Sample records for policies adopted nationwide

  1. Social media adoption in local health departments nationwide. (United States)

    Harris, Jenine K; Mueller, Nancy L; Snider, Doneisha


    We examined whether characteristics of local health departments (LHD) and their geographic region were associated with using Facebook and Twitter. We also examined the number of tweets per month for Twitter accounts as an indicator of social media use by LHDs. In 2012, we searched for Facebook and Twitter accounts for 2565 LHDs nationwide, and collected adoption date and number of connections for each account. Number of tweets sent indicated LHD use of social media. LHDs were classified as innovators, early adopters, or nonadopters. Characteristics of LHDs were compared across adoption categories, and we examined geographic characteristics, connections, and use. Twenty-four percent of LHDs had Facebook, 8% had Twitter, and 7% had both. LHDs serving larger populations were more likely to be innovators, tweeted more often, and had more social media connections. Frequency of tweeting was not associated with adoption category. There were differences in adoption across geographic regions, with western states more likely to be innovators. Innovation was also higher in states where the state health department adopted social media. Social media has the potential to aid LHDs in disseminating information across the public health system. More evidence is needed to develop best practices for this emerging tool.

  2. Policy Issues in Gay and Lesbian Adoption. (United States)

    Sullivan, Ann


    Notes that adoption agencies have developed few specific policies on the issue of lesbian and gay adoption. Provides an overview of key considerations about homosexual adopters, including beliefs and values of agency professionals, the legal and social ramifications of adoption into a relationship not based on marriage, and possible consequences…

  3. Policy activity and policy adoption in rural, suburban, and urban local health departments. (United States)

    Harris, Jenine K; Mueller, Nancy L


    Public health policy is among the most effective and cost-effective interventions in some areas of public health and is emerging as effective in others. Policy may be especially important for rural communities, where residents face serious health and economic disparities and local health departments (LHDs) lack resources to provide necessary services. Data from the 2008 National Association of County and City Health Officials National Profile of Local Health Departments were used to examine policy activity (eg, policy development; communication with policymakers) and policy adoption in a sample of 454 LHDs. Results indicate policy activity was low in some policy areas for all LHDs and lowest in all policy areas for rural departments. Policy activities had significant positive relationships with policy adoption for land use (φ = 0.31; P rural, suburban, and urban LHDs. Significant positive correlations were also identified between overall levels of policy activity and any policy adoption (r = 0.16-0.27; P < .05). Local health departments should increase participation in policy activity to facilitate public health policy adoption nationwide.

  4. Thai Hospitals' Adoption of Information Technology: A Theory Development and Nationwide Survey (United States)

    Theera-Ampornpunt, Nawanan


    Background: With documented benefits and recent public policies, health information technology (IT) has received increasing attention in recent years. However, knowledge about Thailand's state of hospital IT adoption is lacking. The literature also identifies organizational management practices that are important to health IT implementation, but…

  5. Romanian Policy-Mix to Adopting Euro

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    Cristian Socol


    Full Text Available This paper evaluates the present estate of Euro implementation in Monetary and EconomicUnion (EMU and Romanian position in this context. The Romanian admittance in EU at January 2007increased the interest to study the transmission and coordination mechanisms, related to mix commonmonetary policy – different fiscal policy across the countries in the Euro area. Our study focuses on theconsequences of Romanian admittance in Euro Zone in 2014 and optimal policy-mix to good preparationto accomplish this target. The controversies between economists regarding the construction processof EMU remain large. What are the consequences of implementing the “tye-hands” strategy for Romanianfinancial authorities? Can Romania solve the potential conflict between real and nominal convergencerelating the European integration? What is the best strategy for Romania with the aim to obtain afaster real convergence with the European Union countries? Can Romania maximize the benefits toadopting Euro in 2014?

  6. Arts Curriculum Implementation: "Adopt and Adapt" as Policy Translation (United States)

    Chapman, Sian; Wright, Peter; Pascoe, Robin


    This article examines macro, meso, and micro understandings of policy enactment within Western Australian primary school arts education where a new national arts curriculum is being revised and implemented through a process colloquially known as "adopt and adapt." This article focuses on how a government-led implementation policy has…

  7. Challenges : adopting GIS for diplomacy and foreign policy (United States)

    Christian, Carol

    Foreign policy and diplomacy are, by definition, location specific. GIS-related tools can be useful to decision makers and problem solvers to merge diverse data that impinges on policy issues. While to a degree, such technologies have been adopted for natural disaster response, security, and environmental studies, widespread adoption of GIS into policy tasks has been slow. Decision makers and nonexperts are reluctant to assimilate new tools into old cultures because of a number of hurdles. Yet clearly, information sharing would be advantageous and allow visualization of information and situations in a more productive environment. This presentation will touch upon some of the challenges and stimulate discussion.

  8. The effect of policy incentives on electric vehicle adoption

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    Langbroek, Joram H.M.; Franklin, Joel P.; Susilo, Yusak O.


    In order to increase the attractiveness of electric vehicles (EVs), packages of policy incentives are provided in many countries. However, it is still unclear how effective different policy incentives are. Also, it is questionable that they have the same impact on different groups of people. In this study, based on a stated-choice experiment, the effect of several potential policy incentives on EV-adoption, as well as the influence of socio-psychological determinants are investigated, using constructs of the Transtheoretical Model of Change (TTM) and the Protection Motivation Theory (PMT). The probability of stated EV-adoption increases if policy incentives are offered in the choice experiment, which is expected because of the decrease of the generalized cost of EV-use. The high stated valuation of free parking or access to bus lanes makes those incentives an efficient alternative to expensive subsidies. EV-adoption probability increases for people that are further in the process of behavioural change. However, the responsiveness to subsidies decreases for people in more advanced stages-of-change. People that believe EVs to be effective in decreasing the negative externalities of the current transport system and people whose travel patterns can cope with the use of EVs also have a higher probability to choose the EV. - Highlights: •Policy incentives have a positive influence on electric vehicle adoption. •Being in advanced stages-of-change to EV-adoption increases likelihood to adopt EVs. •People in more advanced stages-of-change to EV-adoption are less price-sensitive. •People with a high self-efficacy and response efficacy are more likely to adopt EVs.

  9. Policy Adoption of Forest Management Unit: A Knowledge Diffusion Analysis

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    Julijanti Julijanti


    Full Text Available Within the policy adoption process of Forest Management Unit (FMU concept, there has been disagreement of stakeholders on FMUs concept. This disagreement is caused by the exchange of knowledge, information, and perception among stakeholders involved. The results of these interactions could speed up, slow down, and prevent the adoption process of FMU policy. The study objective was analyzing process of knowledge diffusion of FMUs development policy and stakeholders interaction in PFMU Batutegi and PFMU Kotaagung Utara, Indonesia. Adoption process was analyzed by the logical diffusion technique based on knowledge time of FMUs concept received and its interaction space. Social interaction among stakeholders was analyzed using method developed by International Development Studies analysis, i.e. interaction among discourse/narrative, actors/networks and politics/interests. The results showed that knowledge diffusion of FMUs concept in both PFMU tends to cascade diffusion. Factors was affecting of it process were network, role of opinion leaders, willingness to know, and understand on FMUs concept. Indicative strategy is needed as anticipating and overcoming an obstacle in its internalization process, i.e. harmonization of legislative and executive relationship, building an opinion the importance of FMU, and optimalizing network for bureaucratic problems. Keywords: Forest Management Unit, knowledge diffusion, network, policy adoption

  10. Forensic and policy implications of the transracial adoption debate. (United States)

    Griffith, E E


    The adoption of black children by white families continues to garner significant attention from legislatures, the media, and scholars in many disciplines. Still, forensic psychiatrists have said little about this form of transracial adoption, and they seem willing to allow other disciplines to map out singlehandedly the public policy in this area. This policy is expected to affect an estimated 175,000 black children nationally who live in some form of out-of-home placement. Forensic psychiatrists should increase their understanding of and involvement in the debate over this special form of adoption. This article highlights several principles that must be better understood if forensic psychiatrists are to participate in the debate with clarity and understanding.

  11. Policy Adoption of Forest Management Unit: A Knowledge Diffusion Analysis

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    Full Text Available Within the policy adoption process of Forest Management Unit (FMU concept, there has been disagreement of stakeholders on FMUs concept. This disagreement is caused by the exchange of knowledge, information, and perception among stakeholders involved. The results of these interactions could speed up, slow down, and prevent the adoption process of FMU policy. The study objective was analyzing process of knowledge diffusion of FMUs development policy and stakeholders interaction in PFMU Batutegi and PFMU Kotaagung Utara, Indonesia. Adoption process was analyzed by the logical diffusion technique based on knowledge time of FMUs concept received and its interaction space. Social interaction among stakeholders was analyzed using method developed by International Development Studies analysis, i.e. interaction among discourse/narrative, actors/networks and politics/interests. The results showed that knowledge diffusion of FMUs concept in both PFMU tends to cascade diffusion. Factors was affecting of it process were network, role of opinion leaders, willingness to know, and understand on FMUs concept. Indicative strategy is needed as anticipating and overcoming an obstacle in its internalization process, i.e. harmonization of legislative and executive relationship, building an opinion the importance of FMU, and optimalizing network for bureaucratic problems.

  12. A policy framework for accelerating adoption of new vaccines (United States)

    Hajjeh, Rana; Wecker, John; Cherian, Thomas; O'Brien, Katherine L; Knoll, Maria Deloria; Privor-Dumm, Lois; Kvist, Hans; Nanni, Angeline; Bear, Allyson P; Santosham, Mathuram


    Rapid uptake of new vaccines can improve health and wealth and contribute to meeting Millennium Development Goals. In the past, however, the introduction and use of new vaccines has been characterized by delayed uptake in the countries where the need is greatest. Based on experience with accelerating the adoption of Hib, pneumococcal and rotavirus vaccines, we propose here a framework for new vaccine adoption that may be useful for future efforts. The framework organizes the major steps in the process into a continuum from evidence to policy, implementation and finally access. It highlights the important roles of different actors at various times in the process and may allow new vaccine initiatives to save time and improve their efficiency by anticipating key steps and actions. PMID:21150269

  13. Rate of electronic health record adoption in South Korea: A nation-wide survey. (United States)

    Kim, Young-Gun; Jung, Kyoungwon; Park, Young-Taek; Shin, Dahye; Cho, Soo Yeon; Yoon, Dukyong; Park, Rae Woong


    The adoption rate of electronic health record (EHR) systems in South Korea has continuously increased. However, in contrast to the situation in the United States (US), where there has been a national effort to improve and standardize EHR interoperability, no consensus has been established in South Korea. The goal of this study was to determine the current status of EHR adoption in South Korean hospitals compared to that in the US. All general and tertiary teaching hospitals in South Korea were surveyed regarding their EHR status in 2015 with the same questionnaire as used previously. The survey form estimated the level of adoption of EHR systems according to 24 core functions in four categories (clinical documentation, result view, computerized provider order entry, and decision supports). The adoption level was classified into comprehensive and basic EHR systems according to their functionalities. EHRs and computerized physician order entry systems were used in 58.1% and 86.0% of South Korean hospitals, respectively. Decision support systems and problem list documentation were the functions most frequently missing from comprehensive and basic EHR systems. The main barriers cited to adoption of EHR systems were the cost of purchasing (48%) and the ongoing cost of maintenance (11%). The EHR adoption rate in Korean hospitals (37.2%) was higher than that in US hospitals in 2010 (15.1%), but this trend was reversed in 2015 (58.1% vs. 75.2%). The evidence suggests that these trends were influenced by the level of financial and political support provided to US hospitals after the HITECH Act was passed in 2009. The EHR adoption rate in Korea has increased, albeit more slowly than in the US. It is logical to suggest that increased funding and support tied to the HITECH Act in the US partly explains the difference in the adoption rates of EHRs in both countries. Copyright © 2017 Elsevier B.V. All rights reserved.

  14. Tobacco Control Policy Adoption Dynamics: A Case Study of Missouri Communities. (United States)

    Everett, Kevin D; Chadwick, Ginny; Cowan, Stanley R; Kinkade, Emily


    Tobacco control policies reduce the health and economic burden caused by tobacco. With over half of the United States communities lacking adequate protective policies, an examination of policy adoption factors can provide insights to facilitate policy adoption. A case study approach examines the rate of adoption, prominent media frames, policy leaders' perceptions and coalition activities for smokefree and Tobacco 21 policies adopted in Missouri. Findings show compared to smokefree policy, Tobacco 21 requires a considerably shorter timeframe and fewer resources for adoption. Tobacco 21 coalitions target a small group of stakeholders compared to smokefree coalitions' emphasis on broad community engagement. Both policies are formally opposed, but elected officials perceive less political risk supporting Tobacco 21. As a new tobacco control policy tool, Tobacco 21 has relative advantage that should be considered by community health advocates.

  15. Adoption policy and evidence-based domestic adoption practice: a comparison of Romania, Ukraine, India, Guatemala, and Ethiopia. (United States)

    Groza, Victor; Bunkers, Kelley M


    The United Nations Convention on the Rights of the Child (1989), The Hague Convention on the Protection of Children and Co-operation in Respect of Intercountry Adoption (The Hague Permanent Bureau, 1993), and the Guidelines for the Alternative Care of Children (2009) have provided a comprehensive, rights-based framework and guidance for developing domestic adoption and alternative, family based care programs. Domestic adoption is a critical component of any child-protection system and a core part of the range of alternative care options that the United Nations and other international organizations recommend be developed, resourced, and made accessible to children without parental care. This article uses data collected from adoptive parents' postadoption and governmental data in Romania, Ukraine, India, Guatemala, and Ethiopia to focus on domestic adoption in each of these countries. The article highlights both promising practices in domestic adoption as well as policies and practices that require additional research. © 2014 Michigan Association for Infant Mental Health.

  16. Public policies for hybrid-electric vehicles: The impact of government incentives on consumer adoption (United States)

    Diamond, David B.

    This dissertation examines the outcomes and effectiveness of public policies designed to promote the adoption of hybrid-electric vehicles (HEVs). As a primary methodology, I employ cross-sectional analysis of hybrid registration data over time for U.S. states and Virginia municipalities to examine the relationship between hybrid adoption and a variety of socioeconomic and policy variables. I also compare hybrid adoption patterns over time to the U.S. average for specific states that have changed incentive policies, to determine whether these policy changes are consistent with significant changes in adoption patterns. The results of these analyses suggest a strong relationship between gasoline prices and hybrid adoption, but a much weaker relationship between incentive policies and hybrid adoption. Incentives that allow hybrids to access High Occupancy Vehicle (HOV) lanes with only one occupant may also be effective in promoting adoption, but only under specific circumstances and with the potential for significant unintended consequences.

  17. Adoption of Obesity Prevention Policies and Practices by Australian Primary Schools: 2006 to 2013 (United States)

    Nathan, N.; Wolfenden, L.; Williams, C. M.; Yoong, S. L.; Lecathelinais, C.; Bell, A. C.; Wyse, R.; Sutherland, R.; Wiggers, J.


    Despite significant investment in many countries, the extent of schools' adoption of obesity prevention policies and practices has not been widely reported. The aims of this article are to describe Australian schools' adoption of healthy eating and physical activity policies and practices over an 8-year period and to determine if their adoption…

  18. The Ripple Effect of Virginia Tech: Assessing the Nationwide Impact on Campus Safety and Security Policy and Practice (United States)

    Rasmussen, Chris; Johnson, Gina


    This report is the result of a nationwide survey conducted in March 2008 of student life officers and campus safety directors to assess the impact of the April 2007 shootings at Virginia Tech on campus safety and security policy and practice. Discussion areas include: (1) Student Privacy vs. Need-to-Know; (2) Prevention, Mitigation and Recovery;…

  19. Adopting and Implementing CSR Policies in Travel Agency Business: The Case of Romania

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    Ovidiu-Ioan Moisescu


    Full Text Available The paper investigates the extent to which Romania’s largest travel agencies adopt and implement corporate social responsibility (CSR policies, correlating these findings with their business performance reflected by their net turnover and net profit. In order to evaluate the level of CSR policies adoption and implementation, an online survey was conducted among top managers from each travel agency. The questionnaire comprised several sets of items reflecting workplace, environmental, marketplace, community, and, respectively, company values policies. Our results point to the fact that the CSR policies adopted and implemented to the highest degree are those concerning the marketplace, while the least embraced CSR policies refer to the environment. Our findings also suggest that there are several CSR policies which are adopted and implemented to a higher degree by larger travel agencies in terms of net turnover, while some other CSR policies are adopted more thoroughly by smaller ones. The results also indicate positive correlations between the profitability of travel agencies and the adoption and implementation of certain CSR policies. Last but not least, our research suggests that marketplace policies adoption and implementation could have a significant positive impact on business performance of travel agencies in terms of both net turnover and net profitability.

  20. Parental Ethnotheories and Family Language Policy in Transnational Adoptive Families (United States)

    Fogle, Lyn Wright


    Family language policy refers to explicit and overt decisions parents make about language use and language learning as well as implicit processes that legitimize certain language and literacy practices over others in the home. Studies in family language policy have emphasized the ways in which family-internal processes are shaped by and shape…

  1. The bit in the middle: a synthesis of global health literature on policy formulation and adoption. (United States)

    Berlan, David; Buse, Kent; Shiffman, Jeremy; Tanaka, Sonja


    Policy formulation and adoption are poorly understood phases of the health policy process. We conducted a narrative synthesis of 28 articles on health policy in low- and middle-income countries to provide insight on what kinds of activities take place in these phases, the actors crafting policies and the institutions in which policy making occurs. The narrative synthesis involved an inductive process to identify relevant articles, extract relevant data from text and reach new understandings. We find that actors exercising decision-making power include not just various governmental entities, but also civil society, commissioners, nongovernmental organizations and even clergy. We also find that most articles identified two or more distinct institutions in which policy formulation and adoption occurred. Finally, we identify seven distinct activities inherent in policy formulation and adoption: generation of policy alternatives, deliberation and/or consultation, advocacy of specific policy alternatives, lobbying for specific alternatives, negotiation of policy decisions, drafting or enacting policy and guidance/influence on implementation development. Health policy researchers can draw on these categories to deepen their understanding of how policy formulation and adoption unfolds. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2014; all rights reserved.

  2. Economic Motives for Adopting LGBT-Related Workplace Policies (Updated)


    Mallory, Christy; Sears, Brad


    Over ninety percent of the 100 top companies in the U.S.—the top 50 federal contractors and the top 50 Fortune 500 companies—have policies prohibiting discrimination based on sexual orientation, and 78% of the companies have policies prohibiting discrimination based on gender identity. In comparison to a 2011 study, based on 2010 data, there has been a 50% increase in the number of top federal contractors with gender identity non-discrimination policies and a 26% increase in the number of top...

  3. Adoption (United States)

    ... adopted to want to know more about their birth history. Usually a big question is why the birth ... of people want to know about their health history. When people are curious about their birth family, it doesn't mean they don't ...

  4. Mental Health Policy Adoption as a Seminal Event: A Response to Recent Commentaries

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    Gordon C Shen


    Full Text Available The leadership for mental health is not commensurate with the burden of mental, neurological, and substance (MNS use disorders nationally or internationally. This is a sentiment I share with Prof. Jenkins (1 and Ms. Lee (2. With that said, I would like to make two clarifications about my study and two concomitant acknowledgements about its limitations (3. First, I conceptualized national mental health policy adoption as an isolated event. Policy adoption is one – albeit pivotal – node embedded in a ratification process. Second, I focused solely on external actors’ influence on policy adoption. Politics and policy are intertwined, and there are certainly actors situated inside, as well as outside, each country who are engaged with mental health policy-making, but they were not addressed by my study. I will elaborate on what I set out to do before giving pointed responses to their comments.

  5. Adopting and Implementing Globalised Policies of Intercultural Education: The Example of Cyprus (United States)

    Hajisoteriou, Christina; Angelides, Panayiotis


    Globalisation has heavily influenced the terrain of intercultural education policy development and implementation in multiple countries around the world. To this end, in this article, we seek to introduce a broader focus of analysis encompassing not only the development of globalised policies of intercultural education, but also the adoption,…

  6. Expanding Downward: Innovation, Diffusion, and State Policy Adoptions of Universal Preschool (United States)

    Curran, F. Chris


    Framed within the theoretical framework of policy innovation and diffusion, this study explores both interstate (diffusion) and intrastate predictors of adoption of state universal preschool policies. Event history analysis methodology is applied to a state level dataset drawn from the Census, the NCES Common Core, the Book of the States, and…

  7. Do Farm Advisory Services Improve Adoption of Rural Development Policies? An Empirical Analysis in GI Areas (United States)

    De Rosa, Marcello; Bartoli, Luca


    Purpose: The aim of the paper is to evaluate how advisory services stimulate the adoption of rural development policies (RDP) aiming at value creation. Design/methodology/approach: By linking the use of agricultural extension services (AES) to policies for value creation, we will put forward an empirical analysis in Italy, with the aim of…


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    Zapodeanu Daniela


    Full Text Available Abstract: The evolution of monetary aggregates is closely related to the economic cycle, especially the evolution of GDP. The study aims to analyse the primary monetary aggregates (M1, the secondary (M2 and the tertiary (M3 in three Central and Eastern European countries: Romania, Bulgaria and Poland. The countries were chosen as follows: Romania and Bulgaria on the basis of the economic and geographical closeness and Poland as a benchmark for the first group. The data used are money supply, monetary aggregates: primary, secondary and tertiary, in Romania, Poland and Bulgaria, for the period January 2004 - March 2011, the monthly series are obtained from central bank websites, Poland's Central Bank and Bulgarian National Statistical Institute. The evolution of monetary aggregates of the three countries was compared with the Euro area and it was noticed a high degree of similarity between countries more developed economically as compared to less developed countries. From the viewpoint of optimum currency areas, it is necessary that the countries that adopt the Euro would respond symmetrically to external shocks and also have similar economic behaviour. Our study aims, in this respect, to analyse the components and the characteristics of the monetary aggregates, as well as the trends existing within them. The analysis of the correlation between monetary aggregates will show how the way in which the monetary mass and aggregates behave and which the sense of connection established between these countries is. We find that Romania and Bulgaria have a similar comportment, the correlation between these being the highest, we observe some differences between Romania and Bulgaria versus Poland.

  9. The impact of environmental policy instruments on the timing of adoption of energy-saving technologies

    International Nuclear Information System (INIS)

    van Soest, Daan P.


    One of the main considerations in designing environmental policy is the impact of policy instruments on the timing of firms' investment decisions with respect to energy-saving technologies. This paper analyzes the impact of environmental taxes and quotas on the timing of adoption when (i) the rate at which new, improved energy-efficient technologies become available, is uncertain, and (ii) the investment decision is (at least partially) irreversible. We find that neither policy instrument is unambiguously preferred to the other when it comes to stimulating early adoption of new technologies. (author) (Environmental taxation; Command-and-control instruments; Dynamic efficiency; Stochasticity)

  10. The Role of Government Policies in the Adoption of Conservation Tillage in China: A Theoretical Model (United States)

    Ding, Ya


    In recent years, many areas of China have been facing increasing problems of soil erosion and land degradation. Conservation tillage, with both economic and ecological benefits, provides a good avenue for Chinese farmers to conserve land as well as secure food production. However, the adoption rate of conservation tillage systems is very low in China. In this paper, the author constructs a theoretical model to explain a farmer’s adoption decision of conservation tillage. The goal is to investigate potential reasons behind the low adoption rate and explores alternative policy tools that can help improve a farmer’s incentive to adopt conservation tillage in China.

  11. Adoption of an information systems security policy in small and medium sized enterprises.

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    Isabel Maria Lopes


    Full Text Available Information Systems Security (ISS is a relevant fact for current organizations. This paper focuses on Small and Medium Sized Enterprises (SMEs. This article aims to constitute an empirical study on the applicability of the Action Research (AR method in information systems, more specifically by assessing the adoption of an ISS policy in six SMEs, and identifying the critical success factors in adopting an ISS policy. The research question we intend to answer is to what extent this research method is adequate to reach the proposed goal. The results of the study suggest that AR is a promising means for the evaluation of ISS policies adoption. It can both act as a research method that improves the understanding about the reasons why the policy has been abandoned, and as a change method, assisting practitioners to overcome barriers and suggesting measures to be implemented.

  12. Population Policy Adoption in Sub-Saharan Africa: An Interplay of Global and Local Forces

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    Robinson Rachel Sullivan


    Full Text Available Sub-Saharan African countries have the highest population growth rates in the world, and are also the poorest. In response to a variety of global and local forces, during the 1980s and 1990s two thirds of sub- Saharan African countries adopted national population policies to reduce population growth. Drawing from existing research and using the texts of population policies to illustrate key points, this article summarises the factors that drove population policy adoption in the region. Globally, powerful donors with significant leverage promoted population policies as a solution to lagging socioeconomic development while international organizations spread norms about women’s rights and reproductive health. Locally, technocrats working within relevant ministries backed efforts to increase contraceptive prevalence, and population policies furthered political projects unrelated to population. The interplay of global and local forces led to governments adopting population policies. Ultimately, continued high desired fertility and limited implementation capacity have prevented population policies from significantly lowering fertility, but these policies have likely increased the availability of contraception, created important discursive space related to gender and sexuality, and provided countries with an opportunity to test procedures and approaches for policy-making on sensitive issues.

  13. Effects of adopting a smoke-free policy in state psychiatric hospitals. (United States)

    Hollen, Vera; Ortiz, Glorimar; Schacht, Lucille; Mojarrad, Maryam G; Lane, G Michael; Parks, Joseph J


    The aim of this study was to investigate how adopting a smoke-free policy in state psychiatric hospitals affected key factors, including adverse events, smoking cessation treatment options, and specialty training for clinical staff about smoking-related issues. Hospitals were surveyed in 2006 and 2008 about their smoking policies, smoking cessation aids, milieu management, smoking cessation treatment options, and aftercare planning and referrals for smoking education. Comparisons were made between hospitals that went smoke-free between the two time periods (N=28) and those that did not (N=42). Among hospitals that changed to a smoke-free policy, the proportion that reported adverse events decreased by 75% or more in three areas: smoking or tobacco use as a precursor to incidents that led to seclusion or restraint, smoking-related health conditions, and coercion or threats among patients and staff. Hospitals that did not adopt a smoke-free policy cited several barriers, including resistance from staff, patients, and advocates. Although staff were concerned that implementing a smoke-free policy would have negative effects, this was not borne out. Findings indicated that adopting a smoke-free policy was associated with a positive impact on hospitals, as evidenced by a reduction in negative events related to smoking. After adoption of a smoke-free policy, fewer hospitals reported seclusion or restraint related to smoking, coercion, and smoking-related health conditions, and there was no increase in reported elopements or fires. For hospitals adopting a smoke-free policy in 2008, there was no significant difference between 2006 and 2008 in the number offering nicotine replacement therapies or clinical staff specialty training. Results suggest that smoking cessation practices are not changing in the hospital as a result of a change in policy.

  14. Telehealth among US hospitals: several factors, including state reimbursement and licensure policies, influence adoption. (United States)

    Adler-Milstein, Julia; Kvedar, Joseph; Bates, David W


    Telehealth is widely believed to hold great potential to improve access to, and increase the value of, health care. Gaining a better understanding of why some hospitals adopt telehealth technologies while others do not is critically important. We examined factors associated with telehealth adoption among US hospitals. Data from the Information Technology Supplement to the American Hospital Association's 2012 annual survey of acute care hospitals show that 42 percent of US hospitals have telehealth capabilities. Hospitals more likely to have telehealth capabilities are teaching hospitals, those equipped with additional advanced medical technology, those that are members of a larger system, and those that are nonprofit institutions. Rates of hospital telehealth adoption by state vary substantially and are associated with differences in state policy. Policies that promote private payer reimbursement for telehealth are associated with greater likelihood of telehealth adoption, while policies that require out-of-state providers to have a special license to provide telehealth services reduce the likelihood of adoption. Our findings suggest steps that policy makers can take to achieve greater adoption of telehealth by hospitals.

  15. Timing and Commitment of Environmental Policy, Adoption of New Technology, and Repercussions on R and D

    International Nuclear Information System (INIS)

    Requate, T.


    We investigate the interplay between environmental policy, incentives to adopt new technology, and repercussions on R and D. We study a model where a monopolistic upstream firm engages in R and D and sells advanced abatement technology to polluting downstream firms. We consider four different timing and commitment regimes of environmental tax and permit policies: ex post taxation (or issuing permits), interim commitment to a tax rate (a quota of permits) after observing R and D success but before adoption, and finally two types of ex antecommitment before R and D activity, one with a unique tax rate (quota of permits), the other one with a menu of tax rates (permit quotas). We study the second best tax and permit policies and rank these with respect to welfare. In particular, we find that commitment to a menu of tax rate dominates all other policy regimes

  16. Extent and types of small-scale wind policies in the U.S. states: Adoption and effectiveness

    International Nuclear Information System (INIS)

    Wiener, Joshua G.; Koontz, Tomas M.


    Renewable energy sources, including wind, are increasingly promoted by U.S. state governments. Using state-level data and survey responses from energy officials in 44 states, this study catalogs the extent and types of small wind policies adopted by states. It examines the factors correlated with policy adoption, and perceptions about which policy tools are most effective. Results indicate that 84% of the states participating in the survey have adopted at least one policy to promote small wind technologies, and most have adopted several policies. The most frequent policy is net metering, and this policy tool was also perceived to be one of the most effective at encouraging businesses and consumers to install small wind technologies. However, several other policy tools perceived to be most effective at promoting small wind installations have been adopted by relatively few states. This identified gap suggests opportunities for improving policy effectiveness. In explaining factors associated with adoption of policy tools, we find support for variables comprising both the policy diffusion and internal determinants models of policy adoption, including state commitment to environmental protection and policy innovations, citizen ideology, per capita wealth, energy policy network communications, and desire to be viewed as an environmental leader.

  17. Adoption and Design of Emerging Dietary Policies to Improve Cardiometabolic Health in the US. (United States)

    Huang, Yue; Pomeranz, Jennifer; Wilde, Parke; Capewell, Simon; Gaziano, Tom; O'Flaherty, Martin; Kersh, Rogan; Whitsel, Laurie; Mozaffarian, Dariush; Micha, Renata


    Suboptimal diet is a leading cause of cardiometabolic disease and economic burdens. Evidence-based dietary policies within 5 domains-food prices, reformulation, marketing, labeling, and government food assistance programs-appear promising at improving cardiometabolic health. Yet, the extent of new dietary policy adoption in the US and key elements crucial to define in designing such policies are not well established. We created an inventory of recent US dietary policy cases aiming to improve cardiometabolic health and assessed the extent of their proposal and adoption at federal, state, local, and tribal levels; and categorized and characterized the key elements in their policy design. Recent federal dietary policies adopted to improve cardiometabolic health include reformulation (trans-fat elimination), marketing (mass-media campaigns to increase fruits and vegetables), labeling (Nutrition Facts Panel updates, menu calorie labeling), and food assistance programs (financial incentives for fruits and vegetables in the Supplemental Nutrition Assistance Program (SNAP) and Women, Infant and Children (WIC) program). Federal voluntary guidelines have been proposed for sodium reformulation and food marketing to children. Recent state proposals included sugar-sweetened beverage (SSB) taxes, marketing restrictions, and SNAP restrictions, but few were enacted. Local efforts varied significantly, with certain localities consistently leading in the proposal or adoption of relevant policies. Across all jurisdictions, most commonly selected dietary targets included fruits and vegetables, SSBs, trans-fat, added sugar, sodium, and calories; other healthy (e.g., nuts) or unhealthy (e.g., processed meats) factors were largely not addressed. Key policy elements to define in designing these policies included those common across domains (e.g., level of government, target population, dietary target, dietary definition, implementation mechanism), and domain-specific (e.g., media channels

  18. A Statewide Movement to Promote the Adoption of Tobacco-Free School Policies (United States)

    Summerlin-Long, Shelley K.; Goldstein, Adam O.


    Background: Since most tobacco users become addicted to nicotine as teenagers, prevention efforts for youth remain central to comprehensive prevention programs. National and state efforts that encourage adoption and enforcement of comprehensive tobacco-free school (TFS) policies can lead to significant reductions of youth tobacco use. In 2003,…

  19. 13 CFR 107.503 - Licensee's adoption of an approved valuation policy. (United States)


    ... BUSINESS INVESTMENT COMPANIES Managing the Operations of a Licensee General Requirements § 107.503 Licensee... of your Loans and Investments. You must either: (1) Adopt without change the model valuation policy... report material adverse changes in valuations at least quarterly, within thirty days following the close...

  20. 7 CFR 4290.503 - RBIC's adoption of an approved valuation policy. (United States)


    ... INVESTMENT COMPANY (âRBICâ) PROGRAM Managing the Operations of a RBIC General Requirements § 4290.503 RBIC's... either: (1) Adopt without change the model valuation policy set forth in section III of the Valuation.... (c) Responsibility for valuations. Your board of directors, managing member(s), or general partner(s...

  1. ICT policy to foster interorganisational ICT adoption by SMEs: The Netherlands Goes Digital case

    NARCIS (Netherlands)

    Plomp, M.G.A.; Batenburg, R.S.; den Hertog, P.; Devos, J.; van Landeghem, H.; Deschoolmeester, D.


    SMEs are of vital importance for our economy and society. However, they lag behind in their adoption of ICT, particularly interorganisational ICT. Many countries have put policy programmes in place to improve SMEs on this aspect. Previous research provides unclear evidence on the effectiveness of

  2. External determinants for the adoption of stationary fuel cells-Infrastructure and policy issues

    International Nuclear Information System (INIS)

    Karger, Cornelia R.; Bongartz, Richard


    This paper investigates the relevance of external determinants for the adoption of stationary fuel cells (FCs) by different user groups with respect to the marketability of this innovative technology. FCs allow electricity and heat to be decentrally generated in an energy-efficient and potentially environmentally friendly manner. European energy policy is undertaking efforts to increase the proportion of combined heat and power (CHP) plants. A series of studies have spoken of their considerable market potential. A qualitative study was conducted with six focus groups consisting of 49 commercial users and six focus groups with 54 private consumers. The results of the study show that the specific infrastructure required for decentralisation and policy issues are highly relevant for the user adoption of FCs. Security of supply when energy generation is more strongly decentralised, reliable maintenance of the system, and clear political objectives are examples of factors that are considered essential prerequisites for the adoption of this technology

  3. Accelerating policy decisions to adopt haemophilus influenzae type B vaccine: a global, multivariable analysis.

    Directory of Open Access Journals (Sweden)

    Jessica C Shearer


    Full Text Available Adoption of new and underutilized vaccines by national immunization programs is an essential step towards reducing child mortality. Policy decisions to adopt new vaccines in high mortality countries often lag behind decisions in high-income countries. Using the case of Haemophilus influenzae type b (Hib vaccine, this paper endeavors to explain these delays through the analysis of country-level economic, epidemiological, programmatic and policy-related factors, as well as the role of the Global Alliance for Vaccines and Immunisation (GAVI Alliance.Data for 147 countries from 1990 to 2007 were analyzed in accelerated failure time models to identify factors that are associated with the time to decision to adopt Hib vaccine. In multivariable models that control for Gross National Income, region, and burden of Hib disease, the receipt of GAVI support speeded the time to decision by a factor of 0.37 (95% CI 0.18-0.76, or 63%. The presence of two or more neighboring country adopters accelerated decisions to adopt by a factor of 0.50 (95% CI 0.33-0.75. For each 1% increase in vaccine price, decisions to adopt are delayed by a factor of 1.02 (95% CI 1.00-1.04. Global recommendations and local studies were not associated with time to decision.This study substantiates previous findings related to vaccine price and presents new evidence to suggest that GAVI eligibility is associated with accelerated decisions to adopt Hib vaccine. The influence of neighboring country decisions was also highly significant, suggesting that approaches to support the adoption of new vaccines should consider supply- and demand-side factors.

  4. A comparison of adoptive parents' perceptions of their child's behavior among Indian children adopted to Norway, the United States, and within country: implications for adoption policy. (United States)

    Brown, Suzanne; Groza, Victor


    The Hague Convention on the Protection of Children suggests that intercountry adoption be considered as a permanent care option only after other solutions within the child's country of origin have been exhausted. Data from the Child Behavior Checklist (CBCL) were examined for 478 Indian children ages 4-18 adopted domestically, adopted to Norway, and adopted to the United States. The CBCL has a reported reliability of .9 (Achenbach, 1991; Achenbach & Edelbrock, 1983) and contains five subscales assessing internalizing problems plus a summative Internalizing Scale, and three subscales assessing externalizing problems plus a summative Externalizing Scale. Perceptions of Norwegian, American, and Indian adoptive parents regarding their child's functioning were compared. Children adopted to Norway and the United States were perceived by their parents to be functioning significantly better behaviorally than children adopted within country, while controlling for age of child and gender of adoptive parent completing the CBCL. Policymakers should examine the evidence prioritizing within country adoption over intercountry adoption.

  5. Impact of environmental policies on the adoption of manure management practices in the Chesapeake Bay watershed. (United States)

    Savage, Jeff A; Ribaudo, Marc O


    Pollution in the Chesapeake Bay is a problem and has been a focus of federal and state initiatives to reduce nutrient pollution from agriculture and other sources since 1983. In 2010 EPA established a TMDL for the watershed. Producers may voluntarily respond to intense and focused policy scrutiny by adopting best management practices. A detailed analysis of water quality best management practices by animal feeding operations inside and outside the watershed yield insight into this relationship. Our findings support the hypothesis that farmers will adopt water quality measures if links are made clear and there is an expectation of future regulations. Published by Elsevier Ltd.

  6. A longitudinal study assessing childcare services' adoption of obesity prevention policies and practices. (United States)

    Yoong, Sze Lin; Finch, Meghan; Nathan, Nicole; Wiggers, John; Lecathelinais, Christophe; Jones, Jannah; Dodds, Pennie; Wolfenden, Luke


    Despite ongoing investments to improve the obesogenic environments of childcare settings, little is known regarding how these services have changed their physical activity and nutrition-promoting practices. This study aims to describe changes in the proportion of Australian childcare services that have adopted best-practice healthy eating and physical activity practices between 2006 and 2013 and to assess whether adoption varied by socio-economic status and locality. A randomly selected sample of nominated supervisors (n = 358) from childcare services located in New South Wales, Australia, participated in a telephone survey in 2006, 2009, 2010 and 2013. Supervisors reported on their service's adoption of six practices: (i) having written nutrition and physical activity policies; (ii) staff trained in physical activity and nutrition in the past year; (iii) scheduled time for fundamental movement skills and (iv) outdoor play; (v) weekly or less screen time opportunities; and (vi) serving only non-sweetened beverages. A significant increase in the prevalence of services adopting all but one practice, between 2006 and 2013 was identified. Ninety one percent of services adopted four or more practices, a significant increase from 38% in 2006. There were no differences in the proportion of services adopting each practice by locality and socio-economic status. Government investment in obesity prevention programmes can equitably improve childcare service's adoption of healthy eating and physical activity promoting practices on a jurisdiction-wide basis. The establishment of a routine system to monitor adoption of a broader range of practices by childcare services is warranted. © 2016 Paediatrics and Child Health Division (The Royal Australasian College of Physicians).

