, C. William

    2015-01-01

    Airway mucin secretion studies have focused on goblet cell responses to exogenous agonists almost to the exclusion of baseline mucin secretion (BLMS). In human bronchial epithelial cell cultures (HBECCs), maximal agonist-stimulated secretion exceeds baseline by ~3-fold as measured over hour-long periods, but mucin stores are discharged completely and require 24 h for full restoration. Hence, over 24 h, total baseline exceeds agonist-induced secretion by several-fold. Studies with HBECCs and mouse tracheas showed that BLMS is highly sensitive to mechanical stresses. Harvesting three consecutive 1 h baseline luminal incubations with HBECCs yielded equal rates of BLMS; however, lengthening the middle period to 72 h decreased the respective rate significantly, suggesting a stimulation of BLMS by the gentle washes of HBECC luminal surfaces. BLMS declined exponentially after washing HBECCs (t1/2 = 2.75 h), to rates approaching zero. HBECCs exposed to low perfusion rates exhibited spike-like increases in BLMS when flow was jumped 5-fold: BLMS increased >4 fold, then decreased within 5 min to a stable plateau at 1.5–2-fold over control. Higher flow jumps induced proportionally higher BLMS increases. Inducing mucous hyperplasia in HBECCs increased mucin production, BLMS and agonist-induced secretion. Mouse tracheal BLMS was ~6-fold higher during perfusion, than when flow was stopped. Munc13-2 null mouse tracheas, with their defect of accumulated cellular mucins, exhibited similar BLMS as WT, contrary to predictions of lower values. Graded mucous metaplasia induced in WT and Munc13-2 null tracheas with IL-13, caused proportional increases in BLMS, suggesting that naïve Munc13-2 mouse BLMS is elevated by increased mucin stores. We conclude that BLMS is, [i] a major component of mucin secretion in the lung, [ii] sustained by the mechanical activity of a dynamic lung, [iii] proportional to levels of mucin stores, and [iv] regulated differentially from agonist-induced mucin

  20. Radiative heat transfer exceeding the blackbody limit between macroscale planar surfaces separated by a nanosize vacuum gap

    Science.gov (United States)

    Bernardi, Michael P.; Milovich, Daniel; Francoeur, Mathieu

    2016-09-01

    Using Rytov's fluctuational electrodynamics framework, Polder and Van Hove predicted that radiative heat transfer between planar surfaces separated by a vacuum gap smaller than the thermal wavelength exceeds the blackbody limit due to tunnelling of evanescent modes. This finding has led to the conceptualization of systems capitalizing on evanescent modes such as thermophotovoltaic converters and thermal rectifiers. Their development is, however, limited by the lack of devices enabling radiative transfer between macroscale planar surfaces separated by a nanosize vacuum gap. Here we measure radiative heat transfer for large temperature differences (~120 K) using a custom-fabricated device in which the gap separating two 5 × 5 mm2 intrinsic silicon planar surfaces is modulated from 3,500 to 150 nm. A substantial enhancement over the blackbody limit by a factor of 8.4 is reported for a 150-nm-thick gap. Our device paves the way for the establishment of novel evanescent wave-based systems.

  1. House Prices and Public Debt

    DEFF Research Database (Denmark)

    Gjedsted Nielsen, Mads; Rzeznik, Aleksandra

    By using the 2002 case of fraud in the Danish municipality Farum by then mayor Peter Brixtofte as an exogenous shock to public debt of 1 billion DKK, I estimate the effect of public debt on house prices. I find that the average home ownership lost about 570,000 DKK or as much as 29% of the average...... house price in the municipality. Furthermore, I document that the aggregate house price loss of 2.1 billion DKK greatly exceeds the increase in public debt of 1 billion DKK. I find that the drop in house prices is sustained 1 year, indicating that the housing market initially overreacts...

  2. The Relationship between per Pupil Expenditure in Maricopa County K-12 Public School Districts and Student Preparedness at the Post-Secondary Level

    Science.gov (United States)

    Lamperez, Edmond Allen, Jr.; Dereshiwsky, Mary

    2016-01-01

    Student under preparedness is one of the major challenges facing community colleges in the United States. A contributing factor of student under preparedness at the postsecondary level is an inequitable and inadequate distribution of resources at the K-12 level. Students residing in socio-economically disadvantaged school districts that often…

  3. The effect of low-Dye taping on plantar pressures, during gait, in subjects with navicular drop exceeding 10 mm.

    Science.gov (United States)

    Lange, Belinda; Chipchase, Lucy; Evans, Angela

    2004-04-01

    A preintervention and postintervention, repeated-measures experimental design. To investigate the immediate effect of low-Dye taping on peak and mean plantar pressures during gait in subjects with navicular drop exceeding 10 mm. Low-Dye taping is commonly used to support the longitudinal and transverse arches of the foot in an attempt to reduce the effects of symptoms associated with excessive pronation. Plantar pressure measurement has been used as an indirect indicator of pronation during gait. METHOD AND MEASURES: The right foot of 60 subjects was tested using the Emed-AT system to obtain plantar pressure values. Subjects performed 6 barefoot walks over the Emed pressure platform while taped and a further 6 walks while untaped. Plantar pressures were recorded. Each footprint obtained was divided into 10 sections or 'masks.' Average peak and mean plantar pressure values (N/cm2) were calculated for both taped and untaped walks for each mask. Paired t tests demonstrated significant changes in peak plantar pressure in 8 of the 10 areas of the foot and significant changes in mean plantar pressure in 9 of the 10 areas of the foot. Low-Dye taping significantly decreased pressure under the heel and the medial and middle forefoot, while increasing pressure under the lateral midfoot and under the toes. A significant decrease in mean plantar pressure was observed under the lateral forefoot, while no significant difference was demonstrated in peak plantar pressure under this area. The area under the medial midfoot demonstrated no significant change in either peak or mean pressure. Low-Dye taping significantly altered peak and mean plantar pressure values in subjects with navicular drop exceeding 10 mm. In particular, peak and mean plantar pressure increased under the lateral midfoot and under the toes, and decreased under the heel and forefoot, suggesting that a decrease in the amount of pronation occurred.

  4. Environmental stress in German forests; assessment of critical deposition levels and their exceedances and meteorological stress for crown condition monitoring sites in Germany

    NARCIS (Netherlands)

    Klap, J.M.; Reinds, G.J.; Bleeker, A.; Vries, de W.

    2000-01-01

    Site-specific estimations of meteorological stress and atmospheric deposition were made for the systematic 8 x 8 km2 forest condition monitoring network in Germany for the years 1987-1995. Winter cold and late frost were important temperature stress variables and relative transpiration was a good

  5. The analysis of the publications in the most active countries in nanotechnology

    Directory of Open Access Journals (Sweden)

    Joksimović Dušan

    2014-01-01

    Full Text Available Nanotechnology publications as one of the parameters of a country's level of nanotechnology (nanotech innovation, while nanotechnology innovations are considered the source of its competitive advantage. The country's competitiveness in the level of nanotechnology activity determine the total number of nanotechnology publications and the mean number of citations. In this paper, we have analyzed the scientific nanotechnology activity of the most active countries in this field (countries whose number of nanotechnology publications exceeds 1,000 annually. We used data on nanotechnology publications collected from Web of Science - WoS database and published by Nano Statistics - Nano Science, Technology and Industry Scoreboard. We analyzed the trend of the total number of published nanotechnology publications, the mean number of citations trend, trend of the relations of published nanotechnology publications and gross domestic product, and the trend of relations of published nanotechnology publications and the number of residents in the surveyed countries. Based on the regression-correlation analysis, we predicted the expected value of the total number of nanotechnology publications published in 2015 for China and the United States, because these are the countries that dominate in the total number of published nanotechnology publications in the world.

  6. Organotin levels in seafood

    NARCIS (Netherlands)

    Belfroid, A.C.; Purperhart, M.; Ariese, F.

    2000-01-01

    Tolerable average residue levels (TARL) for tributylin (TBT) in seafood products were calculated based on the tolerable daily intake (TDI) of TBT and the seafood consumption of the average consumer in various countries. Data from the literature show that these TARLs in seafood are exceeded in one or

  7. Public lighting.

    NARCIS (Netherlands)

    Schreuder, D.A.

    1986-01-01

    The function of public lighting and the relationship between public lighting and accidents are considered briefly as aspects of effective countermeasures. Research needs and recent developments in installation and operational described. Public lighting is an efficient accident countermeasure, but

  8. Impact of emotional intelligence and spiritual intelligence on the caring behavior of nurses: a dimension-level exploratory study among public hospitals in Malaysia.

    Science.gov (United States)

    Kaur, Devinder; Sambasivan, Murali; Kumar, Naresh

    2015-11-01

    The purpose of this research is to study the impact of individual factors such as emotional intelligence (EI) and spiritual intelligence (SI) on the caring behavior of nurses. A cross-sectional survey using questionnaire was conducted by sampling 550 nurses working in seven major public hospitals in Malaysia. Data were analyzed using structural equation modeling (SEM). The main findings are: (1) critical existential thinking and transcendental awareness dimensions of SI have significant impacts on assurance of human presence dimension of caring behavior; (2) personal meaning production and conscious state expansion dimensions of SI have significant impacts on perception of emotion and managing own emotions dimensions of EI; and (3) managing own emotions dimension of EI has significant impacts on respectful deference to other and assurance of human presence dimensions of caring behavior of nurses. The results can be used to recruit and educate nurses. Copyright © 2015 Elsevier Inc. All rights reserved.

  9. Public health agendas addressing violence against rural women - an analysis of local level health services in the State of Rio Grande do Sul, Brazil.

    Science.gov (United States)

    da Costa, Marta Cocco; Lopes, Marta Julia Marques; Soares, Joannie dos Santos Fachinelli

    2015-05-01

    This study analyses health managers' perceptions of local public health agendas addressing violence against rural women in municipalities in the southern part of the State Rio Grande do Sul in Brazil. It consists of an exploratory descriptive study utilizing a qualitative approach. Municipal health managers responsible for planning actions directed at women's health and primary health care were interviewed. The analysis sought to explore elements of programmatic vulnerability related to violence in the interviewees' narratives based on the following dimensions of programmatic vulnerability: expression of commitment, transformation of commitment into action, and planning and coordination. It was found that local health agendas directed at violence against rural women do not exist. Health managers are therefore faced with the challenge of defining lines of action in accordance with the guidelines and principles of the SUS. The repercussions of this situation are expressed in fragile comprehensive services for these women and programmatic vulnerability.

  10. Public health agendas addressing violence against rural women - an analysis of local level health services in the State of Rio Grande do Sul, Brazil

    Directory of Open Access Journals (Sweden)

    Marta Cocco da Costa

    2015-05-01

    Full Text Available This study analyses health managers' perceptions of local public health agendas addressing violence against rural women in municipalities in the southern part of the State Rio Grande do Sul in Brazil. It consists of an exploratory descriptive study utilizing a qualitative approach. Municipal health managers responsible for planning actions directed at women's health and primary health care were interviewed. The analysis sought to explore elements of programmatic vulnerability related to violence in the interviewees' narratives based on the following dimensions of programmatic vulnerability: expression of commitment, transformation of commitment into action, and planning and coordination. It was found that local health agendas directed at violence against rural women do not exist. Health managers are therefore faced with the challenge of defining lines of action in accordance with the guidelines and principles of the SUS. The repercussions of this situation are expressed in fragile comprehensive services for these women and programmatic vulnerability.

  11. A Multi-Level Examination of Stakeholder Perspectives of Implementation of Evidence-Based Practices in a Large Urban Publicly-Funded Mental Health System.

    Science.gov (United States)

    Beidas, Rinad S; Stewart, Rebecca E; Adams, Danielle R; Fernandez, Tara; Lustbader, Susanna; Powell, Byron J; Aarons, Gregory A; Hoagwood, Kimberly E; Evans, Arthur C; Hurford, Matthew O; Rubin, Ronnie; Hadley, Trevor; Mandell, David S; Barg, Frances K

    2016-11-01

    Our goal was to identify barriers and facilitators to the implementation of evidence-based practices from the perspectives of multiple stakeholders in a large publicly funded mental health system. We completed 56 interviews with three stakeholder groups: treatment developers (n = 7), agency administrators (n = 33), and system leadership (n = 16). The three stakeholder groups converged on the importance of inner (e.g., agency competing resources and demands, therapist educational background) and outer context (e.g., funding) factors as barriers to implementation. Potential threats to implementation and sustainability included the fiscal landscape of community mental health clinics and an evolving workforce. Intervention characteristics were rarely endorsed as barriers. Inner context, outer context, and intervention characteristics were all seen as important facilitators. All stakeholders endorsed the importance of coordinated collaboration across stakeholder groups within the system to successfully implement evidence-based practices.

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

    Science.gov (United States)

    Mouratidou, Theodora; Livaniou, Anastasia

    2016-01-01

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

  13. Existing Noise Level at Railway Stations in Malaysia

    Directory of Open Access Journals (Sweden)

    Shahidan Shahiron

    2017-01-01

    Full Text Available Railway transportation known as one of the most environmental friendly transportation mode. However, the significance problems of railway transportation are noise pollution and negatively impact the wellbeing of the whole community. Unfortunately, there has been lack of public awareness about the noise level produce by the railway transportation in Malaysia. This study investigates the noise level produced by railway transportation in Malaysia specifically by Keretapi Tanah Melayu Berhad (KTMB. Methods of collecting existing noise level at railway stations in Malaysia are briefly discussed in this study. The finding indicates that the noise level produced by the railway transportation in Malaysia which is by KTMB is considered as dangerous to human being and also exceed the noise limit that has been assigned by Department of Environment Ministry of Natural Resources and Environment of Malaysia. A better noise barrier and improved material should be developed to mitigate the existing noise level produced by railway transportations in Malaysia.

  14. Public health aspects of radiation

    International Nuclear Information System (INIS)

    Newcombe, H.B.

    1977-01-01

    The sources and levels of natural and manmade radiation are discussed in this report, and the resulting risks of radiation-induced cancer and hereditary diseases are estimated. The medical uses of X-rays currently increase the average population exposure by something like 35 per cent above natural background radiation. At a future time when nuclear generators will produce one kilowatt of electricity per person it is expected that the additional exposure from this source will not exceed 6 per cent of that from natural background. Acceptability of the risks that these exposures represent must depend upon the benefits with which they are associated, and upon the risks associated with other options open to society including alternative ways of obtaining similar benefits. The public health impact of the radiation from nuclear power generation, for example, is believed to be considerably less than that from the combustion products associated with the production of an equivalent amount of electrical power by conventional coal-fired stations. (author)

  15. Public health aspects of radiation

    International Nuclear Information System (INIS)

    Newcombe, H.B.

    1978-12-01

    The sources and levels of natural and manmade radiation are discussed in this report, and the resulting risks of radiation-induced cancer and hereditary diseases are estimated. The medical uses of X-rays currently increase the average population exposure by something like 35 per cent above natural background radiation. At a future time when nuclear generators will produce one kilowatt of electricity per person it is expected that the additional exposure from this source will not exceed 6 per cent of that from natural background. Acceptability of the risks that these exposures represent must depend upon the benefits with which they are associated, and upon the risks associated with other options open to society including alternative ways of obtaining similar benefits. The public health impact of the radiation from nuclear power generation, for example, is believed to be considerably less than that from the combustion products associated with the production of an equivalent amount of electrical power by conventional coal-fired stations. (author)

  16. 17 CFR 230.504 - Exemption for limited offerings and sales of securities not exceeding $1,000,000.

    Science.gov (United States)

    2010-04-01

    ... require the public filing and delivery to investors of a substantive disclosure document before sale, and... only to “accredited investors” as defined in § 230.501(a). (2) The aggregate offering price for an... § 230.504 fails to meet the limitation on the aggregate offering price, it does not affect the...

  17. Exceeding Parents' Expectations in Ear-Nose-Throat Outpatient Facilities: The Development and Analysis of a Questionnaire

    Science.gov (United States)

    Margaritis, Eleftherios; Katharaki, Maria; Katharakis, George

    2012-01-01

    The study attempts to develop an outpatient service quality scale by investigating the key dimensions which assess parental satisfaction and provides a recommendation on an improved health service delivery system. The survey was conducted in an Ear-Nose-Throat outpatient clinic of a Greek public pediatric hospital. A total of 127 parents in…

  18. Lead iodide perovskite sensitized all-solid-state submicron thin film mesoscopic solar cell with efficiency exceeding 9%.