  7. Adoption, infertility, and the new reproductive technologies: problems and prospects for social work and welfare policy. (United States)

    Holbrook, S M


    In this article, the author examines the social and psychological issues raised by infertility and addresses problems resulting from the increasing commercialization of children through adoption practices as well as through the proliferation of new reproductive technologies. The author begins with a discussion of infertility and considers some aspects of adoption, the traditional solution to infertility. Some historical, technical, ethical, psychological, and social aspects of artificial insemination, along with newer developments of surrogacy, such as in vitro fertilization and frozen embryos, also are discussed. Recommendations are suggested for meeting the service needs of people who have problems associated with infertility. Finally, the author stresses the importance of research along with the necessity for social workers to take a leadership role in helping society both to understand the ethical issues related to and to develop enlightened public policy on infertility, adoption, and the new reproductive technologies.

  8. Adoption Agency Perspectives on Lesbian and Gay Prospective Parents: A National Study. (United States)

    Brodzinsky, David M.; Patterson, Charlotte J.; Vaziri, Mahnoush


    A nation-wide survey of adoption agencies examined policies, practices, and attitudes regarding lesbian/gay prospective adoptive parents. Attitudes and practices were found to vary as a function of agency religious affiliation. Many adoption professionals were willing to work with lesbian/gay prospective parents, and nearly 38 percent of…

  9. 77 FR 70181 - Request for Information on Adopting Smoke-Free Policies in Public Housing Agencies (PHAs) and... (United States)


    ... Adopting Smoke-Free Policies in Public Housing Agencies (PHAs) and Multifamily Housing: Reopening of Public... smoke-free policies for both public housing and multifamily housing. HUD was seeking information from... implementing smoke-free policies for both public housing and multifamily housing. In the October 4, 2012 notice...

  10. The use of individual and societal risk criteria within the Dutch flood safety policy--nationwide estimates of societal risk and policy applications. (United States)

    Jonkman, Sebastiaan N; Jongejan, Ruben; Maaskant, Bob


    The Dutch government is in the process of revising its flood safety policy. The current safety standards for flood defenses in the Netherlands are largely based on the outcomes of cost-benefit analyses. Loss of life has not been considered separately in the choice for current standards. This article presents the results of a research project that evaluated the potential roles of two risk metrics, individual and societal risk, to support decision making about new flood safety standards. These risk metrics are already used in the Dutch major hazards policy for the evaluation of risks to the public. Individual risk concerns the annual probability of death of a person. Societal risk concerns the probability of an event with many fatalities. Technical aspects of the use of individual and societal risk metrics in flood risk assessments as well as policy implications are discussed. Preliminary estimates of nationwide levels of societal risk are presented. Societal risk levels appear relatively high in the southwestern part of the country where densely populated dike rings are threatened by a combination of river and coastal floods. It was found that cumulation, the simultaneous flooding of multiple dike rings during a single flood event, has significant impact on the national level of societal risk. Options for the application of the individual and societal risk in the new flood safety policy are presented and discussed. © 2010 Society for Risk Analysis.

  11. Integrated community case management in Malawi: an analysis of innovation and institutional characteristics for policy adoption. (United States)

    Rodríguez, Daniela C; Banda, Hastings; Namakhoma, Ireen


    In 2007, Malawi became an early adopter of integrated community case management for childhood illnesses (iCCM), a policy aimed at community-level treatment for malaria, diarrhoea and pneumonia for children below 5 years. Through a retrospective case study, this article explores critical issues in implementation that arose during policy formulation through the lens of the innovation (i.e. iCCM) and of the institutions involved in the policy process. Data analysis is founded on a documentary review and 21 in-depth stakeholder interviews across institutions in Malawi. Findings indicate that the characteristics of iCCM made it a suitable policy to address persistent challenges in child mortality, namely that ill children were not interacting with health workers on a timely basis and consequently were dying in their communities. Further, iCCM was compatible with the Malawian health system due to the ability to build on an existing community health worker cadre of health surveillance assistants (HSAs) and previous experiences with treatment provision at the community level. In terms of institutions, the Ministry of Health (MoH) demonstrated leadership in the overall policy process despite early challenges of co-ordination within the MoH. WHO, United Nations Children's Fund (UNICEF) and implementing organizations played a supportive role in their position as knowledge brokers. Greater challenges were faced in the organizational capacity of the MoH. Regulatory issues around HSA training as well as concerns around supervision and overburdening of HSAs were discussed, though not fully addressed during policy development. Similarly, the financial sustainability of iCCM, including the mechanisms for channelling funding flows, also remains an unresolved issue. This analysis highlights the role of implementation questions during policy development. Despite several outstanding concerns, the compatibility between iCCM as a policy alternative and the local context laid the

  12. Diffusion of innovation in mental health policy adoption: what should we ask about the quality of policy and the role of stakeholders in this process? Comment on "Cross-national diffusion of mental health policy". (United States)

    Lee, Lucy


    In his recent study, Gordon Shen analyses a pertinent question facing the global mental health research and practice community today; that of how and why mental health policy is or is not adopted by national governments. This study identifies becoming a World Health Organization (WHO) member nation, and being in regional proximity to countries which have adopted a mental health policy as supportive of mental health policy adoption, but no support for its hypothesis that country recipients of higher levels of aid would have adopted a mental health policy due to conditionalities imposed on aid recipients by donors. Asking further questions of each may help to understand more not only about how and why mental health policies may be adopted, but also about the relevance and quality of implementation of these policies and the role of specific actors in achieving adoption and implementation of high quality mental health policies. © 2015 by Kerman University of Medical Sciences.

  13. Review of policies adopted in 34 Countries to improve diet and physical activity

    Directory of Open Access Journals (Sweden)

    Anna Ceccarelli


    Full Text Available

    Background: Today, obesity can be considered in most OECD and EU countries as an unprecedented public health challenge which has been underestimated, poorly assessed and not fully accepted as a strategic governmental problem with substantial economic implications.
    The aim of this paper is to provide a review of the major policy statements on diet and physical activity adopted in 34 OECD and other EU countries until 2008, and to point out similarities and differences between country approaches and factors that may explain them.

    Methods: Information about policies and interventions was mainly retrieved from official sources such as the WHO Regional Office for Europe nutrition policy database, and websites of Health Ministries and national public health institutions.

    Results: The review pointed out that almost all WHO and OECD Member States have government-approved policies on nutrition and food safety. Although countries have large data and documents on overweight and obesity, they do not seem to rely on them to define clear strategies and plans for action which, as a result, are often vague and unspecific.

    Conclusions: In order to reverse the obesity trend down to decent levels and to reach the lower socio-economic groups, concerted, multisectorial, long-term actions are needed in combination with a much larger political determination.

  14. Adoption of green electricity policies: Investigating the role of environmental attitudes via big data-driven search-queries

    International Nuclear Information System (INIS)

    Lee, Donghyun; Kim, Minki; Lee, Jungyoun


    Despite the rising influence of public opinion on government energy policy formulation and implementation, the roles of pro and/or anti-environmental attitudes among residents have not been empirically examined. To quantify time-varying environmental attitudes among local residents, we exploit geo-specific Google search-query data derived from Internet-based “big data” and verify through ordinary least squares regression outcomes regarding environmental behavior. For the purpose of drawing policy implications, we revisit decisions by state governments of the United States to adopt three well-known green electricity policies: renewable energy portfolio, net metering rules, and public benefit funds. As some states have not yet adopted some (or any) of these policies, unlike previous studies, we handle the issue by examining right-censored data and applying a duration-based econometric method called the accelerated failure time model. We found state residents’ environmental attitudes to have statistically significant roles, after controlling for other traditional time-varying policy adoption factors. Interestingly, the extent to which anti-environmental attitudes affect a state’s policy adoption differs across green energy policies, and knowing this can help a local government formulate better-tailored environmental policy. In particular, researchers can use our method of incorporating citizens’ environmental attitudes to discuss relevant issues in the field of energy policy.

  15. Assessing the impact of policy interventions on the adoption of plug-in electric vehicles: An agent-based model

    International Nuclear Information System (INIS)

    Silvia, Chris; Krause, Rachel M.


    Heightened concern regarding climate change and energy independence has increased interest in plug-in electric vehicles as one means to address these challenges and governments at all levels have considered policy interventions to encourage their adoption. This paper develops an agent-based model that simulates the introduction of four policy scenarios aimed at promoting electric vehicle adoption in an urban community and compares them against a baseline. These scenarios include reducing vehicle purchase price via subsidies, expanding the local public charging network, increasing the number and visibility of fully battery electric vehicles (BEVs) on the roadway through government fleet purchases, and a hybrid mix of these three approaches. The results point to the effectiveness of policy options that increased awareness of BEV technology. Specifically, the hybrid policy alternative was the most successful in encouraging BEV adoption. This policy increases the visibility and familiarity of BEV technology in the community and may help counter the idea that BEVs are not a viable alternative to gasoline-powered vehicles. - Highlights: •Various policy interventions to encourage electric vehicle adoption are examined. •An agent based model is used to simulate individual adoption decisions. •Policies that increase the familiarity of electric vehicles are most effective.

  16. Regulating the New Borderlands: An Event History Analysis of State Cross-Border Distance Higher Education Policy Adoption (United States)

    Milner, Patricia E.


    Cross-border state distance higher education policy is a complex web of complicated and often contradictory regulations stretching across 50 states and 14 US territories. This study examined the applicability of strategic choice theory to state higher education policy innovation in the context of the adoption of polices that regulate the distance…

  17. Interaction of Technology Adoption Constraints and Multi-level Policy Coherence at the Energy-Food Nexus (United States)

    Gerst, M.; Cox, M. E.; Laser, M.; Locke, K. A.; Kapuscinski, A. R.


    Policy- and decision-making at the food-energy-water (FEW) nexus entails additional complexities due to the multi-objective nature of FEW socio-technical systems: policies and decisions meant to improve one facet of the nexus might be less beneficial, or even detrimental, to achieving goals for other facets. In addition, implementing policies and decisions may be more difficult due to increasing coordination required among stakeholders across each nexus facet. We highlight these issues in an economic, material/energy flow, and institutional assessment of dairy farms that produce power from anaerobic digestion of cow manure. This socio-technical system is an example of an integrated food-energy system (IFES), which co-produces food and energy. In the case of dairy farms, water is also a significant consideration because cow manure, if improperly managed, can negatively impact water bodies. Our assessment asks the questions (i) of whether or not adopting an IFES improves farm resilience under potential economic and environment futures and (ii) how decisions, policies, and information can best be tailored to the FEW nexus. Our study consists of semi-structured interviews of 60 farms split between the US states of New York and Vermont, both of which have enacted policies to encourage digester adoption. Each interview asks farmers about their material and energy flows, costs, and decision-making process for adopting (or not) an anaerobic digester. In addition, farmers are asked questions about challenges and barriers they might have faced and future drivers of change. Preliminary results highlight important interactions between policy and decision-making. Foremost, an analysis of policy cohesion shows that environmental objectives cross sectors and governance levels, as state-level greenhouse gas mitigation policies interact with federal-level nutrient management policies. This form of potential policy incoherence may introduce additional problems that hinder digester

  18. Pain management policies and practices in pediatric emergency care: a nationwide survey of Italian hospitals. (United States)

    Ferrante, Pierpaolo; Cuttini, Marina; Zangardi, Tiziana; Tomasello, Caterina; Messi, Gianni; Pirozzi, Nicola; Losacco, Valentina; Piga, Simone; Benini, Franca


    Pain experienced by children in emergency departments (EDs) is often poorly assessed and treated. Although local protocols and strategies are important to ensure appropriate staff behaviours, few studies have focussed on pain management policies at hospital or department level. This study aimed at describing the policies and reported practices of pain assessment and treatment in a national sample of Italian pediatric EDs, and identifying the assocoated structural and organisational factors. A structured questionnaire was mailed to all the 14 Italian pediatric and maternal and child hospitals and to 5 general hospitals with separate pediatric emergency room. There were no refusals. Information collected included the frequency and mode of pain assessment, presence of written pain management protocols, use of local anaesthetic (EMLA cream) before venipuncture, and role of parents. General data on the hospital and ED were also recorded. Multiple Correspondence Analysis was used to explore the multivariable associations between the characteristics of hospitals and EDs and their pain management policies and practices. Routine pain assessment both at triage and in the emergency room was carried out only by 26% of surveyed EDs. About one third did not use algometric scales, and almost half (47.4%) did not have local protocols for pain treatment. Only 3 routinely reassessed pain after treatment, and only 2 used EMLA. All EDs allowed parents' presence and most (17, 89.9%) allowed them to stay when painful procedures were carried out. Eleven hospitals (57.9%) allowed parents to hold their child during blood sampling. Pediatric and maternal and child hospitals, those located in the North of Italy, equipped with medico-surgical-traumatological ED and short stay observation, and providing full assessment triage over 24 hours were more likely to report appropriate policies for pain management both at triage and in ER. A nurses to admissions ratio ≥ median was associated

  19. The Adoption Alternative for Pregnant Adolescents: Decision Making, Consequences, and Policy Implications. (United States)

    Sobol, Michael P.; Daly, Kerry J.


    Reviews issues surrounding adoption as an option for resolving teen crisis pregnancies. Examines the decision-making processes and social psychological consequences of adoption as a distinct phenomenon, including adoption rates and characteristics, factors influencing the adoption decision, birth mother response to adoption placement, and social…

  20. Nationwide survey of policies and practices related to capillary blood sampling in medical laboratories in Croatia. (United States)

    Krleza, Jasna Lenicek


    Capillary sampling is increasingly used to obtain blood for laboratory tests in volumes as small as necessary and as non-invasively as possible. Whether capillary blood sampling is also frequent in Croatia, and whether it is performed according to international laboratory standards is unclear. All medical laboratories that participate in the Croatian National External Quality Assessment Program (N = 204) were surveyed on-line to collect information about the laboratory's parent institution, patient population, types and frequencies of laboratory tests based on capillary blood samples, choice of reference intervals, and policies and procedures specifically related to capillary sampling. Sampling practices were compared with guidelines from the Clinical and Laboratory Standards Institute (CLSI) and the World Health Organization (WHO). Of the 204 laboratories surveyed, 174 (85%) responded with complete questionnaires. Among the 174 respondents, 155 (89%) reported that they routinely perform capillary sampling, which is carried out by laboratory staff in 118 laboratories (76%). Nearly half of respondent laboratories (48%) do not have a written protocol including order of draw for multiple sampling. A single puncture site is used to provide capillary blood for up to two samples at 43% of laboratories that occasionally or regularly perform such sampling. Most respondents (88%) never perform arterialisation prior to capillary blood sampling. Capillary blood sampling is highly prevalent in Croatia across different types of clinical facilities and patient populations. Capillary sampling procedures are not standardised in the country, and the rate of laboratory compliance with CLSI and WHO guidelines is low.

  1. Switching statins in Norway after new reimbursement policy: a nationwide prescription study. (United States)

    Sakshaug, Solveig; Furu, Kari; Karlstad, Øystein; Rønning, Marit; Skurtveit, Svetlana


    To assess the changes in prescribing of statins in Norway after implementation of the new reimbursement regulations for statins in June 2005. Data were retrieved from the Norwegian Prescription Database covering the total population in Norway (4.6 million). Outcome measures were the proportion of atorvastatin users switching to simvastatin and changes in the proportion of new statin users receiving simvastatin. Based on retail costs for all statin prescriptions dispensed in Norway, expenditure was measured in Norwegian currency. One-year prevalences of statin use increased from 6.3 to 6.8% for women and from 7.5 to 8.1% for men from the year before to the year after the new statin regulations. Of atorvastatin users (N = 131,222), 39% switched to simvastatin during the 13-month period after the implementation. The proportion of switching was higher in women (41%) than in men (36%). In May 2005, 48% of the new statin users received simvastatin. The proportion of new users receiving simvastatin increased rapidly after implementation of the new regulations to 68% in June 2005 and reached 92% in June 2006. Expenditure was reduced from 120 million to 95 million Euro when comparing the year before with the year after the new statin regulations. The new reimbursement policy for statins has had a great impact on physicians' prescribing of statins in Norway. Physicians in Norway acknowledge the importance of contributing to cost containment.

  2. Groundwater Governance in a Water-Starved Country: Public Policy, Farmers' Perceptions, and Drivers of Tubewell Adoption in Balochistan, Pakistan. (United States)

    Khair, Syed Mohammad; Mushtaq, Shahbaz; Reardon-Smith, Kathryn


    Pakistan faces the challenge of developing sustainable groundwater policies with the main focus on groundwater management rather than groundwater development and with appropriate governance arrangement to ensure benefits continue into the future. This article investigates groundwater policy, farmers' perceptions, and drivers of tubewell (groundwater bore) adoption and proposes possible pathways for improved groundwater management for Balochistan, Pakistan. Historical groundwater policies were mainly aimed at increasing agricultural production and reducing poverty, without consideration of adverse impact on groundwater availability. These groundwater policies and governance arrangements have resulted in a massive decline in groundwater tables. Tubewell owners' rankings of the drivers of groundwater decline suggest that rapid and widespread installation of tubewells, together with uncontrolled extraction due to lack of property rights, electricity subsidy policies, and ineffective governance, are key causes of groundwater decline in Balochistan. An empirical "tubewell adoption" model confirmed that the electricity subsidy significantly influenced tubewell adoption decisions. The article proposes a more rational electricity subsidy policy for sustaining groundwater levels in the short-run. However, in the long run a more comprehensive sustainable groundwater management policy, with strong institutional support and involvement of all stakeholders, is needed. © 2014, National Ground Water Association.

  3. Switching statins in Norway after new reimbursement policy – a nationwide prescription study (United States)

    Sakshaug, Solveig; Furu, Kari; Karlstad, Øystein; Rønning, Marit; Skurtveit, Svetlana


    . Expenditure was reduced from €120 million to €95 million when comparing the year before with the year after the new statin regulations. Conclusions The new reimbursement policy for statins has had a great impact on physicians' prescribing of statins in Norway. Physicians in Norway acknowledge the importance of contributing to cost containment. PMID:17441934

  4. [Health examination of asylum seekers: A nationwide analysis of state policies in Germany : § 62 of the asylum law]. (United States)

    Wahedi, Katharina; Nöst, Stefan; Bozorgmehr, Kayvan


    A health examination of newly arrived asylum seekers, aimed at detecting infectious diseases and preventing disease outbreaks in accommodation facilities, is mandated by national law in all German states. Due to the decentralized German federal system, different state policies are in place and lead to substantial variation in the content and implementation of the health examination. To compare health examination policies in the 16 German states with a focus on conducted tests, preventive measures and the general procedure. A comparative content analysis of policy documents addressing the health examination was conducted. Relevant documents were identified through a nationwide search (conducted June-October 2015) through public sources, inquiries at responsible authorities and interviews with representatives of public health services. In the study period, relevant policy documents for 13 states were identified, of which eight were administrative decrees of the responsible state ministries. Policies differed strongly with respect to the content of the health examination and the selection of compulsory screening measures. We identified three main groups: (A) states with compulsory screening limited to measures enshrined in federal law, (B) states with extended tuberculosis screening for children and pregnant women, and (C) states with extended mandatory screening measures for further infectious diseases beyond tuberculosis. Considerable differences were also found with regard to the implementation of the examinations, and the purchasing and re-imbursement policies. The stark heterogeneity in health examination policies between the states cannot be rationally explained from a public health perspective. The indication for certain measures remains unclear. A broad discussion of the medical necessity of screening tests, combined with further systematic analyses, is necessary in order to develop nationwide evidence-based recommendations and decision-making tools for

  5. Adoptive parenting. (United States)

    Grotevant, Harold D; Lo, Albert Yh


    Challenges in adoptive parenting continue to emerge as adoption policies and practices evolve. We review three areas of research in adoptive parenting that reflect contemporary shifts in adoption. First, we highlight recent findings concerning openness in adoption contact arrangements, or contact between a child's families of birth and rearing. Second, we examine research regarding racial and cultural socialization in transracial and international adoptions. Finally, we review investigations of parenting experiences of lesbian and gay adoptive parents. Overall, parenting processes (e.g., supportive vs. problematic family interaction) are better predictors of child adjustment than are group differences (e.g., open vs. closed adoptions; adoption by heterosexual vs. same-sex parents). The distinctive needs of adopted children call for preparation of adoption-competent mental health, casework, education, and health care professionals. Copyright © 2017 Elsevier Ltd. All rights reserved.

  6. Adoption by Policy Makers of Knowledge from Educational Research: An Alternative Perspective (United States)

    Brown, Chris


    The phrase knowledge adoption refers to the ways in which policymakers take up and use evidence. Whilst frameworks and models have been put forward to explain knowledge adoption activity, this paper argues that current approaches are flawed and do not address the complexities affecting the successful realisation of knowledge-adoption efforts.…

  7. Research and Policy on Transracial Adoption: Comments on Park and Green. (United States)

    Haugaard, Jeffrey J.


    Discusses areas of disagreement with Park and Green's assertion that legal and scientific assessments of the success of transracial adoptions follow a Eurocentric bias. Considers issues of limitations in adoption research, the need for research to support cases against transracial adoption, Africentrism, and models for assessing transracially…

  8. Transracial Adoption in Britain: A Follow-up Study, with Policy Considerations. (United States)

    Bagley, Christopher


    A total of 52 Afro-Caribbean, mixed-race, and Caucasian children adopted by Caucasian parents were surveyed 12 years after their adoption. Most of the adolescents and young adults in all three groups scored favorably on measures of adjustment and identity. There was no evidence that transracial adoptions led to maladjustment. (MDM)

  9. 77 FR 60712 - Request for Information on Adopting Smoke-Free Policies in PHAs and Multifamily Housing (United States)


    ... report of the harmful effects associated with exposure to secondhand smoke and other resources helpful... number one cause of preventable disease in the United States and that secondhand smoke, also known as... Adopting Smoke-Free Policies in PHAs and Multifamily Housing AGENCY: Office of the Assistant Secretary for...

  10. Globalisation, Language Planning and Language Rights: The Recent Script Policy Measures Adopted by Japan and the People's Republic of China (United States)

    Premaratne, Dilhara D.


    In 2009, two significant script policy measures were adopted by Japan and the People's Republic of China (China hereafter), both as a response to national language needs triggered by globalisation. However, the measures chosen by the two countries were very different, Japan choosing to increase and China choosing to standardise the Chinese…

  11. Impact of the Adoption of Tobacco-Free Campus Policies on Student Enrollment at Colleges and Universities, North Carolina, 2001-2010 (United States)

    Miller, Kimberly D.; Yu, Dongqing; Lee, Joseph G. L.; Ranney, Leah M.; Simons, Daniel J.; Goldstein, Adam O.


    Objective: College and university administrators have expressed concern that adoption of tobacco-free policies may reduce applications and enrollment. This study examines adoption and implementation of 100% tobacco-free campus policies by institutions of higher education on applications and enrollment. Participants: North Carolina private colleges…

  12. The emperor and the cowboys: The role of government policy and industry in the adoption of domestic solar microgeneration systems

    International Nuclear Information System (INIS)

    Simpson, Genevieve; Clifton, Julian


    While domestic solar microgeneration installations have increased in popularity, there is potential for their adoption to slow as financial incentives are reduced or phased out. This study uses a postal survey of 362 solar adopters in Western Australia to identify areas of policy improvement for the adoption of domestic solar systems. Research included quantitative analysis of Likert-type statements and analysis of qualitative comments by survey respondents, including testing the validity of inferences in comments using publicly-available data. While the vast majority of respondents were satisfied with their systems, satisfaction rates were lower for consumers not receiving the premium feed-in tariff and where information on systems was not self-sourced. Consumers considered governments to be untrustworthy and information provided by industry was perceived as inconsistent and inaccessible. Consumers felt they did not receive a fair price for electricity exported to the network and feared that changes in utility prices could render their investment uneconomical. Concerns regarding members of industry may be allayed by certification schemes, but these remain voluntary and limited in effectiveness. These findings underscore the need for increased government activity in providing independent information to consumers and regulating the solar industry, including commitments to long term policies and certification schemes. -- Highlights: •A postal survey identified issues with solar microgeneration adoption policies. •Consumers not receiving subsidies had lower overall satisfaction with installations. •Government lacked stability in policy application and transparency in tariff pricing. •Evidence indicated solar industry members are seen as potentially untrustworthy. •Governments should improve regulation of industry and provide reliable information

  13. Evidence-to-policy gap on hepatitis A vaccine adoption in 6 countries: Literature vs. policymakers' beliefs. (United States)

    Ozawa, Sachiko; Privor-Dumm, Lois A; Nanni, Angeline; Durden, Emily; Maiese, Brett A; Nwankwo, Chizoba U; Brodovicz, Kimberly G; Acosta, Camilo J; Foley, Kathleen A


    National vaccine adoption decisions may be better understood by linking multiple data sources. When examining countries' decisions to adopt the hepatitis A vaccine, applying multiple research methods can facilitate assessments of gaps between evidence and policy. We conducted a literature review on hepatitis A and stakeholder interviews about decisions to adopt the vaccine in six countries (Chile, India, South Korea, Mexico, Russia, and Taiwan). A systematic literature review was conducted across five literature databases. The review identified and abstracted 340 articles, supplemented by internet search. In addition, we interviewed 62 experts and opinion leaders on hepatitis A and/or vaccines. Data from the two sources were analyzed to identify gaps around epidemiologic data, economic data, and barriers/facilitators of hepatitis A vaccine adoption. Epidemiologic data gaps were found in Chile and Russia, where stakeholders believed data to be more solid than the literature documented. Economic data on hepatitis A was found to be weak across all countries despite stakeholders' agreement on its importance. Barriers and facilitators of vaccine adoption such as political will, prioritization among vaccines, and global or local recommendations were discussed more by stakeholders than the literature. Stakeholders in India and Mexico were not concerned with the lack of data, despite growing recognition in the literature of the epidemiological transition and threat of outbreaks. Triangulation of results from two methods captured a richer story behind vaccine adoption decisions for hepatitis A. The discrepancy between policymakers' beliefs and existing data suggest a decline in priority of hepatitis A or weak investment in data collection. Filling the confirmed data gaps in seroprevalence or economic data is important to help guide policy decisions. Greater communication of the risk of hepatitis A and the benefits of the vaccine may help countries undergoing the

  14. The Norwegian support and subsidy policy of electric cars. Should it be adopted by other countries?

    International Nuclear Information System (INIS)

    Holtsmark, Bjart; Skonhoft, Anders


    Highlights: • The Norwegian policy to promote the introduction of electric vehicles (EVs) is unusually powerful. • Numerical examples show that the policy means an approximate tax relief for a EV owner about 8000 USD/year. • The same time an average EV is might imply an emission reduction of less than 1 tonne CO 2 . • The policy might cause small emission reductions at high costs. • The policy might have the unfortunate side-effect that households buy more cars and drive more. - Abstract: As a result of generous policies to increase the use of electric vehicles (EVs), the sales of EVs in Norway are rapidly increasing. This in sharp contrast to most other rich countries without such generous policies. Due to the subsidies, driving an EV implies very low costs to the owner on the margin, probably leading to more driving at the expense of public transport and cycling. Moreover, because most EVs’ driving range is low, the policy gives Norwegian households incentives to purchase a second car, again stimulating the use of private cars instead of public transport and cycling. These effects are analysed in light of possible greenhouse gas (GHG) emission benefits as well as other possible benefits of utilizing EVs versus conventional cars. We discuss whether the EV policy can be justified, as well as whether this policy should be implemented by other countries

  15. Movements, Countermovements and Policy Adoption: The Case of Right-to-Work Activism (United States)

    Dixon, Marc


    Research on social movements and public policy has expanded tremendously in recent years, yet little of this work considers the role of movement opponents in the political process or how the movement-countermovement dynamic is influential in contests over policy. This historical study begins to fill this void by analyzing the contestation between…

  16. Constructing Teacher Agency in Response to the Constraints of Education Policy: Adoption and Adaptation (United States)

    Robinson, Sarah


    Drawing on agency literature, this paper demonstrates how teachers' professional agency emerged when seemingly conflicting strategies were imposed on them in policy reform. Policy discourse is often linked to performance and accountability measures, which teachers respond to in a number of ways. Some education researchers identify tensions caused…

  17. Adopting, manipulating, transforming: tactics used by gender practitioners in South African NGOs to translate international gender policies into local practice. (United States)

    Mannell, Jenevieve


    This paper looks at what is lost and gained through the process of translating international policy from a global to a local space. It does this by sharing results from a multisite ethnographic study of gender practices in foreign-funded South African health organisations. This study identifies a number of tactics used by practitioners to deal with the funding constraints and unique knowledge systems that characterise local spaces, including: using policy to appeal to donors; merging gender with better resourced programmes; and redirecting funding allocations. These tactics point to how practitioners are adopting, manipulating and transforming international policies in order to suit their everyday working realities. Copyright © 2014 Elsevier Ltd. All rights reserved.

  18. Educational Television Broadcasting in Germany: Prevailing Practices, Existing Challenges and Adoptable Policies

    Directory of Open Access Journals (Sweden)

    Pradeep Kumar Misra


    Full Text Available Television is widely used for educational purposes but has still not achieved its fullest potential neither in developed nor in developing countries. This worldwide under performance invite experts and academics to join hands to search causes and provide suggestions to make television a better and popular learning tool. Guided by this philosophy, the present paper analyzes the educational television broadcasting in Germany from different perspectives. The focus of analysis includes measures and practices adopted by German institutions/broadcasters to promote educational television. Besides dealing with these issues, the paper discusses existing challenges and suggests best adoptable educational television broadcasting polices from Germany to promote educational television in global perspectives.

  19. Establishing a nationwide baseline of historical burn-severity data to support monitoring of trends in wildfire effects and national fire policies (United States)

    Brian Schwind; Brad Quayle; Jeffery C. Eidenshink


    There is a need to provide agency leaders, elected officials, and the general public with summary information regarding the effects of large wildfires. Recently, the Wildland Fire Leadership Council (WFLC), which implements and coordinates National Fire Plan (NFP) and Federal Wildland Fire Management Policies adopted a strategy to monitor the effectiveness and effects...

  20. Language Learning as Culture Keeping: Family Language Policies of Transnational Adoptive Parents (United States)

    Shin, Sarah J.


    This study investigates how parents of international adoptees explain their decision to pursue birth-language education for their children and how they go about achieving their goals. It focuses on the perspectives of 16 White U.S. parents who have at least one adopted school-aged child (ages 5 to 18) either currently or previously enrolled in a…

  1. Continuing medical education and pharmaceutical industry involvement: An evaluation of policies adopted by Canadian professional medical associations. (United States)

    Shnier, Adrienne; Lexchin, Joel


    Professional medical associations (PMAs) play a crucial role in providing accredited continuing medical education (CME) to physicians. Funding from the pharmaceutical industry may lead to biases in CME. This study examines publicly available policies on CME, adopted by Canadian PMAs as of December 2015. Policies were evaluated using an original scoring tool comprising 21 items, two questions about PMAs' general and CME funding from industry, and three enforcement measures. We assessed 236 policies adopted by Canadian PMAs (range, 0 to 32). Medical associations received summative scores that ranged from 0% to 49.2% of the total possible points (maximum score = 63). Twenty-seven associations received an overall score of 0%. The highest mean scores were achieved in the areas of industry involvement in planning CME activities (mean: 1.1/3), presence of a review process for topics of CME activities (mean: 1.1/3), content review for balanced information (mean: 1.1/3), and responsibility of distribution of funds (mean: 1.0/3). The lowest mean scores were achieved in the areas of awards (mean: 0.0/3), industry personnel, representatives, and employees (mean: 0.1/3), distribution of industry-funded educational materials at CME activities (mean: 0.1/3), and distinction between marketing and educational materials (mean: 0.1/3). These results suggest that Canadian PMAs' publicly available policies on industry involvement in CME are generally weak or non-existent; therefore, the accredited CME that is provided to Canadian physicians may be viewed as open to bias. We encourage all Canadian medical associations to strengthen their policies to avoid the potential for industry influence in CME.

  2. Social Entrepreneurship: A Reflection for Adopting Public Policies that Support the Third Sector in Brazil

    Directory of Open Access Journals (Sweden)

    Francielli Martins Borges Ladeira


    Full Text Available Interest in social entrepreneurship is growing widely not only in Brazil but in the world. Several developed countries have stepped forward to develop policies to support this area not only as a tool to fulfill the government failures such as poverty, health, education, unemployment among others, but also because of all the benefits that social enterprises have in relation to society. However, it is possible to identify a lack of political support for social entrepreneurship in Brazil. Given the needs in the Brazilian context of improvements in several areas where the state can not cover actions in their entirety as social exclusion, income distribution and especially professionalization of youth and creating jobs, we need a deep analysis of how social entrepreneurship can act as a modifying element of this scenario. Thus, with Brazil a country developing rapidly, it is important to verify public policies that support social entrepreneurship in already developed countries and carry out studies on the suitability and applicability of these policies in the Brazilian reality. Thus, this paper aims to study the trends of social entrepreneurship in some developed countries as well as analyzing public policies implemented by these countries, and considering the Brazilian context, present some policy proposals to support social entrepreneurship in Brazil.

  3. Multiple levels of influence in the adoption of sun protection policies in elementary schools in Massachusetts. (United States)

    Geller, Alan C; Zwirn, Jodie; Rutsch, Linda; Gorham, Sue A; Viswanath, Vish; Emmons, Karen M


    To understand the factors that may influence sun protection policy development if the Centers for Disease Control and Prevention guidelines are to be realized. Qualitative research methodology incorporating a socioecological framework using individual or small-group interviews, surveys, and environmental assessments with school superintendents, elementary school principals, elementary school nurses, and parent-teacher organization presidents and co-chairs as well as coding of school documents. Elementary schools in Massachusetts. Nine school superintendents, 18 elementary school principals, 18 elementary school nurses, and 16 parent-teacher organization presidents or co-chairs. Presence of school sun protection policies, sun protection curriculum, and communication portals for sun protection information to parents. None of the schools in the 9 districts had a sun protection policy, and only 1 had any type of sun protection curriculum. However, nearly all principals were receptive to developing sun protection policies and to making structural changes to increase the amount of accessible shade if funding were available. The schools' communication infrastructure could provide a key portal for disseminating sun protection information to parents. Although there are other resources that could be brought to bear, many challenges must be surmounted to develop effective sun protection policies.

  4. Recommendations for Adopting the International Code of Marketing of Breast-milk Substitutes Into U.S. Policy. (United States)

    Soldavini, Jessica; Taillie, Lindsey Smith


    In 1981, the World Health Organization adopted the International Code of Marketing of Breast-milk Substitutes ( International Code), with subsequent resolutions adopted since then. The International Code contributes to the safe and adequate provision of nutrition for infants by protecting and promoting breastfeeding and ensuring that human milk substitutes, when necessary, are used properly through adequate information and appropriate marketing and distribution. Despite the World Health Organization recommendations for all member nations to implement the International Code in its entirety, the United States has yet to take action to translate it into any national measures. In 2012, only 22.3% of infants in the United States met the American Academy of Pediatrics recommendation of at least 6 months of exclusive breastfeeding. Countries adopting legislation reflecting the provisions of the International Code have seen increases in breastfeeding rates. This article discusses recommendations for translating the International Code into U.S. policy. Adopting legislation that implements, monitors, and enforces the International Code in its entirety has the potential to contribute to increased rates of breastfeeding in the United States, which can lead to improved health outcomes in both infants and breastfeeding mothers.

  5. Adoption of irrigation water policies to guarantee water supply: A choice experiment

    NARCIS (Netherlands)

    Alcon, F.; Tapsuwan, S.; Brouwer, R.; de Miguel, M.D.


    More efficient and sustainable use of water is increasingly becoming an urgency in drought prone parts of the world. In particular, in water scarce regions such as the Mediterranean, water supply is expected to become more uncertain because of climate change. Consequently, pro-active policy

  6. 13 CFR 108.503 - NMVC Company's adoption of an approved valuation policy. (United States)


    ... ADMINISTRATION NEW MARKETS VENTURE CAPITAL (âNMVCâ) PROGRAM Managing the Operations of a NMVC Company General... change the model valuation policy set forth in section III of the Valuation Guidelines for SBICs; or (2.... Your board of directors, managing members, or general partner(s) will be solely responsible for...

  7. Effect of nationwide tobacco control policies on smoking cessation in high and low educated groups in 18 European countries

    NARCIS (Netherlands)

    Schaap, M. M.; Kunst, A. E.; Leinsalu, M.; Regidor, E.; Ekholm, O.; Dzurova, D.; Helmert, U.; Klumbiene, J.; Santana, P.; Mackenbach, J. P.


    BACKGROUND: Recently a scale was introduced to quantify the implementation of tobacco control policies at country level. Our study used this scale to examine the potential impact of these policies on quit ratios in European countries. Special attention was given to smoking cessation among lower

  8. Technology and Policy Challenges in the Adoption and Operation of Health Information Exchange Systems. (United States)

    Ji, Hyerim; Yoo, Sooyoung; Heo, Eun-Young; Hwang, Hee; Kim, Jeong-Whun


    This study aimed to identify problems and issues that arise with the implementation of online health information exchange (HIE) systems in a medical environment and to identify solutions to facilitate the successful operation of future HIE systems in primary care clinics and hospitals. In this study, the issues that arose during the establishment and operation of an HIE system in a hospital were identified so that they could be addressed to enable the successful establishment and operation of a standard-based HIE system. After the issues were identified, they were reviewed and categorized by a group of experts that included medical information system experts, doctors, medical information standard experts, and HIE researchers. Then, solutions for the identified problems were derived based on the system development, operation, and improvement carried out during this work. Twenty-one issues were identified during the implementation and operation of an online HIE system. These issues were then divided into four categories: system architecture and standards, documents and data items, consent of HIE, and usability. We offer technical and policy recommendations for various stakeholders based on the experiences of operating and improving the online HIE system in the medical field. The issues and solutions identified in this study regarding the implementation and operate of an online HIE system can provide valuable insight for planners to enable them to successfully design and operate such systems at a national level in the future. In addition, policy support from governments is needed.