    KAUST Repository

    Kim, Hui-Seon; Lee, Chang-Ryul; Im, Jeong-Hyeok; Lee, Ki-Beom; Moehl, Thomas; Marchioro, Arianna; Moon, Soo-Jin; Humphry-Baker, Robin; Yum, Jun-Ho; Moser, Jacques E; Grä tzel, Michael; Park, Nam-Gyu

    2012-01-01

    We report on solid-state mesoscopic heterojunction solar cells employing nanoparticles (NPs) of methyl ammonium lead iodide (CH(3)NH(3))PbI(3) as light harvesters. The perovskite NPs were produced by reaction of methylammonium iodide with PbI(2) and deposited onto a submicron-thick mesoscopic TiO(2) film, whose pores were infiltrated with the hole-conductor spiro-MeOTAD. Illumination with standard AM-1.5 sunlight generated large photocurrents (J(SC)) exceeding 17 mA/cm(2), an open circuit photovoltage (V(OC)) of 0.888 V and a fill factor (FF) of 0.62 yielding a power conversion efficiency (PCE) of 9.7%, the highest reported to date for such cells. Femto second laser studies combined with photo-induced absorption measurements showed charge separation to proceed via hole injection from the excited (CH(3)NH(3))PbI(3) NPs into the spiro-MeOTAD followed by electron transfer to the mesoscopic TiO(2) film. The use of a solid hole conductor dramatically improved the device stability compared to (CH(3)NH(3))PbI(3) -sensitized liquid junction cells.

  19. Recombination in polymer:Fullerene solar cells with open-circuit voltages approaching and exceeding 1.0 V

    KAUST Repository

    Hoke, Eric T.

    2012-09-14

    Polymer:fullerene solar cells are demonstrated with power conversion efficiencies over 7% with blends of PBDTTPD and PC 61 BM. These devices achieve open-circuit voltages ( V oc ) of 0.945 V and internal quantum efficiencies of 88%, making them an ideal candidate for the large bandgap junction in tandem solar cells. V oc \\'s above 1.0 V are obtained when the polymer is blended with multiadduct fullerenes; however, the photocurrent and fill factor are greatly reduced. In PBDTTPD blends with multiadduct fullerene ICBA, fullerene emission is observed in the photoluminescence and electroluminescence spectra, indicating that excitons are recombining on ICBA. Voltage-dependent, steady state and time-resolved photoluminescence measurements indicate that energy transfer occurs from PBDTTPD to ICBA and that back hole transfer from ICBA to PBDTTPD is inefficient. By analyzing the absorption and emission spectra from fullerene and charge transfer excitons, we estimate a driving free energy of -0.14 ± 0.06 eV is required for efficient hole transfer. These results suggest that the driving force for hole transfer may be too small for efficient current generation in polymer:fullerene solar cells with V oc values above 1.0 V and that non-fullerene acceptor materials with large optical gaps ( > 1.7 eV) may be required to achieve both near unity internal quantum efficiencies and values of V oc exceeding 1.0 V. © 2013 WILEY-VCH Verlag GmbH and Co.

  20. Roll-coating fabrication of flexible large area small molecule solar cells with power conversion efficiency exceeding 1%

    DEFF Research Database (Denmark)

    Liu, Wenqing; Liu, Shiyong; Zawacka, Natalia Klaudia

    2014-01-01

    All solution-processed flexible large area small molecule bulk heterojunction solar cells were fabricated via roll-coating technology. Our devices were produced from slot-die coating on a lab-scale mini roll-coater under ambient conditions without the use of spin-coating or vacuum evaporation.......01%, combined with an open circuit voltage of 0.73 V, a short-circuit current density of 3.13 mA cm (2) and a fill factor of 44% were obtained for the device with SM1, which was the first example reported for efficient roll-coating fabrication of flexible large area small molecule solar cells with PCE exceeding...... methods. Four diketopyrrolopyrrole based small molecules (SMs 1-4) were utilized as electron donors with (6,6)phenyl- C61-butyric acid methyl ester as an acceptor and their photovoltaic performances based on roll-coated devices were investigated. The best power conversion efficiency (PCE) of 1...

  1. Silicon-Vacancy Spin Qubit in Diamond: A Quantum Memory Exceeding 10 ms with Single-Shot State Readout

    Science.gov (United States)

    Sukachev, D. D.; Sipahigil, A.; Nguyen, C. T.; Bhaskar, M. K.; Evans, R. E.; Jelezko, F.; Lukin, M. D.

    2017-12-01

    The negatively charged silicon-vacancy (SiV- ) color center in diamond has recently emerged as a promising system for quantum photonics. Its symmetry-protected optical transitions enable the creation of indistinguishable emitter arrays and deterministic coupling to nanophotonic devices. Despite this, the longest coherence time associated with its electronic spin achieved to date (˜250 ns ) has been limited by coupling to acoustic phonons. We demonstrate coherent control and suppression of phonon-induced dephasing of the SiV- electronic spin coherence by 5 orders of magnitude by operating at temperatures below 500 mK. By aligning the magnetic field along the SiV- symmetry axis, we demonstrate spin-conserving optical transitions and single-shot readout of the SiV- spin with 89% fidelity. Coherent control of the SiV- spin with microwave fields is used to demonstrate a spin coherence time T2 of 13 ms and a spin relaxation time T1 exceeding 1 s at 100 mK. These results establish the SiV- as a promising solid-state candidate for the realization of quantum networks.

  2. Lead iodide perovskite sensitized all-solid-state submicron thin film mesoscopic solar cell with efficiency exceeding 9%.

    KAUST Repository

    Kim, Hui-Seon

    2012-08-21

    We report on solid-state mesoscopic heterojunction solar cells employing nanoparticles (NPs) of methyl ammonium lead iodide (CH(3)NH(3))PbI(3) as light harvesters. The perovskite NPs were produced by reaction of methylammonium iodide with PbI(2) and deposited onto a submicron-thick mesoscopic TiO(2) film, whose pores were infiltrated with the hole-conductor spiro-MeOTAD. Illumination with standard AM-1.5 sunlight generated large photocurrents (J(SC)) exceeding 17 mA/cm(2), an open circuit photovoltage (V(OC)) of 0.888 V and a fill factor (FF) of 0.62 yielding a power conversion efficiency (PCE) of 9.7%, the highest reported to date for such cells. Femto second laser studies combined with photo-induced absorption measurements showed charge separation to proceed via hole injection from the excited (CH(3)NH(3))PbI(3) NPs into the spiro-MeOTAD followed by electron transfer to the mesoscopic TiO(2) film. The use of a solid hole conductor dramatically improved the device stability compared to (CH(3)NH(3))PbI(3) -sensitized liquid junction cells.

  3. Early warning of limit-exceeding concentrations of cyanobacteria and cyanotoxins in drinking water reservoirs by inferential modelling.

    Science.gov (United States)

    Recknagel, Friedrich; Orr, Philip T; Bartkow, Michael; Swanepoel, Annelie; Cao, Hongqing

    2017-11-01

    An early warning scheme is proposed that runs ensembles of inferential models for predicting the cyanobacterial population dynamics and cyanotoxin concentrations in drinking water reservoirs on a diel basis driven by in situ sonde water quality data. When the 10- to 30-day-ahead predicted concentrations of cyanobacteria cells or cyanotoxins exceed pre-defined limit values, an early warning automatically activates an action plan considering in-lake control, e.g. intermittent mixing and ad hoc water treatment in water works, respectively. Case studies of the sub-tropical Lake Wivenhoe (Australia) and the Mediterranean Vaal Reservoir (South Africa) demonstrate that ensembles of inferential models developed by the hybrid evolutionary algorithm HEA are capable of up to 30days forecasts of cyanobacteria and cyanotoxins using data collected in situ. The resulting models for Dolicospermum circinale displayed validity for up to 10days ahead, whilst concentrations of Cylindrospermopsis raciborskii and microcystins were successfully predicted up to 30days ahead. Implementing the proposed scheme for drinking water reservoirs enhances current water quality monitoring practices by solely utilising in situ monitoring data, in addition to cyanobacteria and cyanotoxin measurements. Access to routinely measured cyanotoxin data allows for development of models that predict explicitly cyanotoxin concentrations that avoid to inadvertently model and predict non-toxic cyanobacterial strains. Copyright © 2017 Elsevier B.V. All rights reserved.

  4. Methods for estimating annual exceedance-probability streamflows for streams in Kansas based on data through water year 2015

    Science.gov (United States)

    Painter, Colin C.; Heimann, David C.; Lanning-Rush, Jennifer L.