  9. Multilateral, regional, and national determinants of policy adoption: the case of HIV/AIDS legislative action. (United States)

    Clark, Benjamin Y


    This article examines the global legislative response to the HIV/AIDS epidemic with a particular focus on how policies were diffused internationally or regionally, or facilitated internally. This article uses event history analysis combined with multinomial logit regression to model the legislative response of 133 countries. First, the results demonstrate that the WHO positively influenced the likelihood of a legislative response. Second, the article demonstrates that development bank aid helped to spur earlier legislative action. Third, the results demonstrate that developed countries acted earlier than developing countries. And finally, the onset and severity of the HIV/AIDS epidemic was a significant influence on the legislative response. Multilateral organizations have a positive influence in global policy diffusion through informational advocacy, technical assistance, and financial aid. It is also clear that internal stressors play key roles in legislative action seen clearly through earlier action being taken in countries where the shock of the onset of HIV/AIDS occurred earlier and earlier responses taken where the epidemic was more severe.

  10. Clinician-scientist MB/PhD training in the UK: a nationwide survey of medical school policy


    Barnett-Vanes, Ashton; Ho, Guiyi; Cox, Timothy M


    Objective This study surveyed all UK medical schools regarding their Bachelor of Medicine (MB), Doctor of Philosophy (PhD) (MB/PhD) training policy in order to map the current training landscape and to provide evidence for further research and policy development. Setting Deans of all UK medical schools registered with the Medical Schools Council were invited to participate in this survey electronically. Primary The number of medical schools that operate institutional MB/PhD programmes or perm...


    Directory of Open Access Journals (Sweden)

    Daniela Giurcă


    Full Text Available The short time left until the EU accession date, has become a strong pressure factor for the speeding up of the necessary restructuring processes of the agrifood sector and rural areas. This is a challenge without precedent for the decision makers in the following period in order to prepare the sector from both institutional and legislative point and of views to implement the Common Agricultural Policy and for the management of the funds related to it. In the same time the sector also has to be to be “morally” prepared for the exigencies and potential shocks due to the lack of competitiveness after entering the Single Market and this activity has to be also a priority. The absorption of community funds proposed for Romania in 2004, will depend especially of the wish for restructuring and "the abilities" of the decision makers in chasing the right pattern of agricultural policy for the next period, and after accession. The cost/benefits estimations in this document are based on a very simplistic approach. The scenario proposed starts from the optimistic hypothesis that, until 2007 Romania will be fully prepared from institutional point of view, as well as from point of view of the requirements regarding food security, animal welfare, the environment's state etc., and it will be able to produce at the level established by negotiations, fulfilling 100% the eligibility conditions, and Romania will enter on the Single Market with the negotiated elements (quotas, basic areas, reference productions, etc..The assessment methodology is based on the application of CAP legislation in force for each product and the estimation of direct payments and funds allocated for market measures following the rigors imposed to Romania for the gradual allocation of direct payments.

  12. Inpatient expenditures on alcohol-attributed diseases and alcohol tax policy: a nationwide analysis in Taiwan from 1996 to 2010. (United States)

    Lin, C-M; Liao, C-M


    To assess the two opposing effects of alcohol tax policy interventions (tax rate increase in 2002 and decrease in 2009) on hospitalization in monetary terms of alcohol-attributed diseases (AADs) in Taiwan. An interrupted time-series analysis. Admissions data from 1996 to 2010 were retrieved from the National Health Insurance Research Database claims file and analysed in this study. Data for 430,388 males and 34,874 females aged 15 or above who were admitted due to an AAD were collected. An interrupted time-series analysis examining the effects of the implementation of alcohol tax policy on quarterly adjusted hospital inpatient charges (HICs) for AADs was employed. The study showed significant (p policy was implemented. No change in quarterly HICs for AADs was found after the alcohol tax increase. The total cost of treating these AAD inpatients over the course of the 15-year period was 640.9 million US dollars. Each inpatient with an AAD costs an average of $900-$2000 depending on the patient's sex and age with the cost increasing gradually after the two tax interventions. More than 80% of the HICs were attributed to alcoholic liver diseases. Psychoses accounted for 6%-18% of the total HICs. Alcohol abuse and alcohol poisoning accounted for less than 2% of the total HICs. This study provides evidence that alcohol taxation has resulted in an immediate reduction of medical expenditures related to AADs. The policy of increasing alcohol tax rates may have favourable influences on health care resources related to treating AADs. Copyright © 2014 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  13. Net Metering Policy Development and Distributed Solar Generation in Minnesota: Overview of Trends in Nationwide Policy Development and Implications of Increasing the Eligible System Size Cap

    Energy Technology Data Exchange (ETDEWEB)

    Doris, E.; Busche, S.; Hockett, S.


    The goal of the Minnesota net metering policy is to give the maximum possible encouragement to distributed generation assets, especially solar electric systems (MN 2008). However, according to a published set of best practices (NNEC 2008) that prioritize the maximum development of solar markets within states, the Minnesota policy does not incorporate many of the important best practices that may help other states transform their solar energy markets and increase the amount of grid-connected distributed solar generation assets. Reasons cited include the low system size limit of 40kW (the best practices document recommends a 2 MW limit) and a lack of language protecting generators from additional utility fees. This study was conducted to compare Minnesota's policies to national best practices. It provides an overview of the current Minnesota policy in the context of these best practices and other jurisdictions' net metering policies, as well as a qualitative assessment of the impacts of raising the system size cap within the policy based on the experiences of other states.

  14. Projected impacts to the production of outdoor recreation opportunities across US state park systems due to the adoption of a domestic climate change mitigation policy

    International Nuclear Information System (INIS)

    Smith, Jordan W.; Leung, Yu-Fai; Seekamp, Erin; Walden-Schreiner, Chelsey; Miller, Anna B.


    Highlights: • A technical efficiency model identifies where state park systems can be improved. • The technical efficiency model is joined with output of CC policy simulations. • Shifts in operating expenditure under the CC mitigation policy are estimated. • Results reveal substantial variability across states. • Increasing technical efficiency is the best solution to adapt to CC policy impacts. - Abstract: Numerous empirical and simulation-based studies have documented or estimated variable impacts to the economic growth of nation states due to the adoption of domestic climate change mitigation policies. However, few studies have been able to empirically link projected changes in economic growth to the provision of public goods and services. In this research, we couple projected changes in economic growth to US states brought about by the adoption of a domestic climate change mitigation policy with a longitudinal panel dataset detailing the production of outdoor recreation opportunities on lands managed in the public interest. Joining empirical data and simulation-based estimates allow us to better understand how the adoption of a domestic climate change mitigation policy would affect the provision of public goods in the future. We first employ a technical efficiency model and metrics to provide decision makers with evidence of specific areas where operational efficiencies within the nation's state park systems can be improved. We then augment the empirical analysis with simulation-based changes in gross state product (GSP) to estimate changes to the states’ ability to provide outdoor recreation opportunities from 2014 to 2020; the results reveal substantial variability across states. Finally, we explore two potential solutions (increasing GSP or increasing technical efficiency) for addressing the negative impacts on the states’ park systems operating budgets brought about by the adoption of a domestic climate change mitigation policy; the

  15. Impact of Smoke-Free Residence Hall Policies: The Views of Administrators at 3 State Universities (United States)

    Gerson, Megan


    Nationwide efforts to protect the public against the health effects of secondhand smoke have prompted college and university administrators to adopt more restrictive smoking policies. Some campus officials are concerned that new policies will lead to student backlash, increased staff workloads, and an increased economic burden. To understand the…

  16. The use of individual and societal risk criteria within the Dutch flood safety policy-nationwide estimates of societal risk and policy applications

    NARCIS (Netherlands)

    Jonkman, S.N.; Jongejan, R.B.; Maaskant, B.


    The Dutch government is in the process of revising its flood safety policy. The current safety standards for flood defences in the Netherlands are largely based on the outcomes of cost-benefit analyses. Loss of life has not been considered separately in the choice for current standards. This article

  17. Changing patterns of basic household consumption in the Inner Mongolian grasslands: a case study of policy-oriented adoptive changes in the use of grasslands

    NARCIS (Netherlands)

    Du, B.; Zhen, L.; Groot, de R.S.; Goulden, C.E.; Long, X.; Cao, X.; Wu, R.; Sun, C.


    Grassland ecosystems, as the basic natural resources in the Inner Mongolia Autonomous Region, are becoming increasingly sensitive to human intervention, leading to deterioration in fragile ecosystems. The goal of this study was to describe the restoration policy-oriented adoptive changes to basic

  18. Why Do Policy-Makers Adopt Global Education Policies? Toward a Research Framework on the Varying Role of Ideas in Education Reform (United States)

    Verger, Antoni


    Globalization is profoundly altering the education policy landscape. It introduces new problems in education agendas, compresses time and space in policy processes, and revitalizes the role of a range of supra-national players in educational reform. This deterritorialization of the education policy process has important theoretical and…

  19. China's Cotton Policy and the Impact of China's WTO Accession and Bt Cotton Adoption on the Chinese and U.S. Cotton Sectors


    Cheng Fang; Bruce A. Babcock


    In this paper we provide an analysis of China's cotton policy and develop a framework to quantify the impact of both China's World Trade Organization (WTO) accession and Bt (Bacillus thuringiensis) cotton adoption on Chinese and U.S. cotton sectors. We use a Chinese cotton sector model consisting of supply, demand, price linkages, and textiles output equations. A two-stage framework model provides gross cropping area and total area for cotton and major subsitute crops from nine cotton-produci...

  20. Impact of Environmental Policies on the Adoption of Animal Waste Management Practices in the Chesapeake Bay Watershed


    Savage, Jeff; Ribaudo, Marc


    We use data from the ERS-NASS ARMS surveys to compare the use of best management practices on poultry and livestock farms inside the watershed and outside the watershed. Animal operations within the Chesapeake Bay States were found to be adopting some important manure management practices at a greater rate than operations outside the watershed. Adoption was taking place before the implementation of the TMDL, indicating that farmers may have been acting in response to building public pressure ...

  1. On the Consideration of Adoption and Implementation of The Next Generation Science Standards in a Local-Control Context: Supporting the Epistemology of Science through Education Policy (United States)

    Lazzaro, Christopher C.

    On the Consideration of Adoption and Implementation of The Next Generation Science Standards in a Local-Control Context: Supporting the Epistemology of Science through Education Policy. Christopher C Lazzaro. The primary purpose of this research is to understand how and why members at each of the three levels of the education system within a local-control state made the decisions they did in supporting or hindering the adoption and implementation of the Next Generation Science Standards. This research concentrates on three levels of the education system in a local-control state; 1) the state level, 2) the district level, and 3) the school/teacher level, while investigating the following questions: 1. To what extent, and in what ways, do members in each of the three levels of the state education system advocate for adoption and implementation of the Next Generation Science Standards? 2. Are the members in each of the three levels motivated or compelled to consider adoption and implementation of the Next Generation Science Standards, why or why not? 3. To what extent, and in what ways, do the members in each of the three levels take into account science epistemology in their overall consideration of adoption/implementation of the NGSS? The data drew from a series of interviews from a prior study, "Challenges of Implementing the Next Generation Science Standards in Local-Control States in the U.S." (Sevian, Foster, & Scheff, 2012). After these data were coded and analyzed around the three research questions, this phenomenographic research study identified four key findings: Key Finding 1 - As the District Coordinators are uniquely situated within the state education system to be able to see both the on-the-ground practical implications and the high-level policy pressures of adopting and implementing the NGSS, they reflect the deepest level of awareness of how to best advocate for adoption and implementation of the NGSS. Key Finding 2 - Motivation to adopt and

  2. Water resource quality policy: the approach adopted by the Department of Water Affairs and Forestry under the Water Law principles

    CSIR Research Space (South Africa)



    Full Text Available for all, forever." The development of a water resource protection policy was begun in that review. This paper describes the major aspects of the policy at one point in a process of rapid development. Initial proposals are to use the concept of ecological...

  3. The Impact of Renewable Energy Policies on the Adoption of Anaerobic Digesters with Farm-Fed Wastes in Great Britain

    Directory of Open Access Journals (Sweden)

    Baboo Lesh Gowreesunker


    Full Text Available This paper explores the effects of the feed-in tariff (FiT and renewable heat incentive (RHI schemes on the adoption of anaerobic digesters (AD, and the potential energy generation from farm-fed wastes in Great Britain. This paper adopts a linear programming model, developed in the International Energy Agency (IEA TIMES platform, aiming to quantify the degree of adoption of AD and the type of energy generation technologies that can be driven by digester biogas to reduce farm energy costs. The results show that the adoption of AD is cost-beneficial for all farms, but different rates of the FiT and RHI schemes will influence the competitiveness between the implementation of combined heat and power (CHP systems and the utilisation of biogas to only generate heat. The choice of technology is further dependent on the electricity/heat use ratio of the farms and the energy content of the feedstock. The results show that pig farms will more readily adopt CHP, because of its relatively higher electricity-to-heat use ratio, compared to other types of farms, which will favour biogas boilers.

  4. Agent-based simulations of the influence of social policy and neighboring communication on the adoption of grid-connected photovoltaics

    International Nuclear Information System (INIS)

    Murakami, Tomoyuki


    Highlights: • Multi-agent systems coupled with an electric power flow analysis. • Influence of social policy and communication on the adoption of photovoltaics. • Strong intervention near a transformer drives the greatest PV adoption. • Strong intervention far from a transformer increases social costs. - Abstract: Agent-based simulations coupled with an analysis of the flow of electric power are carried out to examine the influence of the social policy of the government and the neighboring communication between customers on the adoption of distributed rooftop photovoltaic electrical power generators (PVs). How the relationships between the social policy and the possibility of a reverse current restriction give rise to the collective behavior of autonomous individuals, and how the end customers interact and form relationships with its environment are described. Strong intervention by the government in the areas near a main high-voltage power distribution transformer, where the possibility of a reverse current restriction is relatively low, drives the greatest adoption of the PV system. The near areas are primarily occupied by customers with only a PV to improve the diffusion rate of PVs via the self-organization by the communication between customers. It also lead in a decrease in the need for compensation devices, which in turn minimizes the social cost. Growth in the number of PVs in areas far from the transformer is assisted by the installation of batteries as compensation for the lost opportunity due to restrictions in those areas on reverse power currents. Therefore, excessive intervention by the government in the far areas results in an increase in the social cost of managing reverse currents

  5. Electronic Health Record Adoption In US Hospitals: Progress Continues, But Challenges Persist. (United States)

    Adler-Milstein, Julia; DesRoches, Catherine M; Kralovec, Peter; Foster, Gregory; Worzala, Chantal; Charles, Dustin; Searcy, Talisha; Jha, Ashish K


    Achieving nationwide adoption of electronic health records (EHRs) remains an important policy priority. While EHR adoption has increased steadily since 2010, it is unclear how providers that have not yet adopted will fare now that federal incentives have converted to penalties. We used 2008-14 national data, which includes the most recently available, to examine hospital EHR trends. We found large gains in adoption, with 75 percent of US hospitals now having adopted at least a basic EHR system--up from 59 percent in 2013. However, small and rural hospitals continue to lag behind. Among hospitals without a basic EHR system, the function most often not yet adopted (in 61 percent of hospitals) was physician notes. We also saw large increases in the ability to meet core stage 2 meaningful-use criteria (40.5 percent of hospitals, up from 5.8 percent in 2013); much of this progress resulted from increased ability to meet criteria related to exchange of health information with patients and with other physicians during care transitions. Finally, hospitals most often reported up-front and ongoing costs, physician cooperation, and complexity of meeting meaningful-use criteria as challenges. Our findings suggest that nationwide hospital EHR adoption is in reach but will require attention to small and rural hospitals and strategies to address financial challenges, particularly now that penalties for lack of adoption have begun. Project HOPE—The People-to-People Health Foundation, Inc.

  6. Classifying Adoption of Sustainability Policies and Programs: Quantitative and Qualitative Methods for the Development of a Community Sustainability Typology (United States)

    Understanding how and why different communities engage with sustainability policies and actions is of critical importance for furthering implementation of innovative and conventional sustainability strategies. Despite this importance, an understanding of how and why communities a...

  7. Adoption of renewable energy technologies in oil-rich countries: Explaining policy variation in the Gulf Cooperation Council states

    NARCIS (Netherlands)

    Atalay, Y.; Biermann, F.; Kalfagianni, A.


    While the member states of the Gulf Cooperation Council have economically and politically been dominated by the exploitation of fossil fuels, recent years have seen an increasing adoption of renewable energy technologies, the reasons of which are not yet sufficiently understood. This paper argues

  8. Conflict and Compromise in Public Health Policy: Analysis of Changes Made to Five Competitive Food Legislative Proposals Prior to Adoption (United States)

    Dinour, Lauren M.


    Competitive foods in schools have historically been scrutinized for their ubiquity and poor nutritional quality, leading many states to enact legislation limiting the availability and accessibility of these items. Evaluations of these policy approaches show their promise in improving the healthfulness of school food environments, considered an…

  9. Effect of nation-wide tobacco control policies on smoking cessation in high and low educated groups in 18 European countries

    DEFF Research Database (Denmark)

    Schaap, Maartje M; Kunst, Anton E; Leinsalu, Mall


    not show consistent differences between high and low educated. Of all tobacco control policies of which the TCS is constructed, price policies showed the strongest association with quit ratios, followed by an advertising ban. CONCLUSION: Countries with more developed tobacco control policies have higher...

  10. Efficiency of environmental policies aiming at fostering the adoption of new technologies: the case of renewable energies

    International Nuclear Information System (INIS)

    Lamy, M.L.


    This thesis aims to study the efficiency of promotion policies of renewable energies in electric power production taking into account the environment economy problems. The techniques at a commercial scale are particularly discussed. The first part deals with the incitement to technical progress in favor of the environmental protection. The second part proposes an empirical analysis based on the efficiency economical parameters and the last part analyses theoretically the efficiency of promotion tools of renewable energies. (A.L.B.)

  11. The Impacts of Changes to Nevada’s Net Metering Policy on the Financial Performance and Adoption of Distributed Photovoltaics

    Energy Technology Data Exchange (ETDEWEB)

    Gagnon, Pieter [National Renewable Energy Lab. (NREL), Golden, CO (United States); Sigrin, Ben [National Renewable Energy Lab. (NREL), Golden, CO (United States); Gleason, Mike [National Renewable Energy Lab. (NREL), Golden, CO (United States)


    Net energy metering (NEM) is a billing mechanism that has historically compensated owners of distributed generation systems at retail rates for any electricity that they export back to the grid rather than consume on-site. NEM can significantly enhance the financial performance of distributed generation systems from the owner’s perspective. The following analysis was designed to illustrate the potential impact of NEM policy and tariff changes implemented in early 2016 in Nevada.


    Directory of Open Access Journals (Sweden)



    Full Text Available Accounting policy should be seen as a framework within which policy is formed to keep business events with the primary objective of increasing safety, especially financial reporting of management. Some management companies is who is responsible for the end result of the economic activity of enterprises run by. To be able to reliably managed by the company shall have a built in system management and logging of all activity in the company, it is necessary to respect the recommendations of the internal control and audit and external audit recommendations. The accounting policy is closely related to the implementation of IAS/IFRS, which are more practical use in the Republic of Serbia starting from 2002. Greater application of these standards, companies must make changes to the accounting policies as it begins to implement the increasing number of requirements of the standard in the field of increase of caution, especially in the context of recognition and accreditation. Practically the back door is introduced replacing "the concept of historical cost" (caution, "the concept of fair value" (neutrality. The emergence of large financial and global crisis of 2008, a growing number of actors want to be informed through the financial statements of the real and the real situation in the companies, which are trying to raise the level of protection above all creditors and investors. Also in the first half of 2013, and the state wants to ensure protection management in the public sector and imposes solutions obligatory presence of Internal Auditors of the public sector in public enterprises.

  13. Improved waiting-list outcomes in Argentina after the adoption of a model for end-stage liver disease-based liver allocation policy. (United States)

    Cejas, Nora Gabriela; Villamil, Federico G; Lendoire, Javier C; Tagliafichi, Viviana; Lopez, Arturo; Krogh, Daniela Hansen; Soratti, Carlos A; Bisigniano, Liliana


    In July 2005, Argentina became the first country after the United States to introduce the Model for End-Stage Liver Disease (MELD) for organ allocation. In this study, we investigated waiting-list (WL) outcomes (n = 3272) and post-liver transplantation (LT) survival in 2 consecutive periods of 5 years before and after the implementation of a MELD-based allocation policy. Data were obtained from the database of the national institute for organ allocation in Argentina. After the adoption of the MELD system, there were significant reductions in WL mortality [28.5% versus 21.9%, P statistics of 0.828 and 0.857, respectively (P  30 had lower posttransplant survival, the global accuracy of the score for predicting outcomes was poor, as indicated by a c statistic of only 0.523. Patients with granted MELD exceptions (158 for hepatocellular carcinoma and 52 for other reasons) had significantly higher access to LT (80.4%) in comparison with nonexception patients with equivalent listing priority (MELD score = 18-25; 54.6%, P adoption of the MELD model in Argentina has resulted in improved liver organ allocation without compromising posttransplant survival. © 2013 American Association for the Study of Liver Diseases.

  14. Informed policies

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

    cation technology (ICT) and now. Minister of Science and Technology, was one of the architects of Mozam- bique's ICT policy in 2000 — the first in Africa. Nationwide access to these technologies is one of the pillars of the government's science and technology policy. “We don't believe in politicians, but we believe in politics.

  15. Adoption and Assisted Reproduction. Adoption and Ethics, Volume 4. (United States)

    Freundlich, Madelyn

    The controversies in adoption have extended across a spectrum of policy and practice issues, and although the issues have become clear, resolution has not been achieved nor has consensus developed regarding a framework on which to improve the quality of adoption policy and practice. This book is the fourth in a series to use an ethics-based…

  16. Towards global benchmarking of food environments and policies to reduce obesity and diet-related non-communicable diseases: design and methods for nation-wide surveys. (United States)

    Vandevijvere, Stefanie; Swinburn, Boyd


    Unhealthy diets are heavily driven by unhealthy food environments. The International Network for Food and Obesity/non-communicable diseases (NCDs) Research, Monitoring and Action Support (INFORMAS) has been established to reduce obesity, NCDs and their related inequalities globally. This paper describes the design and methods of the first-ever, comprehensive national survey on the healthiness of food environments and the public and private sector policies influencing them, as a first step towards global monitoring of food environments and policies. A package of 11 substudies has been identified: (1) food composition, labelling and promotion on food packages; (2) food prices, shelf space and placement of foods in different outlets (mainly supermarkets); (3) food provision in schools/early childhood education (ECE) services and outdoor food promotion around schools/ECE services; (4) density of and proximity to food outlets in communities; food promotion to children via (5) television, (6) magazines, (7) sport club sponsorships, and (8) internet and social media; (9) analysis of the impact of trade and investment agreements on food environments; (10) government policies and actions; and (11) private sector actions and practices. For the substudies on food prices, provision, promotion and retail, 'environmental equity' indicators have been developed to check progress towards reducing diet-related health inequalities. Indicators for these modules will be assessed by tertiles of area deprivation index or school deciles. International 'best practice benchmarks' will be identified, against which to compare progress of countries on improving the healthiness of their food environments and policies. This research is highly original due to the very 'upstream' approach being taken and its direct policy relevance. The detailed protocols will be offered to and adapted for countries of varying size and income in order to establish INFORMAS globally as a new monitoring initiative

  17. The Elevation of Annals of Rehabilitation Medicine to the Status of an International Journal After Adopting an English-Only Policy. (United States)

    Huh, Sun


    To use bibliometric analyses to determine whether Annals of Rehabilitation Medicine (hereafter also referred to as Annals) became an international journal after adopting an English-only policy in 2011. Articles from the third issue of 2011 to the third issue of 2015 were analyzed according to the following parameters: whether the research was supported by funding, country of authorship, impact factor, total citations, the countries of researchers who cited Annals; the journals that cited Annals; and the Hirsch index. One hundred twenty-eight (34.2%) of the 374 original articles were supported by research funds. The main authors were from Korea (550/556, 98.9%), the USA (3), Iran (2), Japan (1), Turkey (1), and the United Kingdom (1). The manually calculated impact factors in 2013 and 2014 were 0.582 and 0.667, respectively. The total annual citations from years 2012 to 2015 were 15, 130, 252, and 189, respectively. The countries of residence of the main authors who cited Annals were the USA (146), Korea (89), and China (49). The journals that cited Annals most frequently were the Journal of Physical Therapy (34), Archives of Physical Medicine and Rehabilitation (15), and Frontiers in Human Neuroscience (13). The Hirsch index was 9. The above results demonstrate that the change of the language policy of Annals to English-only was successful in elevating the journal to the international level. The journal's aim of sharing up-to-date knowledge dedicated to advancing the care of the disabled and enhancing their everyday abilities and quality of life has been satisfactorily realized.

  18. ICT health 2013: infrastructure and adoption by healthcare providers in Brazil. (United States)

    Marin, Heimar F; Senne, Fabio; Barbosa, Alexandre


    The potential offered by intensive and strategic adoption of information and communication technologies for obtaining advances in the health sector is worldwide recognized. In order to monitor the implementation of ICT in health policies in Brazil and to establish internationally comparable indicators, a nationwide survey was conducted to identify the current implementation of information and communication technologies in Healthcare facilities and its adoption by providers. Data collection was carried out from February to August 2013 using two structured questionnaires. The results obtained showed that the access to internet is nearly universal in the country but clinical information systems are still in its infancy when it comes to more complex functionalities and linked to clinical decision support. Healthcare professionals indicated that the main barrier to adopt is the lack of availability related to the patient information.

  19. Adopting a Water-Food-Energy nexus approach to explore the synergies and trade-offs of food-water policies in Spain (United States)

    Willaarts, Barbara; Lechon, Yolanda; de la Rúa, Cristina; Garrido, Alberto


    Spain is a semi-arid country and faces a strong competition over scarce water resources by the different sectors. Agriculture is the largest water consumer and because of this it is often at the core of much of the disputes over water. Several policy measures have been implemented in the course of the last decades to ameliorate water scarcity problems. The irrigation modernization plan is probably one of the most ambitious plans implemented so far (with a total investment of nearly 3,800 mill € involving the modernization of over 1 million irrigated ha), and was developed with the double aim of increasing the efficiency of agricultural water use and strength the resilience and competitiveness of the Spanish irrigation sector. In this research we examine the implications of the irrigation modernization plan by adopting a nexus approach. In particular we assess the trends in water, land and energy footprints associated to agriculture during the period 2000-2011 to evaluate the effectiveness of the plan. Likewise, we used a life cycle analysis approach to assess the implications in terms of greenhouse gas emissions (GHG). Our results show that the land footprint of irrigated agriculture has increased 2% (from 3.4 mill ha in 2000 to 3,6 mill ha in 2011). Meanwhile, the water footprint of irrigated agriculture has decreased by 8% (from 17,078 hm3 in 2000 to 15,573 hm3 in 2011). Beyond the net water savings, there has been a major shift in the composition of the water footprint. In the year 2000, 77% of the blue agricultural water footprint was linked to surface water, while in the year 2011 over 55% of the water consumed by agriculture is groundwater. The modernization of irrigation technologies alongside with the shift from a predominantly surface water footprint to groundwater has boosted the energy footprint of irrigation by 56% (2442 GWh in 2000 to 3803 GWh in 2011). This rise in the energy bill has meant an increase of 9% in the GHG emissions. Yet, this GHG

  20. Emissions, air concentrations and atmospheric depositions of arsenic, cadmium, lead and nickel in Italy in the last two decades: A review of recent trends in relation to policy strategies adopted locally, regionally and globally

    Directory of Open Access Journals (Sweden)

    Strincone M.


    Full Text Available Heavy metals can cause adverse effects to humans, animals and ecosystems due to their bioavailability and toxicity in various environmental compartments. In the last decades, many policy strategies and measures have been taken at global, regional and local level in relation to heavy metals, due to their adverse effects and ability to be transported over long distances. Several EU measures have been adopted in order to control the pollution from heavy metals in the main sectors. This paper will provide an overview of trends of emissions, air concentrations and atmospheric depositions of heavy metals in Italy and of the main relevant EU legislation and its goals (Directives on paints, batteries, industrial emissions, etc. together with policies adopted at Italian level.

  1. Adoption of medication alert systems in hospital outpatient departments in Taiwan. (United States)

    Kuo, Yu-Chun; Cheng, Shou-Hsia


    The adoption of medication alert systems in the health care sector varies among regions. In Taiwan, the health authority introduced policies in 2005 to encourage the adoption of medication alert systems in hospitals. This study aimed to understand the adoption of medication alert systems in the outpatient departments of hospitals in Taiwan using a nationwide survey. A questionnaire was developed and mailed to 380 accredited general hospitals in Taiwan in 2013. The information collected from the questionnaire concerning the outpatient department included (1) the time of adoption of a medication alert system; (2) the operation of individual alert functions: availability, management, and stability; and (3) hospital characteristics: accreditation level, teaching status, ownership, and number of beds. A total of 216 hospitals completed and returned the questionnaire, corresponding to a response rate of 56.8%. The adoption rate of medication alert systems in hospital outpatient departments increased from less than 10% in 1997-95.83% in 2012. Approximately two-thirds of the hospitals developed and maintained the alert systems independently or collaboratively with vendors. Teaching and large hospitals tended to develop more advanced alert functions such as drug-drug interaction functions. Improving the safety and quality of pharmaceutical services and meeting the policy requirements are reasons for hospitals to establish medication alert systems. The adoption rate of medication alert systems reached 95% in accredited general hospitals in Taiwan. Government policy and available health information professionals and vendors may somewhat contribute to the high adoption rate. Copyright © 2017 Elsevier B.V. All rights reserved.

  2. The role of civil society in health policy making in South Africa: a review of the strategies adopted by the Treatment Action Campaign. (United States)

    Sabi, Stella C; Rieker, Mark


    The diagnosis of AIDS in 1982 in South Africa was followed by a rapid rise in the number of people living with the virus and dying from AIDS-related illnesses. The 2016 report by the Statistics South Africa indicated that about 7.03 million South Africans were infected with HIV/AIDS - the highest rate in the world. Despite the emergence of effective drugs in the mid-1990s, medical treatment remained unavailable in South Africa, particularly in public hospitals. This prompted civil society groups to establish platforms to discuss health policy change in South Africa. Prominent among these was the Treatment Action Campaign (TAC), formed in 1998, which aimed to advocate for improved HIV/AIDS health service delivery. The efforts succeeded in shaping the current HIV/AIDS policy through various initiatives such as the use of constitutional law in legal action against profiteering drug companies. This paper examines the role of civil society, and particularly the TAC engagement with the state in health policy making, and the subsequent implementation of health policy on HIV/AIDS in post-apartheid South Africa.

  3. To Adopt Or Not To Adopt? The Transnational Adoption of International Financial Reporting Standards (IFRS) in Africa


    Zori, S.


    The idea that policy diffusion can occur via two different mechanisms has gained attention in the realm of international accounting since the European Union’s adoption of International Financial Reporting Standards (IFRSs) in 2005. Proponents of classical economic approaches to policy adoption argue that countries adopting IFRS are motivated solely by the economic consequences of the standards from which they anticipate an improvement in information quality. Neo-institutional scholars argue, ...

  4. The Impacts of Changes to Nevada's Net Metering Policy on the Financial Performance and Adoption of Distributed Photovoltaics

    Energy Technology Data Exchange (ETDEWEB)

    Gagnon, Pieter [National Renewable Energy Lab. (NREL), Golden, CO (United States); Sigrin, Ben [National Renewable Energy Lab. (NREL), Golden, CO (United States); Gleason, Mike [National Renewable Energy Lab. (NREL), Golden, CO (United States)


    As the adoption of distributed photovoltaics (DPV) has continued to rapidly increase, a national conversation has begun about the efficacy of full-retail net metering as a means of achieving the diverse objectives of electricity pricing. This conversation has prompted studies that have primarily focused on the total costs and benefits of DPV. To compliment those studies, we here characterize the potential impacts of tariff design on the customer-economics and adoption of DPV, where recent changes in Nevada are taken as a case study. We show that an increase in fixed charges more strongly impacts the payback period of small systems, and a decrease in credit for exported electricity more strongly impacts the payback period of large systems. We project that these combined changes will reduce DPV adoption in Nevada; total capacity in 2030 was projected to reach up to 363 MW, with 226 MW having already been installed at the end of the second quarter of 2016. In contrast, if full retail net metering had continued, DPV capacity was projected to reach up to 1,280 MW at the end of 2030, which would account for an estimated 6.5% of the total sales of electricity by NV Energy at that time. We project that the DPV systems will decrease the gross revenue from bill collection by $48 million per year under the new tariffs, whereas the decrease in gross revenue could have reached $255 million per year if full retail net metering had been continued. Although these results are given in the context of Nevada, the trends shown are intended to help information similar upcoming decisions in other states.

  5. "You Want Your Guests to Be Happy in This Business": Hoteliers' Decisions to Adopt Voluntary Smoke-Free Guest-Room Policies. (United States)

    McDaniel, Patricia A; Malone, Ruth E


    To explore why some hotels have implemented 100% smoke-free policies voluntarily, the perceived consequences of doing so, and media responses. Qualitative study of hotel management and quantitative content analysis of media coverage of smoke-free hotels. Hotels and media based in the United States. Eleven representatives of 5 independent and 4 chain hotels. Other data included 265 news items about smoke-free hotels. We conducted 30-minute semi-structured interviews with hotel representatives and analyzed the data using qualitative content analysis. We also searched 3 online news databases for news items about hotels in our study, and collaboratively coded retrieved items; we analyzed the content and slant of news items. Business considerations, including guest requests, competitor action, and cost savings, were the primary motivations for implementing 100% smoke-free guest-room policies. Health concerns played a minimal role. Hotels received positive feedback from customers and employees. Media coverage was favorable, emphasizing positive aspects of going smoke-free; the overall slant of news items was positive or neutral. However, few hotels marketed the change. Since hotel customers and employees are likely to experience long periods of smoke exposure and smoke-free hotels appear to be so well received, it may be timely to pursue policies making all hotels smoke-free.

  6. Combining feed-in tariffs and net-metering schemes to balance development in adoption of photovoltaic energy: Comparative economic assessment and policy implications for European countries

    International Nuclear Information System (INIS)

    Ramírez, F. Javier; Honrubia-Escribano, A.; Gómez-Lázaro, E.; Pham, Duc T.


    In the last fifteen years, Europe has been involved in the major development of photovoltaic (PV) solar energy. The Kyoto Protocol requirements and the European Union (EU) directives to promote the use of renewable energy sources (RES) together with environmental policies introduced for the development and use of alternative energies have generated a large number of market opportunities for this sector. Differences in the application of energy policies have caused significant imbalances in electricity systems and distortion of electricity prices. The main concern of governments is to define the support schemes to be used and how to combine them in the most profitable manner. The aim of this paper is to provide a comparative cost-effectiveness assessment using feed-in tariffs (FiT) and net-metering (NM) schemes in some representative EU countries. The authors have developed an economic model to evaluate the profitability of PV projects combining these support schemes. Results show not only the circumstances under which solar energy is economically profitable, but also the kind of PV systems, locations, minimum levels of tariff prices and specific combination of support schemes that should be promoted. - Highlights: • Comparative cost-effectiveness assessment combining FiT and NM support schemes. • A minimum FiT is proposed in addition to traditional financial performance indicators. • Results show the specific combinations of support schemes that should be promoted. • This work can aid efficient energy policy making. • Model could be applied to other types of RES projects and other geographical areas.

  7. Implications of adopting a biodiversity-based vulnerability index versus a shoreline environmental sensitivity index on management and policy planning along coastal areas. (United States)

    Harik, G; Alameddine, I; Maroun, R; Rachid, G; Bruschi, D; Astiaso Garcia, D; El-Fadel, M


    In this study, a multi-criteria index was developed to assess anthropogenic stressors along the Mediterranean coastline. The index aimed at geo-locating pollution hotspots for informed decision making related to coastal zone management. The index was integrated in a Geographical Information System based geodatabase implemented at several pilot areas along the Northern (Italy and France), Eastern (Lebanon), and Southern (Tunisia) Mediterranean coastlines. The generated stressor maps were coupled with a biodiversity richness index and an environmental sensitivity index to produce vulnerability maps that can form the basis for prioritizing management and mitigation interventions towards the identification of pollution hotspots and the promotion of sustainable coastal zone management. The results identified significant differences between the two assessment methods, which can bias prioritization in decision making and policy planning depending on stakeholders' interests. The discrepancies emphasize the need for transparency and understanding of the underlying foundations behind vulnerability indices and mapping development. Copyright © 2016 Elsevier Ltd. All rights reserved.

  8. Medical Issues in Adoption (United States)

    ... for Educators Search English Español Medical Issues in Adoption KidsHealth / For Parents / Medical Issues in Adoption What's ... child, before, during, and after the adoption. Open Adoptions If you have an open or semi-open ...

  9. Alternative Fuel Vehicle Adoption Increases Fleet Gasoline Consumption and Greenhouse Gas Emissions under United States Corporate Average Fuel Economy Policy and Greenhouse Gas Emissions Standards. (United States)

    Jenn, Alan; Azevedo, Inês M L; Michalek, Jeremy J


    The United States Corporate Average Fuel Economy (CAFE) standards and Greenhouse Gas (GHG) Emission standards are designed to reduce petroleum consumption and GHG emissions from light-duty passenger vehicles. They do so by requiring automakers to meet aggregate criteria for fleet fuel efficiency and carbon dioxide (CO2) emission rates. Several incentives for manufacturers to sell alternative fuel vehicles (AFVs) have been introduced in recent updates of CAFE/GHG policy for vehicles sold from 2012 through 2025 to help encourage a fleet technology transition. These incentives allow automakers that sell AFVs to meet less-stringent fleet efficiency targets, resulting in increased fleet-wide gasoline consumption and emissions. We derive a closed-form expression to quantify these effects. We find that each time an AFV is sold in place of a conventional vehicle, fleet emissions increase by 0 to 60 t of CO2 and gasoline consumption increases by 0 to 7000 gallons (26,000 L), depending on the AFV and year of sale. Using projections for vehicles sold from 2012 to 2025 from the Energy Information Administration, we estimate that the CAFE/GHG AFV incentives lead to a cumulative increase of 30 to 70 million metric tons of CO2 and 3 to 8 billion gallons (11 to 30 billion liters) of gasoline consumed over the vehicles' lifetimes - the largest share of which is due to legacy GHG flex-fuel vehicle credits that expire in 2016. These effects may be 30-40% larger in practice than we estimate here due to optimistic laboratory vehicle efficiency tests used in policy compliance calculations.

  10. Policy Entrepreneurship and Policy Transfer: Flood Risk Governance in Northern Sweden

    Directory of Open Access Journals (Sweden)

    Petridou Evangelia


    Full Text Available Central to policies relating to risk governance at the regional and local levels is the interaction between the public and private sectors also referred to as networked governance. At the same time, the role of political actors in general and policy entrepreneurs in particular, in terms of policy change, has gained considerable traction in recent policy scholarship. The purpose of this study was to investigate the change in governance arrangements resulting in the formation of a coordination network in regional flood risk management-the first of its kind in Sweden. Our research is guided by the following questions: first, would the policy change (the establishment of the networkshave taken place if a policy entrepreneur were not part of the policy transfer process? Second, what is the role of policy entrepreneurship in the implementation of the policy after its nationwide adoption? Third, what other factors played a role in the variation of the results in the implemented policy that is, the enforced networks? We find the role of a policy entrepreneur key in the policy transfer from the regional to the national level. In order to investigate the resultant networks, we draw from B. Guy Peters (1998 and his conceptualization of factors which affect the politics of coordination. In addition to the presence of a policy entrepreneur, we compare: (i pluriformity of network members;(ii member interdependence; (iii redundancy of structures, and (iv degree of formality (in terms of meetings. Our findings suggest that entrepreneurs contribute to the variation in the functionality of the enforced river groups, though other factors play a significant role as well.Most importantly, perhaps, we did not identify entrepreneurs in any of the river groups which were not functional.

  11. Antecedents to the adoption of ASPS in healthcare. (United States)

    Randeree, Ebrahim; Judd, Susan P; Kishore, Rajiv; Rao, H Raghav


    The objective of this exploratory study was to identify drivers of adoption for a new form of information technology outsourcing--the ASP model--in the healthcare industry. Primary data were collected in January 2002 from a nationwide survey of senior-level healthcare information technology executives. Cost management (supplier presence, asset specificity, production costs, transaction costs, resource availability) and relative advantage (reliability, customizability, strategic alignment, and magnitude of potential loss) were found to have the largest influences on adoption behavior.

  12. A new approach to nationwide sanitation planning for developing countries: Case study of Indonesia

    International Nuclear Information System (INIS)

    Kerstens, S.M.; Spiller, M.; Leusbrock, I.; Zeeman, G.


    Many developing countries struggle to provide wastewater and solid waste services. The backlog in access has been partly attributed to the absence of a functional sanitation planning framework. Various planning tools are available; however a comprehensive framework that directly links a government policy to nationwide planning is missing. Therefore, we propose a framework to facilitate the nationwide planning process for the implementation of wastewater and solid waste services. The framework requires inputs from government planners and experts in the formulation of starting points and targets. Based on a limited number of indicators (population density, urban functions) three outputs are generated. The first output is a visualization of the spatial distribution of wastewater and solid waste systems to support regional priority setting in planning and create awareness. Secondly, the total number of people served, budget requirements and distribution of systems is determined. Thirdly, the required budget is allocated to the responsible institution to assure effective implementation. The determined budgets are specified by their beneficiaries, distinguishing urban, rural, poor and non-poor households. The framework was applied for Indonesia and outputs were adopted in the National Development Plan. The required budget to reach the Indonesian government's 2019 target was determined to be 25 billion US$ over 5 years. The contribution from the national budget required a more than fivefold increase compared to the current budget allocation in Indonesia, corresponding to an increase from 0.5 to 2.7 billion US$ per year. The budget for campaigning, advocacy and institutional strengthening to enable implementation was determined to be 10% of the total budget. The proposed framework is not only suitable for Indonesia, but could also be applied to any developing country that aims to increase access to wastewater and solid waste facilities. - Highlights: • A nationwide

  13. A new approach to nationwide sanitation planning for developing countries: Case study of Indonesia

    Energy Technology Data Exchange (ETDEWEB)

    Kerstens, S.M., E-mail: [Royal HaskoningDHV, P.O. Box 1132, 3800 BC, Amersfoort (Netherlands); Spiller, M., E-mail: [Wageningen University, Sub-department of Environmental Technology, P.O. Box 8129, 6700 EV Wageningen (Netherlands); Leusbrock, I., E-mail: [Wageningen University, Sub-department of Environmental Technology, P.O. Box 8129, 6700 EV Wageningen (Netherlands); Zeeman, G., E-mail: [Wageningen University, Sub-department of Environmental Technology, P.O. Box 8129, 6700 EV Wageningen (Netherlands)


    Many developing countries struggle to provide wastewater and solid waste services. The backlog in access has been partly attributed to the absence of a functional sanitation planning framework. Various planning tools are available; however a comprehensive framework that directly links a government policy to nationwide planning is missing. Therefore, we propose a framework to facilitate the nationwide planning process for the implementation of wastewater and solid waste services. The framework requires inputs from government planners and experts in the formulation of starting points and targets. Based on a limited number of indicators (population density, urban functions) three outputs are generated. The first output is a visualization of the spatial distribution of wastewater and solid waste systems to support regional priority setting in planning and create awareness. Secondly, the total number of people served, budget requirements and distribution of systems is determined. Thirdly, the required budget is allocated to the responsible institution to assure effective implementation. The determined budgets are specified by their beneficiaries, distinguishing urban, rural, poor and non-poor households. The framework was applied for Indonesia and outputs were adopted in the National Development Plan. The required budget to reach the Indonesian government's 2019 target was determined to be 25 billion US$ over 5 years. The contribution from the national budget required a more than fivefold increase compared to the current budget allocation in Indonesia, corresponding to an increase from 0.5 to 2.7 billion US$ per year. The budget for campaigning, advocacy and institutional strengthening to enable implementation was determined to be 10% of the total budget. The proposed framework is not only suitable for Indonesia, but could also be applied to any developing country that aims to increase access to wastewater and solid waste facilities. - Highlights: • A nationwide

  14. Banking on the equator. Are banks that adopted the equator principles different from non-adopters?

    NARCIS (Netherlands)

    Scholtens, B.; Dam, L.

    We analyze the performance of banks that adopted the Equator Principles. The Equator Principles are designed to assure sustainable development in project finance. The social, ethical, and environmental policies of the adopters differ significantly from those of banks that did not adopt the Equator

  15. Resource implications of adopting a restrictive neonatal blood ...

    African Journals Online (AJOL)

    Resource implications of adopting a restrictive neonatal blood transfusion policy. ... Objective. To determine whether adopting a restrictive BTF policy results in fewer transfusions. Methods. Data were retrospectively collected on all infants who received BTFs in the GSH nursery over a 6-month period following adoption of a ...

  16. Macro influencers of electronic health records adoption. (United States)

    Raghavan, Vijay V; Chinta, Ravi; Zhirkin, Nikita


    While adoption rates for electronic health records (EHRs) have improved, the reasons for significant geographical differences in EHR adoption within the USA have remained unclear. To understand the reasons for these variations across states, we have compiled from secondary sources a profile of different states within the USA, based on macroeconomic and macro health-environment factors. Regression analyses were performed using these indicator factors on EHR adoption. The results showed that internet usage and literacy are significantly associated with certain measures of EHR adoption. Income level was not significantly associated with EHR adoption. Per capita patient days (a proxy for healthcare need intensity within a state) is negatively correlated with EHR adoption rate. Health insurance coverage is positively correlated with EHR adoption rate. Older physicians (>60 years) tend to adopt EHR systems less than their younger counterparts. These findings have policy implications on formulating regionally focused incentive programs.

  17. Thinking About Adoption (United States)

    ... Español Text Size Email Print Share Thinking About Adoption: FAQs Page Content ​​By: Elaine Schulte, MD, MPH, ... Network . Q: What are the different types of adoption? A: Children can be adopted through the national ...

  18. Adoption & Foster Care (United States)

    ... Children > Family Life > Family Dynamics > Adoption & Foster Care Adoption & Foster Care Article Body ​Each year, many children join families through adoption and foster care. These families may face unique ...

  19. Alexandra Masaitis, UNR NV, USA. PhD Grad St. Principles of Adoption of the Successful Environmental Policies and Practices Used in Developed Countries into the Russian Mining Industry (United States)

    Masaitis, A.


    Environmental Management principle based on the local conditions; 2. Devised were criteria for the risk assessment for mining operations in Russia. Where the fundamental principals were public health, environmental and biodiversity impact, long- and short- term rehabilitation plans, compliance with international standards and norms. Every criterion has grade level of probability that directly affects quarterly fees. 3. Developed was the mechanism of the economic motivation to make mining operations "environmentally friendly" that includes defrayal of expenses from both direct and indirect damages. 4. Identified were spheres of possible cooperation between mining companies, government organizations, and the NGOs. These include development of standards for Good Neighbor Agreement, exchange of environmental information, international exchange of successful environmental, health, and safety practices. The study showed the necessity for the Russian Federation mining industry to adopt the more successful environmental policies and practices used in developed countries. To achieve this goal the Regional Environmental Management principle, the risk assessment criteria, the mechanism of the economic motivation, and the principles for international cooperation can play an extremely important role.

  20. 7 CFR 1794.71 - Adoption of an EA. (United States)


    ... 7 Agriculture 12 2010-01-01 2010-01-01 false Adoption of an EA. 1794.71 Section 1794.71... AGRICULTURE (CONTINUED) ENVIRONMENTAL POLICIES AND PROCEDURES Adoption of Environmental Documents § 1794.71 Adoption of an EA. RUS may adopt a Federal EA or EIS or a portion thereof as its EA. RUS shall make the EA...

  1. 78 FR 24749 - Health Information Technology Policy Committee Appointment (United States)


    ... GOVERNMENT ACCOUNTABILITY OFFICE Health Information Technology Policy Committee Appointment AGENCY... Recovery and Reinvestment Act of 2009 (ARRA) established the Health Information Technology Policy Committee to make recommendations on the implementation of a nationwide health information technology...

  2. Essays on Policy Evaluation with Endogenous Adoption (United States)

    Gentile, Elisabetta


    Over the last decade, experimental and quasi-experimental methods have been favored by researchers in empirical economics, as they provide unbiased causal estimates. However, when implementing a program, it is often not possible to randomly assign subjects to treatment, leading to a possible endogeneity bias. This dissertation consists of two…

  3. Hospitals ineligible for federal meaningful-use incentives have dismally low rates of adoption of electronic health records. (United States)

    Wolf, Larry; Harvell, Jennie; Jha, Ashish K


    The US government has dedicated substantial resources to help certain providers, such as short-term acute care hospitals and physicians, adopt and meaningfully use electronic health record (EHR) systems. We used national data to determine adoption rates of EHR systems among all types of inpatient providers that were ineligible for these same federal meaningful-use incentives: long-term acute care hospitals, rehabilitation hospitals, and psychiatric hospitals. Adoption rates for these institutions were dismally low: less than half of the rate among short-term acute care hospitals. Specifically, 12 percent of short-term acute care hospitals have at least a basic EHR system, compared with 6 percent of long-term acute care hospitals, 4 percent of rehabilitation hospitals, and 2 percent of psychiatric hospitals. To advance the creation of a nationwide health information technology infrastructure, federal and state policy makers should consider additional measures, such as adopting health information technology standards and EHR system certification criteria appropriate for these ineligible hospitals; including such hospitals in state health information exchange programs; and establishing low-interest loan programs for the acquisition and use of certified EHR systems by ineligible providers.

  4. Machine Replacement, Technology Adoption and Convergence.


    Boucekkine, Raouf; Martinez, Blanca


    In this paper, we introduce adoption costs in a canonical vintage capital model. Adoption costs take the form of a direct loss in production during a fixed period of time. We explicitly characterize the optimal machine replacement policy as a function of the adoption period. Using an explicit numerical method, we study the dynamics of the model. In particular, we find that while an increase in the adoption costs lowers the long run level of output, it also rises the magnitude of short run flu...

  5. Adopted Children and Discipline (United States)

    ... Care > Adopted Children & Discipline Family Life Listen Español Text Size Email Print Share Adopted Children & Discipline Page Content Article Body Some parents are hesitant to discipline the child they have adopted. They may set fewer limits than they would for a birth child. They ...

  6. Envisaging the Adoption Process to Strengthen Gay- and Lesbian-Headed Families: Recommendations for Adoption Professionals (United States)

    Matthews, John D.; Cramer, Elizabeth P.


    Although a growing number of child placement agencies are serving lesbians and gay men, a dearth of literature exists for adoption agency policies and practices related to working with this population. This article explores the unique characteristics and strengths of prospective gay and lesbian adoptive parents throughout each of the three phases…

  7. Becoming an Adoptive Parent

    DEFF Research Database (Denmark)

    McIlvenny, Paul; Raudaskoski, Pirkko Liisa

    in transnational adoption practice and representation. We present the results of our analysis of how the experiences of adoptive parents are (re)mediated in a Danish television documentary series following five prospective adoptive couples, not all of whom succeed in their 'quest' to adopt from abroad. Furthermore......, while crossing linguistic, sociocultural, kinship, racial, class and national boundaries in the process. By combining this qualitative approach with studies of governmentality we map out a set of analytical tools to examine the practices and micropolitics of adoptive parents and families, especially...

  8. The Transracial Adoption Paradox (United States)

    Lee, Richard M.


    The number of transracial adoptions in the United States, particularly international adoptions, is increasing annually. Counseling psychology as a profession, however, is a relatively silent voice in the research on and practice of transracial adoption. This article presents an overview of the history and research on transracial adoption to inform counseling psychologists of the set of racial and ethnic challenges and opportunities that transracial adoptive families face in everyday living. Particular attention is given to emergent theory and research on the cultural socialization process within these families. PMID:18458794

  9. A nationwide low-level waste management system

    International Nuclear Information System (INIS)


    The National Governors' Association, in conjunction with the Department of Energy's National Low-Level Waste Management Program, invited various representatives of states, regions, and federal agencies to comment on their perceptions of what major features would constitute a nationwide low-level waste management system. Three meetings were conducted and this report summarizes results of those meetings. The Low-Level Radioactive Waste Policy Act of 1980 placed primary responsibility on the states for disposal of low-level waste. Although initial efforts of states have been directed toward establishing compacts, it is evident that a successful long term system requires significant cooperation and communication among states, regions, federal agencies, and Congress

  10. The Danish Adoption Register. (United States)

    Petersen, Liselotte; Sørensen, Thorkild I A


    The Danish Adoption Register was established in 1963-1964 to explore the genetic and environmental contribution to familial aggregation of schizophrenia. The register encompass information on all 14,425 non-familial adoptions of Danish children legally granted in Denmark 1924-1947. It includes name and date of birth of each adoptee and his or her biological and adoptive parents, date of transfer to adoptive parents and date of formal adoption. The linkage to biological and adoptive parents is close to complete, even biological fathers are registered for 91.4% of the adoptees. Adoption registers are a unique source allowing disentangling of genetic and familial environmental influences on traits, risk of diseases, and mortality.

  11. Achieving timely adoption. (United States)

    Carnochan, Sarah; Moore, Megan; Austin, Michael J


    While family reunification is the primary permanency objective for children who must be placed temporarily outside of their homes, reunification is not possible for all children. For those children who do not return to their parents and cannot find permanent homes with other family members, adoption is the favored outcome. This review examines the composite measure in the federal Child and Family Services Review that measures agency performance related to the timeliness of adoptions of foster children. It summarizes the multiple factors that research has found to be associated with increased risk for adoption delay and disruption. These include child characteristics, family of origin and adoptive family characteristics, and features of child welfare services and systems. Practices that have been broadly linked to adoption timeliness or address risk factors associated with delays in adoption are described, including social worker activities and agency or system-wide practice.

  12. Post adoption depression. (United States)

    Fields, Eve S; Meuchel, Jennifer M; Jaffe, Chiara J; Jha, Manish; Payne, Jennifer L


    We sought to evaluate the prevalence rate and factors associated with post adoption depression. One hundred and twelve adoptive mothers of infants under 12 months of age were recruited from local and national adoption organizations. A modified Edinburgh Postnatal Depression Scale (EPDS) and a questionnaire collecting medical and psychiatric history, perceived stress, and demographics were administered retrospectively. The rates of significant depressive symptoms (defined as EPDS >or=12) were calculated at three time points post adoption, and associations with specific clinical variables (personal or family psychiatric history, stress, and adjustment difficulty) were assessed. Eighty-six mothers were included. Rates of significant depressive symptoms (EPDS >or=12) were found in 27.9% of subjects at 0-4 weeks, 25.6% at 5-12 weeks, and 12.8% at 13-52 weeks post adoption. Significant depressive symptoms were not associated with personal or family psychiatric history but were associated with stress (p = 0.0011) and adjustment difficulties (p = 0.042) post adoption. Significant depressive symptoms were relatively common in adoptive mothers within the first year after adoption and were associated with environmental stress. Prospective studies are needed to confirm the existence of post adoption depression and the factors associated with it.

  13. Fundamental problem of high-level radioactive waste disposal policy in Japan. Critical analysis responding to the publication of 'Nationwide Map of Scientific Features for Geological Disposal' by the Japanese government

    International Nuclear Information System (INIS)

    Juraku, Kohta


    The government explains that 'Scientific Characteristic Map' (hereinafter 'Map') shows the scientific characteristics of sites that are thought necessary to be taken into account when choosing the place to implement geological disposal and their geographical distribution on the Japanese map for the convenience to 'roughly overlook.' Nuclear Waste Management Organization of Japan (NUMO) as the implementing agency for geological disposal and the government (Agency for Natural Resources and Energy of Ministry of Economy, Trade and Industry) stress that this Map does not indicate so-called 'optimum land,' but it is the 'first step of a long way to realize disposal' for high-level radioactive waste (HLW). However, there clearly lurks a debate about the acceptance of the location of geological disposal in the future. The author has pointed out that the essence of the HLW disposal problem is a problem of 'value selection' that should be decided prior to the location of disposal site. The author believes that it is the competence of society how to identify the path of countermeasures by reconciling in a high degree the justice of the policies supported by scientific and professional knowledge and the justice of social decision making through a democratic duty process. However, the government is trying to forward HLW disposal only from the viewpoint of location problems, while neglecting the problem of 'value selection.' (A.O.)

  14. Nationwide rural well water survey

    International Nuclear Information System (INIS)

    Korkka-Niemi, K.; Sipilae, A.; Hatva, T.; Hiisvirta, L.; Lahti, K.; Alfthan, G.


    The quality of water in 1 421 drinking-water wells was monitored in a nationwide well water study. Samples were taken once from all wells, and during three seasons from 421 wells. The wells were selected in such a way that me sample would be as representative as possible of the quality of the drinking-water in households' own wells in rural areas. The study comprised general water quality parameters, influence of sampling season, and factors related to the type, the condition and the pollution of the wells. In part of the well waters selenium, radioactivity and pesticides were determined. The effect of plumbing materials on the quality of water was also examined. (33 refs., 148 figs., 71 tabs.)

  15. The Danish Adoption Register

    DEFF Research Database (Denmark)

    Petersen, Liselotte; Sørensen, Thorkild I A


    The Danish Adoption Register was established in 1963-1964 to explore the genetic and environmental contribution to familial aggregation of schizophrenia.......The Danish Adoption Register was established in 1963-1964 to explore the genetic and environmental contribution to familial aggregation of schizophrenia....

  16. Outcomes of Transracial Adoption. (United States)

    Silverman, Arnold R.


    Research on transracial adoption indicates that most minority children in transracial placement adjust very well to their mixed-race environments. Most transracial adoptees have a sense of identity with their racial heritage, but the strength of this identity depends, to a large degree, on the commitment of the adoptive parents to foster it.…


    African Journals Online (AJOL)


    Jul 3, 1971 ... to consider their parenthood artificial and uncomfortable. Toussieng leads one to the conclusion that it is the adoptive parents' unresolved resistance to parenthood that con titutes the major factor in causing emotional disturb- ance in the adoptive child. In the course of treating emotionally disturbed young.

  18. 2008 TIGER/Line Nationwide Dataset (United States)

    California Department of Resources — This dataset contains a nationwide build of the 2008 TIGER/Line datasets from the US Census Bureau downloaded in April 2009. The TIGER/Line Shapefiles are an extract...

  19. Recent developments in the transracial adoption debate. (United States)

    Griffith, E E; Duby, J L


    This article places the controversy over transracial adoption (TRA) in its historical context and analyzes recent developments in the law governing TRA policy. Because unfounded "authority" from the field of mental health infuses current debate, the authors alert psychiatrists to two powerful forces that improperly influence today's legal arena: community preference for same-race families and biased professional norms of mental health professionals.

  20. Distributed PV Adoption - Sensitivity to Market Factors

    Energy Technology Data Exchange (ETDEWEB)

    Gagnon, Pieter; Sigrin, Ben


    NREL staff used the dSolar (distributed solar) model to forecast the adoption of distributed, behind-the-meter PV through the year 2050 for 9 different scenarios. The scenarios varied in their assumptions about a carbon tax, the cost of PV systems in the future, and what credit would be given for excess generation once current net metering policies expire.

  1. Motives to adopt renewable electricity technologies: Evidence from Sweden

    International Nuclear Information System (INIS)

    Bergek, Anna; Mignon, Ingrid


    The diffusion of renewable electricity technologies (RETs) has to speed up for countries to reach their, often ambitious, targets for renewable energy generation. This requires a large number of actors – including individuals, companies and other organizations – to adopt RETs. Policies will most likely be needed to induce adoption, but there is limited knowledge about what motivates RET adoption. The purpose of this paper is to complement and expand the available empirical evidence regarding motives to adopt RETs through a survey to over 600 RET adopters in Sweden. The main finding of the study is that there are many different motives to adopt RETs and that RET adopters are a heterogeneous group with regard to motives. Although environmental concerns, interest in the technology, access to an RE resource and prospects to generate economic revenues are important motives in general, adopters differ with regard to how large importance they attach to the same motive and each adopter can also have several different motives to adopt. There are also differences in motives between adopter categories (especially independent power producers vs. individuals and diversified companies) and between RETs (especially wind power vs. solar power). This implies that a variety of policy instruments might be needed to induce further adoption of a variety of RETs by a variety of adopter categories. - Highlights: • There are many different motives to adopt renewable electricity technologies (RETs). • Adopters attach different levels of importance to the same motive. • Adopters can have several different motives to adopt a particular RET. • Motives to adopt RETs differ between wind power, solar PV and small-scale hydro. • Motives to adopt RETs differ between IPPs, individuals and diversified companies.

  2. Adopt Your Watershed (United States)

    U.S. Environmental Protection Agency — Adopt Your Watershed is a Website that encourages stewardship of the nation's water resources and serves as a national inventory of local watershed groups and...

  3. Organizational Green IT Adoption: Concept and Evidence

    Directory of Open Access Journals (Sweden)

    Qi Deng


    Full Text Available Green IT has emerged as an important research topic in information systems and in other areas, such as business sustainability management. Some progress has been made in our understandings of green IT in a wide area of research topics, ranging from the green IT definition to the motivation for adopting green IT by organizations. This paper provides a holistic review and explanation of why organizations adopt green IT. Based on an extensive review of extant studies and a broad theoretical foundation, the paper presents a theoretical framework on organizational green IT adoption (OGITA. For researchers, the study provides a comprehensive review of previous green IT adoption studies and a roadmap for future research. For practitioners, the study provides managers and policy makers a systematic analytical framework in guiding their business decisions.

  4. Adoption, nation, migration

    DEFF Research Database (Denmark)

    Müller, Anders Riel


    Som transnationalt adopteret vokser man ofte op med en fortælling om, at man er født i et fattigt land. Og at ens første forældre var fattige eller oplevede så store problemer, at de ikke så andre muligheder end at afgive en til adoption. Det er en historie, man bliver fortalt igen og igen. Og som...... man ender med at fortælle sig selv. Fattigdom er problemet. Adoption er løsningen. Eller er det?...

  5. Beyond the adoption/ non-adoption dichotomy: the impact of innovation characteristics on potential adopters' transition through adoption process stages

    NARCIS (Netherlands)

    Agarwal, M.K.; Frambach, R.T.


    Research on innovation adoption has suffered from a bias towards understanding the factors that affect the dichotomous adoption/non-adoption decision.Much less attention is devoted to the question why potential adopters fail to progress to the adoption stage from earlier stages in the decision

  6. Factors Associated with Adoption and Adoption Intentions of Nonparental Caregivers (United States)

    Bramlett, Matthew D.; Radel, Laura F.


    Data from the 2011–2012 National Survey of Children’s Health and the 2013 National Survey of Children in Nonparental Care were used to fit a multinomial logistic model comparing three groups to those who never considered adoption: those who ever considered, but are not currently planning adoption; those planning adoption; and those who adopted. Adoption may be more likely when the caregiver is a nonkin foster parent, a foster care agency was involved, and/or financial assistance is available. Those with plans to adopt but who have not adopted may face adoption barriers such as extreme poverty, lower education and being unmarried. PMID:26949328

  7. The Colorado Adoption Project. (United States)

    Rhea, Sally-Ann; Bricker, Josh B; Wadsworth, Sally J; Corley, Robin P


    This paper describes the Colorado Adoption Project (CAP), an ongoing genetically informative longitudinal study of behavioral development. We describe the features of the adoption design used in CAP, and discuss how this type of design uses data from both parent-offspring and related- versus unrelated-sibling comparisons to estimate the importance of genetic and shared environmental influences for resemblance among family members. The paper provides an overview of CAP's history, how subjects were ascertained, recruited, and retained, and the domains of assessment that have been explored since the CAP's initiation in 1975. Findings from some representative papers that make use of data from CAP participants illustrate the study's multifaceted nature as a parent-offspring and sibling behavioral genetic study, a study that parallels a complimentary twin study, a longitudinal study of development, a source of subjects for molecular genetic investigation, and a study of the outcomes of the adoption process itself. As subjects assessed first at age 1 approach age 40, we hope the CAP will establish itself as the first prospective adoption study of lifespan development.

  8. Incidence and prevalence rates of diabetes mellitus in Taiwan: Analysis of the 2000–2009 Nationwide Health Insurance database

    Directory of Open Access Journals (Sweden)

    Yi-Der Jiang


    Conclusion: The incidence of diabetes, including type 1, remained stable over this 10-year period in Taiwan. However, the incidence rate in men aged 20–59 years was higher than that in age-matched women. With our nationwide database, subgroup analysis of DM incidence can be performed to refine our health policies for the prevention, screening, and treatment of diabetes mellitus.

  9. Inequalities in adoption of cancer screening from a diffusion of innovation perspective: identification of late adopters. (United States)

    Hahm, Myung-Il; Park, Eun-Cheol; Choi, Kui Son; Lee, Hoo-Yeon; Park, Jae-Hyun; Park, Sohee


    Although national-level organized cancer screening programs have reduced barriers to screening for people of low socioeconomic status, barriers to early screening remain. Our aim was to determine the diffusion pattern and identify the factors associated with early participation in stomach and breast cancer screening programs. The study population was derived from the Korean National Cancer Screening Survey, conducted in 2007. A stratified random sample of people aged 40 years and older from a nationwide population-based database was gathered in Korea (n=1,517) in 2007. Time of participation in early screening was defined as the number of years that had elapsed between the participant's 30th birthday and the age at first screening. Significant differences were observed in the probability of adopting stomach and breast cancer screening in relation to education, household income, and job level. Results from Cox's proportional hazard model indicated that higher household income was significantly associated with an increased probability of adopting stomach cancer screening earlier (pcancer screening earlier than were those with incomes under US$1,500 per month (pcancer screening. The results of this study also suggest that inequalities in early adoption may affect participation in regular screening. Copyright © 2010 Elsevier Ltd. All rights reserved.

  10. Issues and challenges in the adoption of International Financial ...

    African Journals Online (AJOL)

    The mandatory adoption of International Financial Reporting Standard (IFRS) has come with a number of challenges that need to be studied so that solutions from other countries will not be imported into our country. The decision to adopt IFRS is observed to have some weaknesses, as such, implementation of policy results ...

  11. Transracial Adoption and Placement: A Critical Review of Literature. (United States)

    Hudson, John E.

    This critical review of the literature on transracial adoption and placement begins with a brief discussion of policy decisions and court rulings, and then provides information on characteristics of adoptees and transracial adopters, a discussion of racial prejudice, and an interpretation of the findings. It is concluded that given the small…

  12. Ethical Perspectives on the Current Controversy Regarding Openness in Adoption. (United States)

    Tavis, Timothy M.

    This paper outlines current changes in American adoption practice and the controversies surrounding these changes. It includes a discussion of the role that neo-Kantian and utilitarian perspectives have played in American adoption policy and practice, and offers an alternative, the communitarian perspective, described by Sandel (1984). Adoption…

  13. The economics of subnational carbon policy interactions and integration (United States)

    Rahman, Fadli

    An integrated, nationwide carbon policy is essential to achieve US environmental targets relating to carbon emissions. The carbon policy literature is loaded with qualitative analysis of the implications or mechanisms of an integrated emissions market across the US, but current quantitative studies do not offer solutions regarding the interactions of coexisting US regional emission markets and other policy instruments. Therefore, this dissertation attempts to answer three fundamental concerns about US carbon policy. The second chapter analyzes the welfare implications of different relative stringencies of cap-setting under a proposed integration of two emissions markets, considering the attributes relevant to each market. The third chapter extends this market integration analysis by adding an intertemporal feature to analyze the consequences of integrating existing emission markets in the US (i.e., California and RGGI). The fourth chapter examines the adverse economic implications of adopting several overlapping carbon policy instruments to regulate carbon emissions in a region. The second and third chapters employ a simple structural model with a stochastic variable to account for uncertainties in emissions. The fourth chapter utilizes a static general equilibrium framework based on IMPLAN data for California to comprehensively evaluate the reactions of the state-wide economy to various carbon policy settings. In general, the results show that integrating existing emissions markets could generate both positive and negative effects on economic welfare. The positive effects result from gains from trading permits, while negative results come from perverse second-best interactions. Policymakers are expected to carefully consider the factors and attributes of all regions prior to setting their policy targets and designing an integrated system of carbon reduction.

  14. Open Adoption: Adoptive Parents' Reactions Two Decades Later (United States)

    Siegel, Deborah H.


    Unlike in the past, most adoption agencies today offer birth parents and adoptive parents the opportunity to share identifying information and have contact with each other. To understand the impacts of different open adoption arrangements, a qualitative descriptive study using a snowball sample of 44 adoptive parents throughout New England began…

  15. Hospitious Adoption: How Hospitality Empowers Children and Transforms Adoption (United States)

    Gritter, James L.


    Building on previous books by the author, "Hospitious Adoption: How Hospitality Empowers Children and Transforms Adoption" examines the next step after open adoption. Gritter takes the approach that practicing goodwill, respect, and courage within the realm of adoption makes the process move smoother and enriches children's lives. Following a…

  16. Awareness of BIM adoption in Brunei (United States)

    Rahman, Md Motiar


    Building Information Modelling (BIM) is getting increased attention day-by-day due to its many benefits, including clash detection, collaboration between contract parties, visualization future structure, optimized schedule and project control, waste control, design documentation, and harmonized facilities management. As such, many countries have already adopted BIM, and many other countries are exploring the potential of adopting it. However, it is still relatively new and unknown to some other countries like Brunei. This study was therefore undertaken to generate and/or gauge the awareness of Brunei construction industry participants, targeting adoption of BIM, through a structured questionnaire survey. Responses from 90 industry participants reveal that Brunei Construction industry is not well aware of BIM, lack the required technical knowledge and application in construction, and cost involvement. They are unsure about the potential benefits and barriers to implementing BIM. However, respondents are hopeful that BIM can bring the required changes in construction, willing to adopt BIM, expects cliental support with initial investment for its adoption, and believe that BIM is the future of construction project information management. On the whole, private sector was seen to be more aware on BIM than public sector. The study outcomes are expected to provide the policy makers a first-hand information on the industry awareness on BIM, which in turn help them for further exploration / examination and to design any action plan and guidelines for BIM adoption.

  17. Adoption of Broadband Services

    DEFF Research Database (Denmark)

    Falch, Morten


    Broadband is seen as a key infrastructure for developing the information society. For this reason many Governments are actively engaged in stimulating investments in broadband infrastructures and use of broadband services. This chapter compares a wide range of broadband strategies in the most...... successful markets for broadband. This is done through analysis of national policies in three European countries-Denmark, Sweden, and Germany-and the U.S., Japan, and South Korea. We concluded that successful implementation of broadband depends on the kind of policy measures to be taken at the national level...

  18. Adoption, nation, migration

    DEFF Research Database (Denmark)

    Müller, Anders Riel


    Som transnationalt adopteret vokser man ofte op med en fortælling om, at man er født i et fattigt land. Og at ens første forældre var fattige eller oplevede så store problemer, at de ikke så andre muligheder end at afgive en til adoption. Det er en historie, man bliver fortalt igen og igen. Og so...

  19. Barriers to ambulatory EHR: who are 'imminent adopters' and how do they differ from other physicians?

    Directory of Open Access Journals (Sweden)

    Nir Menachemi


    Conclusion Policy and decision makers interested in promoting the adoption of EHR among physicians should focus on the needs and barriers of those most likely to adopt EHR. Given that imminent adopters differ considerably from their peers, current EHR incentive programmes that focus on financial barriers only might prove sub-optimal in achieving immediate widespread EHR adoption.

  20. Adoption practices in Enugu, Nigeria. (United States)

    Aniebue, P N; Aniebue, U U


    The study of the pattern and outcome of adoptions in Enugu, Nigeria in order to determine the challenges in the emerging adoption practice in the state. A retrospective analysis of adoption practices in Enugu Nigeria based on data from the National women's Commission. The National Women's Commission is the statutory body responsible for the documentation and follow-up of adoption in Enugu State. The characteristics of adopters and adoptees, types of adoption, prevalence and outcome of the adoptions between January 1991 and December 2001 were examined. Percentages were used for descriptive statistics and student's t-test for comparing means at 5% significance levels. There were sixty-one adoptions in the eleven-year period giving a prevalence of 5.5 adoptions per year. Eighteen (29.5%) kinship adoptions and 43 (70.5%) adoptions of abandoned babies and children were recorded. The mean age of the adoptees was 4.2 years and 33.3% of them were 5 years and above. All adopters were Nigerians but 32.0% of them resided overseas. The commonest age range at adoption was 4-49 years and the peak duration of marriage prior to adoption was 15-19 years. Most adopters (84.9%) had at least secondary school education. No adoption was annulled and there was no recorded death of adoptees. Post care monitoring was found to be incomprehensive. The growing practice of adoption in Enugu is laudable but post adoption care is poor. Emphasis on post adoption care is vital in developing countries where complex social and logistic factors militate against it. In infertility management early institution of counseling on adoption would allow couples ample time for decision making and preparation for adoption, as well as encourage adoption when couples are still young.

  1. 77 FR 16021 - Reissuance of Nationwide Permits (United States)


    .... David Olson at 202-761-4922 or by email at david.b[email protected] or access the U.S. Army Corps of... Department of the Army, Corps of Engineers RIN 0710-AA71 Reissuance of Nationwide Permits AGENCY: Army Corps of Engineers, DoD. ACTION: Final notice; correction. SUMMARY: The U.S. Army Corps of Engineers...

  2. State-specific differences in school sports preparticipation physical evaluation policies. (United States)

    Caswell, Shane V; Cortes, Nelson; Chabolla, Mary; Ambegaonkar, Jatin P; Caswell, Amanda M; Brenner, Joel S


    This study evaluated the current preparticipation physical evaluation (PPE) administrative policies and cardiovascular screening content of all 50 states and Washington, DC. PPE policies, documents, and forms from all 50 states and Washington, DC, were compared with the preparticipation physical evaluation-fourth edition (PPE-4) consensus recommendations. All electronic documents were publicly available and obtained from state interscholastic athletic associations. Fifty (98%) states required a PPE before participation. Most states (53%, n = 27) required a specific PPE form, whereas 24% (n = 12) of states recommended a specific form. Twenty-three states (45%) required or recommended use of the PPE-4 form or a modified version of it, and 27 states (53%) required or recommended use of outdated or unidentifiable forms. Ten states (20%) had not revised their PPE forms in >5 years. States permitted 9 different health care providers to administer PPEs. Only 22 states (43%) addressed all 12 of the PPE-4 personal and family history cardiovascular screening items, and 2 states (4%) addressed between 8 and 11 items. For the remaining 26 states, most (29%) addressed ≤3 screening items. Our results show that inconsistencies in PPE policies exist nationwide. Most states have been slow to adopt PPE-4 recommendations and do not adequately address the personal and family cardiovascular history questions. Findings suggest a need for PPE standardization nationwide and adoption of an electronic PPE process. This approach would enable creation of a national database and benefit the public by facilitating a more evidenced PPE. Copyright © 2015 by the American Academy of Pediatrics.

  3. Adoption first? The disposition of human embryos. (United States)

    Murphy, Timothy F


    Anja Karnein has suggested that because of the importance of respect for persons, law and policy should require some human embryos created in vitro to be available for adoption for a period of time. If no one comes forward to adopt the embryos during that time, they may be destroyed (in the case of embryos left over from fertility medicine) or used in research (in the case of embryos created for that purpose or left over from fertility medicine). This adoption option would increase the number of embryos available for couples looking for help in having children, but that effect is less important--Karnein argues--than the observance of respect for human persons. As possible persons, she holds that embryos ought to be treated, as if they will become children, if only for a while. If enacted as a matter of law and policy, an 'adoption option' would wrongly interfere with the dispositional rights women and men ought to have over embryos they create in the course of trying to have children. Karnein's proposal would also deprive researchers of certainty that the embryos they create for research would actually be available that way, leading to increased burdens of time and money and maybe even to more embryos than would otherwise be produced. Karnein's analysis does not show, moreover, that any duty of rescue applies to embryos. No woman is required to adopt any embryo, which significantly undercuts the justification for an obligatory adoption period. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to

  4. Åben Adoption

    DEFF Research Database (Denmark)

    Jeldtoft, Nadia


    Denne rapport er en systematisk forskningsoversigt over udenlandske erfaringer med adoption i forhold til anbringelse uden for hjemmet, fx familiepleje, institutionsanbringelse og hjemgivelse til de biologiske forældre. Konklusionerne i rapporten er overraskende entydige: Adopterede børn klarer sig...... barn adopteres, jo mere stabil og uproblematisk bliver relationen mellem barn og adoptivforældre. Samtidig peger undersøgelserne på, at adoptioner med høj grad af åbenhed og kontakt mellem barn, adoptivforældrene og de biologiske forældre fungerer bedst. Hermed rokkes ved en udbredt forestilling om...