    2017-08-14

    A study was done by the U.S. Geological Survey in cooperation with the Kansas Department of Transportation and the Federal Emergency Management Agency to develop regression models to estimate peak streamflows of annual exceedance probabilities of 50, 20, 10, 4, 2, 1, 0.5, and 0.2 percent at ungaged locations in Kansas. Peak streamflow frequency statistics from selected streamgages were related to contributing drainage area and average precipitation using generalized least-squares regression analysis. The peak streamflow statistics were derived from 151 streamgages with at least 25 years of streamflow data through 2015. The developed equations can be used to predict peak streamflow magnitude and frequency within two hydrologic regions that were defined based on the effects of irrigation. The equations developed in this report are applicable to streams in Kansas that are not substantially affected by regulation, surface-water diversions, or urbanization. The equations are intended for use for streams with contributing drainage areas ranging from 0.17 to 14,901 square miles in the nonirrigation effects region and, 1.02 to 3,555 square miles in the irrigation-affected region, corresponding to the range of drainage areas of the streamgages used in the development of the regional equations.

  5. Recombination in polymer:Fullerene solar cells with open-circuit voltages approaching and exceeding 1.0 V

    KAUST Repository

    Hoke, Eric T.; Vandewal, Koen; Bartelt, Jonathan A.; Mateker, William R.; Douglas, Jessica D.; Noriega, Rodrigo; Graham, Kenneth; Frechet, Jean; Salleo, Alberto; McGehee, Michael D.

    2012-01-01

    Polymer:fullerene solar cells are demonstrated with power conversion efficiencies over 7% with blends of PBDTTPD and PC 61 BM. These devices achieve open-circuit voltages ( V oc ) of 0.945 V and internal quantum efficiencies of 88%, making them an ideal candidate for the large bandgap junction in tandem solar cells. V oc 's above 1.0 V are obtained when the polymer is blended with multiadduct fullerenes; however, the photocurrent and fill factor are greatly reduced. In PBDTTPD blends with multiadduct fullerene ICBA, fullerene emission is observed in the photoluminescence and electroluminescence spectra, indicating that excitons are recombining on ICBA. Voltage-dependent, steady state and time-resolved photoluminescence measurements indicate that energy transfer occurs from PBDTTPD to ICBA and that back hole transfer from ICBA to PBDTTPD is inefficient. By analyzing the absorption and emission spectra from fullerene and charge transfer excitons, we estimate a driving free energy of -0.14 ± 0.06 eV is required for efficient hole transfer. These results suggest that the driving force for hole transfer may be too small for efficient current generation in polymer:fullerene solar cells with V oc values above 1.0 V and that non-fullerene acceptor materials with large optical gaps ( > 1.7 eV) may be required to achieve both near unity internal quantum efficiencies and values of V oc exceeding 1.0 V. © 2013 WILEY-VCH Verlag GmbH and Co.

  6. Lead Iodide Perovskite Sensitized All-Solid-State Submicron Thin Film Mesoscopic Solar Cell with Efficiency Exceeding 9%

    Science.gov (United States)

    Kim, Hui-Seon; Lee, Chang-Ryul; Im, Jeong-Hyeok; Lee, Ki-Beom; Moehl, Thomas; Marchioro, Arianna; Moon, Soo-Jin; Humphry-Baker, Robin; Yum, Jun-Ho; Moser, Jacques E.; Grätzel, Michael; Park, Nam-Gyu

    2012-01-01

    We report on solid-state mesoscopic heterojunction solar cells employing nanoparticles (NPs) of methyl ammonium lead iodide (CH3NH3)PbI3 as light harvesters. The perovskite NPs were produced by reaction of methylammonium iodide with PbI2 and deposited onto a submicron-thick mesoscopic TiO2 film, whose pores were infiltrated with the hole-conductor spiro-MeOTAD. Illumination with standard AM-1.5 sunlight generated large photocurrents (JSC) exceeding 17 mA/cm2, an open circuit photovoltage (VOC) of 0.888 V and a fill factor (FF) of 0.62 yielding a power conversion efficiency (PCE) of 9.7%, the highest reported to date for such cells. Femto second laser studies combined with photo-induced absorption measurements showed charge separation to proceed via hole injection from the excited (CH3NH3)PbI3 NPs into the spiro-MeOTAD followed by electron transfer to the mesoscopic TiO2 film. The use of a solid hole conductor dramatically improved the device stability compared to (CH3NH3)PbI3 -sensitized liquid junction cells. PMID:22912919

  7. Behavioral Public Administration

    DEFF Research Database (Denmark)

    Grimmelikhuijsen, Stephan; Jilke, Sebastian; Olsen, Asmus Leth

    2017-01-01

    on theories and methods from psychology and related fields and point to research in public administration that could benefit from further integration. An analysis of public administration topics through a psychological lens can be useful to confirm, add nuance to, or extend classical public administration...... theories. As such, behavioral public administration complements traditional public administration. Furthermore, it could be a two-way street for psychologists who want to test the external validity of their theories in a political-administrative setting. Finally, four principles are proposed to narrow......Behavioral public administration is the analysis of public administration from the micro-level perspective of individual behavior and attitudes by drawing on insights from psychology on the behavior of individuals and groups. The authors discuss how scholars in public administration currently draw...

  8. Public awareness and self-efficacy of cardiopulmonary resuscitation in communities and outcomes of out-of-hospital cardiac arrest: A multi-level analysis.

    Science.gov (United States)

    Ro, Young Sun; Shin, Sang Do; Song, Kyoung Jun; Hong, Sung Ok; Kim, Young Taek; Lee, Dong-Woo; Cho, Sung-Il

    2016-05-01

    This study aims to test the association between capacity of cardiopulmonary resuscitation (CPR) at community level and survival after out-of-hospital cardiac arrest (OHCA). Emergency medical service (EMS)-treated OHCAs with cardiac etiology in Korea between 2012 and 2013 were analyzed, excluding cases witnessed by EMS providers. Exposure variables were five indexes of community CPR capacity: awareness of CPR (CPR-Awareness), any training experience of CPR (CPR-Any-Training), recent CPR training within the last 2 years (CPR-Recent-Training), CPR training with a manikin (CPR-Manikin-Training), and CPR self-efficacy (CPR-Self-Efficacy). All measures of capacity were calculated as aggregated values for each county level using the national Korean Community Health Survey database of 228,921 responders sampled representatively from 253 counties in 2012. Endpoints were bystander CPR (BCPR) and survival to discharge. We calculated adjusted odds ratios (AORs) per 10% increment in community CPR capacity using multi-level logistic regression models, adjusting for potential confounders at individual levels. Of 29,052 eligible OHCAs, 11,079 (38.1%) received BCPR. Patients were more likely to receive BCPR in communities with higher proportions of residents with CPR-Awareness, CPR-Any-Training, CPR-Recent-Training, CPR-Manikin-Training, and CPR-Self-Efficacy (all pCPR-Awareness, 1.10 (1.04-1.15) for CPR-Any-Training, and 1.08 (1.03-1.13) for CPR-Self-Efficacy. For survival to discharge, AORs (95% CIs) were 1.34 (1.23-1.47) per 10% increment in CPR-Awareness, 1.36 (1.20-1.54) for CPR-Any-Training, and 1.29 (1.15-1.45) for CPR-Self-Efficacy. Higher CPR capacity at community level was associated with higher bystander CPR and survival to discharge rates after OHCA. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  9. The radon problem in schools and public buildings in Belgium

    International Nuclear Information System (INIS)

    Poffijn, A.; Uyttenhove, J.; Tondeur, F.

    1992-01-01

    Owing to differences in geology, radon in Belgium is recognised to be a more serious problem in the southern part of the country than in the northern part. From national and regional surveys, it became clear that in the province of Luxembourg indoor radon concentrations exceeding the European reference level of 400 Bq.m -3 frequently occur. As many people (children as well as adults) spend an important part of the day indoors at school or at work, it was decided by the local authorities to conduct a more systematic survey. In all schools and public buildings, measurements with integrating etched track devices have been performed. The results of these campaigns are discussed and a limiting scheme for radon in schools and public buildings, based mainly upon the existing Belgian regulations for protecting against ionising radiation is presented. (author)

  10. Comparing caseload and non-caseload midwives' burnout levels and professional attitudes: A national, cross-sectional survey of Australian midwives working in the public maternity system.

    Science.gov (United States)

    Dawson, Kate; Newton, Michelle; Forster, Della; McLachlan, Helen

    2018-08-01

    Caseload midwifery has many benefits for women and their babies, however only around 8% of women receive caseload care in the public maternity system in Australia. Midwives working within caseload models are required to provide activity-based care (working on-call, responsively to the needs of their caseload of women) rather than undertaking shift work. There has been debate regarding the impact of caseload work on midwives, but recently caseload work has been associated with higher professional satisfaction and lower burnout when compared to midwives working in traditional models. However, there continues to be debate about the impact of caseload on midwives, so further investigation is needed. A national cross-sectional survey of midwives working in Australian public hospitals that have birthing services was undertaken. We explored burnout and midwives' attitudes to their professional role using the Copenhagen Burnout Inventory and the Midwifery Process Questionnaire, respectively. Comparisons were made across three groups of midwives: those who worked in the caseload model, midwives who did not work in this model but worked in a hospital with a caseload model, and midwives who worked in a hospital without a caseload model. We received 542 responses from midwives from 111 hospitals from all Australian states and one of the territories. Of respondents, 107 midwives worked in a caseload model, 212 worked in a hospital with a caseload model but did not work in caseload, and 220 midwives worked in a hospital without a caseload model. Midwives working in caseload had significantly lower burnout scores in the personal and work-related burnout subscales, and a trend toward lower scores in the client-related burnout subscale. They also had higher scores across all four subscales of the midwifery process questionnaire, demonstrating more positive attitudes to their professional role. Although concerns have been raised regarding the impact of caseload midwifery on midwives

  11. Towards a strategic alignment of public health and primary care practices at local levels - the case of severe and enduring mental illness.

    Science.gov (United States)

    Banarsee, Ricky; Kelly, Cornelius; El-Osta, Austen; Thomas, Paul; Brophy, Chris

    2018-03-01

    The rapidly increasing number of people who have long-term conditions requires a system of coordinated support for self-care throughout the NHS. A system to support self-care needs to be aligned to systems that support shared-care and community development, making it easier for the multidisciplinary teams who provide care to also help patients and populations to help themselves. Public health practitioners need to work closely with clinicians to achieve this. The best place to coordinate this partnership is a community-based coordinating hub, or local health community - a geographic area of about 50,000 population where different contributions to self-care can be aligned. A shared vision for both health and disease management is needed to ensure consistent messaging by all. A three tier system of shared care can help to combine vertical and horizontal integration. This paper uses severe and enduring mental illness as an exemplar to anticipate the design of such a system.

  12. Information on the certification of DGZfP-qualified personnel in compliance with the U.S. American publication SNT-TC-1A: 'Level certificates'

    International Nuclear Information System (INIS)

    1986-01-01

    The NDT personnel qualification in compliance with the code of practice of the DGZfP has long been accepted and appreciated in West Germany and in some neighbour countries, and increasingly is recommended in national regulatory publications. In international business, however, it is the U.S. American code of practice SNT-TC-1A that frequently is applied. Although the DGZfP qualification code in formal terms and in principle fulfills the requirements of the SNT-TC-1A, there have been problems on the part of foreign customers who hesitated to accept the DGZfP qualification. The reason most frequently was that the very extensive in-house documentation material required according to the U.S. American code could not or only insufficiently be shown. The code of practice presented here is intended to serve as an aid in laying down the Written Practice, taking into account the DGZfP qualification. The model version presented certainly will not meet all the various requirements of customers, and has to be modified so as to fit individual conditions. (orig./HP) [de

  13. Assessing public flood risk perception for understanding the level of risk preparedness - Evidence from a community-based survey (the Bend Subcarpathians, Romania)

    Science.gov (United States)

    Balteanu, Dan; Micu, Dana; Dumitrascu, Monica; Chendes, Viorel; Dragota, Carmen; Kucsicsa, Gheorghita; Grigorescu, Ines; Persu, Mihaela; Costache, Andra

    2016-04-01

    Floods (slow-onset and rapid) are among the costliest hydro-meteorological hazards in Romania, with strong societal and economic impacts, especially in small rural settlements, with a limited adaptive capacity to their adverse effects induced by the regional socio-economic context (e.g. aging population, low economic power). The study-area is located in the Bend Subcarpathians (Romania), a region with high tectonic mobility (the Seismic Vrancea Region), active slope processes (e.g. shallow and deep-seated landslides, mud flow, gully erosion) and increasing frequency of flash floods associated to heavy rainfalls. The study was conducted in the framework of the project "Vulnerability of the environment and human settlements to floods in the context of Global Environmental Change - VULMIN" (PN-II-PT-PCCA-2011-3.1-1587), funded by the Ministry of National Education over the 2012-2016 period (http://www.igar-vulmin.ro). Prior research derived valuable insights into the local population vulnerability to extreme hydro-meteorological events, revealing an increased individual experience to past hydrological events, a high level of worry associated to flood recurrence, a low rate of the perceived trustworthiness in national institutions and authorities, as well as evident differences between the perception of community members and local authorities in terms of risk preparedness. In the present study, an attempt has been made for developing an advanced understanding of the current level of flood risk preparedness within some communities strongly affected by the floods of 1970-1975, 2005 and 2010. The recent events had a significant impact on local communities and infrastructure in terms of the financial losses, causing a visible stress and even psychological trauma on some residents of the most affected households. The selected communities are located in areas affected by recurrent hydro-meteorological hazards (floods and flash floods), with return periods below 10 years. A

  14. Optical Frequency Comb Fourier Transform Spectroscopy with Resolution Exceeding the Limit Set by the Optical Path Difference

    Science.gov (United States)

    Foltynowicz, Aleksandra; Rutkowski, Lucile; Johanssson, Alexandra C.; Khodabakhsh, Amir; Maslowski, Piotr; Kowzan, Grzegorz; Lee, Kevin; Fermann, Martin

    2015-06-01

    Fourier transform spectrometers (FTS) based on optical frequency combs (OFC) allow detection of broadband molecular spectra with high signal-to-noise ratios within acquisition times orders of magnitude shorter than traditional FTIRs based on thermal sources. Due to the pulsed nature of OFCs the interferogram consists of a series of bursts rather than a single burst at zero optical path difference (OPD). The comb mode structure can be resolved by acquiring multiple bursts, in both mechanical FTS systems and dual-comb spectroscopy. However, in all existing demonstrations the resolution was ultimately limited either by the maximum available OPD between the interferometer arms or by the total acquisition time enabled by the storage memory. We present a method that provides spectral resolution exceeding the limit set by the maximum OPD using an interferogram containing only a single burst. The method allows measurements of absorption lines narrower than the OPD-limited resolution without any influence of the instrumental lineshape function. We demonstrate this by measuring undistorted CO2 and CO absorption lines with linewidth narrower than the OPD-limited resolution using OFC-based mechanical FTS in the near- and mid-infrared wavelength ranges. The near-infrared system is based on an Er:fiber femtosecond laser locked to a high finesse cavity, while the mid-infrared system is based on a Tm:fiber-laser-pumped optical parametric oscillator coupled to a multi-pass cell. We show that the method allows acquisition of high-resolution molecular spectra with interferometer length orders of magnitude shorter than traditional FTIR. Mandon, J., G. Guelachvili, and N. Picque, Nat. Phot., 2009. 3(2): p. 99-102. Zeitouny, M., et al., Ann. Phys., 2013. 525(6): p. 437-442. Zolot, A.M., et al., Opt. Lett., 2012. 37(4): p. 638-640.