  5. Adoption som indsats

    DEFF Research Database (Denmark)

    Christoffersen, Mogens; Hammen, Ida; Raft Andersen, Karen

    Denne rapport er en systematisk forskningsoversigt over udenlandske erfaringer med adoption i forhold til anbringelse uden for hjemmet, fx familiepleje, institutionsanbringelse og hjemgivelse til de biologiske forældre. Konklusionerne i rapporten er overraskende entydige: Adopterede børn klarer sig...... barn adopteres, jo mere stabil og uproblematisk bliver relationen mellem barn og adoptivforældre. Samtidig peger undersøgelserne på, at adoptioner med høj grad af åbenhed og kontakt mellem barn, adoptivforældrene og de biologiske forældre fungerer bedst. Hermed rokkes ved en udbredt forestilling om...

  6. Process of adoption communication openness in adoptive families: adopters’ perspective

    Directory of Open Access Journals (Sweden)

    Maria Acciaiuoli Barbosa-Ducharne


    Full Text Available Abstract Communication about adoption is a family interaction process which is more than the simple exchange of information. Adoption communication can be characterized in terms of the level of openness of family conversations regarding the child’s past and the degree of the family’s adoption social disclosure. The objective of this study is to explore the process of adoption communication openness in Portuguese adoptive families by identifying the impact of variables related to the adoption process, the adoptive parenting and the adoptee. One hundred twenty five parents of children aged 3 to 15, who were adopted on average 4 years ago, participated in this study. Data was collected during home visits using the Parents Adoption Process Interview. A cluster analysis identified three different groups of families according to the level of adoption communication openness within the family and outside. The findings also showed that the process of the adoption communication openness started when parents decided to adopt, developed in parent-child interaction and was susceptible to change under professional intervention. The relevance of training given to prospective adopters and of professional practice based on scientific evidence is highlighted.

  7. Special topics in international adoption. (United States)

    Jenista, Jerri Ann


    As international adoption has become more "mainstream," the issues recently addressed in domestic adoption have become more important in adoptions involving children originating in other countries. Certain groups of prospective adoptive parents, such as gay or lesbian couples, single parents, and parents with disabilities, have begun to apply to adopt in ever increasing numbers. Children who may have been considered unadoptable in the past are now routinely being offered to prospective adoptive parents. The numbers and ages of the children placed and the spacing between adoptions have come under scrutiny. The rates of adoption dissolutions and disruptions are being examined carefully by the receiving and sending countries. There is a pressing need for research into numerous social aspects of adoption.

  8. Adopting preoperative fasting guidelines. (United States)

    Anderson, Megan; Comrie, Rhonda


    In 1999, the American Society of Anesthesiologists adopted preoperative fasting guidelines to enhance the quality and efficiency of patient care. Guidelines suggest that healthy, non-pregnant patients should fast six hours from solids and two hours from liquids. Although these guidelines are in place, studies suggest that providers are still using the blanket statement "NPO after midnight" without regard to patient characteristics, the procedure, or the time of the procedure. Using theory to help change provider's beliefs may help make change more successful. Rogers' Theory of Diffusion of Innovations can assist in changing long-time practice by laying the groundwork for an analysis of the benefits and disadvantages of proposed changes, such as changes to fasting orders, while helping initiate local protocols instead of additional national guidelines.

  9. Transracial Adoption Today: Views of Adoptive Parents and Social Workers. (United States)

    Grow, Lucille J.; Shapiro, Deborah

    The purpose of this study was to examine the interaction of 38 pairs of white adoptive parents of black children and their social agencies, from the viewpoint of the parents and agency workers. A secondary study compared the characteristics of more recent transracial adopters with those of 125 families who had adopted transracially in the past.…

  10. Too early or too late: What have we learned from the 30-year two-child policy experiment in Yicheng, China?

    Directory of Open Access Journals (Sweden)

    Yu Qin


    Full Text Available Background: In January 2016, China ended its 35-year-old one-child policy and replaced it with a nationwide two-child policy. However, it remains unclear whether a two-child policy can effectively increase the fertility level in China. Objective: We reviewed the 30-year (1985-2015 two-child policy experiment carried out in Yicheng, a county in the Shanxi province of China, to assess the impact of this policy on the crude birth rate, as compared with the one-child policy implemented in most other places in Shanxi. Methods: We adopted a synthetic control approach. Using this method, we constructed a synthetic county using counties in Shanxi that were subject to the one-child policy. The synthetic county had similar observed characteristics to Yicheng before the launch of Yicheng's two-child policy experiment in 1985. Therefore, birth rate differences between Yicheng and the synthetic county after 1985 could be attributed only to the two-child policy. Results: We did not find any short-term impacts of the two-child policy on the Yicheng birth rate prior to the 1990s. We estimated that the two-child policy, in the long run, would lead to a maximum of two more births per 1,000 people every year in Yicheng, compared with similar areas that had a one-child policy. Conclusions: The two-child policy was not found to boost the birth rate in Yicheng and similar places. Contribution: The study identified the causal effect of a two-child policy, and was more methodologically reliable than related studies that primarily explored statistical correlations.

  11. What Can Policy Analysis Add to Evaluation Research?: Predictive Modeling and Policy Optimization. (United States)

    Nagel, Stuart S.

    Policy analysis, or policy study, is defined as the study of the nature, causes, and effects of alternative public policies; sometimes policy analysis refers to specific methods used. Two new developments associated with policy analysis are discussed. One is the concern for deducing the effects of alternative policies before they are adopted, as…

  12. Does ICT policy improve interorganisational ICT for SMEs? A Dutch policy evaluation study.


    Plomp, M.G.A.; Batenburg, R.S.; Hertog, P. den


    Interorganisational ICT has become critical for the performance of both small and large organisations. SMEs however, traditionally lag behind in the uptake of these systems. In many countries, various policy programmes are initiated to improve ICT uptake by SMEs and support them in digital linking throughout their value chain. In the Netherlands, a nationwide policy programme was in place between 2002 and 2007 that is a prominent example of this type of policy initiatives. In this paper we pr...

  13. Adoption research, practice, and societal trends: Ten years of progress. (United States)

    Wiley, Mary O'Leary


    Adoption involves the legal transfer of parental rights and responsibilities from a child's birth parents to adults who will raise the child (Reitz & Watson, 1992). Research related to adoption has expanded over the past 10 years and has incorporated more focus on implications for practice and public policy. This expansion has reflected increased awareness of the lived experience of adopted individuals, in addition to that of adoptive families and birth or first parents and families, collectively known as the adoption kinship network (Grotevant & McRoy, 1998). Trends discussed included research and social trends or movements (2007-2017) since the publication of the final article in a series of articles in the psychological literature related to adoption in The Counseling Psychologist (Baden & Wiley, 2007; Lee, 2003; O'Brien & Zamostny, 2003; Wiley & Baden, 2005; Zamostny, O'Brien, Baden, & Wiley, 2003; Zamostny, Wiley, O'Brien, Lee, & Baden, 2003). This article summarizes the social trends and research related to adoption over the last 10 years, including longitudinal and meta-analytic studies, increased research and conceptualization of ethnic and racial identity development, research on microaggressions, and research on diverse adoptive families, including those with gay and lesbian parents. Social trends included increased knowledge related to Internet accessibility, genetic information, continued focus on openness, and viewing adoption through a more critical lens. Implications are discussed for the development of programs that enhance competence of mental health professionals and adoption professionals in adoption-competent practice. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  14. The Case for Transracial Adoption. (United States)

    Simon, Rita J.; Alstein, Howard


    Describes the rhetoric and goals of groups who have opposed and supported transracial adoption in the United States. Summarizes the current status of statutory and case law bearing on transracial adoption, and presents the results of a longitudinal study of families who adopted children of another race. (TJQ)

  15. Factors driving aquaculture technology adoption (United States)

    Technology adoption has played a key role in the global development and increase in agricultural productivity. However, the decision to adopt a new technology on farms is complex. While the factors that drive the adoption of new technologies have been well studied in agriculture, less attention has ...

  16. Adoption of nuclear power generation

    International Nuclear Information System (INIS)

    Sommers, P.


    This article develops a model of the innovation-adoption decision. The model allows the economic situation of a utility and its perception of uncertainty associated with an innovation to affect the probability of adopting it. This model is useful when uncertainties affecting decisions about adoption persist throughout the diffusion process, thereby making the usual adoption model implicit in rate-of-diffusion studies inappropriate. An empirical test of the model finds that firm size, power pool size, and selected aspects of uncertainty about the innovation are significant predictors of US utility companies' decisions on whether or not to adopt nuclear power generation. 17 references, 2 tables

  17. Telecentres spur policy change in Mozambique | IDRC ...

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


    Oct 18, 2010 ... The champion of telecentres, Venâncio Massingue, a long-time IDRC partner in the area of information and communication technology (ICT) and now Minister of Science and Technology, was one of the architects of the country's ICT policy in 2000 — the first in Africa. Today, nationwide access to these ...

  18. Technology Adoption: an Interaction Perspective (United States)

    Sitorus, Hotna M.; Govindaraju, Rajesri; Wiratmadja, I. I.; Sudirman, Iman


    The success of a new technology depends on how well it is accepted by its intended users. Many technologies face the problem of low adoption rate, despite the benefits. An understanding of what makes people accept or reject a new technology can help speed up the adoption rate. This paper presents a framework for technology adoption based on an interactive perspective, resulting from a literature study on technology adoption. In studying technology adoption, it is necessary to consider the interactions among elements involved in the system, for these interactions may generate new characteristics or new relationships. The interactions among elements in a system adoption have not received sufficient consideration in previous studies of technology adoption. Based on the proposed interaction perspective, technology adoption is elaborated by examining interactions among the individual (i.e. the user or prospective user), the technology, the task and the environment. The framework is formulated by adopting several theories, including Perceived Characteristics of Innovating, Diffusion of Innovation Theory, Technology Acceptance Model, Task-Technology Fit and usability theory. The proposed framework is illustrated in the context of mobile banking adoption. It is aimed to offer a better understanding of determinants of technology adoption in various contexts, including technology in manufacturing systems.

  19. Intercountry versus Transracial Adoption: Analysis of Adoptive Parents' Motivations and Preferences in Adoption (United States)

    Zhang, Yuanting; Lee, Gary R.


    The United States is one of the major baby-receiving countries in the world. Relatively little research has focused on why there is such a high demand for intercountry adoption. Using in-depth qualitative interviews with adoptive parents, the authors explored the reasons why Americans prefer to adopt foreign-born children instead of adopting…

  20. Sunray project - A long-term, nationwide educational process

    International Nuclear Information System (INIS)

    Nikula, Anneli


    The Sunray project is a nationwide educational process coordinated by the Economic Information Bureau (TaT Group) for ninth graders in Finnish comprehensive schools. The project aims at giving thorough and versatile information on radiation within the framework of various subjects (physics, biology, domestic science, history, European languages, mother tongue, health education etc.). The Sunray project covers all ninth graders of the existing 600 Finnish comprehensive schools; in all involving some 65 000 pupils. The project, which has been repeated five times, was initiated as part of the European Science and Technology week in 1995. During the first two years it was strongly linked with the science week as natural sciences were seen as a good framework for the chosen perspective. Since 1997, the project has been run as an event in its own right. The project has applied the method of processing integrated groups of themes, which is an objective of the comprehensive school system and the experimental method of science. As schools make their own decisions about the educational programmes to be adopted every semester, the project has been marketed to schools at the beginning of May. The TaT Group has arranged marketing events in some 10 localities in Finland. The Economic Information Bureau of Finland coordinates the project and in 1995-2000 the Radiation and Nuclear Safety Authority (STUK), the Finnish Energy Industries' Federation, the Finnish Electricity Association, Fortum Oyj and Teollisuuden Voima Oy have participated in the project

  1. Competing explanations for adopting energy innovations for new office buildings

    International Nuclear Information System (INIS)

    Vermeulen, Walter J.V.; Hovens, Jeroen


    An integrative model to explain potential adopters' decisions to adopt energy innovations was adapted and applied in the field of new office building construction. We tested the relative effects of competing theoretical explanations (derived from economics, innovation science and policy science) on the decision to adopt. The research covered 35 projects representing 9% of the total volume of new office construction in the Netherlands between 2000 and mid-2002. Two levels of explanations for adopting innovations were derived: (a) the potential adopter's weighed assessments of the innovations and his or her nature of decision making and (b) explanation of those first-level variables. Using multiple regression techniques, we determined the relative influence on innovation-adoption of variables covering economy and technology, government intervention, company characteristics, and influences from market and society. The decision to adopt 'mature' innovations, in contrast to 'young' innovations, is based more on routine procedures than project-specific considerations. Policies need to take this difference into consideration. We also show evidence that in promoting adoption of E-innovations for new office buildings the Dutch system of applying Energy Performance Standards and subsidies proofs to be effective

  2. The Optimal Timing of Adoption of a Green Technology

    International Nuclear Information System (INIS)

    Cunha-e-Sa, M.A.; Reis, A.B.


    We study the optimal timing of adoption of a cleaner technology and its effects on the rate of growth of an economy in the context of an AK endogenous growth model. We show that the results depend upon the behavior of the marginal utility of environmental quality with respect to consumption. When it is increasing, we derive the capital level at the optimal timing of adoption. We show that this capital threshold is independent of the initial conditions on the stock of capital, implying that capital-poor countries tend to take longer to adopt. Also, country-specific characteristics, as the existence of high barriers to adoption, may lead to different capital thresholds for different countries. If the marginal utility of environmental quality decreases with consumption, a country should never delay adoption; the optimal policy is either to adopt immediately or, if adoption costs are t oo high , to never adopt. The policy implications of these results are discussed in the context of the international debate surrounding the environmental political agenda

  3. The Adoption of Prepaid Tuition and Savings Plans in the American States: An Event History Analysis (United States)

    Doyle, William R.; McLendon, Michael K.; Hearn, James C.


    The past two decades have been a period of far-reaching policy experimentation in state financing of higher education. Between 1986 and 1999, 21 states adopted prepaid college tuition plans. Thirty-one states adopted some form of college savings plan. Both kinds of policies were designed to enhance the affordability of higher education during a…

  4. INTERNET USE ADOPTION AMONG ACADEMICIANS: Comparing Innovative Adopters and Other Adopter Types

    Directory of Open Access Journals (Sweden)

    Norbayah BTE MOHD SUKI


    Full Text Available Online shopping represents an innovation to be adopted or rejected by online consumersglobally. Previous experiences and knowledge of innovation are the main factors affectingpeople’s willingness to adopt a new innovation. We explore how Internet use differsbetween academicians who are innovative adopters and other types of adopters.Academicians who are innovative adopters are hypothesized to: have more years of experience on online shopping, have greater frequency of purchase, and pay a higher price for items purchased online.Data were collected from 301 respondents. Results provide new perspective on innovativeadopters among Malaysian academicians; they have less experience than other adopters inshopping for products online, make fewer purchases online and pay small amount ofmoney in shopping for products online than other adopters. Directions for future research are also discussed.

  5. Adopted youth and sleep difficulties

    Directory of Open Access Journals (Sweden)

    Radcliff Z


    Full Text Available Zach Radcliff, Allison Baylor, Bruce Rybarczyk Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA Abstract: Sleep is a critical component of healthy development for youth, with cascading effects on youth’s biological growth, psychological well-being, and overall functioning. Increased sleep difficulties are one of many disruptions that adopted youth may face throughout the adoption process. Sleep difficulties have been frequently cited as a major concern by adoptive parents and hypothesized in the literature as a problem that may affect multiple areas of development and functioning in adopted youth. However, there is limited research exploring this relationship. Using a biopsychosocial framework, this paper reviews the extant literature to explore the development, maintenance, and impact of sleep difficulties in adopted youth. Finally, implications for future research and clinical interventions are outlined. Keywords: adoption, sleep, youth

  6. Transracial adoption in Britain: Politics, ideology and reality


    Barn, Ravinder; Kirton, Derek


    Transracial adoptions by white parents are situated at the intersections of family and public policy. Debates on racial integration are juxtaposed with child rights and the private sphere of the family. In Britain, the practices of transracial adoption and 'racial matching' continue to invite fierce debate and discussion. Several factors, including the ongoing disproportionate representation of minority ethnic children in the public care system, the 'unavailability' of suitable minority ethni...

  7. Evaluation of the Effects of Nationwide Conservation Voltage Reduction on Peak-Load Shaving Using SOMAS Data

    Directory of Open Access Journals (Sweden)

    Soon-Ryul Nam


    Full Text Available In this paper we propose a new method to evaluate the effects of nationwide conservation voltage reduction (CVR on peak-load shaving, using substation operating results management system (SOMAS data. Its evaluation is based on a national CVR factor, which is defined as the weighted average of CVR factors associated with all transformer banks and weighting coefficients are determined by the reconstructed loads corresponding to each transformer bank. To make use of the data resulting from nationwide CVR without installing additional measuring devices, we adopt a linearized static-load model with a linearizing parameter. SOMAS data are used to evaluate the effects of nationwide CVR on peak-load shaving in the Korean power system. Evaluation results show that the national CVR factor of the Korean power system has small values in the summer season and large values in the winter season. This means that the effect of nationwide CVR on peak-load shaving in the Korean power system presents stronger benefits during winter months.

  8. Cleft care in international adoption. (United States)

    Goldstein, Jesse A; Brown, Benjamin J; Mason, Patrick; Basci, Deniz; Hindenburg, Lora; Dufresne, Craig R; Baker, Stephen B


    Standards of cleft care abroad differ from those in the United States, particularly in less developed countries, where international adoption rates are high. Children adopted from these countries present to plastic surgeons in the United States at various ages and states of repair. The operative and perioperative needs of these children are poorly understood. This study attempts to characterize the preadoption history, the postadoption course, and surgical outcomes of children adopted with cleft deformities. The authors performed a retrospective review of all adopted cleft lip-cleft palate patients presenting to an academic craniofacial referral center and compared outcomes among adopted children who were repaired abroad, adopted children who underwent repair performed by the two senior authors (C.R.D. and S.B.B.), and children born in the United States who underwent repair performed by one of the senior authors (S.B.B.) : Between May of 1993 and August of 2010, 83 adopted children with cleft deformities were evaluated in the authors' craniofacial center. Average age at adoption was 30.5 months (range, 5.0 to 95.0 months). Comparing outcomes among adopted children repaired abroad, adopted children repaired by the senior authors, and children born in the United States who underwent repair in the United States, the authors found no statistically significant differences in lip revision rates, fistula rates, or velopharyngeal insufficiency. Adopted cleft patients constitute a complex and variable population with high rates of revision and delayed presentation. Internationally adopted children with orofacial clefts fared no better or worse after undergoing primary cleft repair abroad or in the United States.

  9. Dynamics of Mobile Service Adoption


    Hannu Verkasalo


    This study utilized a newly developed handset-based mobile end-user research platform and obtained data from 548 Finnish smartphone users in 2006. In addition to descriptive adoption statistics, a path analysis model is developed that explains mobile service adoption contingent on a set of explanatory variables. The paper finds that user intentions have a strong impact on consequent adoption of the service. What is more, perceived hedonic benefits from the service are the strongest factor dri...

  10. Hospital admissions for acute myocardial infarction before and after implementation of a comprehensive smoke-free policy in Uruguay. (United States)

    Sebrié, Ernesto Marcelo; Sandoya, Edgardo; Hyland, Andrew; Bianco, Eduardo; Glantz, Stanton A; Cummings, K Michael


    Stimulated by the WHO Framework Convention on Tobacco Control, many countries in Latin America adopted comprehensive smoke-free policies. In March 2006, Uruguay became the first Latin American country to adopt 100% smoke-free national legislation, which ended smoking in all indoor public places and workplaces, including restaurants and bars. The objective of this study was to evaluate trends in hospital admissions for cardiovascular disease 2 years before and 2 years after the policy was implemented in Uruguay. Reports of hospital admissions for acute myocardial infarction (AMI) (International Classification of Disease-10 I21) from 37 hospitals (79% of all hospital admissions in the country), representing the period 2 years before and 2 years after the adoption of a nationwide smoke-free policy in Uruguay (between 1 March 2004 and 29 February 2008), were reviewed. A time series analysis was undertaken to compare the average monthly number of events of hospital admission for AMI before and after the smoke-free law. A total of 7949 hospital admissions for AMI were identified during the 4-year study period. Two years after the smoke-free policy was enacted, hospital admissions for AMI fell by 22%. The same pattern and roughly the same magnitude of reduction in AMI admissions were observed for patients seen in public and private hospitals, men, women and people aged 40-65 years and older than 65 years. The national smoke-free policy implemented in Uruguay in 2006 was associated with a significant reduction in hospital admissions for AMI.

  11. Hospital admissions for acute myocardial infarction before and after implementation of a comprehensive smoke-free policy in Uruguay (United States)

    Sebrié, Ernesto Marcelo; Sandoya, Edgardo; Hyland, Andrew; Bianco, Eduardo; Glantz, Stanton A; Cummings, K Michael


    Background Stimulated by the WHO Framework Convention on Tobacco Control, many countries in Latin America adopted comprehensive smoke-free policies. In March 2006, Uruguay became the first Latin American country to adopt 100% smoke-free national legislation, which ended smoking in all indoor public places and workplaces, including restaurants and bars. The objective of this study was to evaluate trends in hospital admissions for cardiovascular disease 2 years before and 2 years after the policy was implemented in Uruguay. Methods Reports of hospital admissions for acute myocardial infarction (AMI) (International Classification of Disease-10 I21) from 37 hospitals (79% of all hospital admissions in the country), representing the period 2 years before and 2 years after the adoption of a nationwide smoke-free policy in Uruguay (between 1 March 2004 and 29 February 2008), were reviewed. A time series analysis was undertaken to compare the average monthly number of events of hospital admission for AMI before and after the smoke-free law. Results A total of 7949 hospital admissions for AMI were identified during the 4-year study period. Two years after the smoke-free policy was enacted, hospital admissions for AMI fell by 22%. The same pattern and roughly the same magnitude of reduction in AMI admissions were observed for patients seen in public and private hospitals, men, women and people aged 40–65 years and older than 65 years. Conclusions The national smoke-free policy implemented in Uruguay in 2006 was associated with a significant reduction in hospital admissions for AMI. PMID:22337557

  12. [Adoption and adopted child. Forensic and psychiatric considerations]. (United States)

    Scripcaru, G; Pirozynski, T; Pirozynski, M


    The authors analyse child adoption and the problems of the adopted child through briefing the juridic (legal) regulations ot this institution as well as the many medical and psychologic aspects regarding the relationships that condition its success. At the same they present the semiological aspects induced by the failure of adoption investigated under the aspect of motivation and the manifestations of certain reactive psychosyndromes of the adopted child. The authors' intention and the aim of the paper is to institutionalize a certain medical and psychological delivery according to the knowledge of the many relational implications of child adoption and--without the tendency to 'psychiatrize'--in order to promote the success conveyed to the humanistic content of this institution.

  13. Intercountry adoption and nursing care. (United States)

    Rykkje, Linda


    This paper is based on a Norwegian study that addressed the importance of nurses understanding adoptive families' particular needs. The study aimed to provide a diverse picture of adoptive families' challenges and resources. It addressed adoptive families' experiences with welfare professions, particularly public health nurse services, and explored their need for support before and after adoption. This paper focuses particularly on challenges confronting 'transracial' families. The qualitative research interview was used as the methodological approach. Nine couples of adoptive parents, four adoptive mothers, three public health nurses and four adult adoptees were interviewed. The analysis process was an ad hoc generation of meaning, and the data were systematically reviewed and categorized through an intuitive analysis style. The study indicates that adoptive families manage their 'most common' challenges on their own, but the informants also spoke about a need for professional support and assistance in many cases. Recurring themes in the study were challenges linked to 'attachment difficulties', 'external categorization', 'grief' and 'the meaning of biological heritage and roots'. Findings indicate that there is a substantial demand for increased knowledge of adoptive families' special needs, not least in the public health nurse services; there is also limited knowledge within other welfare professions. Nurses particularly need to strengthen their understanding on how external categorization affects transracial adoptive families. The study recommendations call for improved follow-up after adoptions. This can be met by establishing a special programme for adoptive families at maternity and child health centres. In addition, public health nurses can support adoptees in their teenage years through individual consultations.

  14. Patterns of Psychiatric Outpatient Practice in Taiwan: A Nationwide Survey

    Directory of Open Access Journals (Sweden)

    Ying-Xiu Dai


    Full Text Available (1 Background: Limited studies have utilized nationwide data to assess the patterns of psychiatric practice in other countries. In this study, data from the National Health Insurance Research Database in Taiwan (NHIRD-TW for 2012 was analyzed to determine the patterns of psychiatric outpatient practice in Taiwan; (2 Methods: To determine the patterns of psychiatric outpatient practice in Taiwan, the data were drawn from the datasets of Taiwan’s National Health Insurance Research Database for 2012, with 619,760 records of outpatient visits representing 1/500 of all the claims in Taiwan for that year. The analysis of psychiatric outpatient visits included patient demographics, diagnoses, and prescribed medications; (3 Results: Neurotic disorders were the most prevalent diagnoses (43.1%, n = 5714. Hypnotics-sedatives and anxiolytics were prescribed in 51.7% (n = 6850 and 39.1% (n = 5181 of psychiatric visits, respectively, with zolpidem being the most commonly prescribed drug (22.6%, n = 2998; and (4 Conclusion: Hypnotics and sedatives were widely prescribed for the outpatient population, and zolpidem had the highest annual prevalence of use. These findings deserve the attention of clinicians and policy makers for monitoring the abuse and dependence of these agents and subsequent adverse events.

  15. Cultural stereotypes die hard: the case of transracial adoption. (United States)

    Griffith, Ezra E H; Bergeron, Rachel L


    Transracial adoption (commonly understood as the adoption of black children by white families) has been the subject of a persistent debate among adoption specialists, legal advocates, mental health professionals, and even civil rights advocates in this country for a long time. This has been so despite cumulative research evidence indicating that transracial adoptees can thrive and develop into confident adults with strong senses of identity and self-esteem. We contend that the evidence undergirding transracial adoption has not been effectively persuasive because of the tenacious and ubiquitous cultural belief that children and their potential adoptive parents should be matched along racial lines. However, the cultural principle of racial matching has also been diluted by judicial decisions that have narrowly allowed the use of race as one factor rather than as the controlling factor in adoption decisions. This article focuses on the use of a third element--federal statutory attempts intended to remove race as a controlling factor in child placement decisions. We will show how as a matter of public policy, the statutory efforts were meant to promote race-neutral approaches to adoption and to support transracial adoptions. However, in practice, the statutory attempts may still leave the door open to continued race-matching, which suggests that the cultural preference for race-matching in the construction of families remains powerfully ingrained and difficult to eradicate. As a consequence, transracial adoption appears to maintain its status as a culturally suspect phenomenon.

  16. Knowledge and adoption of solar home systems in rural Nicaragua

    International Nuclear Information System (INIS)

    Rebane, Kaja L.; Barham, Bradford L.


    Solar home systems (SHSs) are a promising electrification option for many households in the developing world. In most countries SHSs are at an early stage of dissemination, and thus face a hurdle common to many emerging alternative energy technologies: many people do not know enough about them to decide whether to adopt one or not. This study uses survey data collected in Nicaragua to investigate characteristics that predict the knowledge and adoption of SHSs among the rural population. First, a series of probit models is used to model the determinants of four measures of SHS knowledge. Next, a biprobit model with sample selection is employed to investigate the factors that predict SHS adoption, conditional on having sufficient knowledge to make an adoption decision. Comparison of the biprobit formulation to a standard probit model of adoption affirms its value. This study identifies multiple determinants of SHS knowledge and adoption, offers several practical recommendations to project planners, and provides an analytical framework for future work in this policy-relevant area. - Research highlights: → Solar home systems (SHSs) are a promising rural electrification option in the developing world. → As with many emerging renewable energy technologies, lack of knowledge may limit SHS adoption. → We use probit models to investigate the determinants of SHS knowledge in rural Nicaragua. → We also employ a biprobit model linking the determinants of knowledge and adoption. → We find that in analyzing SHS adoption, accounting for sample selection based on knowledge is key.

  17. Population policy. (United States)


    decrease fertility, control international migration, and modify the spatial distribution of the population. To reduce its population growth rate, Pakistan has adopted a multi-sectoral, multidimensional approach to family planning. The policy of the government of the Philippines is to bring the population growth rate in line with the availability of natural resources and employment opportunities. In its 5-year plan covering 1982-86, the government of the Republic of Korea emphasized social development, attempting to more fully integrate population and development policies and programs within relevant sectors. To reduce its population growth rate to 1.3% by 1992, the government of Thailand is expanding the reach of its family planning program.

  18. Geographies of generation: age restrictions in international adoption. (United States)

    Leinaweaver, Jessaca

    International adoption relocates minors, and only minors, from one country to another. The centrality of age to adoptive migration may prevent us from seeing the significance of generation: the prospective parent's age is also examined and evaluated for its relationship to the child's age and what this relationship will mean for the creation of a family. Because international adoption results in children crossing borders to enter new kinship formations, the assumptions under which it operate require closer geographical analysis. Generation, or the age range that separates dependents and their caretakers, is a significant but unstated motivator of international adoption policies and practices. This article argues that a normative and biologised sense of intergenerational difference is embedded in international adoption. The presence of generational ideology in national laws and international norms regarding international adoption demonstrate a broader sense in which policies situate more privileged families as acceptable and others as inadequate. I draw material for this analysis from both legal documents and documents which aim to provide interpretation of those laws, with reference to international adoptions from Peru.

  19. Health information technology adoption in U.S. acute care hospitals. (United States)

    Zhang, Ning Jackie; Seblega, Binyam; Wan, Thomas; Unruh, Lynn; Agiro, Abiy; Miao, Li


    Previous studies show that the healthcare industry lags behind many other economic sectors in the adoption of information technology. The purpose of this study is to understand differences in structural characteristics between providers that do and that do not adopt Health Information Technology (HIT) applications. Publicly available secondary data were used from three sources: American Hospital Association (AHA) annual survey, Healthcare Information and Management Systems Society (HIMSS) analytics annual survey, and Healthcare Cost and Utilization Project (HCUP) Nationwide Inpatient Sample (NIS) databases. Fifty-two information technologies were grouped into three clusters: clinical, administrative, and strategic decision making ITs. Negative binomial regression was applied with adoption of technology as the dependent variables and eight organizational and contextual factors as the independent variables. Hospitals adopt a relatively larger proportion of administrative information technology as compared to clinical and strategic IT. Large size, urban location and HMO penetration were found to be the most influential hospital characteristics that positively affect information technology adoption. There are still considerable variations in the adoption of information technology across hospitals and in the type of technology adopted. Organizational factors appear to be more influential than market factors when it comes to information technology adoption. The future research may examine whether the Electronic Health Record (EHR) Incentive Program in 2011 would increase the information technology uses in hospitals as it provides financial incentives for HER adoptions and uses among providers.

  20. Adoption: A Service for Children? (United States)

    Ball, Caroline


    Discusses areas of revision on the 1996 British Government's Draft Adoption Bill: aspects of the welfare principles; criteria for dispensing with parental consent; orders for stepparents; and the use of residence orders as an alternative to adoption. Concludes that resolving those issues would be an important step toward meeting the diverse needs…

  1. Adopting Sustainability in the Organization

    DEFF Research Database (Denmark)

    Frandsen, Sanne; Morsing, Mette; Vallentin, Steen


    Purpose – The purpose of this paper is to explore the relationship between sustainability adoption and internal legitimacy construction. Design/methodology/approach – The paper is designed as a critical inquiry into existing research and practice on sustainability adoption, illustrated by two cor...

  2. Transracial Adoption: Educating the Parents. (United States)

    Zuniga, Maria E.


    Outlines the racial and cultural identity needs of minority group children adopted by white parents. Discusses the social worker's role in educating adoptive parents about these needs and how they can be met through the neighborhood, the school, the church, friendship systems, and recreational activities. Contains 29 references. (SV)

  3. Transracial Adoption: Politics and Ideology. (United States)

    Hayes, Peter


    Supporters and opponents of transracial adoption agree that minority children have a right and a need to develop a sense of ethnic identity and a knowledge of their cultural heritage. Maintains that questionable social and psychiatric assumptions are used to justify this position and deny the legitimacy of transracial adoption. (MDM)

  4. Stories of Aboriginal Transracial Adoption (United States)

    Nuttgens, Simon


    Despite the significant number of transracial Aboriginal adoptions that have taken place in Canada, little research is available that addresses the psychological and psychosocial ramifications for the children involved. The scant literature that does exist raises concerns about the psychological impact of this type of adoption. The present…

  5. Transracial Adoption of Black Children (United States)

    Chimezie, Amuzie


    The author discusses the advantages and disadvantages of the adoption of black children by white parents. He concludes that until empirical studies are made, placements should not proceed as if it had already been ascertained that transracial adoption is beneficial. (Author/BW)

  6. Healthy Travel for International Adoptions

    Centers for Disease Control (CDC) Podcasts


    The number of international adoptions, many from developing countries, has doubled in the last 10 years. This podcast discusses ways adoptive families can protect their own health and the health of their new children.  Created: 10/22/2007 by National Center for the Prevention, Detection and Control of Infectious Diseases (NCPDCID).   Date Released: 10/24/2007.

  7. International adoption: infectious diseases issues. (United States)

    Miller, Laurie C


    Nearly 220,000 children have been adopted from other countries by American parents since 1986. Approximately 65,000 children have arrived from China and Russia, mostly in the past 6 years. Most of these children reside in orphanages before adoption, where they may experience malnutrition, environmental deprivation, neglect, and exposure to infectious diseases. After arrival to the United States, international adoptees should undergo specialized screening evaluation for infectious diseases and other conditions. Infectious conditions of special concern include hepatitis B and C, syphilis, human immunodeficiency virus infection, tuberculosis, and presence of intestinal parasites. Before the adoption occurs, the infectious disease consultant may be asked to assist the primary care provider and the adoptive family with advice about travel and review of preadoptive medical records. After the adoption, the infectious diseases consultant may be asked to assess the adequacy of the child's vaccination record from the birth country and to assist in screening, evaluation, and management of infectious diseases.

  8. Adoption and diffusion of zoning bylaws banning fast food drive-through services across Canadian municipalities


    Nykiforuk, Candace I. J.; Campbell, Elizabeth J.; Macridis, Soultana; McKennitt, Daniel; Atkey, Kayla; Raine, Kim D.


    Background Healthy public policy is an important tool for creating environments that support human health and wellbeing. At the local level, municipal policies, such as zoning bylaws, provide an opportunity for governments to regulate building location and the type of services offered. Across North America, there has been a recent proliferation of municipal bylaws banning fast food drive-through services. Research on the utilization of this policy strategy, including bylaw adopters and adopte...

  9. Do Health Reforms Impact Cost Consciousness of Health Care Professionals? Results from a Nation-Wide Survey in the Balkans

    Directory of Open Access Journals (Sweden)

    Mihajlo Jakovljevic


    Full Text Available Background: Serbia, as the largest market of the Western Balkans, has entered socioeconomic transition with substantial delay compared to most of Eastern Europe. Its health system reform efforts were bold during the past 15 years, but their results were inconsistent in various areas. The two waves of global recession that hit Balkan economies ultimately reflected to the financial situation of healthcare. Serious difficulties in providing accessible medical care to the citizens became a reality. A large part of the unbearable expenses actually belongs to the overt prescription of pharmaceuticals and various laboratory and imaging diagnostic procedures requested by physicians. Therefore, a broad national survey was conducted at all levels of the healthcare system hierarchy to distinguish the ability of cost containment strategies to reshape clinician’s mindsets and decision-making in practice. Aims: Assessment of healthcare professionals’ judgment on economic consequences of prescribed medical interventions and evaluation of responsiveness of healthcare professionals to policy measures targeted at increasing cost-consciousness. Study Design: Cross-sectional study. Methods: A nationwide cross-sectional survey was conducted through a hierarchy of medical facilities across diverse geographical regions before and after policy action, from January 2010 to April 2013. In the middle of the observed period, the National Health Insurance Fund (RFZO adopted severe cost-containment measures. Independently, pharmacoeconomic guidelines targeted at prescribers were disseminated. Administration in large hospitals and community pharmacies was forced to restrict access to high budget-impact medical care. Economic Awareness of Healthcare Professionals Questionnaire–29 (EAHPQ-29, developed in Serbian language, was used in face-to-face interviews. The questionnaire documented clinician’s attitudes on: Clinical

  10. Graduated driver licensing policy in the Great Lakes states: current benefits and future potential. (United States)

    Corden, Timothy E; Tonellato, Daniel J; Frisch, Keri B; Laud, Purushottam W


    Motor vehicle crashes are the leading cause of teenage deaths in the United States. Graduated Driver Licensing (GDL) policies effectively decrease teenage crash deaths. Emerging research is identifying the most effective components of GDL. This study examines GDL policies across 6 Great Lakes states, describing the beneficial impact, and investigating how evidence-based policy modifications could further reduce teenage driving deaths and injuries. GDL policies were reviewed in 6 Great Lakes states (Illinois, Indiana, Michigan, Minnesota, Ohio, and Wisconsin). Incidence rate ratios for fatal and injury crashes for 16-year-old drivers were obtained from the Nationwide Review of GDL Study. Ratios were applied to the fatal and injury crashes reported from each state between 2002 and 2006 for 16-year-old drivers. The potential impact (crashes avoided) for each state was determined based on the state using a 3-phase GDL policy (a learner and intermediate stage prior to full licensure). In addition, the impact on crash reductions for each state if they had employed 5 of the recommended GDL components was determined. All 6 states had a 3-phase GDL policy, resulting in potential avoidance of 124 fatal and more than 21,000 injury crashes. The 6 states had 1 to 3 of the qualifying GDL components. If these states had adopted 5 of the qualifying components, an additional 309 fatal and more than 27,000 injury crashes could have been avoided. Three-phase GDL policy is effective at saving the lives of teenage drivers and vehicle occupants; evidence-based modification of GDL has the potential to further reduce teenage motor vehicle crash deaths and injuries.

  11. Affective Policy Performance Evaluation Model: A Case of an International Trade Policy Implementation

    Directory of Open Access Journals (Sweden)

    Inwon Kang


    Full Text Available Firms often superficially adopt policies because of governmental rules and regulations, so as to avoid penalties or to gain benefits. However, the evaluation and characterization of those kinds of adoptions as policy performance distorts the true level of policy performance: social sustainability. This study proposes an affective policy performance evaluation model. The attitudes of employees toward adopting a policy are characterized into genuine and superficial compliance. Their behaviors are explained through voluntary and opportunistic adoptions. In order to validate the proposed model, a survey was conducted on an international trade policy target group (n = 216 for the Strategic Trade Control System (STCS, in order to understand their attitudes toward adopting the policy. The survey data was analyzed by a structural equation modeling method. The measures of the factors in the proposed model are adopted and modified from existing studies. The most effective resources of policy implementation on the firms’ genuine and superficial compliance and ultimately on the firms’ voluntary policy adoption are revealed through the analysis. Based on the results, this study presents a strategy for allocating and managing policy implementation resources to exclusively encourage firms’ trade policy adoptions.

  12. Understanding ICT Adoption Determinants among Indonesian SMEs in Fashion Subsector

    Directory of Open Access Journals (Sweden)

    Rini Setiowati


    Full Text Available This paper investigates factors that affect the adoption of Information Communication and Technology (ICT among SMEs in fashion subsector in Indonesia. This study adopts Technology, Organization, and Environment (TOE framework which consist technological factors such as relative advantage, compatibility, complexity, trialability, observability; organizational factors such as owner/manager IT knowledge, owner/manager innovativeness;and environmental factors namely competitive pressure, market turbulence, and institutional intervention. A questionnaire-based survey was used to collect data from 204 SME owners/managers. The results show that under technological factors, compatibility, complexity, trialability, and observability significantly and positively influence ICT adoption. However, relative advantage and complexity have significant but negative influence on ICT adoption. Moreover, the organizational factors namely owner/manager’s knowledge and innovativeness also contribute significantly to the adoption. Furthermore, among three environmental factors, competitive pressure and institutional intervention are determinants that influence ICT adoption in SMEs, whereas market turbulence shows no significant contribution toward the adoption of ICT. This study provides valuable insights for government and policy makers as well as for SMEs owner/managers to develop strategies that promote and foster the adoption of ICT.

  13. Developing a Broadband Adoption Model in the UK Context (United States)

    Dwivedi, Yogesh K.; Mustafee, Navonil; Williams, Michael D.; Lal, Banita

    This research examines the factors affecting the consumer adoption of broadband in the United Kingdom. A conceptual model of broadband adoption was developed by selecting and justifying a number of relevant constructs from the technology adoption literature. The model was then empirically tested by employing survey data that was randomly collected from 358 UK broadband consumers. The findings suggest that, with the exception of one construct that was included in the conceptual model (namely, knowledge), all of the con structs significantly influence consumers when adopting broadband in a UK household. The significant constructs include relative advantage, utilitarian outcomes, hedonic outcomes, primary influence, facilitating conditions resources, and self-efficacy. Furthermore, when considering the behavioral intention and facilitating conditions resources constructs together, they significantly explain UK broad band adoption behavior. The theoretical contri bution of this research is that it determines and integrates the appropriate constructs from the technology adoption literature in order to enhance the knowledge of technology adoption from the consumer's perspective. This research has implications for policy makers and broadband providers since the results of this study can be exploited by the aforementioned stakeholders in order to encourage and promote the adoption and usage of broadband among the general population.

  14. Health policy and outlook. (United States)

    Gleichmann, U


    Health policy has great influence on the daily work of every cardiologist. The influence of progress of practical cardiology on health policy in our country on the one hand and the influence of health policy on cardiology on the other hand are discussed, In the 1970s cardiac rehabilitation in special rehabilitation clinics was developed as a consequence of the usual therapy at that time with longer periods of bedrest and late invasive diagnostic procedures. Patients got a right on rehabilitation by law. However, in the 1980s the increasing number of rehabilitation clinics in our country and their budgets caused the first controversial discussion on health policy in our society, which was primarily thought to be a scientific one. At that time one of the first guidelines of the Commission of Clinical Cardiology as to coronary dilatation demanded in necessity of immediate cardiac surgery. To get more influence on the ongoing discussion the group of chief clinical cardiologists founded their own working group which had later on considerable influence on policy and scientific work of our society. Overall, the awareness of the need for active health policy was developed relatively late. For instance, the register of nationwide heart catheterization procedures was started in the early 1980s but was not used to influence health policies, for establishment of new catheterization facilities. At present, the development of cardiology is limited by budget and total number of cardiac operations is reduced, so it is time to remember the highly effective conservative "soft" therapy of atherosclerosis with a combination of drugs and changing lifestyle which is well evaluated in prospective studies. It is time to apply and reevaluate the chances of primary and secondary prevention of atherosclerosis and heart insufficiency. New non-invasive techniques as MRT and PET and therapeutic techniques as genetic or stem cell therapy will influence cost and health policy in the near future.

  15. Factors influencing the adoption of mobile financial services in the ...

    African Journals Online (AJOL)

    Perceived ease of use, perceived risk and perceived trust were found to have an insignificant influence on the adoption of mobile financial services. The implication of the findings forms the basis for product or service development, pricing, marketing and policy formulation. In this study we recommend a longitudinal research ...

  16. Assessing the determinants of adoption of improved cassava ...

    African Journals Online (AJOL)

    The study showed that in order to enhance adoption of improved cassava varieties, extension services should be intensified, farmers should form or join groups; farmers should also register with the credit union in the district to have access to credit. Policy makers and crop breeders should come out with varieties that best ...

  17. Adoption of Modern Newspaper Design. (United States)

    Stone, Gerald C.; And Others


    Reports the results of an analysis of appearance characteristics of a sample of joint ownership newspapers, which yielded information about factors related to the adoption of modern newspaper design. (GT)

  18. Adopting the EURO in Romania

    Directory of Open Access Journals (Sweden)

    Ilie ŞIMON


    Full Text Available This paper addresses the adoption of the Euro currency in 2014, as estimated in the National Programme. Based on the convergence criteria analysis on the current national background, we can foresee an earlier monetary integration.

  19. Multimodal Resources in Transnational Adoption

    DEFF Research Database (Denmark)

    Raudaskoski, Pirkko Liisa

    The paper discusses an empirical analysis which highlights the multimodal nature of identity construction. A documentary on transnational adoption provides real life incidents as research material. The incidents involve (or from them emerge) various kinds of multimodal resources and participants...

  20. Factors in Agile Methods Adoption

    Directory of Open Access Journals (Sweden)

    Samia Abdalhamid


    Full Text Available There are many factors that can affect the process of adopting Agile methods during software developing. This paper illustrates the critical factors in Agile methods adoption in software organizations. To present the success and failure factors, an exploratory study is carried out among the critical factors of success and failure from existing studies. Dimensions and Factors are introduced utilizing success and failure dimensions. The mind map was used to clarify these factors.

  1. Adopting Internet Banking in Ghana


    G.O. Ofori-Dwumfuo; Betty A. Dankwah


    This study looks at the benefits, challenges and barriers in adopting Internet banking at a major bank in Ghana. The development of the Internet is changing the way financial services are provided in Ghana. The Internet banking facility has resulted in new ways of delivering banking services. The research is a case study based on the staffs that has worked with the bank for more than three years. In evaluating benefits, challenges and barriers to the bank in adopting Internet banking, intervi...

  2. The New Digital [St]age: Barriers to the Adoption and Adaptation of New Technologies to Deliver Extension Programming and How to Address Them (United States)

    Seger, Jamie


    With the rise of social media and the need for statewide program cohesiveness, The Ohio State University Extension has the opportunity to position itself as a catalyst for technology adoption and adaptation nationwide. Unfortunately, many barriers exist to the successful use and implementation of technology, including an organizational structure…

  3. Must Firms Adopt Environmental Accounting? Adoption Challenges in Nigeria

    Directory of Open Access Journals (Sweden)

    EGBUNIKE Patrick Amaechi


    Full Text Available Purpose of the article: The purpose of this paper is to consider why firms find it challenging to adopt environmental accounting. The authors argue that environmental accounting is one of the important vehicles corporate bodies utilize in communicating with the external world. With the increase in complexities of the business world, the role of environmental information has been gradually increasing for making economic decision. Methodology/methods: The research is exploratory in nature and only considers a small subset of Nigerian firms. However, several firms may be faced with varied challenges of adopting environmental accounting. The authors used four hundred (400 questionnaires and data obtained from the field survey was analyzed using t-values. Scientific aim: The paper examined the adoption challenges of environmental accounting among Nigerian firms. Findings: The study found that lack of environmental awareness by employees, shortage of environmental information and higher adaptation costs hinders environmental accounting adoption in Nigeria. Moreover, there are no clear-cut guidelines of environmental accounting on issues such as environmental costs, assets, liabilities, recognition and measurement of such costs. Conclusions: Government and accounting regulatory bodies should play more active role in the development of environmental accounting and reporting guidelines by making it reliable and relevant to users. As a matter of fact, there should be a deadline imposed on Nigerian companies to fully adopt and implement environmental reporting guidelines. In addition, employees should be trained on environmental reporting techniques.

  4. Trending health information technology adoption among New York nursing homes. (United States)

    Abramson, Erika L; Edwards, Alison; Silver, Michael; Kaushai, Rainu


    Federal policies are incentivizing hospitals and providers to adopt and meaningfully use electronic health records (EHRs). Nursing homes are not eligible for incentives. However, understanding health information technology (HIT) adoption among nursing homes will be critical to developing HIT policies for this sector. Our objective was to assess the pace of EHR adoption, changes in computerized function adoption, and participation in health information exchange by New York state nursing homes over time. We used a repeated, cross-sectional study design. We surveyed all New York state nursing homes between February and May 2013, comparing results to the same survey administered in 2012. We received responses from 472 of 630 nursing homes (74.9%). Rates of EHR adoption increased from 48.6% to 56.3% (P = .03). Participation in health information exchange remained unchanged (54.5% to 55.3%, P = .8). The top barriers to EHR adoption cited were: a) the initial cost of HIT investment (67.9%, n = 133), b) lack of technical IT staff (46.4%, n = 91), and c) lack of fiscal incentives (45.8%, n = 88). Comparing nursing homes with EHRs in 2012 to nursing homes with EHRs in 2013, the availability of many types of computerized functionalities significantly increased, although no gains were seen for order entry or clinical tools. While some gains are being made by nursing homes, HIT adoption generally lags behind that of other sectors. Public policy focusing on building HIT infrastructure is essential to ensure that nursing homes keep up with other healthcare segments.

  5. Determinants of wind and solar energy system adoption by U.S. farms: A multilevel modeling approach

    International Nuclear Information System (INIS)

    Borchers, Allison M.; Xiarchos, Irene; Beckman, Jayson


    This article offers the first national examination of the determinants of adoption of wind and solar energy generation on U.S. farming operations. The inclusion of state policies and characteristics in a multilevel modeling approach distinguishes this study from past research utilizing logit models of technology adoption which focus only on the characteristics of the farm operation. Results suggest the propensity to adopt is higher for livestock operations, larger farms, operators with internet access, organic operations, and newer farmers. The results find state characteristics such as solar resources, per capita income levels, and predominantly democratic voting increasing the odds of farm adoption. This research suggests the relevance of state policy variables in explaining farm level outcomes is limited, although in combination best practice net metering and interconnection policies—policies designed to encourage the development of small scale distributed applications—are shown to increase the likelihood of farm solar and wind adoption. The prevalence of electric cooperatives—which are often not subject to state renewable energy policies and often service farms—is negatively related with the propensity to adopt and suggests that policy design may be a factor. - Highlights: • This is the first national examination of wind and solar energy adoption on U.S. farms. • Controlling for state policies distinguishes this study from past research of technology adoption. • We find net metering and interconnection policies increase the likelihood of farm adoption. • Results suggest that the design of renewable energy policies may limit their impact on farms

  6. Essentialism in Spanish parents’ descriptions of their transnationally adopted teenagers

    Directory of Open Access Journals (Sweden)

    Tomasa Báñez Tello


    Full Text Available This preliminary qualitative study of 24 adoptive families in Catalonia, Spain asks how adoptive parents of teens describe the things they dislike about their children. This question matters because prior research shows that parents’ views of their children can affect their parenting style and their relationships with their children. I show that in describing their dislikes, parents draw on essentialist beliefs about their children’s culture of origin and about their personality traits. My analysis inspires questions about the possible relationship between essentialist parental beliefs and parenting practice, in both adoptive families and families more broadly. This is of particular relevance in the current moment, in which childrearing is influenced by neoliberal values that emphasize the social success of children and teens as future citizens and hold parents responsible for this outcome (Geinger et al., 2014. The research can also inform family and professional practices and public policies related to adoption.

  7. Nationwide Twin Birth Weight Percentiles by Gestational Age in Taiwan

    Directory of Open Access Journals (Sweden)

    I-Jan Hu


    Conclusion: This is the first nationwide birth weight norm for twins in Taiwan, which is particularly useful for investigation into the predictors and outcomes of altered fetal growth through twin studies in the Taiwanese population.

  8. Healthcare Cost and Utilization Project Nationwide Readmissions Database (NRD) (United States)

    U.S. Department of Health & Human Services — The Nationwide Readmissions Database (NRD) is a unique and powerful database designed to support various types of analyses of national readmission rates for all...

  9. HCUP Nationwide Emergency Department Database (NEDS) Restricted Access File (United States)

    U.S. Department of Health & Human Services — The Nationwide Emergency Department Sample (NEDS) was created to enable analyses of emergency department (ED) utilization patterns and support public health...

  10. Competitive Advantages Through it Innovation Adoption by Smes

    Directory of Open Access Journals (Sweden)

    S. Moghavvemi


    Full Text Available Purpose—This paper seeks to explain the impact of IT innovation on competitive advantage; the barriers and the benefits companies gain from adopting and using these innovations and propose a model with which it is possible to measure determinants of IT innovation adoption among SMEs. Design/methodology/approach—This paper presents conceptual consideration on the role of SMEs in the Malaysian economy and the effect of government policy in encouraging companies to adopt IT innovation. The proposed research framework will be empirically validated using survey data. This study is an ongoing research, in the existing stage a theoretical argument is developed and methodology is in the process of being tested through regression analysis. Findings—Conclusions are drawn on the status of Malaysian SMEs to adopt IT innovation. We added attitude and self-efficacy to the Innovation Diffusion Theory to suit it to the individual situation. Therefore a novel approach is needed in order to study and understand it. Research limitations/implications—The paper represents work in progress. Practical implications – This paper present the theoretical framework for further study of IT innovation adoption among Malaysia SMEs. Originality/Value—The Information Technology concept is considered a powerful competitive weapon in the modern economy. This study used Innovation Diffusion Theory as the base theory, and added attitude and self efficacy as determinants to measure the individual’s perception toward innovation adoption. Individual self-efficacy and attitude toward innovation adoption shape beliefs and perceptions toward innovation, leading them to adopt or reject an innovation. Adding these factors to Innovation Diffusion Theory will narrow the breadth of the theory and possibilities to frame a single study which allows examination of the individual and technological dimension toward technology adoption. Keywords: IT innovation adoption, competitive

  11. Competitive Advantages Through it Innovation Adoption by Smes

    Directory of Open Access Journals (Sweden)

    S. Moghavvemi


    Full Text Available Purpose—This paper seeks to explain the impact of IT innovation on competitive advantage; the barriers and the benefits companies gain from adopting and using these innovations and propose a model with which it is possible to measure determinants of IT innovation adoption among SMEs.Design/methodology/approach—This paper presents conceptual consideration on the role of SMEs in the Malaysian economy and the effect of government policy in encouraging companies to adopt IT innovation. The proposed research framework will be empirically validated using survey data. This study is an ongoing research, in the existing stage a theoretical argument is developed and methodology is in the process of being tested through regression analysis.Findings—Conclusions are drawn on the status of Malaysian SMEs to adopt IT innovation. We added attitude and self-efficacy to the Innovation Diffusion Theory to suit it to the individual situation. Therefore a novel approach is needed in order to study and understand it.Research limitations/implications—The paper represents work in progress.Practical implications – This paper present the theoretical framework for further study of IT innovation adoption among Malaysia SMEs.Originality/Value—The Information Technology concept is considered a powerful competitive weapon in the modern economy. This study used Innovation Diffusion Theory as the base theory, and added attitude and self efficacy as determinants to measure the individual’s perception toward innovation adoption. Individual self-efficacy and attitude toward innovation adoption shape beliefs and perceptions toward innovation, leading them to adopt or reject an innovation. Adding these factors to Innovation Diffusion Theory will narrow the breadth of the theory and possibilities to frame a single study which allows examination of the individual and technological dimension toward technology adoption.Keywords: IT innovation adoption, competitive

  12. Enhancing prescription drug innovation and adoption. (United States)

    Alexander, G Caleb; O'Connor, Alec B; Stafford, Randall S


    The adoption and use of a new drug would ideally be guided by its innovation and cost-effectiveness. However, information about the relative efficacy and safety of a drug is typically incomplete even well after market entry, and various other forces create a marketplace in which most new drugs are little better than their older counterparts. Five proposed mechanisms are considered for promoting innovation and reducing the use of therapies ultimately found to offer poor value or have unacceptable risks. These changes range from increasing the evidence required for U.S. Food and Drug Administration approval to modifying the structure of drug reimbursement. Despite the challenges of policy implementation, the United States has a long history of successfully improving the societal value and safe use of prescription medicines.

  13. Personality disorders in adopted versus non-adopted adults. (United States)

    Westermeyer, Joseph; Yoon, Gihyun; Amundson, Carla; Warwick, Marion; Kuskowski, Michael A


    The goal of this epidemiological study was to investigate lifetime history and odds ratios of personality disorders in adopted and non-adopted adults using a nationally representative sample. Data, drawn from the National Epidemiological Survey on Alcohol and Related Conditions (NESARC), were compared in adopted (n=378) versus non-adopted (n=42,503) adults to estimate the odds of seven personality disorders using logistic regression analyses. The seven personality disorders were histrionic, antisocial, avoidant, paranoid, schizoid, obsessive-compulsive, and dependent personality disorder. Adoptees had a 1.81-fold increase in the odds of any personality disorder compared with non-adoptees. Adoptees had increased odds of histrionic, antisocial, avoidant, paranoid, schizoid, and obsessive-compulsive personality disorder compared with non-adoptees. Two risk factors associated with lifetime history of a personality disorder in adoptees compared to non-adoptees were (1) being in the age cohort 18-29 years (but no difference in the age 30-44 cohort), using the age 45 or older cohort as the reference and (2) having 12 years of education (but no difference in higher education groups), using the 0-11 years of education as the reference. These findings support the higher rates of personality disorders among adoptees compared to non-adoptees. Published by Elsevier Ireland Ltd.

  14. Nationwide public-access defibrillation in Japan. (United States)

    Kitamura, Tetsuhisa; Iwami, Taku; Kawamura, Takashi; Nagao, Ken; Tanaka, Hideharu; Hiraide, Atsushi


    It is unclear whether dissemination of automated external defibrillators (AEDs) in public places can improve the rate of survival among patients who have had an out-of-hospital cardiac arrest. From January 1, 2005, through December 31, 2007, we conducted a prospective, population-based, observational study involving consecutive patients across Japan who had an out-of-hospital cardiac arrest and in whom resuscitation was attempted by emergency responders. We evaluated the effect of nationwide dissemination of public-access AEDs on the rate of survival after an out-of-hospital cardiac arrest. The primary outcome measure was the 1-month rate of survival with minimal neurologic impairment. A multivariate logistic-regression analysis was performed to assess factors associated with a good neurologic outcome. A total of 312,319 adults who had an out-of-hospital cardiac arrest were included in the study; 12,631 of these patients had ventricular fibrillation and had an arrest that was of cardiac origin and that was witnessed by bystanders. In 462 of these patients (3.7%), shocks were administered by laypersons with the use of public-access AEDs, and the proportion increased, from 1.2% to 6.2%, as the number of public-access AEDs increased (Ppublic-access AEDs, 31.6% were alive at 1 month with minimal neurologic impairment. Early defibrillation, regardless of the type of provider (bystander or emergency-medical-services personnel), was associated with a good neurologic outcome after a cardiac arrest with ventricular fibrillation (adjusted odds ratio per 1-minute increase in the time to administration of shock, 0.91; 95% confidence interval, 0.89 to 0.92; Ppublic-access AEDs increased from fewer than 1 per square kilometer of inhabited area to 4 or more. Nationwide dissemination of public-access AEDs in Japan resulted in earlier administration of shocks by laypersons and in an increase in the 1-month rate of survival with minimal neurologic impairment after an out

  15. Sharing Experiences of Intercountry Adoption

    DEFF Research Database (Denmark)

    Raudaskoski, Pirkko; McIlvenny, Paul

    In recent years, fields such as discursive psychology have paid attention to the social, instead of solely individual, character of emotions, bringing to the fore the interactional organisation of affect displays. In the same vein, other ‘inner’ processes, such as memory, are studied from...... of this research is to better understand the relationships between multimodality, embodiment, interaction and affect. We present the results of our analysis of how the experiences of adoptive parents are (re)mediated in a Danish television documentary series following five prospective adoptive couples, not all......). In this setting, the participants use language and other mediational means (eg. telephone, speakerphone, written details about the child, photograph, pen, paper) to accomplish the joint receipt of news about the child-to-be-adopted. In the analysis, we concentrate on how the parents’ affective displays...

  16. Adopting to Agile Software Development

    Directory of Open Access Journals (Sweden)

    Linkevics Gusts


    Full Text Available Agile software development can be made successful, but there is no well-defined way how to achieve this. The problem is that the successful adoption of agile methods and practices is a complex process and this process should be customizable for a particular organization or a team. This research focuses on identification of agile methods and practices. Result of the research is the ranking of agile methods, practices and their usage trends. As some terms of agile software development are interpreted differently in different organizations and teams, terminology used is analyzed. Results of the research can be used as a reference material for those who are planning to adopt agile methods or are looking for the next agile practice to implement. Results will be used for the development of an expert system to support agile adoption.

  17. SMEs' E-commerce Adoption

    DEFF Research Database (Denmark)

    Scupola, Ada


    Purpose - Proposes providing an insight about factors affecting business-to-business e-commerce adoption and implementation in small to medium-sized enterprises (SMEs), highlighting similarities and differences between Danish and Australian SMEs.    Design/methodology/approach - The research...... is based on a wide literature review, focused on proposing a theoretical model of technological, environmental and organizational factors influencing e-commerce adoption and implementation. Subsequently, a questionnaire based on the research model has been developed and face-to-face interviews were...... conducted in Danish and Australian companies. Findings - The findings both corroborate previous results about significant factors affecting SMEs' b-to-b e-commerce adoption and implementation and provide new, interesting insights. The study also finds many similarities and differences between Denmark...

  18. Adoption and diffusion of zoning bylaws banning fast food drive-through services across Canadian municipalities. (United States)

    Nykiforuk, Candace I J; Campbell, Elizabeth J; Macridis, Soultana; McKennitt, Daniel; Atkey, Kayla; Raine, Kim D


    Healthy public policy is an important tool for creating environments that support human health and wellbeing. At the local level, municipal policies, such as zoning bylaws, provide an opportunity for governments to regulate building location and the type of services offered. Across North America, there has been a recent proliferation of municipal bylaws banning fast food drive-through services. Research on the utilization of this policy strategy, including bylaw adopters and adopter characteristics, is limited within the Canadian context. The aim of this study was to identify and characterize Canadian municipalities based on level of policy innovation and nature of their adopted bylaw banning fast food drive-through services. A multiple case history methodology was utilized to identify and analyse eligible municipal bylaws, and included development of a chronological timeline and map of adopter municipalities within Canada. Grey literature and policy databases were searched for potential adopters of municipal fast food drive-through service bylaws. Adopters were confirmed through evidence of current municipal bylaws. Geographic diffusion and diffusion of innovations theories provided a contextual framework for analysis of bylaw documents. Analysis included assignment of adopter-types, extent and purpose of bans, and policy learning activities of each adopter municipality. From 2002 to 2016, 27 municipalities were identified as adopters: six innovators and twenty-one early adopters. Mapping revealed parallel geographic diffusion patterns in western and eastern Canada. Twenty-two municipalities adopted a partial ban and five adopted a full ban. Rationales for the drive-through bans included health promotion, environmental concerns from idling, community character and aesthetics, traffic concerns, and walkability. Policy learning, including research and consultation with other municipalities, was performed by nine early adopters. This study detailed the adoption of

  19. Ningxia People's Congress adopts marriage law. (United States)


    A supplement to the national marriage law was adopted by the 3rd session of the 4th People's Congress of the Ningxia Hui Autonomous Region which ended here today. The supplement includes a number of areas. With regard to marriage age it says no marriage shall be contracted before the man has reached 20 years of age and the woman 18. Both these figures are 2 years earlier than the national age specified by the national law. Legal marriage registration must not be replaced by religious ceremonies. With regard to Moslems, those who want religious wedding ceremonies can do so only after obtaining their marriage certificates. Freedom of marriage of widows is protected against any interference under any pretext. Marriage between Hui people and other nationalities, of their own free will, must not be interfered with. The nationality of any children shall be decided by the parents and children may reexamine the decision themselves when they grow up. The supplement has been adopted in accordance with the national marriage law's article 36 which says "The people's congresses and their standing committees in national autonomous areas may enact certain modifications or supplementary articles in keeping with the principles of this law and in conformity with the actual conditions prevailing among the minority nationalities of the locality in regard to marriage and family relations." The congress, held from June 9-June 14, reviewed the implementation of the Communist Party's policies on nationalities and development of economy, culture, education and public health. full text

  20. Variation in interoperability across clinical laboratories nationwide. (United States)

    Patel, Vaishali; McNamara, Lauren; Dullabh, Prashila; Sawchuk, Megan E; Swain, Matthew


    To characterize nationwide variation and factors associated with clinical laboratories': (1) capabilities to send structured test results electronically to ordering practitioners' EHR systems; and (2) their levels of exchange activity, as measured by whether they sent more than three-quarters of their test results as structured data to ordering practitioners' EHR systems. A national survey of all independent and hospital laboratories was conducted in 2013. Using an analytic weighted sample of 9382 clinical laboratories, a series of logistic regression analyses were conducted to identify organizational and area characteristics associated with clinical laboratories' exchange capability and activity. Hospital-based clinical laboratories (71%) and larger clinical laboratories (80%) had significantly higher levels of capability compared to independent (58%) and smaller laboratories (48%), respectively; though all had similar levels of exchange activity, with 30% of clinical laboratories sending 75% or more of their test results electronically. In multivariate analyses, hospital and the largest laboratories had 1.87 and 4.40 higher odds, respectively, of possessing the capability to send results electronically compared to independent laboratories (pLaboratories located in areas with a higher share of potential exchange partners had a small but significantly greater capability to send results electronically and higher levels of exchange activity(pClinical laboratories' capability to exchange varied by size and type; however, all clinical laboratories had relatively low levels of exchange activity. The role of exchange partners potentially played a small but significant role in driving exchange capability and activity. Published by Elsevier B.V.

  1. Investment inefficiency and the adoption of eco-innovations: The case of household energy efficiency technologies

    International Nuclear Information System (INIS)

    Diaz-Rainey, Ivan; Ashton, John K.


    This paper examines the factors determining household adoption of energy efficiency eco-innovations. We do so by testing hypotheses grounded in diffusion and finance theory and the literature on the barriers to energy efficiency. Using two large surveys of UK households, we explore the adoption of nine technologies. Our results indicate ‘investment inefficiency’ amongst household adopters occurs for two reasons. First, contrary to notions of rational choice, we find a negative relationship between the investment return of technologies and their level of diffusion. Second, we show adopters of these technologies display characteristics broadly consistent with diffusion theory, contradicting the prediction of finance theory that investment return, not individual characteristics, should drive adoption. We also find that policy has played a role in inducing the diffusion of these technologies and that tenure and spill-over effects are important in adoption. Finally, adoption is motivated more by a desire to save money than by environmental concern. We conclude by giving examples of how our research can lead to better policy timing and targeting. -- Highlights: •We explore the factors driving household adoption of energy efficiency technologies. •We employ two high quality nationally representative cross sectional surveys. •There is a negative relationship between investment return and level of diffusion. •Adopters display characteristics broadly consistent with diffusion theory. •Policy interventions, tenure effects and spill-over effects also influence adoption

  2. Intergenerational bargaining in technology adoption

    Czech Academy of Sciences Publication Activity Database

    Jeong, Byeongju

    -, č. 414 (2010), s. 1-61 ISSN 1211-3298 R&D Projects: GA MŠk LC542 Institutional research plan: CEZ:MSM0021620846 Keywords : technology adoption * stagnation * economic integration * political fragmentation Subject RIV: AH - Economics

  3. Predicting Virtual Learning Environment Adoption

    DEFF Research Database (Denmark)

    Penjor, Sonam; Zander, Pär-Ola Mikael


    This study investigates the significance of Rogers’ Diffusion of Innovations (DOI) theory with regard to the use of a Virtual Learning Environment (VLE) at the Royal University of Bhutan (RUB). The focus is on different adoption types and characteristics of users. Rogers’ DOI theory is applied...

  4. [Objective: To present the process and challenges of developing an online competency-based course on public health policy using a collaborative international approach.Methods: Five public health experts, supported by an expert in educational technology, adopted a rigorous approach to the development of the course: a needs analysis, identification of objectives and competencies, development of a pedagogical scenario for each module and target, choice of teaching methods and learning activities, material to be identified or developed, and the responsibilities and tasks involved.Results: The 2-credit (90-hour) graduate course consists of six modules including an integration module. The modules start with a variety of case studies: tobacco law (neutral packaging), supervised injection sites, housing, integrated services for the frail elderly, a prevention programme for mothers from disadvantaged backgrounds, and the obligatory use of bicycle helmets. In modules 1, 3, 4 and 5, students learn about different stages of the public policy development process: emergence, formulation and adoption, implementation and evaluation. Module 2 focuses on the importance of values and ideologies in public policy. The integration module allows the students to apply the knowledge learned and addresses the role of experts in public policy and ethical considerations.Conclusion]. (United States)

    Hébert, Réjean; Coppieters, Yves; Pradier, Christian; Williams-Jones, Bryn; Brahimi, Cora; Farley, Céline


    To present the process and challenges of developing an online competency-based course on public health policy using a collaborative international approach. Five public health experts, supported by an expert in educational technology, adopted a rigorous approach to the development of the course: a needs analysis, identification of objectives and competencies, development of a pedagogical scenario for each module and target, choice of teaching methods and learning activities, material to be identified or developed, and the responsibilities and tasks involved. The 2-credit (90-hour) graduate course consists of six modules including an integration module. The modules start with a variety of case studies: tobacco law (neutral packaging), supervised injection sites, housing, integrated services for the frail elderly, a prevention programme for mothers from disadvantaged backgrounds, and the obligatory use of bicycle helmets. In modules 1, 3, 4 and 5, students learn about different stages of the public policy development process: emergence, formulation and adoption, implementation and evaluation. Module 2 focuses on the importance of values and ideologies in public policy. The integration module allows the students to apply the knowledge learned and addresses the role of experts in public policy and ethical considerations. The course has been integrated into the graduate programmes of the participating universities and allows students to follow, at a distance, an innovative training programme.

  5. Current Cytology Practices in Korea: A Nationwide Survey by the Korean Society for Cytopathology

    Directory of Open Access Journals (Sweden)

    Eun Ji Oh


    Full Text Available Background Limited data are available on the current status of cytology practices in Korea. This nationwide study presents Korean cytology statistics from 2015. Methods A nationwide survey was conducted in 2016 as a part of the mandatory quality-control program by the Korean Society for Cytopathology. The questionnaire was sent to 208 medical institutions performing cytopathologic examinations in Korea. Individual institutions were asked to submit their annual cytology statistical reports and gynecologic cytology-histology correlation data for 2015. Results Responses were obtained from 206 medical institutions including 83 university hospitals, 87 general hospitals, and 36 commercial laboratories. A total of 8,284,952 cytologic examinations were performed in 2015, primarily in commercial laboratories (74.9%. The most common cytology specimens were gynecologic samples (81.3%. Conventional smears and liquid-based cytology were performed in 6,190,526 (74.7% and 2,094,426 (25.3% cases, respectively. The overall diagnostic concordance rate between cytologic and histologic diagnoses of uterine cervical samples was 70.5%. Discordant cases were classified into three categories: category A (minimal clinical impact, 17.4%, category B (moderate clinical impact, 10.2%, and category C (major clinical impact, 1.9%. The ratio of atypical squamous cells of undetermined significance to squamous intraepithelial lesion was 1.6 in university hospitals, 2.9 in general hospitals, and 4.9 in commercial laboratories. Conclusions This survey reveals the current status and trend of cytology practices in Korea. The results of this study can serve as basic data for the establishment of nationwide cytopathology policies and quality improvement guidelines in Korean medical institutions.

  6. Diagnostic delay experienced among gynecological cancer patients: a nationwide survey in Denmark

    DEFF Research Database (Denmark)

    Robinson, Kirstine M; Ottesen, Bent; Christensen, Karl Bang


    OBJECTIVE: To examine diagnostic delay among gynecological cancer patients. DESIGN: Nationwide study. SETTING: The cohort comprised all women receiving their first treatment for cervical, endometrial, or ovarian cancer between 1 October 2006 and 1 December 2007 in four of the five centers...... for gynecological cancer surgery in Denmark. SAMPLE: Of the 911 women alive, 648 participated, resulting in a response rate of 71.1%; of these, 30.1% were diagnosed with cervical cancer, 31.0% with endometrial cancer, and 38.9% with ovarian cancer. METHODS: Questionnaire survey. MAIN OUTCOME MEASURES: Diagnostic...... experiencing very long delays. Ovarian cancer patients experienced significantly shorter delays compared with other gynecological cancer patients in all parts of the health care system. CONCLUSIONS: Delays occur in all parts of the diagnostic process, suggesting that a multifaceted approach should be adopted...

  7. Educational Elements of a Comprehensive State Policy on Aging. (United States)

    New York State Education Dept., Albany. Center for Educational and Cultural Opportunities for the Aging.

    This document, a policy statement adopted by the New York State Board of Regents in 1986, describes program options to implement each of six policy directions adopted by the Regents and to be coordinated by the Center for Educational and Cultural Opportunities for the Aging. The six policy directions are (1) involve the elderly as active…

  8. National Foster Care and Adoption Directory Search (United States)

    ... Adoption Directory Search National Foster Care & Adoption Directory Search Many concerned individuals have expressed the desire to ... how to become a foster or adoptive parent. Search results for this category include contact information for: ...

  9. Impact of Adoption on Birth Parents (United States)

    ... Birth parents can benefit from information about the advantages of open adoption for children. The number of ... mediator) are on the rise. In a 2012 survey of adoption agencies with infant adoption programs, agencies ...

  10. CDC's Prevention Status Reports: Monitoring the Status of Public Health Policies and Practices for Improved Performance and Accountability. (United States)

    Young, Andrea C; Lowry, Garry; Mumford, Karen; Graaf, Christine

    Increasing the adoption and implementation of evidence-based policies and practices is a key strategy for improving public health. Although there is widespread agreement about the importance of implementing evidence-based public health policies and practices, there are gaps between what has been shown to be effective and what is implemented at the state level. The Centers for Disease Control and Prevention (CDC) developed the Prevention Status Reports (PSRs), a performance measurement system, to highlight evidence-based public health policies and practices and catalyze state performance and quality improvement efforts across the nation. CDC selected a set of 10 topics representing some of the most important public health challenges in the nation. Stakeholders, including state health departments and other partners, helped conceptualize the PSRs and informed the development of the PSR framework, which provides an organizational structure for the system. CDC subject matter experts developed criteria for selecting policies and practices, indicators for each policy and practice, and a criteria-based rating system for each indicator. The PSRs were developed for all 50 states and the District of Columbia. The PSRs were developed and serve as a performance measurement system for monitoring the adoption, reach, and implementation fidelity of evidence-based public health policies and practices nationwide. The PSRs include 33 policy and practice indicators across the 10 health topics. They use a simple 3-level rating system-green, yellow, and red-to report the extent to which each state (and the District of Columbia) has implemented the policy or practice in accordance with supporting evidence or expert recommendations. Results from aggregate analyses show positive change or improvement. The PSRs are a unique part of CDC's work to improve the performance and accountability of the public health system, serving as both a monitoring tool and a call to action to improve health

  11. Critical Factors for Personal Cloud Storage Adoption in China

    Directory of Open Access Journals (Sweden)

    Jianya Wang


    Full Text Available Purpose: In order to explain and predict the adoption of personal cloud storage, this study explores the critical factors involved in the adoption of personal cloud storage and empirically validates their relationships to a user's intentions. Design/methodology/approach: Based on technology acceptance model (TAM, network externality, trust, and an interview survey, this study proposes a personal cloud storage adoption model. We conducted an empirical analysis by structural equation modeling based on survey data obtained with a questionnaire. Findings: Among the adoption factors we identified, network externality has the salient influence on a user's adoption intention, followed by perceived usefulness, individual innovation, perceived trust, perceived ease of use, and subjective norms. Cloud storage characteristics are the most important indirect factors, followed by awareness to personal cloud storage and perceived risk. However, although perceived risk is regarded as an important factor by other cloud computing researchers, we found that it has no significant influence. Also, subjective norms have no significant influence on perceived usefulness. This indicates that users are rational when they choose whether to adopt personal cloud storage. Research limitations: This study ignores time and cost factors that might affect a user's intention to adopt personal cloud storage. Practical implications: Our findings might be helpful in designing and developing personal cloud storage products, and helpful to regulators crafting policies. Originality/value: This study is one of the first research efforts that discuss Chinese users' personal cloud storage adoption, which should help to further the understanding of personal cloud adoption behavior among Chinese users.

  12. Communication policy of the EU member-states concerning the support of the European integration

    Directory of Open Access Journals (Sweden)

    Karpchuk Natalia Petrivna


    Full Text Available To support the European integration process the countries, candidates for the accession to the European Union, developed the communication policy and carried out the large-scale nationwide campaign, which was directed at the public and its interests. The experience of Sweden, Austria and Finland, the fourth wave of accession countries, is of specific interest as they decided to hold nation-wide referendums, and therefore were in need of awareness and support of their citizens.

  13. The importance of instrumental, symbolic, and environmental attributes for the adoption of smart energy systems

    International Nuclear Information System (INIS)

    Noppers, Ernst H.; Keizer, Kees; Milovanovic, Marko; Steg, Linda


    The conceptual model on motivations to adopt sustainable innovations (Noppers et al., 2014) proved to be successful in explaining proxies of the adoption of sustainable innovations: positive evaluations of the utility (instrumental attributes), environmental impact (environmental attributes), and specifically the extent to which the innovation says something about a person (symbolic attributes) increased interest in and intention to adopt sustainable innovations. In this paper, we examined to what extent the evaluations of these three attributes can also explain the actual adoption of smart energy systems that facilitate sustainable energy use. Results showed that adopters of smart energy systems (who agreed to participate in a project in which these systems were tested) evaluated the symbolic attributes of these systems more positively than non-adopters (who did not participate in this project), while both groups did not differ in their evaluation of the instrumental and environmental attributes of smart energy systems. A logistic regression analysis indicated that only evaluations of the symbolic attributes explained actual adoption of smart energy systems. Policy could stress and enhance the symbolic attributes of sustainable innovations to encourage adoption. - Highlights: • What drives consumer adoption of a sustainable innovation? • Evaluation of its symbolic attributes explained adoption of smart energy systems. • Evaluations of its instrumental and environmental attributes did not explain adoption. • Policy could stress and enhance symbolic attributes of smart energy systems.