  15. Proposed nomination of Yucca Mountain as a potential high-level radioactive waste repository. Registration and transcript of proceedings of US Department of Energy public hearings, Las Vegas, Nevada, March 1983

    International Nuclear Information System (INIS)

    1983-01-01

    The purpose of this public hearing were: (1) to solicit comments on the nomination of Yucca Mountain for site characterization as a potential high-level radioactive waste repository; (2) to solicit issues to be included in an Environmental Assessment supporting the Department's formal nomination of that site; and (3) to solicit issues to be addressed in the Site Characterization Plan which would subsequently be issued prior to proceeding with site characterization. The public hearing utilized a panel comprising of three persons, including a chairperson, who were not employees of the Department of Energy, and who had not participated in the preparation of the proposed nomination of Yucca Mountain. This volume contains statements from 29 participants, beginning with those of the Governor of Nevada

  16. US Department of Energy public hearing for the proposed nomination of Yucca Mountain as a potential high level radioactive waste repository. Registration and transport of proceedings, Reno, Nevada - March 1983

    International Nuclear Information System (INIS)

    1983-01-01

    The purpose of this public hearing was: (1) to solicit comments on the nomination of Yucca Mountain for site characterization as a potential high-level radioactive waste repository; (2) to solicit issues to be included in an Environmental Assessment supporting the Departments' formal nomination of that site; and (3) to solicit issues to be addressed in the Site Characterization Plan which would subsequently be issued prior to proceeding with site characterization. The public hearing utilized a panel comprising of three persons including a chairperson, who were not employees of the Department of Energy, and who had not participated directly in the preparation of the proposed nomination of Yucca Mountain. This volume contains statements from 24 participants

  17. Notifiable events in systems for fission of nuclear fuels - nuclear power plants and research reactors with maximum output exceeding 50 kW of thermal normal rating - in the Federal Republic of Germany. Quarterly report, 2nd quarter of 1996

    International Nuclear Information System (INIS)

    1996-01-01

    There were 32 notifiable events in nuclear power plants in Germany in the second quarter of 1996. The report lists and characterises all the 32 events notified in the reporting period. The events did not involve any radioactivity release exceeding the maximum permissible limits during this period, so that there were no radiation hazards to the population or the environment. One event was classified at level 1 of the INES event scale (Anomaly). Research reactor operators in Germany reported 5 notifiable events in the reporting period. The report lists and characterises these events. These events did not involve any radioactivity release exceeding the maximum permissible limits during this period, so that there were no radiation hazards to the population or the environment. All events notified were classified into the lowest categories of safety significance of the official event scales (N, or below scale). (orig./DG) [de

  18. From public to private and back again: sustaining a high service-delivery level during transition of management authority: a Cambodia case study.

    Science.gov (United States)

    Jacobs, Bart; Thomé, Jean-Marc; Overtoom, Rob; Sam, Sam Oeun; Indermühle, Lorenz; Price, Neil

    2010-05-01

    Contracting non-governmental organizations (NGOs) has been shown to increase health service delivery output considerably over relatively short time frames in low-income countries, especially when applying performance-related pay as a stimulus. A key concern is how to manage the transition back to government-operated systems while maintaining health service delivery output levels. In this paper we describe and analyse the transition from NGO-managed to government-managed health services over a 3-year period in a health district in Cambodia with a focus on the level of health service delivery. Data are derived from four sources, including cross-sectional surveys and health management and financial information systems. The transition was achieved by focusing on all the building blocks of the health care system and ensuring an acceptable financial remuneration for the staff members of contracted health facilities. The latter was attained through performance subsidies derived from financial commitment by the central government, and revenue from user fees. Performance management had a crucial role in the gradual handover of responsibilities. Not all responsibilities were handed back to government over the case study period-notably the development of performance indicators and targets and the performance monitoring.

  19. Public participation in decision-making processes: ONDRAF/NIRAS' approach to the disposal of low-level and short-lived radioactive waste

    International Nuclear Information System (INIS)

    Hooft, E.

    2000-01-01

    January 16, 1998, is a milestone in the nuclear waste management in Belgium. On that day, the Belgian government effectively opted for a definitive or potentially definitive solution for the Iona term management of low-level, short-lived radioactive waste. The government also wanted this solution to be implemented in a progressive, flexible, and reversible manner. it was thereby definitively abandoning the prolonged interim storage option, in favour of either surface disposal or deep geological disposal. At the same time, the government entrusted new missions to ONDRAFINIRAS, aimed at enabling it to make, around 2001-2002, the necessary technical and economic choice between surface disposal and deep geological disposal. ONDRAFNIRAS had to develop, in particular, methods, including the management and dialogue strictures, necessary to integrate a repository project at the local level. Furthermore, it had to restrict from then on its investigations to the four already existing nuclear zones in Belgium namely those of Doel, Fleurus, Mol-Dessel, and Tihange, and to the local towns or villages having shown an interest in a preliminary field study. Early in 1998, ONDRAFNIRAS set up a new work programme and developed an entirely new work methodology. As we understood that the best way to take involved into account the interests of all parties, is to involve them in the decision making on the project, we developed the idea of the local partnerships. Any party that could be directly affected by a collective decision, must have a say in it. Another innovative aspect of this new methodology is that of integration: an integration at the local level which is meant to enable the development of draft repository projects creating new perspectives for the regions concerned. Extending over four to five years, ONDRAFINIRAS's new work programme assumes the active participation of all the interested local representatives. Because it has understood that any party that could be directly

  20. Public health assessment for public health implications of radiation contamination at former clock factories located in Bristo (Hartford County), New Haven, (New Haven County), Thomaston (Litchfield County), and Waterbury (New Haven County), Connecticut, Region 1. Final report

    International Nuclear Information System (INIS)

    1999-01-01

    This public health assessment was developed (1) to evaluate the radiation data collected by the Connecticut Department of Environmental Protection (CT DEP) at structures that once housed clock factories in four Connecticut municipalities, and (2) to determine whether a public health hazard exists at any of these sites from the contamination. Contamination was detected at levels that may pose a health risk to current occupants at the former Waterbury Clock Factory, the former Lux Clock Factory, and the former Benrus Clock Company buildings in Waterbury; the former Sessions Clock Company in Bristol; and the former Seth Thomas Clock Company in Thomaston. However, none of the radiation levels detected pose an immediate health problem. The Connecticut Department of Public Health recommends that individuals be disassociated from areas with radiation at levels exceeding 15 mRem/year

  1. Comparisons of estimates of annual exceedance-probability discharges for small drainage basins in Iowa, based on data through water year 2013 : [summary].

    Science.gov (United States)

    2015-01-01

    Traditionally, the Iowa DOT has used the Iowa Runoff Chart and single-variable regional regression equations (RREs) from a USGS report : (published in 1987) as the primary methods to estimate annual exceedance-probability discharge : (AEPD) for small...

  2. Analysis on the pricing mechanism of public-private partnership project with different market demand level%不同需求状态下公私合作制项目的定价机制

    Institute of Scientific and Technical Information of China (English)

    宋波; 徐飞

    2011-01-01

    在政府主导的公私合作制(PPP)项目建设运营中,考虑将PPP项目中私人部门生者剩余的部分比例纳入社会总福利水平的计算,分别从高需求、中等需求和低需求3种不同的市场需求状态出发研究公共品供给市场上的定价机制,通过分析由于政府价格规制区间而导致的公私部门之间定价权配置的差异,公私不同主体追求不同的效益最大化,得到不同市场需求状态下的公共品定价水平及其不同状态下的相关参数的影响,验证了政府对公共品供给的规制价格区间与PPP项目运营成本的相关性,并发现不同需求状态下公共品定价与产品需求弹性之间关系的差异;对我国公共项目建设和运营实践中公共品供给市场上的定价具有一定的指导意义.%This paper analyzed the pricing mechanism in the supply of public goods, based on defining the calculation of social welfare which considered part of producer surplus in the operation of PPP project under the guidance of government, and classifying the public goods market into three states i. e. , the high, middle and low demand needs. By analyzing the different allocations of pricing right between public and private sectors, and then maximizing the different benefits individually by public and private sectors, it derives the pricing mechanism and the different impacts of related parameters on it under three different demand states, examined the relationship between the interval of price regulation by government and the cost in the operation of public-private partnership projects, and also find the different correlations between the pricing and the demand elastics of public goods in different market demand levels, so as to bring forward some suggestions for pricing of public goods in the practice of PPP projects.