  14. The prevention of workplace bullying as a question of human resource management: measures adopted and underlying organizational factors


    Salin, Denise


    The aim of this study has been to analyze measures adopted to counteract workplace bullying from the perspective of human resource management. First, the kind of measures that are adopted to prevent bullying were examined. Second, factors affecting the extent of such measures were explored. The introduction of written anti-bullying policies and the provision of information were found to be the most common measures adopted. The policies strongly emphasized the role of supervisors and the immed...

  15. Modelling the adoption of automatic milking systems in Noord-Holland


    Matteo Floridi; Fabio Bartolini; Jack Peerlings; Nico Polman; Davide Viaggi


    Innovation and new technology adoption represent two central elements for the business and industry development process in agriculture. One of the most relevant innovations in dairy farms is the robotisation of the milking process through the adoption of Automatic Milking Systems (AMS). The purpose of this paper is to assess the impact of selected Common Agricultural Policy measures on the adoption of AMS in dairy farms. The model developed is a dynamic farm-household model that is able to si...

  16. Staying in Tune with Music Education: Policy Awareness among Music Education Majors (United States)

    Burton, Suzanne L.; Knaster, Jenna; Knieste, Maria


    A nationwide sample of undergraduate music education majors (N = 260; 69% completion rate) completed an electronic survey to determine awareness of music and general education policy and advocacy efforts. Students reported concern with the impact of policy on school music programs and their future careers. They were informed about music education…

  17. Barriers to Electronic Health Record Adoption: a Systematic Literature Review. (United States)

    Kruse, Clemens Scott; Kristof, Caitlin; Jones, Beau; Mitchell, Erica; Martinez, Angelica


    Federal efforts and local initiatives to increase adoption and use of electronic health records (EHRs) continue, particularly since the enactment of the Health Information Technology for Economic and Clinical Health (HITECH) Act. Roughly one in four hospitals not adopted even a basic EHR system. A review of the barriers may help in understanding the factors deterring certain healthcare organizations from implementation. We wanted to assemble an updated and comprehensive list of adoption barriers of EHR systems in the United States. Authors searched CINAHL, MEDLINE, and Google Scholar, and accepted only articles relevant to our primary objective. Reviewers independently assessed the works highlighted by our search and selected several for review. Through multiple consensus meetings, authors tapered articles to a final selection most germane to the topic (n = 27). Each article was thoroughly examined by multiple authors in order to achieve greater validity. Authors identified 39 barriers to EHR adoption within the literature selected for the review. These barriers appeared 125 times in the literature; the most frequently mentioned barriers were regarding cost, technical concerns, technical support, and resistance to change. Despite federal and local incentives, the initial cost of adopting an EHR is a common existing barrier. The other most commonly mentioned barriers include technical support, technical concerns, and maintenance/ongoing costs. Policy makers should consider incentives that continue to reduce implementation cost, possibly aimed more directly at organizations that are known to have lower adoption rates, such as small hospitals in rural areas.

  18. Facilitating attachment after international adoption. (United States)

    Murphy, Natalie L


    Americans have increasingly turned to international adoption (IA) as an alternative way to build a family. Unfortunately, IA families are often being developed under conditions of loss, and sometimes these families struggle to form healthy attachments to each other. Disordered attachment (the failure to form a reciprocal, loving bond between parent and child) can occur, and can have devastating consequences. In some instances, IA children have been relinquished into state foster care systems; other families simply struggle for years caring for a developmentally delayed child who appears to have no emotion for his/her adoptive family. Nurses are likely to have contact with IA families and can use their education about attachment and bonding to help facilitate attachment in these developing families. Swanson's caring theory provides a clinically useful guide to meet this need.

  19. Methadone and buprenorphine prescribing and referral practices in US prison systems: results from a nationwide survey. (United States)

    Nunn, Amy; Zaller, Nickolas; Dickman, Samuel; Trimbur, Catherine; Nijhawan, Ank; Rich, Josiah D


    More than 50% of incarcerated individuals have a history of substance use, and over 200,000 individuals with heroin addiction pass through American correctional facilities annually. Opiate replacement therapy (ORT) with methadone or buprenorphine is an effective treatment for opiate dependence and can reduce drug-related disease and recidivism for inmates. Provision of ORT is nevertheless a frequently neglected intervention in the correctional setting. We surveyed the 50 state; Washington, District of Columbia (DC); and Federal Department of Corrections' medical directors or their equivalents about their facilities' ORT prescribing policies and referral programs for inmates leaving prison. We received responses from 51 of 52 prison systems nationwide. Twenty-eight prison systems (55%) offer methadone to inmates in some situations. Methadone use varies widely across states: over 50% of correctional facilities that offer methadone do so exclusively for pregnant women or for chronic pain management. Seven states' prison systems (14%) offer buprenorphine to some inmates. The most common reason cited for not offering ORT was that facilities "prefer drug-free detoxification over providing methadone or buprenorphine." Twenty-three states' prison systems (45%) provide referrals for some inmates to methadone maintenance programs after release, which increased from 8% in 2003; 15 states' prison systems (29%) provide some referrals to community buprenorphine providers. Despite demonstrated social, medical, and economic benefits of providing ORT to inmates during incarceration and linkage to ORT upon release, many prison systems nationwide still do not offer pharmacological treatment for opiate addiction or referrals for ORT upon release.

  20. 10 CFR 706.10 - Policy. (United States)


    ... SECURITY POLICIES AND PRACTICES RELATING TO LABOR-MANAGEMENT RELATIONS Security Policies and Procedures in... published decisions. This policy does not preclude adoption of special arrangements which may be required for reasons of program security at any stage of the proceedings in particular areas. ...

  1. Nationwide cross-sectional survey of schistosomiasis and soil-transmitted helminthiasis in Sudan: study protocol. (United States)

    Cha, Seungman; Hong, Sung-Tae; Lee, Young-Ha; Lee, Keon Hoon; Cho, Dae Seong; Lee, Jinmoo; Chai, Jong-Yil; Elhag, Mousab Siddig; Khaled, Soheir Gabralla Ahmad; Elnimeiri, Mustafa Khidir Mustafa; Siddig, Nahid Abdelgadeir Ali; Abdelrazig, Hana; Awadelkareem, Sarah; Elshafie, Azza Tag Eldin; Ismail, Hassan Ahmed Hassan Ahmed; Amin, Mutamad


    the status and policy formulation and updates to the control strategies. This paper, which describes a feasible and practical study protocol, is to be shared with the global health community, especially those who are planning to perform nationwide mapping of NTDs by feces or urine sampling.

  2. Adoption of the EU SEA Directive in Turkey

    International Nuclear Information System (INIS)

    Unalan, Dilek; Cowell, Richard


    This paper analyses the adoption of the EU Strategic Environmental Assessment Directive (2001/42/EC) in Turkey as part of a programme of environmental policy harmonisation for EU accession, to explore the extent to which this is driving wider shifts in modes of environmental governance. To do this, rather than simply assess compliance with Directive in narrow, formal, statutory terms, we use Jaenicke and Weidner's concept of capacity building, which focuses on the constraints facing societal action to promote sustainable development. Despite the resources invested in pre-accession training and pilot SEA projects, Turkey's adoption of the Directive is still likely to be affected by the centralised nature of the bureaucracy (affecting the scope for sectoral integration), its politicised nature (interrupting the accumulation of policy learning), the limited capacity of civil society and environmental organisations to engage with the process, and the political dominance of economic development objectives.

  3. Stimulating a Sustainable Construction through Holistic BIM Adoption: The Root Causes of Recurring Low BIM Adoption in Malaysia (United States)

    Mamter, S.; Abdul-Aziz, AR; Mamat, ME


    Fostering the Building Information Modelling (BIM) implementation is one of Malaysia sustainable strategies towards greener construction. Hence, the Eleventh Malaysia plan focuses on transforming construction industry through the increase of technology adoption in order to enhance construction productivity. Therefore, there is a growing and urgent demand to provide BIM competent. However, a significant number of parties are reluctant to develop and invest in BIM due to unsolved root causes. Scholars have identified barriers relating to the infancy stage of BIM adoption in Malaysia. Unfortunately, there is a lack of study to explore deeper the root causes of recurring for the barriers anticipate the low BIM adoption. This paper attempts to delve into the initiatives of BIM stake players in fostering BIM adoption and to determine the root causes of recurring barriers due to low BIM adoption. The study adopted the semi-structured interviews which involved BIM stake players as a sample population. From the findings, authors revealed four root causes of recurring barriers; absence of BIM policy and BIM compulsion, poor holistic readiness, software integration competition strategy, and reluctant in sharing knowledge. The findings espoused here are preliminary and more results are expected to emerge as the research progresses.

  4. Getting started--a review of physical activity adoption studies. (United States)

    Dunn, A L


    The aim of this paper has been to review methods that have been found to be effective in getting sedentary adults to adopt physical activity, to examine these methods within the multilevel framework conceptualised by Winett et al, and to provide recommendations for future research to test new methods and their effectiveness in leading to the adoption of physical activity in sedentary populations. Searches for relevant studies were conducted on the Medline computerised database. Additional studies were located in reference sections of these studies and other review papers. Surveys that specifically identified determinants of adoption of physical activity in adults were included. Reviewed articles were selected on the basis of quasi-experimental and experimental designs that specifically examined the question of how to get sedentary adults to adopt a programme of physical activity or exercise, had completely described methods, and evaluated the effectiveness of methods of increasing physical activity and/or exercise. While numerous reviews have been written on determinants on physical activity adoption and maintenance, only two prospective surveys have identified specifics of adoption of physical activity. Most of the evidence for techniques that help inactive people to adopt physical activity comes from quasi-experimental and experimental intervention studies examining various cognitive and behavioural strategies at the individual level. Fewer studies have examined techniques at the interpersonal, organisational, community, environmental, and policy level. More prospective observational studies aimed at homogeneous subgroups are needed to identify correlates of physical activity adoption to help tailor interventions. Continued clinical studies are needed to differentiate the necessary and sufficient strategies at the personal and interpersonal levels. Interventions aimed at environmental, institutional, and social levels remain largely unexplored and there is a need

  5. Public Utility Regulatory Policies Act of 1978. Annual report to Congress

    Energy Technology Data Exchange (ETDEWEB)



    Titles I and III of the Public Utility Regulatory Policies Act of 1978 (PURPA) establish retail regulatory policies for electric and natural gas utilities, respectively, aimed at achieving three purposes: conservation of energy supplied by electric and gas utilities; efficiency in the use of facilities and resources by these utilities; equitable rates to electricity and natural gas consumers. PURPA also continues the pilot utility implementation program, authorized under Title II of the Energy Conservation and Production ACT (ECPA), to encourage adoption of cost-based rates and efficient energy-management practices. The purpose of this report is twofold: (1) to summarize and analyze the progress that state regulatory authorities and certain nonregulated utilities have made in their consideration of the PURPA standards; and (2) to summarize the Department of Energy (DOE) activities relating to PURPA and ECPA. The report provides a broad overview and assessment of the status of electric and gas regulation nationwide, and thus helps provide the basis for congressional and DOE actions targeted on the utility industry to address pressing national energy problems.

  6. 77 FR 66517 - National Adoption Month, 2012 (United States)


    ... Adoption Day by completing a foster care adoption and embracing a new member of their family. Driven by... eliminate discriminatory barriers that would separate foster children from a loving family. Adoptive... knowing the love and protection of a permanent family. During National Adoption Month, we give voice to...

  7. Taking stock of agroforestry adoption studies (United States)

    Subhrendu K. Pattanayak; D. Evan Mercer; Erin Sills; Jui-Chen Yang


    In light of the large number of empirical studies of agroforestry adoption published during the last decade, we believe it is time to take stock and identify general determinants of agroforestry adoption. In reviewing 120 articles on adoption of agricultural and forestry technology by small holders, we find five categories of factors that explain technology adoption...

  8. 18 CFR 341.6 - Adoption rule. (United States)


    ... 18 Conservation of Power and Water Resources 1 2010-04-01 2010-04-01 false Adoption rule. 341.6... SUBJECT TO SECTION 6 OF THE INTERSTATE COMMERCE ACT § 341.6 Adoption rule. (a) Change in name of carrier... such occurrence. The filing of adoption notices and adoption supplements requires no notice period. (c...

  9. [International adoption and child psychological vulnerability]. (United States)

    Pérouse de Montclos, M-O


    Child psychiatry consultations specialised in filiation and international adoption help adopted children with psychological troubles and their adoptive parents. Regardless to this experience and to recent issues in the fields of attachment and narrativity, psychotraumatism and transcultural, some psychological risk factors for internationnally adopted children are described, requiring specialised psychological help. Copyright © 2011. Published by Elsevier SAS.

  10. Juridical aspects of post mortem adoption

    Directory of Open Access Journals (Sweden)

    Sergio Rodrigo Martinez


    Full Text Available The legislature, with the enactment of the Statute of Children and Adolescents, now provides the named posthumous adoption, allowing the death of the adopter, in the course of the procedure does not generate the extinction pleaded adoption. Has the purpose to show that, notwithstanding the absence of such law, the construction of new adopters and adopted by families are recognized, since permeated the socially demonstrated affection, even in passing the death of the person occurs before you have to start legal formalization of the adoption petition, thus characterizing the figure of posthumous adoption without prior judicial manifestation.

  11. Genetic non-discrimination policy in Canada: Assessing windows of opportunity for policy change. (United States)

    Caggiano, Adriana V; Al Kindi, Said Y; Randall, Glen E


    As the ease of obtaining genetic information for both the diagnosis and treatment of diseases has become increasingly common, so have concerns about the misuse of such information. The obstacles Canada faces in adopting genetic non-discrimination legislation have left health leaders with a lack of clear direction. Using the Kingdon agenda-setting framework, this article will identify lost opportunities for policy change and will analyze the potential for the adoption of a genetic non-discrimination policy in Canada. Windows of opportunity for policy change have existed in the past, but these windows have closed prior to a policy being adopted. More recently, the alignment of problem, policy, and politics streams in the agenda-setting process has resulted in a new window of opportunity. The adoption of a clear and coherent policy will provide the public with protection and health leaders with greater direction around genetic information.

  12. Adoption of Robotic Technology for Treating Colorectal Cancer. (United States)

    Schootman, Mario; Hendren, Samantha; Ratnapradipa, Kendra; Stringer, Lisa; Davidson, Nick O


    Debate exists regarding the role of robotic-assisted surgery in colorectal cancer. Robotic-assisted surgery has been promoted as a strategy to increase the availability of minimally invasive surgery, which is associated with improved short-term morbidity; however, robotic-assisted surgery is much more expensive than laparoscopic surgery. We aimed to understand hospital and patient trends in the adoption of robotic-assisted surgery. The study used cross-sectional and longitudinal designs. The study included 2010 and 2012 American Hospital Association surveys, as well as the 2010-2012 Nationwide Inpatient Sample. US hospitals responding to the American Hospital Association survey were included to measure patients with colorectal cancer who were undergoing elective minimally invasive surgery or open resection. Robotic-assisted surgery adoption by US hospitals was measured, regarding specifically patients with colorectal cancer who were treated with robotic surgery. In 2010, 20.1% of hospitals adopted robotic-assisted surgery, increasing to 27.4% by 2012. Hospitals more likely to adopt robotic-assisted surgery included teaching hospitals, those with more advanced imaging services, those in metropolitan rather than rural areas, and those performing the highest inpatient surgery volume. Robotic-assisted surgery only accounted for 1.3% of colorectal cancer operations during 2010-2012, but patient probability of robotic-assisted surgery ranged from 0.1% to 15.2%. The percentage of patients with colorectal cancer who were treated robotically among those undergoing minimally invasive surgery increased over time (2010, 1.5%; 2012, 3.6%). Robotic-assisted surgery is increasing more rapidly for patients with rectal cancer with minimally invasive surgery (2010, 5.5%; 2012, 13.3%) versus patients with colon cancer treated with minimally invasive surgery (2010, 1.3%; 2012, 3.3%). The study was limited by its observational study design. Robotic-assisted surgery uptake remains low

  13. From Delivery to Adoption of Physical Activity Guidelines: Realist Synthesis. (United States)

    Leone, Liliana; Pesce, Caterina


    Evidence-based guidelines published by health authorities for the promotion of health-enhancing physical activity (PA), continue to be implemented unsuccessfully and demonstrate a gap between evidence and policies. This review synthesizes evidence on factors influencing delivery, adoption and implementation of PA promotion guidelines within different policy sectors (e.g., health, transport, urban planning, sport, education). Published literature was initially searched using PubMed, EBSCO, Google Scholar and continued through an iterative snowball technique. The literature review spanned the period 2002-2017. The realist synthesis approach was adopted to review the content of 39 included studies. An initial programme theory with a four-step chain from evidence emersion to implementation of guidelines was tested. The synthesis furthers our understanding of the link between PA guidelines delivery and the actions of professionals responsible for implementation within health services, school departments and municipalities. The main mechanisms identified for guidance implementation were scientific legitimation, enforcement, feasibility, familiarity with concepts and PA habits. Threats emerged to the successful implementation of PA guidelines at national/local jurisdictional levels. The way PA guidelines are developed may influence their adoption by policy-makers and professionals. Useful lessons emerged that may inform synergies between policymaking and professional practices, promoting win-win multisectoral strategies.

  14. When the adoption becomes termination. (United States)

    Cheung, Viola; Weitzman, Carol; Albers Prock, Lisa; Augustyn, Marilyn


    Steven is an 11-year-old boy who was adopted from an orphanage in Eastern Europe 8 years ago, when he was 3 years old along with his biological sister who is 1 year older. You have cared for him in your practice since that time seeing them annually for well child care. His mother reports that the first 2 years after adoption were very difficult, and Steven has never really bonded with her or her husband. Currently, he is reported to steal possessions of family members and instigate arguments with his older sister and act defiantly. The parents have put locks on their bedroom door due to fears of violence, primarily by Steven's older sister. Steven's mother reports that she and her husband no longer attempt to "parent" the children and provide minimal supervision to avoid conflict. In school, Steven is reported to have symptoms of inattention and hyperactivity that improved with treatment with stimulant medication and some learning challenges, but otherwise he is described as a lovely boy who has good relationships with his teachers.They present to urgent care clinic when mom stated "We have had enough." That day both children were caught taking $10 from the mother's wallet. On further discussion, it was discovered that they had done this several times over the last month to buy ice cream for neighborhood friends to "welcome them" to the neighborhood. Steven's mother presents today stating that the family has exhausted therapy services and are experiencing financial hardship secondary to investing time and money into behavioral and psychiatric services for Steven and his sister. They want to dissolve the adoption and have the children removed from their home. They seek guidance on how to do this. What would be your initial approach with the parents?

  15. Aortic events in a nationwide Marfan syndrome cohort

    DEFF Research Database (Denmark)

    Groth, Kristian A; Krag, Kirstine Stochholm; Hove, Hanne


    BACKGROUND: Marfan syndrome is associated with morbidity and mortality due to aortic dilatation and dissection. Preventive aortic root replacement has been the standard treatment in Marfan syndrome patients with aortic dilatation. In this study, we present aortic event data from a nationwide Marfan...... syndrome cohort. METHOD: The nationwide cohort of Danish Marfan syndrome patients was established from the Danish National Patient Registry and the Cause of Death Register, where we retrieved information about aortic surgery and dissections. We associated aortic events with age, sex, and Marfan syndrome...

  16. Nationwide and population-based prescription patterns in bipolar disorder

    DEFF Research Database (Denmark)

    Kessing, Lars Vedel; Vradi, Eleni; Andersen, Per Kragh


    OBJECTIVES: The aim of the present study was to describe prescription patterns and changes in these patterns over the last decade for patients diagnosed with bipolar disorder in mental healthcare, using population-based and nationwide data, and to relate the findings to recommendations from...... international guidelines. METHODS: A population-based, nationwide study was carried out. It included register-based longitudinal data on all patients with a first-ever contact with mental healthcare with a diagnosis of mania/bipolar disorder from the entire Danish population, and all prescription data...

  17. Implementing a nationwide criteria-based emergency medical dispatch system

    DEFF Research Database (Denmark)

    Andersen, Mikkel; Johnsen, Søren Paaske; Sørensen, Jan Nørtved


    A criteria-based nationwide Emergency Medical Dispatch (EMD) system was recently implemented in Denmark. We described the system and studied its ability to triage patients according to the severity of their condition by analysing hospital admission and case-fatality risks.......A criteria-based nationwide Emergency Medical Dispatch (EMD) system was recently implemented in Denmark. We described the system and studied its ability to triage patients according to the severity of their condition by analysing hospital admission and case-fatality risks....

  18. Adoption of surgical innovations: factors influencing use of sentinel lymph node biopsy for breast cancer. (United States)

    Wright, Frances C; Gagliardi, Anna R; Fraser, Novlette; Quan, May Lynn


    Sentinel lymph node biopsy (SLNB) has been unevenly adopted into practice in Canada. In this qualitative study, the authors explored individual, institutional, and policy factors that may have influenced SLNB adoption. This information will guide interventions to improve SLNB implementation. Qualitative methodology was used to examine factors influencing SLNB adoption. Grounded theory guided data collection and analysis. Semistructured interviews were based on Roger's diffusion of innovation theory. Purposive and snowball sampling was used to identify participants. Semistructured telephone interviews were conducted with urban, rural, academic, and community health care providers and administrators to ensure all perspectives and motivations were explored. Two individuals independently analyzed data and achieved consensus on emerging themes and their relationship. A total of 43 interviews were completed with 21 surgeons, 5 pathologists, 7 nuclear medicine physicians, and 10 administrators. Generated themes included awareness of SLNB with the exception of some administrators, acknowledged advantage of SLNB, SLNB compatibility with beliefs regarding axillary staging, acknowledgment that SLNB was a complex innovation to adopt, extensive trialing of SLNB prior to adoption, observable benefits with SLNB, acknowledgment that hospital-level administrative support enabled adoption, desire for a provincial policy supporting SLNB to assist in hospital-level adoption, requirement of a local high-volume breast surgery champion who communicated extensively with team to facilitate local adoption, and need for credentialing of SLNB to ensure quality. SLNB is a complex innovation to adopt. Successful adoption was assisted by a high-volume breast cancer surgical champion, interprofessional communication, and administrative support.

  19. Embryo adoption: Some further considerations (United States)

    Patterson, Colin


    Recent discussions of embryo adoption have sought to make sense of the teaching of the Congregation for the Doctrine of the Faith (CDF) document Dignitas personae which appeared to provide a negative judgment on such a practice. This article aims to provide a personalist account of the process of fertilization and implantation that might serve as the basis for the negative judgment of the CDF document. In doing so, it relies upon the idea that a person, including an embryo, is not to be considered in isolation, but always in relation to God and to others. This approach extends the substantialist conceptualizations commonly employed in discussions of this issue. More generally, the article seeks to highlight the value of a personalist re-framing for an understanding of the moral questions surrounding the beginning of life. Lay summary: This article seeks to make sense of what appears to be a clear-cut rejection, set out in the Congregation for the Doctrine of the Faith (CDF) document Dignitas personae, of the proposal for women to “adopt” surplus frozen embryos. It draws upon more recently developed modes of philosophical/theological reasoning to argue that, in human procreation, both fertilization and implantation represent constitutive dimensions of divine creative activity and so must be protected from manipulative technological intervention. Since embryo adoption requires this kind of technology, it makes sense for the Church document not to approve it. PMID:25698841

  20. Adoption Model of Falcataria-Based Farm Forestry: A Duration Analysis Approach

    Directory of Open Access Journals (Sweden)

    Evi Irawan


    Full Text Available Integrating perennial plant, such as Falcataria moluccana, in farming system can provide economic and environmental benefits, especially in marginal areas. Indonesian governments at all levels have been employing a number of efforts to speed-up adoption of tree planting on farm.  However, the establishment of farm forestry on private land in Indonesia, especially in Java, is widely varied.  While the farm forestry in some locations has been well adopted, the farmers or land users in other location are reluctant to adopt them, although the traits of farmers and farm land in both locations are similar. Most adoption studies have employed cross-sectional data in a static discrete choice modeling framework to analyze why some farmers adopt at a certain point in time.  The static approach does not consider the dynamic environment in which the adoption decision is made and thus does not incorporate speed of adoption.  The information of adoption speed of an innovation is important in designing extension policies as well as reengineering innovations in order to align with socio-economic conditions of the farmers.  Based on data from a survey of a random sample of 117 smallholder households in Wonosobo Regency, Central Java, Indonesia, this study investigated determinants of time to adoption of farm forestry using duration analysis. Results revealed that factors that accelerate the adoption varied include age of household head, level of education of household head, off-farm employment and output price. Older farmers tend to adopt faster than the younger farmers. The other interesting findings are that off-farm employment and membership to farmers group are two most influential factors in speeding-up adoption of Falcataria-based farm forestry. The policy implications of this research are that government should design policies that promote farmers’ participation in off-farm income activities and strengthening farmer groups in addition to extension

  1. [Adoption: an alternative to assisted reproductive techniques?]. (United States)

    Blanchy, S


    Information on adoption must be given to couples who seek treatment for medically-assisted procreation. But is adoption a real alternative? What are the chances for a couple who consults to see its desire for adoption be achieved according to its own situation, the characteristics of the child he wants, and the general situation of adoption? Can adoption, just like assisted procreation, often described by the couples as a "obstacle course", go parallel? Or should one try adoption once assisted reproduction failed? Is the couple willing to suffer the social and legal control of adoption after having supported the medical control of the ART? In all cases, the reality is that two out of three couples engaged in assisted reproduction will have a child whereas scarcely more than one candidate to adoption will be offered to adopt a child after three or four-years procedure. Copyright © 2010 Elsevier Masson SAS. All rights reserved.

  2. Evolution of consumer information preferences with market maturity in solar PV adoption (United States)

    Cale Reeves, D.; Rai, Varun; Margolis, Robert


    Residential adoption of solar photovoltaics (PV) is spreading rapidly, supported by policy initiatives at the federal, state, and local levels. Potential adopters navigate increasingly complex decision-making landscapes in their path to adoption. Much is known about the individual-level drivers of solar PV diffusion that steer adopters through this process, but relatively little is known about the evolution of these drivers as solar PV markets mature. By understanding the evolution of emerging solar PV markets over time, stakeholders in the diffusion of solar PV can increase policy effectiveness and reduce costs. This analysis uses survey data to compare two adjacent markets across a range of relevant characteristics, then models changes in the importance of local vs cosmopolitan information sources by combining theory relating market maturity to adopter behavior with event-history techniques. In younger markets, earlier, innovative adoptions that are tied to a preference for cosmopolitan information sources are more prevalent than expected, suggesting a frustrated demand for solar PV that segues into adoptions fueled by local information preferences contemporary with similar adoptions in older markets. The analysis concludes with policy recommendations to leverage changing consumer information preferences as markets mature.

  3. Adoption of residential solar power under uncertainty: Implications for renewable energy incentives

    International Nuclear Information System (INIS)

    Bauner, Christoph; Crago, Christine L.


    Many incentives at the state and federal level exist for household adoption of renewable energy like solar photovoltaic (PV) panels. Despite generous financial incentives the adoption rate is low. We use the option value framework, which takes into account the benefit of delaying investment in response to uncertainty, to examine the decision by households to invest in solar PV. Using a simulation model, we determine optimal adoption times, critical values of discounted benefits, and adoption rates over time for solar PV investments using data from Massachusetts. We find that the option value multiplier is 1.6, which implies that the discounted value of benefits from solar PV needs to exceed installation cost by 60% for investment to occur. Without any policies, median adoption time is eight years longer under the option value decision rule compared to the net present value decision rule where households equate discounted benefits to installation cost. Rebates and other financial incentives decrease adoption time, but their effect is attenuated if households apply the option value decision rule to solar PV investments. Results suggest that policies that reduce the uncertainty in returns from solar PV investments would be most effective at incentivizing adoption. - Highlights: • We examine household adoption of solar PV using the option value framework. • Uncertainty in benefits and costs leads to delay in investment timing. • Discounted benefits from solar PV have to exceed investment cost by 60% to trigger investment. • Policy incentives that reduce uncertainty in returns from solar PV are most effective.

  4. Agent-based modelling of heating system adoption in Norway

    Energy Technology Data Exchange (ETDEWEB)

    Sopha, Bertha Maya; Kloeckner, Christian A.; Hertwich, Edgar G.


    Full text: This paper introduces agent-based modelling as a methodological approach to understand the effect of decision making mechanism on the adoption of heating systems in Norway. The model is used as an experimental/learning tool to design possible interventions, not for prediction. The intended users of the model are therefore policy designers. Primary heating system adoptions of electric heating, heat pump and wood pellet heating were selected. Random topology was chosen to represent social network among households. Agents were households with certain location, number of peers, current adopted heating system, employed decision strategy, and degree of social influence in decision making. The overall framework of decision-making integrated theories from different disciplines; customer behavior theory, behavioral economics, theory of planned behavior, and diffusion of innovation, in order to capture possible decision making processes in households. A mail survey of 270 Norwegian households conducted in 2008 was designed specifically for acquiring data for the simulation. The model represents real geographic area of households and simulates the overall fraction of adopted heating system under study. The model was calibrated with historical data from Statistics Norway (SSB). Interventions with respects to total cost, norms, indoor air quality, reliability, supply security, required work, could be explored using the model. For instance, the model demonstrates that a considerable total cost (investment and operating cost) increase of electric heating and heat pump, rather than a reduction of wood pellet heating's total cost, are required to initiate and speed up wood pellet adoption. (Author)

  5. Critical Factors of E-Learning Adoption and Acceptance in Pakistan: A Literature Review

    Directory of Open Access Journals (Sweden)

    F. Kanwal


    Full Text Available This review paper examines the prior studies on critical factors of e-learning adoption in Pakistan. The search terms identified 40 papers reporting 25 conceptual and qualitative and 15 quantitative evidence about the e-learning adoption and critical factors that may influence the adoption of e-learning in Pakistan. The findings revealed that modern paradigm shift requires the in-depth analysis of government policies, institutional and management role, students and faculty attitude, social norms, cultural values as well as technological advancement. These factors may directly or indirectly affect the intention of students towards e-learning adoption. The lack of quantitative evidences illustrate that policy makers, practitioners and researchers need to pay attention for further research of identifying and analyzing the critical factors which enhances the e-learning adoption in Pakistan.

  6. Energy policy in transport and transport policy

    International Nuclear Information System (INIS)

    Van Dender, Kurt


    Explanations for, and indirect evidence of, imperfections in the market for private passenger vehicle fuel economy suggest there is a reasonable case for combining fuel economy standards and fuel or carbon taxes to contribute to an energy policy that aims to reduce greenhouse gas emissions and improve energy security. Estimates of key elasticities, including the rebound effect, indicate that the positive and negative side-effects of fuel economy measures on transport activities and external costs are limited. However, an energy policy for transport does not replace a transport policy that aims to manage the main transport externalities including congestion and local pollution. Conventional marginal cost estimates and standard cost-benefit reasoning suggest that policies that address congestion and local pollution likely bring benefits at least as large as those from fuel economy measures. But the large uncertainty on the possible effects of greenhouse gas emissions constitutes a strong challenge for standard cost-benefit reasoning. Emerging results from methods to cope with this uncertainty suggest that policies to stimulate the widespread adoption of low-carbon technologies in transport are justified.

  7. Adoption law: a district nurse's guide. (United States)

    Griffith, Richard; Tengnah, Cassam


    The Government wants to see a large rise in the use of adoption as a means of giving children a secure, loving and permanent home. Guidance coming into effect from April calls for a more pragmatic approach to adoption placements, and calls for the active promotion of the adoption process by health and social care professionals. District nurses will encounter people interested in becoming prospective adopters, but who are unsure if their background or lifestyle makes them eligible. It is essential that district nurses have a working understanding of the guidance and provisions of the Adoption and Children Act 2002 to confidently advise others about adoption and clarify any issues raised.

  8. Innovation and Adoption of Electronic Business Technologies


    Sülzle, Kai


    This paper presents a duopoly model of e-business technology adoption. A leader and a follower benefit from a new e-business technology with uncertain quality depending on its innovation and adoption cost and both firms’ adoption timing. When innovation and adoption require large set-up costs, the leader favors quick adoption by the follower. The follower prefers either late or no adoption. This is due to a delayed first-mover benefit which stems from an innovators’ capability to impose a...

  9. Adoption of Children with Disabilities: An Exploration of the Issues for Adoptive Families (United States)

    Good, Gretchen A.


    This systematic literature review is an exploration of issues for adoptive families throughout the adoption process and into the various phases of the life of the adoptive family. Although there has been much recent research related to adoption, in general, very little adoption literature addresses the often unspoken needs of families who want to…

  10. Recent urban policy and development in China: a reversal of "anti-urbanism". (United States)

    Kwok, R Y


    The nature of and reasons for China's urban distribution policy adopted in 1982 are examined. The influence of socialist planning ideology on urban policy is noted. Contradictions between economic reform and urban policies are identified.

  11. Stories of policy change: City of Hamilton's healthy food and beverage policy. (United States)

    Atkey, Kayla; Elliott-Moyer, Pat; Freimanis, Miri; Raine, Kim D


    Municipal buildings and corporate events in the City of Hamilton, Ontario. In 2011, the City of Hamilton adopted a healthy food and beverage policy. The intent of the policy is to demonstrate the City's commitment to healthy eating by providing food and beverages that are healthy, safe, and free of industrially produced trans fats, and promoting a sustainable, local food system. The corporate policy applies to all City facilities, meetings and events. In this article, we explore adoption and implementation of the policy, as well as key lessons for healthy public policy change. Integrating the policy into corporate culture and practice through the provision of ongoing supports and resources helped the City of Hamilton overcome barriers and achieve implementation success. Through exploration of the City of Hamilton's healthy food and beverage policy, we identified a number of lessons for policy change and implementation. When viewed in context, these lessons may help to support policy work in other Canadian jurisdictions.

  12. Language Identity among Iranian English Language Learners: A Nationwide Survey (United States)

    Rezaei, Saeed; Khatib, Mohammad; Baleghizadeh, Sasan


    The present study is a nationwide survey of language identity among English language learners in Iran. The participants who completed the survey in this research included 1851 English language learners from different parts of the country who belonged to different genders, age groups and English language proficiency levels. The main instrument was…

  13. 76 FR 43696 - Nationwide Cyber Security Review (NCSR) Assessment (United States)


    ... all levels of government to complete a cyber network security assessment so that a full measure of... DEPARTMENT OF HOMELAND SECURITY [Docket No. DHS-2011-0012] Nationwide Cyber Security Review (NCSR... comments; New Information Collection Request. SUMMARY: The Department of Homeland Security (DHS), National...

  14. 76 FR 22409 - Nationwide Cyber Security Review (NCSR) Assessment (United States)


    ... for all levels of government to complete a cyber network security assessment so that a full measure of... DEPARTMENT OF HOMELAND SECURITY [Docket No. DHS-2011-0012] Nationwide Cyber Security Review (NCSR... comments; New Information Collection Request: 1670-NEW. SUMMARY: The Department of Homeland Security (DHS...

  15. Adoption of Mobile Payment Platforms

    DEFF Research Database (Denmark)

    Staykova, Kalina Stefanova; Damsgaard, Jan


    Numerous mobile payment solutions, which rely on new disruptive technologies, have been launched on the payment market in recent years. But despite the growing number of mobile payment apps, very few solutions have turned to be successful as the majority of them fail to gain a critical mass...... of users. In this paper, we investigate successful platform adoption strategies by using the Reach and Range Framework for Multi-Sided Platforms as a strategic tool to which mobile payment providers can adhere in order to tackle some of the main challenges they face throughout the evolution...... of their platforms. The analysis indicates that successful mobile payment solutions tend to be launched as one-sided platforms and then gradually be expanded into being two-sided. Our study showcases that the success of mobile payment platforms lies with the ability of the platform to balance the reach (number...

  16. Tough Policies, Incredible Policies?


    Andres Velasco; Alejandro Neut


    We revisit the question of what determines the credibility of macroeconomic policies here, of promises to repay public debt. Almost all thinking on the issue has focused on governments' strategic decision to default (or erode the value of outstanding debt via inflation/devaluation). But sometimes governments default not because they want to, but because they cannot avoid it: adverse shocks leave them no option. We build a model in which default/devaluation can occur deliberately (for strategi...

  17. eHealth adoption factors in medical hospitals: A focus on the Netherlands. (United States)

    Faber, Sander; van Geenhuizen, Marina; de Reuver, Mark


    Despite strong policy interest in eHealth, actual adoption in many European hospitals is low. This study develops and tests in a preliminary way an organisational eHealth adoption model rooted in several adoption frameworks to improve understanding of this phenomenon. The model is explored through a survey among hospitals in the Netherlands using a Structural Equation Modelling (SEM) approach. Specific attention is paid to measurement of organisational readiness and to adoption as a process including different stages. Our results suggest a sharp decrease in the adoption process by hospitals after the stage of interest/commitment. Adoption tends to be significantly affected by size of the hospital, organisational readiness including technical aspects, and top management support. eHealth adoption tends to be not a linear process nor a linear function of contextual antecedents. Organisational readiness is an important antecedent for eHealth adoption. The paper concludes with organisational strategies and policies to foster eHealth adoption in hospitals and suggestions for future study. Copyright © 2017 Elsevier B.V. All rights reserved.

  18. Basis for a healthy energy policy

    International Nuclear Information System (INIS)

    Ueki, Shigeaki


    A summary of the prices policy for oil adopted by the Brazilian government in the last thirty years is presented. Some recommendations aiming at increasing the internal energy production and decreasing the external dependence are given

  19. Inducing Lactation: Breastfeeding for Adoptive Moms (United States)

    ... Español Text Size Email Print Share Inducing Lactation: Breastfeeding for Adoptive Moms Page Content Article Body A growing number of adoptive mothers are interested in breastfeeding their babies through induced lactation. Prescription Medications No ...