  3. Staff analysis of public comments on proposed rule 10 CFR Part 60, Disposal of High-Level Radioactive Wastes in Geologic Repositories

    International Nuclear Information System (INIS)

    1983-12-01

    On February 25, 1981, the Nuclear Regulatory Commission published rules which establish procedures for the licensing of geologic disposal, by the US Department of Energy, of high-level radioactive wastes. On July 8, 1981, proposed technical criteria which would be used in the evaluation of license applications under those procedural rules were published in the Federal Register. The Commission received 93 comment letters on the proposed technical criteria, 89 of which were received in time for the Commission to consider in preparing the final technical criteria which were published on June 21, 1983. This document presents a detailed analysis of the comments received on the proposed rule by the Commission's staff and also contains the Rationale for the Performance Objectives of 10 CFR Part 60

  4. The Montbeliard Radiation Protection Pilot Project: a global approach of radiation protection addressing occupational, public and patient exposures at the level of a large urban community

    International Nuclear Information System (INIS)

    Schieber, Caroline; Lochard, Jacques; Badajoz, Coralie; Bataille, Celine; Croueail, Pascal; Klein, Didier; Klopfenstein, Jean-Francois; Makovicka, Libor

    2008-01-01

    The Montbeliard Radiation Protection Pilot Project started in March 2004, at the initiative of the Inter- City Council of the Montbeliard Country in cooperation with CEPN. It aims at improving the radiation protection of the inhabitants of the Montbeliard Country in the various exposure situations which can be potentially encountered on the territory (hospital, dwellings, environment,...) as well as at promoting the creation of a pole of competence in the field of radiation protection in the Montbeliard Country. The project relies on the involvement of all relevant stakeholders at the local, national and international level. This paper provides with a quick insight of the project organisation, followed by a synthetic description of the main achievements of the various project areas. (author)

  5. Kamu Üniversiteleri Öğretim Elemanlarının İş Tatmini Düzeyini Etkileyen Faktörler(The Factors Affecting Job Satisfaction Level of Public Universities’ Academics

    Directory of Open Access Journals (Sweden)

    Filiz KARAMAN

    2007-01-01

    Full Text Available Job satisfaction is one of the most discussed subjects in the management pschology field. However, there are not sufficient research concerning with job satisfaction level of academics. The aims of this research are to fill this gap to some extent and to point out the factors affecting job satisfaction. For this reason, the data were collected from 138 academics working in eight different public universities. According to the research, job satisfacton is affected by freedom to give decisions, good conditions for implementing new programs, cooperation with colleagues and wage factors.

  6. DEVELOPMENT STRATEGY OF KNOWLEDGE AND AVAILABILITY OF LOCAL LEVEL OF EAST NUSA TENGGARA IN THE MIDDLE OF CLIMATE CHANGE THROUGH EDUCATION IN KUPANG VOCATIONAL PUBLIC SCHOOL

    Directory of Open Access Journals (Sweden)

    Wahyu Hadi Trigutomo

    2017-06-01

    society. The availability of national food can be fully fulfilled if it is commenced from the food sufficiency in the levels of family. In regard to the local area, it is marked by the existence of food consumption which can fulfill the sufficiency of every individual, in terms of balanced nutrition. In fact, it then has an impact on sufficiency of food and the nutrition status of Indonesian society can be fulfilled locally, especially in East Nusa Tenggara. The availability of food in terms of adequate quantities and types for the whole community locally in East Nusa Tenggara, smooth food distribution, cheap food prices and affordability by the all levels of society locally in East Nusa Tenggara, evenly distributed to all families in the region.

  7. Public employees leadership institute.

    Science.gov (United States)

    2011-08-01

    Public agencies in Iowa are continually challenged with reduced staff levels, reduced budgets, and increased expectations for services provided. Responding to these demands requires a well-informed and coordinated team that includes professionals, su...

  8. Grau de cobertura dos planos de saúde e distribuição regional do gasto público em saúde Level of private health insurance coverage and regional distribution of public health expenditure

    Directory of Open Access Journals (Sweden)

    Samuel Kilsztajn

    2001-12-01

    Full Text Available O artigo analisa o grau de cobertura dos planos de saúde segundo as classes de rendimento mensal familiar e por unidade da federação e a distribuição dos recursos da Rede-SUS e do gasto público total em saúde por usuário dos serviços públicos de saúde nas regiões Norte-Nordeste e Centro-Sul do país. São apresentados e discutidos também os indicadores do gasto público total em saúde como percentual do PIB gerado nas regiões.This paper analyses the level of private health insurance coverage by classes of income and by states in Brazil and the distribution of the total public health expenditure by public health users in the North-Northeast and Central-South regions of the country. The paper also presents and discusses the total public health expenditure as a percentage of regional GDP.

  9. Public Schools

    Data.gov (United States)

    Department of Homeland Security — This Public Schools feature dataset is composed of all Public elementary and secondary education in the United States as defined by the Common Core of Data, National...

  10. Public acceptability

    International Nuclear Information System (INIS)

    Bolter, H.E.

    1989-01-01

    An urgent need to rebuild public confidence after an incident attracting widespread adverse publicity led to the development by British Nuclear Fuels plc of a completely new approach to public relations. The Company's experience suggests that impressions count more than sheer information, provided the impressions have a firm base in reality. (author)

  11. Governmental costs and revenues associated with geothermal energy development in Imperial County. Special Publication 3241

    Energy Technology Data Exchange (ETDEWEB)

    Goldman, G.; Strong, D.

    1977-10-01

    This study estimates the cost and revenue impacts to local governments of three geothermal energy growth scenarios in Imperial County. The level of geothermal energy potential for the three development scenarios tested is 2,000, 4,000 and 8,000 MW--enough power to serve 270,000 to 1,000,000 people. The government agencies involved do not expect any substantial additional capital costs due to geothermal energy development; therefore, average costing techniques have been used for projecting public service costs and government revenues. The analysis of the three growth scenarios tested indicates that county population would increase by 3, 7 and 19 percent and assessed values would increase by 20, 60, and 165 percent for Alternatives No. 1, No. 2 and No. 3 respectively. Direct and indirect effects would increase new jobs in the county by 1,000, 3,000 and 8,000. Government revenues would tend to exceed public service costs for county and school districts, while city costs would tend to exceed revenues. In each of the alternatives, if county, cities and school districts are grouped together, the revenues exceed costs by an estimated $1,600 per additional person either directly or indirectly related to geothermal energy development in the operational stages. In the tenth year of development, while facilities are still being explored, developed and constructed, the revenues would exceed costs by an approximate $1,000 per additional person for each alternative. School districts with geothermal plants in their boundaries would be required by legislation SB 90 to reduce their tax rates by 15 to 87 percent, depending on the level of energy development. Revenue limits and school taxing methods will be affected by the Serrano-Priest decision and by new school legislation in process.

  12. [The activity of the State Sanitary Inspectorate after implementation of the act of January, 23 2009 "Amending certain acts regarding reorganization and redistribution of competences of the public administration at the provincial level"].

    Science.gov (United States)

    Rudaś, Dariusz; Skórczewski, Krzysztof

    2011-01-01

    The restructuring of the State Sanitary Inspectorate was determined by the need to adjust the existing system to the new structure- and task-oriented standards introduced by the administrative reforms at the provincial level. This brought about a lot of changes in the way State County Sanitary Inspectors operate. For first few months after the enforcement of the Act of January 23.2009 amending certain acts regarding reorganization and redistribution of competences of the public administration at the provincial level (Journal of Laws, No. 92, item. 753, 2009) brought about a lot of ambiguities and expectations. Such unresolved issues are typical for the initial or transition period after implementation of a new law. The approach to the operation of the State Sanitary Inspectorate at the county level depicted in the article lays the emphasis on the challenges in the legal and task-oriented domain that arose after coming into force of the aforementioned amendment. By way of conclusion, the authors of the article briefly summaries the practical outcomes of the transformations undergone by the State Sanitary Inspectorate at the county level.

  13. Measuring the Level of Organizational Performance in the Yemeni Public Universities from the Perspective of the Balanced Score Card: A Field Study in the Universities of Sana'a and Aden

    Directory of Open Access Journals (Sweden)

    بسام مسلم

    2017-12-01

    Full Text Available The research aimed at measuring the level of organizational performance according to the perspective of the Balanced Score Card (BSC. It also aimed to identify the nature of the differences in measuring the performance level in the light of the variables and type of higher management positions, faculty type, and years of service years. The researcher used the descriptive analytical methodology, where the concept of organizational performance was explained, and the related previous studies were reviewed and presented, with a focus on the strategic approach to measure the performance from the BSC perspective. To achieve the objective of the study, a questionnaire was designed, consisting of 36 indictors distributed over the four dimensions of the BSC (learning and growth, internal operations, clients, and finance. The sample included 80 participants representing academic and administrative leaders in the Universities of Sana'a and Aden. The research concluded that the organizational performance level was generally low in both universities. This was a reflection of weak performance in the BSC four dimensions. No differences occurred in the evaluation levels of those dimensions that could be attributed to these variables: type of higher management positions, faculty type, and years of service. Keywords: Balanced Score Card, Organizational performance, Public universities.

  14. Analysis of conservativity analysis for clearance levels. Final report

    International Nuclear Information System (INIS)

    Deckert, A.; Thierfeldt, S.

    1997-07-01

    When deriving clearance levels for material from nuclear installations it is necessary to proceed with a certain degree of conservativity. This can, however, differ between various sets of clearance levels leading to inconsistencies between clearance pathways. The aim of the work therefore is to compare levels of conservativity for the following two sets of clearance levels: clearance levels for disposal as conventional waste and for metallic materials for recycling/reuse. A method was developed to quantify the degree of conservativity and make it comparable. The actual and future situation for disposal of (conventional) wastes in Germany was analysed. In addition, the masses, nuclide vectors, geographical distribution etc. for slightly radioactive material being cleared for conventional disposal was analysed and modelled and the resulting dose distributions were calculated. The values for the clearance levels were taken from the 1995 recommendation by the German Commission on Radiation Protection (SSK). By using realistic scenarios, the exposure was calculated for the personnel on the landfills and for persons of the general public being exposed via groundwater pathways. It could be shown that the trivial dose range will not be exceeded even if the masses of cleared material per landfill site exceed 100 Mg/a. Because of the types and distribution of nuclear installations in Germany and because of the nuclide vectors it is therefore not necessary to limit the masses per landfill sites. Clearance levels that are determined by the exposure pathways external exposure to and the inhalation of dust by the landfill personnel show a similar level of conservativity as those for metal scrap. This means that the clearance levels for gamma emitting nuclides are not overly restrictive. Although radiologically justified, raising the clearance levels would not lead to an increase of the material quantities because other nuclides of the respective nuclide vectors are limiting. In

  15. Breast and cervical cancer screening among women in metropolitan areas of the United States by county-level commuting time to work and use of public transportation, 2004 and 2006.

    Science.gov (United States)

    Coughlin, Steven S; King, Jessica

    2010-03-19

    Commuting times and behaviors have been associated with a variety of chronic disease outcomes and health behaviors. We examined the relationships between ecologic measures of commuting time and use of public transportation in relation to breast and cervical cancer screening among women in U.S. metropolitan areas who participated in the 2004 and 2006 Behavioral Risk Factor Surveillance System (BRFSS) surveys. Self-reported county of residence was used to classify respondents as residents of metropolitan statistical areas (MSAs). Only BRFSS respondents who resided in the 39 MSAs with a population of > or = 1.5 million in 2007--representing a total of 337 counties--were included in this analysis. A total of 76,453 women aged > or = 40 years were included in analyses on mammography. Analyses on Pap testing were limited to women aged > or =18 years with no history of hysterectomy (n = 80,959). Area-based measures of socio-economic status (SES) were obtained by utilizing county-level information from the 2000 U.S. Census. With adjustment for age, no important associations were observed between receipt of a recent mammogram and either a county-level measure of commute time or residence in an area where more residents had access to a car. Similarly, women living in counties where at least four percent of the residents used public transportation were as likely to have had a recent mammogram or Pap test compared with women in areas where less than four percent of residents used public transportation. However, women living in counties where or = 3% of the residents had no access to a car (87.3% versus 84.5%; p-value for test for trend public transportation and having had a Pap test in the past 3 years, which was of borderline significance (adjusted OR 1.2, 95% CI 1.0-1.4, p = .05). In large U.S. metropolitan areas, transportation issues may play a role in whether a woman obtains cancer screening along with other factors (e.g., Hispanic ethnicity, low income, and no physician

  16. Future US energy demands based upon traditional consumption patterns lead to requirements which significantly exceed domestic supply

    Science.gov (United States)

    1975-01-01

    Energy consumption in the United States has risen in response to both increasing population and to increasing levels of affluence. Depletion of domestic energy reserves requires consumption modulation, production of fossil fuels, more efficient conversion techniques, and large scale transitions to non-fossile fuel energy sources. Widening disparity between the wealthy and poor nations of the world contributes to trends that increase the likelihood of group action by the lesser developed countries to achieve political and economic goals. The formation of anticartel cartels is envisioned.

  17. Intermunicipal cooperation, public spending and service levels

    NARCIS (Netherlands)

    Allers, Maarten A.; de Greef, J.A.

    2018-01-01

    Local governments can increase size in particular policy fields through cooperation with other local governments. This is often thought to improve efficiency, but there is little empirical evidence supporting this hypothesis. We study the case of the Netherlands, which has been a veritable

  18. Tenofovir alafenamide (TAF) does not deplete mitochondrial DNA in human T-cell lines at intracellular concentrations exceeding clinically relevant drug exposures.

    Science.gov (United States)

    Stray, Kirsten M; Park, Yeojin; Babusis, Darius; Callebaut, Christian; Cihlar, Tomas; Ray, Adrian S; Perron, Michel

    2017-04-01

    HIV-infected patients treated with certain nucleoside reverse transcriptase inhibitors (NRTIs) have experienced adverse effects due to drug-related mitochondrial toxicity. Tenofovir alafenamide (TAF) is a novel prodrug of the NRTI tenofovir (TFV) with an improved safety profile compared to tenofovir disoproxil fumarate (TDF). Prior in vitro studies have demonstrated that the parent nucleotide TFV has no significant effects on mtDNA synthesis. This study investigated whether clinically relevant TAF and TDF exposures affect mtDNA content in human lymphocytes. First, activated or resting peripheral blood mononuclear cells (PBMCs), as well as MT-2 and Jurkat T-cell lines, were continuously treated with ddC for 10 days to establish their susceptibility to mtDNA depletion. PBMCs had low sensitivity to NRTI-mediated mtDNA depletion in vitro. In contrast, ddC treatment of rapidly dividing MT-2 and Jurkat cells resulted in a dose-dependent decrease in mtDNA. Therefore, these two T-cell lines were selected for evaluating TAF and TDF treatment effects. MT-2 and Jurkat cells were pulse-treated with TAF or TDF every 24 h for 10 days to mimic pharmacologically relevant drug exposures. Pulse treatment of cells with 3.3 μM TAF or 1.1 μM TDF for 10 days resulted in 2- to 7-fold greater steady-state intracellular TFV-diphosphate (TFV-DP) levels than those observed clinically in TAF- or TDF-treated patients. At these concentrations, no significant TAF- (106.7% and 84.1% of control; p = 0.77 and 0.12 for MT-2 and Jurkat, respectively) or TDF- (100.6% and 91.0% of control; p = 0.91 and 0.37, respectively) associated reduction in mtDNA content was observed compared with untreated control cells. This study demonstrates that, despite delivering higher intracellular levels of TFV-DP than TDF, TAF does not inhibit mtDNA synthesis in vitro at concentrations exceeding the clinically relevant intracellular drug exposures. Thus, TAF has a low potential for mitochondrial toxicity in

  19. Human Health Risk from Metals in Fish from Saudi Arabia: Consumption Patterns for Some Species Exceed Allowable Limits

    KAUST Repository

    Burger, Joanna

    2014-10-06

    ABSTRACT: Fish are a healthful source of protein, but contaminants in some fish pose a risk. While there are multiple risk assessments from Europe and North America, there are far fewer for other parts of the world. We examined the risks from mercury, arsenic, lead, and other metals in fish consumed by people in Jeddah area, Saudi Arabia, using site-specific data on consumption patterns and metal levels in fish. The U.S. Environmental Protection Agency\\'s Hazard Quotient (HQ) and cumulative Hazard Index (HI) for non-cancer endpoints and Carcinogenic Index for cancer were used to determine the health risk based on fish consumption rates. Of the 13 fish species examined, HQ was greater than 1 (indicating elevated risk) in two species for arsenic, and seven species for methylmercury. The cumulative HI for all metals was above 1 for all but three species of fish at the mean consumption rates. Generally, fish species with HI above 1 for one sampling location, had HI above 1 for all sampling locations. The implications of these findings are discussed in the light of strategies for reducing risk from fish consumption while encouraging dietary intakes of fish with low mercury and arsenic levels.

  20. Academic Publications

    OpenAIRE

    Francisco H C Felix

    2017-01-01

    Alternative modes of academic publication. What it is: Page for the dissemination of academic papers in alternative formats. Aimed at the diffusion of the idea of open publication, or open access publication, a branch of open science, a multidisciplinary movement that seeks to modify the paradigm of knowledge production that centralizes it and prevents its spreading. Historically, Western tradition has become firmly rooted in the free dissemination of knowledge among peers. However, the c...