  20. 75 FR 68166 - National Adoption Month, 2010 (United States)


    ... small. National Adoption Day is a day of hope and happiness when courthouses finalize the adoptions of... permanent and caring family, as well as to support the families who care for them. IN WITNESS WHEREOF, I...

  1. Economic impacts of electric vehicle adoption. (United States)


    The objective of the Economic Impacts of Electric Vehicle Adoption research project was to : examine the predicted levels of electric vehicle (EV) adoption, to analyze the life cycle costs of : EVs compared to internal combustion engine vehicles and ...

  2. Being Adopted: Books to Help Children Understand. (United States)

    Sharkey, Paulette Bochnig


    Annotated bibliography covers children's and adolescent fiction and nonfiction on the topic of adoption published since 1988. Brief content descriptions and indications of age appropriateness are given for 35 books. Books dealing with transracial adoption are starred. (KRN)

  3. The Place of Genetic Counselling in Adoption. (United States)

    Hockey, Athel; Bain, Jill


    An approach combining social worker and geneticist expertise in adoption is outlined in the study involving 180 families. Genetic counseling has shown to be an essential safeguard to the preservation of the adoptive family unit. (Author/SW)

  4. Factors Influencing Adoption of Cocoa Technologies Disseminated ...

    African Journals Online (AJOL)

    fungicides, pruning and fermentation were cocoa technologies adopted by farmers. The significant factors influencing adoption of cocoa technologies included age, educational level, household size, no of farm family assisting on the farm, ...

  5. Public health professionals as policy entrepreneurs: Arkansas's childhood obesity policy experience. (United States)

    Craig, Rebekah L; Felix, Holly C; Walker, Jada F; Phillips, Martha M


    In response to a nationwide rise in obesity, several states have passed legislation to improve school health environments. Among these was Arkansas's Act 1220 of 2003, the most comprehensive school-based childhood obesity legislation at that time. We used the Multiple Streams Framework to analyze factors that brought childhood obesity to the forefront of the Arkansas legislative agenda and resulted in the passage of Act 1220. When 3 streams (problem, policy, and political) are combined, a policy window is opened and policy entrepreneurs may advance their goals. We documented factors that produced a policy window and allowed entrepreneurs to enact comprehensive legislation. This historical analysis and the Multiple Streams Framework may serve as a roadmap for leaders seeking to influence health policy.

  6. Business model elements impacting cloud computing adoption

    DEFF Research Database (Denmark)

    Bogataj, Kristina; Pucihar, Andreja; Sudzina, Frantisek

    The paper presents a proposed research framework for identification of business model elements impacting Cloud Computing Adoption. We provide a definition of main Cloud Computing characteristics, discuss previous findings on factors impacting Cloud Computing Adoption, and investigate technology...... adoption theories, such as Diffusion of Innovations, Technology Acceptance Model, Unified Theory of Acceptance and Use of Technology. Further on, at research model for identification of Cloud Computing Adoption factors from a business model perspective is presented. The following business model building...

  7. Aligning European OA policies with Horizon 2020


    Picarra, Mafalda; Angelaki, Marina; Dogan, Guleda; Guy, Marieke; Artusio, Claudio


    This article considers that the Horizon 2020 (H2020) Open Access (OA) policy can be adopted as a policy model in European Research Area (ERA) countries for the development and increasing alignment of OA policies. Accordingly, the OA policy landscape in five ERA countries – Greece, Italy, the Netherlands, Turkey and the UK – is assessed and the extent of alignment or divergence of those policies with the H2020 OA policy is examined. The article concludes by considering some of the impacts that...

  8. 14 CFR 221.160 - Adoption notice. (United States)


    ... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false Adoption notice. 221.160 Section 221.160... REGULATIONS TARIFFS Adoption Publications Required To Show Change in Carrier's Name or Transfer of Operating Control § 221.160 Adoption notice. (a) When the name of a carrier is changed or when its operating control...

  9. 40 CFR 1506.3 - Adoption. (United States)


    ... 40 Protection of Environment 32 2010-07-01 2010-07-01 false Adoption. 1506.3 Section 1506.3 Protection of Environment COUNCIL ON ENVIRONMENTAL QUALITY OTHER REQUIREMENTS OF NEPA § 1506.3 Adoption. (a) An agency may adopt a Federal draft or final environmental impact statement or portion thereof...

  10. 25 CFR 75.18 - Adoption. (United States)


    ... 25 Indians 1 2010-04-01 2010-04-01 false Adoption. 75.18 Section 75.18 Indians BUREAU OF INDIAN... OF CHEROKEE INDIANS, NORTH CAROLINA § 75.18 Adoption. The Tribal Council of the Eastern Band of Cherokee Indians shall be empowered to enact ordinances governing the adoption of new members. [39 FR 43391...

  11. 33 CFR 230.21 - Adoption. (United States)


    ... 33 Navigation and Navigable Waters 3 2010-07-01 2010-07-01 false Adoption. 230.21 Section 230.21 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE PROCEDURES FOR IMPLEMENTING NEPA § 230.21 Adoption. See 40 CFR 1506.3. A district commander will normally adopt...

  12. 47 CFR 61.171 - Adoption notice. (United States)


    ... 47 Telecommunication 3 2010-10-01 2010-10-01 false Adoption notice. 61.171 Section 61.171 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES (CONTINUED) TARIFFS Adoption of Tariffs and Other Documents of Predecessor Carriers § 61.171 Adoption notice. When a carrier's...

  13. Representative Incidents in the Adoption Process. (United States)

    Farrington, Jay A.; And Others

    This paper presents three case studies of innovation, based on interviews with six adoption agents. Key episodes and incidents which illustrate important principles are drawn from the experiences of these adoption agents. The case studies offer examples of both success and failure--by both internal and external adoption agents. They also emphasize…

  14. 'Adoption' by maternal siblings in wild chimpanzees

    NARCIS (Netherlands)

    Hobaiter, Catherine; Schel, Anne Marijke; Langergraber, Kevin; Zuberbühler, Klaus


    The adoption of unrelated orphaned infants is something chimpanzees and humans have in common. Providing parental care has fitness implications for both the adopter and orphan, and cases of adoption have thus been cited as evidence for a shared origin of an altruistic behaviour. We provide new data

  15. Transracial Adoptions: Helping Parents Understand White Privilege. (United States)

    Davidson, Jeanette R.; Davidson, Tim


    Provides help for professionals working with families completing transracial adoptions, examining how to help white parents understand white privilege and its impact on their children and their transracial families. Highlights white parents who are adopting black or biracial children, discussing the controversy over transracial adoption, adoption…

  16. Transracial Adoption: The Black Community Perspective (United States)

    Howard, Alicia; And Others


    How does a cross section of the black community feel about white parents adopting black children? This study suggests that the majority of blacks do not support the militant position against transracial adoption and, in fact, favor such adoption when the alternative is institutionalization. (Author)

  17. International Adoption: Current Status and Future Prospects. (United States)

    Bartholet, Elizabeth


    Laws regulating adoption are varied and complex in countries that offer children for international adoption (IA), while United States Immigration laws pose additional obstacles to Americans wishing to adopt foreign-born children. Declarations by the United Nations and the development of a convention on IA by the Hague Conference offer some hope…

  18. A Narrative Inquiry of International Adoption Stories (United States)

    Pryor, Christin; Pettinelli, J. Douglas


    The international adoption entrance story is an unexplored topic in the adoption literature. The stories that families tell of beginning life with their new children has important implications for the development of an autobiographical narrative of an adopted child. A coherent autobiographical narrative is vital for healthy childhood development.…

  19. Exploring RFID adoption in South African industries

    NARCIS (Netherlands)

    van der Sijde, P.C.; de Boer, S.J.; McGowan, P.C.; Korteweg, B.


    This paper explores technology adoption based on the ‘technology – organisation – environment’ framework to study radio frequency identification (RFID) adoption in South African industries. It operationalises the framework using innovation-adoption theory, ‘organisational capitals’, and ‘societal

  20. New Perspectives on Policy Uncertainty


    Hlatshwayo, Sandile


    In recent years, the ubiquitous and intensifying nature of economic policy uncertainty has made it a popular explanation for weak economic performance in developed and developing markets alike. The primary channel for this effect is decreased and delayed investment as firms adopt a ``wait and see'' approach to irreversible investments (Bernanke, 1983; Dixit and Pindyck, 1994). Deep empirical examination of policy uncertainty's impact is rare because of the difficulty associated in measuring i...

  1. CERN anti-fraud policy

    CERN Multimedia


    In 2011, a working group on improved fraud prevention and management was established. The group was composed of the Director of Administration and General Infrastructure, the Head of the Human Resources Department, and the Heads of the Legal Service and Internal Audit. It recommended the adoption of a global fraud prevention and management policy.   The global fraud prevention and management policy was implemented through the CERN Anti-Fraud Policy, which was endorsed by the Enlarged Directorate in May 2012 and approved by the Director-General for entry into force on 1 January 2013. The CERN Anti-Fraud Policy defines the Organization’s policy in matters of fraud.  CERN has a zero tolerance approach towards fraud, as it would compromise the accomplishment of its objectives and undermine its functioning, credibility and reputation. The policy also states CERN’s commitment to the prevention, identification and investigation of fraud. All CERN contributors have a key rol...

  2. Adoption of Electronic Health Records: A Roadmap for India. (United States)

    Srivastava, Sunil Kumar


    The objective of the study was to create a roadmap for the adoption of Electronic Health Record (EHR) in India based an analysis of the strategies of other countries and national scenarios of ICT use in India. The strategies for adoption of EHR in other countries were analyzed to find the crucial steps taken. Apart from reports collected from stakeholders in the country, the study relied on the experience of the author in handling several e-health projects. It was found that there are four major areas where the countries considered have made substantial efforts: ICT infrastructure, Policy & regulations, Standards & interoperability, and Research, development & education. A set of crucial activities were identified in each area. Based on the analysis, a roadmap is suggested. It includes the creation of a secure health network; health information exchange; and the use of open-source software, a national health policy, privacy laws, an agency for health IT standards, R&D, human resource development, etc. Although some steps have been initiated, several new steps need to be taken up for the successful adoption of EHR. It requires a coordinated effort from all the stakeholders.

  3. A Theoretical Framework Mapping Barriers of Integrating and Adopting Educational Techonology

    DEFF Research Database (Denmark)

    Khalid, Md. Saifuddin; Buus, Lillian


    In the field of educational technology, a decades-long research question is: what barriers exist in integration and adoption of information and communication technology (ICT) in education educational technology? The intensity of integration and the rate of adoption are significantly low and the i......In the field of educational technology, a decades-long research question is: what barriers exist in integration and adoption of information and communication technology (ICT) in education educational technology? The intensity of integration and the rate of adoption are significantly low......) adoption decision. Instead of “system blame” or “individual blame”, an integration and adoption approach should consider national holistic view for careful strategic changes in policies, procedures, and practices at each decision level of the educational system and related external systems....

  4. Attitudes Toward Same-Gender Adoption and Parenting: An Analysis of Surveys from 16 Countries

    Directory of Open Access Journals (Sweden)

    Darrel Montero


    Full Text Available Globally, little progress has been made toward the legalization of same-gender adoption. Of the nearly 200 United Nations members, only 15 countries with populations of 3 million or more have approved LGBT adoption without restrictions. The objectives of this paper are, first, to provide a brief background of the obstacles confronting same-gender adoption including the role of adoption agencies and parenting issues; second, to discuss the current legal status of the 15 countries which have approved same-gender adoption without restrictions; third, to report on recent public opinion regarding the legalization of same-gender adoption and parenting, drawing from previously published surveys conducted in 16 countries; and, fourth, to explore the implications for social work practice including social advocacy and social policy implementation.

  5. Update on international adoption: focus on Russia. (United States)

    McGuinness, Teena M; Robinson, Cheryl Broadus


    American families will continue to adopt children from foreign countries; the desire to have a child transcends national boundaries. Sadly, not all adoptions have happy outcomes. A recent and well-reported incident involved an American mother, who, exasperated with her adopted son's severe behavioral problems, returned him to Russia, alone, on an aircraft. Other tragic reports involve internationally adopted children who have died at the hands of their American parents. This article provides an overview of the consequences of institutionalization as a risk factor for behavioral health of children; implications for nursing care of adoptive families follow. Copyright 2011, SLACK Incorporated.

  6. Infertility, Adoption, and Family Formation in Indonesia. (United States)

    Bennett, Linda Rae


    When combined, primary and secondary infertility affects up to 21 percent of Indonesian couples. Based on ethnographic fieldwork with married heterosexual couples, I explore how intra-family adoption represents a culturally and religiously acceptable pathway to family formation for couples without access to assisted reproductive technologies. I examine how kinship is central to the negotiation of adoption, and to maintaining ethnic and religious continuity within adoptive families. I reveal how adoption can enable infertile women and birth mothers to achieve or escape the dominant expectations of heteronormativity, and discuss intra-family adoption by infertile couples in relation to reproductive stratification and leveling.

  7. Age at placement, adoption experience and adult adopted people's contact with their adoptive and birth mothers: an attachment perspective. (United States)

    Howe, D


    Adoption holds particular interest for attachment researchers. Although children adopted as babies experience almost continuous care by their adoptive parents, older placed children experience at least one major change of caregiver when they join their adoptive family. Moreover, in the majority of cases, older placed children have generally suffered a pre-adoption history of abuse, neglect and/or rejection. It is now being recognized that older placed children's attachment histories and internal working models (IWMs) established in relationship with their initial carers remain active in relationship with their new carers. Transactional models have helped both researchers and practitioners to understand the dynamics of parent-child relationships in cases where insecure children with histories of neglect, abuse and rejection find themselves in new caregiving environments. The present study examines the childhood experiences of adult adopted people and their current levels of contact with their adoptive mothers, and in cases where people had searched for and found a birth relative, current levels of contact with their birth mother. Although no information was collected on the adopted adult's pre-placement history, age at placement was used as a proxy measure to examine whether older placed children reported different adoption experiences and what their current levels of contact were with their adoptive and birth mothers. The findings show that age at placement was associated with adopted people's reported experiences of being adopted and current rates of contact with their adoptive and birth mothers, with those placed at older ages most likely to report that they (1) did not feel they belonged in their adoptive families while growing up, (2) did not feel loved by their adoptive mother, (3) were least likely to remain in high-frequency contact with their adoptive mother, and (4) were least likely to remain in high-frequency contact with their birth mother. An

  8. [Attachment and Adoption: Diagnostics, Psychopathology, and Therapy]. (United States)

    Brisch, Karl-Heinz


    This presentation describes the development of attachment between adopted children and their adoptive parents with a focus on the particular issues seen in international adoptions. The questions of settling in, trauma in the country of origin, and the motivations of the adoptive parents will be discussed. Diagnosis and various psychopathological manifestations will be examined, as will outpatient and inpatient modes of therapy. The treatment of children of various ages will be covered along with the necessity for intensive counseling and psychotherapy for the adoptive parents. This will enable the parents to work through early trauma, which will give them and their adopted child the basis for developing healthy attachment patterns. This in turn will enable the child to mature and integrate into society. Possibilities of prevention are discussed. Many of the approaches discussed here regarding attachment and adoption may be applied to foster children and their foster parents.

  9. 1987 Statement on Software Copyright: An ICCE Policy Statement. (United States)

    Computing Teacher, 1987


    Building on the 1983 policy statement developed by the International Council for Computers in Education (ICCE), this statement recommends the adoption of a school district copyright policy, adoption of the suggested software use guidelines, and use of the copyright page of software documentation to ascertain user's rights, obligations, and licence…

  10. Design and implementation of the first nationwide, web-based Chinese Renal Data System (CNRDS

    Directory of Open Access Journals (Sweden)

    Xie Fengbo


    Full Text Available Abstract Background In April 2010, with an endorsement from the Ministry of Health of the People's Republic of China, the Chinese Society of Nephrology launched the first nationwide, web-based prospective renal data registration platform, the Chinese Renal Data System (CNRDS, to collect structured demographic, clinical, and laboratory data for dialysis cases, as well as to establish a kidney disease database for researchers and policy makers. Methods The CNRDS program uses information technology to facilitate healthcare professionals to create a blood purification registry and to deliver an evidence-based care and education protocol tailored to chronic kidney disease, as well as online forum for communication between nephrologists. The online portal is implemented as a Java web application using an Apache Tomcat web server and a MySQL database. All data are stored in a central databank to establish a Chinese renal database for research and publication purposes. Results Currently, over 270,000 clinical cases, including general patient information, diagnostics, therapies, medications, and laboratory tests, have been registered in CNRDS by 3,669 healthcare institutions qualified for hemodialysis therapy. At the 2011 annual blood purification forum of the Chinese Society of Nephrology, the CNRDS 2010 annual report was reviewed and accepted by the society members and government representatives. Conclusions CNRDS is the first national, web-based application for collecting and managing electronic medical records of patients with dialysis in China. It provides both an easily accessible platform for nephrologists to store and organize their patient data and acts as a communication platform among participating doctors. Moreover, it is the largest database for treatment and patient care of end-stage renal disease (ESRD patients in China, which will be beneficial for scientific research and epidemiological investigations aimed at

  11. Design and implementation of the first nationwide, web-based Chinese Renal Data System (CNRDS) (United States)


    Background In April 2010, with an endorsement from the Ministry of Health of the People's Republic of China, the Chinese Society of Nephrology launched the first nationwide, web-based prospective renal data registration platform, the Chinese Renal Data System (CNRDS), to collect structured demographic, clinical, and laboratory data for dialysis cases, as well as to establish a kidney disease database for researchers and policy makers. Methods The CNRDS program uses information technology to facilitate healthcare professionals to create a blood purification registry and to deliver an evidence-based care and education protocol tailored to chronic kidney disease, as well as online forum for communication between nephrologists. The online portal is implemented as a Java web application using an Apache Tomcat web server and a MySQL database. All data are stored in a central databank to establish a Chinese renal database for research and publication purposes. Results Currently, over 270,000 clinical cases, including general patient information, diagnostics, therapies, medications, and laboratory tests, have been registered in CNRDS by 3,669 healthcare institutions qualified for hemodialysis therapy. At the 2011 annual blood purification forum of the Chinese Society of Nephrology, the CNRDS 2010 annual report was reviewed and accepted by the society members and government representatives. Conclusions CNRDS is the first national, web-based application for collecting and managing electronic medical records of patients with dialysis in China. It provides both an easily accessible platform for nephrologists to store and organize their patient data and acts as a communication platform among participating doctors. Moreover, it is the largest database for treatment and patient care of end-stage renal disease (ESRD) patients in China, which will be beneficial for scientific research and epidemiological investigations aimed at improving the quality of life of

  12. High-level managers' considerations for RFID adoption in hospitals: an empirical study in Taiwan. (United States)

    Lai, Hui-Min; Lin, I-Chun; Tseng, Ling-Tzu


    Prior researches have indicated that an appropriate adoption of information technology (IT) can help hospitals significantly improve services and operations. Radio Frequency Identification (RFID) is believed to be the next generation innovation technology for automatic data collection and asset/people tracking. Based on the Technology-Organization-Environment (TOE) framework, this study investigated high-level managers' considerations for RFID adoption in hospitals. This research reviewed literature related IT adoption in business and followed the results of a preliminary survey with 37 practical experts in hospitals to theorize a model for the RFID adoption in hospitals. Through a field survey of 102 hospitals and hypotheses testing, this research identified key factors influencing RFID adoption. Follow-up in-depth interviews with three high-level managers of IS department from three case hospitals respectively also presented an insight into the decision of RFID's adoption. Based on the research findings, cost, ubiquity, compatibility, security and privacy risk, top management support, hospital scale, financial readiness and government policy were concluded to be the key factors influencing RFID adoption in hospitals. For practitioners, this study provided a comprehensive overview of government policies able to promote the technology, while helping the RFID solution providers understand how to reduce the IT barriers in order to enhance hospitals' willingness to adopt RFID.

  13. Structural model for sustainable consumption and production adoption

    DEFF Research Database (Denmark)

    Luthra, Sunil; Govindan, Kannan; Mangla, Sachin Kumar


    Sustainable Consumption and Production (SCP) patterns are becoming important in the implementation of sustainability in industrial contexts. In this sense, this study uniquely focuses on developing a structural model to evaluate the sustainable consumption and production adoption drivers...... and to improve sustainability aspects in the supply chain scenario under uncertain environments. Initially, fourteen drivers related to sustainable consumption and production adoption were selected from the literature and expert feedback. Then, the grey based Decision Making Trial and Evaluation Laboratory....... “Governmental policies and regulations to develop sustainable consumption and production focused system” and “Management support, dedication and involvement in sustainable consumption and production implementation” have been found as the most influencing drivers and “Gaining the market edge and improving...

  14. Adoption of motivational interviewing and motivational enhancement therapy following clinical trials. (United States)

    Guydish, Joseph; Jessup, Martha; Tajima, Barbara; Manser, Sarah Turcotte


    The National Institute on Drug Abuse (NIDA) Clinical Trials Network (CTN) is designed to test drug abuse treatment interventions in multisite clinical trials and to support the translation of effective interventions into practice. In this study, qualitative methods were applied to examine adoption of motivational interviewing and motivational enhancement therapy (MI/MET) in five clinics where these interventions were tested. Participants were clinic staff (n=17) who were interviewed about the MI/MET study, and about whether MI/MET was adopted after the study ended. Although clinics' participation in a clinical trial includes many elements thought to be necessary for later adoption of the intervention, we found that there was "adoption" in one clinic, "partial adoption" in one clinic, "counselor adoption" in one clinic, and "no adoption" in two clinics. These findings highlight a distinction between adoption at the organizational and counselor levels, and suggest that a range of adoption outcomes may be observed in the field. Findings are relevant to clinical staff, program directors, administrators and policy makers concerned with improvement of drug abuse treatment systems through adoption of evidence-based practices.

  15. From Toques to Tokes: Two challenges facing nationwide legalization of cannabis in Canada. (United States)

    Bear, Daniel


    In 2015, a new Liberal Government came to power in Canada, elected on a platform that included legalization and regulation of cannabis for recreational purposes. Their legislation, based on recommendations from a Federal Task Force on Marijuana Legalization and Regulation, is due in early April 2017. This commentary utilizes Canadian Federal policy papers, previous literature, and internal and international agreements to examine two key areas critical to the development of a nationwide regulated market for cannabis in Canada; the need to overcome restrictions to legalizing cannabis in United Nations' drug control treaties, and the unique challenges that non-medical cannabis creates for navigating interprovincial trade policies in Canada. Irrespective of UN conventions that appear to prohibit legalization of cannabis the Government is preparing to bring forward legislation as this article goes to print. At the same time significant squabbles impede the selling of even beer and wine inter-provincially in Canada. This paper identifies the challenges facing Canadian legalization efforts, but also shows how the legalization legislation may provide opportunities to engender significant change beyond the simple legalization of a specific drug. This commentary does not argue for any specific course of action for Canada, but rather explores the nuance of legalization absent from the declaration in the Liberal party platform. The paper argues that Canada's efforts may hasten the dismantling of the UN drug control structure, and provide renewed opportunities for intern-provincial trade in Canada. Copyright © 2017 Elsevier B.V. All rights reserved.

  16. 1990 Nationwide Truck Activity and Commodity Survey selected tabulations

    Energy Technology Data Exchange (ETDEWEB)


    The Nationwide Truck Activity and Commodity Survey (NTACS) provides detailed activity data for a sample of trucks covered in the 1987 Truck Inventory and Use Survey (TIUS) for days selected at random over a 12-month period ending in 1990. The NTACS was conducted by the US Bureau of the Census for the US Department of Transportation (DOT). A Public Use File for the NTACS was developed by Oak Ridge National Laboratory (ORNL) under a reimbursable agreement with the DOT. The content of the Public Use File and the detailed design of the NTACS are described in the ORNL Report [open quotes]Technical Documentation for the 1990 Nationwide Truck Activity and Commodity Survey Public Use File[close quotes]. (1992). ORNL Technical Report No. TM-12188, Oak Ridge National Laboratory, Oak Ridge, TN 37831. The main purpose of this summary report is to provide selected tables based on the public use file.

  17. Nationwide Prospective Study of Outcomes after Elective Incisional Hernia Repair

    DEFF Research Database (Denmark)

    Helgstrand, Frederik; Rosenberg, Jacob; Kehlet, Henrik


    BACKGROUND: Incisional hernia repair is a frequent surgical procedure, but perioperative risk factors and outcomes have not been prospectively assessed in large-scale studies. The aim of this nationwide study was to analyze surgical risk factors for early and late outcomes after incisional hernia...... repair. STUDY DESIGN: We conducted a prospective nationwide study on all elective incisional hernia repairs registered in the Danish Ventral Hernia Database between January 1, 2007 and December 31, 2010. Main outcomes measures were surgical risk factors for 30-day readmission, reoperation (excluding...... recurrence), and mortality after incisional hernia repair. Late outcomes included reoperation for recurrence during the follow-up period. Follow-up was obtained by merging the Danish Ventral Hernia Database with the Danish National Patient Register. Results were evaluated by multivariate analyses. RESULT...

  18. Argentina's radioactive waste disposal policy

    International Nuclear Information System (INIS)

    Palacios, E.


    The Argentina policy for radioactive waste disposal from nuclear facilities is presented. The radioactive wastes are treated and disposed in confinement systems which ensure the isolation of the radionucles for an appropriate period. The safety criteria adopted by Argentina Authorities in case of the release of radioactive materials under normal conditions and in case of accidents are analysed. (M.C.K.) [pt

  19. Strategic management and public policy. (United States)

    Longest, Beaufort B


    Making strategic decisions that ensure a productive fit between the internal situation and external environment of a healthcare entity--sometimes, even decisions that ensure its survival--is a great challenge. The author suggests that hospitals must adopt specific strategies to anticipate and respond appropriately to changes in policy.

  20. Economic incentives and foster child adoption. (United States)

    Argys, Laura; Duncan, Brian


    Every year, a large number of children in the United States enter the foster care system. Many of them are eventually reunited with their biological parents or quickly adopted. A significant number, however, face long-term foster care, and some of these children are eventually adopted by their foster parents. The decision by foster parents to adopt their foster child carries significant economic consequences, including for feiting foster care payments while also assuming responsibility for medical, legal, and educational expenses, to name a few. Since 1980, U.S. states have begun to offer adoption subsidies to offset some of these expenses, significantly lowering the cost of adopting a child who is in the foster care system. This article presents empirical evidence of the role that these economic incentives play in foster parents' decision of when, or if, to adopt their foster child. We find that adoption subsidies increase adoptions through two distinct price mechanisms: by lowering the absolute cost of adoption, and by lowering the relative cost of adoption versus long-term foster care.

  1. An empirical analysis on the adoption of alternative fuel vehicles: The case of natural gas vehicles

    International Nuclear Information System (INIS)

    Yeh, Sonia


    The adoption of alternative fuel vehicles (AFVs) has been regarded as one of the most important strategies to address the issues of energy dependence, air quality, and, more recently, climate change. Despite decades of effort, we still face daunting challenges to promote wider acceptance of AFVs by the general public. More empirical analyses are needed to understand the technology adoption process associated with different market structures, the effectiveness of regulations and incentives, and the density of infrastructure adequate to reach sustainable commercial application. This paper compares the adoption of natural gas vehicles (NGVs) in eight countries: Argentina, Brazil, China, India, Italy, New Zealand, Pakistan, and the US. It examines the major policies aimed at promoting the use of NGVs, instruments for implementing those policies and targeting likely stakeholders, and a range of factors that influence the adoption of NGVs. The findings in this paper should be applicable to other AFVs

  2. Factors affecting adoption of improved management practices in the pastoral industry in Great Barrier Reef catchments. (United States)

    Rolfe, John; Gregg, Daniel


    Substantial efforts are being made by industry and government in Australia to reduce adverse impacts of pastoral operations on water quality draining to the Great Barrier Reef. A key target is to achieve rapid adoption of better management practices by landholders, but current theoretical frameworks provide limited guidance about priorities for improving adoption. In this study information from direct surveys with landholders in the two largest catchments draining into the Great Barrier Reef has been collected and analysed. Study outcomes have important implications for policy settings, because they confirm that substantial variations in adoption drivers exist across landholders, enterprises and practices. The results confirm that the three broad barriers to adoption of information gaps, financial incentives and risk perceptions are relevant. This implies that different policy mechanisms, including extension and incentive programs, remain important, although financial incentives were only identified as important to meet capital and transformational costs rather than recurrent costs. Copyright © 2015 Elsevier Ltd. All rights reserved.

  3. Binge Drinking – Nationwide Problem, Local Solutions

    Centers for Disease Control (CDC) Podcasts


    This podcast is based on the January 2012 CDC Vital Signs report. One in six adults binge drinks about four times a month. It's a problem nationwide but community-based strategies, such as reducing access to alcohol and increasing the price, can prevent binge drinking.  Created: 1/3/2012 by Centers for Disease Control and Prevention (CDC).   Date Released: 1/3/2012.

  4. LP-gas marketers nationwide reveal hardships encountered during crisis

    Energy Technology Data Exchange (ETDEWEB)


    The authors report on a survey of 150 randomly-selected LP-gas marketers nationwide. Replies were solicited from every major geographical region. The purpose of the survey was to obtain a comprehensive sampling of information on local price increases, shipping difficulties, relations with customers, and strategies for the future. This paper presents a profile that sums up the effects of the propane emergency on marketers and customers.

  5. Nation-Wide Mobile Network Energy Evolution Analysis

    DEFF Research Database (Denmark)

    Perez, Eva; Frank, Philipp; Micallef, Gilbert


    be supported. In most cases, these upgrades increase the energy consumption of the network even further. This paper presents a nation-wide case study, based on a commercial network of a leading European operator, intended to provide a clear understanding of how the energy consumption of mobile networks...... is expected to evolve from 2012 until 2020. The study also considers an efficient network capacity evolution path, including base station equipment improvement forecasts....

  6. Polydrug use among college students in Brazil: a nationwide survey


    Oliveira,Lúcio Garcia de; Alberghini,Denis Guilherme; Santos,Bernardo dos; Andrade,Arthur Guerra de


    Objective: To estimate the frequency of polydrug use (alcohol and illicit drugs) among college students and its associations with gender and age group. Methods: A nationwide sample of 12,544 college students was asked to complete a questionnaire on their use of drugs according to three time parameters (lifetime, past 12 months, and last 30 days). The co-use of drugs was investigated as concurrent polydrug use (CPU) and simultaneous polydrug use (SPU), a subcategory of CPU that involves the ...

  7. The policies

    International Nuclear Information System (INIS)

    Laruelle, Ph.; Snegaroff, Th.; Moreau, S.; Tellenne, C.; Brunel, S.


    Fourth chapter of the book on the geo-policy of the sustainable development, this chapter deal with the different and international policies concerned by the problem. The authors analyze the american energy attitude and policy, the economical equilibrium facing the environmental equilibrium for the european policy, the sanctified and sacrificed nature and the japanese attitude, India and China, the great fear of the 21 century and the sustainable development in Africa. (A.L.B.)

  8. Health Reform Requires Policy Capacity

    Directory of Open Access Journals (Sweden)

    Pierre-Gerlier Forest


    Full Text Available Among the many reasons that may limit the adoption of promising reform ideas, policy capacity is the least recognized. The concept itself is not widely understood. Although policy capacity is concerned with the gathering of information and the formulation of options for public action in the initial phases of policy consultation and development, it also touches on all stages of the policy process, from the strategic identification of a problem to the actual development of the policy, its formal adoption, its implementation, and even further, its evaluation and continuation or modification. Expertise in the form of policy advice is already widely available in and to public administrations, to well-established professional organizations like medical societies and, of course, to large private-sector organizations with commercial or financial interests in the health sector. We need more health actors to join the fray and move from their traditional position of advocacy to a fuller commitment to the development of policy capacity, with all that it entails in terms of leadership and social responsibility

  9. The intrapersonal conflict particularities of potential adopters.

    Directory of Open Access Journals (Sweden)

    Inga Russu


    Full Text Available This article addresses a contemporary issue for the Republic of Moldova concerning psychological implications of the adoption process for prospective adopters. This demand is due to the fact that the majority of couples or people passing through the decision making adoption process are facing a number of conlicting emotions and spiritual states. Thereby, is signiicant to understand the adoption multidimensionality of social and intrapersonal components. Adoptive parents can feel themselves as victims of „the process”. For them, the assessment of living conditions, the assessment of moral and social guarantees, inclusion or exclusion as eligible adoptive parents, represent a procedure part, which generates frustrations and anxieties. Some of them, often suffer from lack of supporting and understanding, as family members point of view, friends and known people. Also, in this context, parents may face some frustrations related to the matching procedure harmonisation with long cogitation process of the child.


    Directory of Open Access Journals (Sweden)

    Inga RUSSU


    Full Text Available This article addresses a contemporary issue for the Republic of Moldova concerning psychological implications of the adoption process for prospective adopters. This demand is due to the fact that the majority of couples or people passing through the decision making adoption process are facing a number of conflicting emotions and spiritual states. Thereby, is significant to understand the adoption multidimensionality of social and intrapersonal components. Adoptive parents can feel themselves as victims of „the process”. For them, the assessment of living conditions, the assessment of moral and social guarantees, inclusion or exclusion as eligible adoptive parents, represent a procedure part, which generates frustrations and anxieties. Some of them, often suffer from lack of supporting and understanding, as family members point of view, friends and known people. Also, in this context, parents may face some frustrations related to the matching procedure harmonisation with long cogitation process of the child.

  11. Assessing the Challenges in Successful Implementation and Adoption of Crop Insurance in Thailand


    Shweta Sinha; Nitin K. Tripathi


    The purpose of this paper is to assess the gaps in the adoption of crop insurance in Thailand and suggest possible solutions relating to policy support and framework, implementation mechanisms, technology adoption, and awareness amongst farmers. The methodology includes a literature review, interaction with officials, rice experts and insurance experts, and discussion with farmers. A study was undertaken at province level to assess the impact of using rainfall index as a threshold. Additional...

  12. Mandatory IFRS adoption and accounting comparability


    Cascino, Stefano; Gassen, Joachim


    The adoption of IFRS by many countries worldwide fuels the expectation that financial accounting might become more comparable across countries. This expectation is opposed to an alternative view that stresses the importance of incentives in shaping accounting information. We provide early evidence on this debate by investigating the effects of mandatory IFRS adoption on the comparability of financial accounting information around the world. Our results suggest that while mandatory adoption of...

  13. Measures for Predictors of Innovation Adoption (United States)

    Chor, Ka Ho Brian; Wisdom, Jennifer P.; Olin, Su-Chin Serene; Hoagwood, Kimberly E.; Horwitz, Sarah M.


    Building on a narrative synthesis of adoption theories by Wisdom et al. (2013), this review identifies 118 measures associated with the 27 adoption predictors in the synthesis. The distribution of measures is uneven across the predictors and predictors vary in modifiability. Multiple dimensions and definitions of predictors further complicate measurement efforts. For state policymakers and researchers, more effective and integrated measurement can advance the adoption of complex innovations such as evidence-based practices. PMID:24740175

  14. Adoption Decision Making among Women Seeking Abortion. (United States)

    Sisson, Gretchen; Ralph, Lauren; Gould, Heather; Foster, Diana Greene

    Little is known about how adoption factors into pregnancy decision making, particularly when abortion is unavailable. We used data from the Turnaway Study, a longitudinal study of 956 women seeking abortion, including 231 women denied abortions owing to gestational limits. Through semiannual quantitative interviews, we assessed the frequency with which women denied abortion consider and choose adoption, and, among adoption participants, decision satisfaction. We compared differences in the demographic profiles of parenting and adoption participants using mixed effects regression models. We conducted in-depth interviews with 31 women who received or were denied wanted abortions, including 2 adoption participants, focused on understanding pregnancy decision making and feelings about their choice. Interviews were coded using inductive and deductive methods. Most women who received abortions were aware of but uninterested in adoption. A minority of women denied abortions (n = 231; 14%) were considering adoption at 1 week after denial. Of participants who gave birth (n = 161), most (91%) chose parenting. Parenting participants (n = 146) did not differ from adoption participants (n = 15) on measures of age, race, or poverty status, although adoption participants were somewhat less likely to be employed (20% vs. 43%; p = .1), and somewhat more likely to have completed high school (87% vs. 74%; p = .08). Although satisfaction with their decision was high among adoption participants, in-depth interviews revealed mixed emotions. Among women motivated to avoid parenthood, as evidenced by abortion seeking, adoption is considered or chosen infrequently. Political promotion of adoption as an alternative to abortion is likely not grounded in the reality of women's decision making. Copyright © 2016 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.



    Ana Fernandes


    Why are new financial instruments created? This paper proposes the view that financial development arises as a response to the contractual needs of emerging technologies. Exogenous technological progress generates a demand for new financial instruments in order to share risk or overcome private information, for example. A model of the dynamics of technology adoption and the evolution of financial instruments that support such adoption is presented. Early adoption may be required for financial...

  16. On Vertical Relations and Technology Adoption Timing


    Maria Alipranti; Chrysovalantou Milliou; Emmanuel Petrakis


    This paper explores how vertical relations influence the timing of new technology adoption. It shows that both the bargaining power distribution among the vertically related firms and the contract type through which vertical trading is conducted affect crucially the speed of adoption: the downstream firms can adopt later a new technology when the upstream bargaining power increases as well as when wholesale price contracts, instead of two-part tariffs, are employed. Importantly, it shows that...

  17. Trade Liberalization, Democratization and Technology Adoption


    Cervellati, Matteo; Naghavi, Alireza; Toubal, Farid


    We study the role of trade liberalization, democratization and their interaction for technology adoption. A general equilibrium theory with heterogeneous skills predicts a complementarity between trade and political regimes. Openness should accelerate technology adoption if coupled with democratization but may lead to a slow down if these regime changes are imbalanced. We use panel data on technology adoption at the sectoral level for the period 1980-2000 by exploiting within country variatio...

  18. Measures for Predictors of Innovation Adoption. (United States)

    Chor, Ka Ho Brian; Wisdom, Jennifer P; Olin, Su-Chin Serene; Hoagwood, Kimberly E; Horwitz, Sarah M


    Building on a narrative synthesis of adoption theories by Wisdom et al. (2013), this review identifies 118 measures associated with the 27 adoption predictors in the synthesis. The distribution of measures is uneven across the predictors and predictors vary in modifiability. Multiple dimensions and definitions of predictors further complicate measurement efforts. For state policymakers and researchers, more effective and integrated measurement can advance the adoption of complex innovations such as evidence-based practices.

  19. [Choosing the name in international adoption]. (United States)

    van Effenterre, Aude; Harf, Aurélie; Skandrani, Sandra; Taïeb, Olivier; Moro, Marie Rose


    In the context of international adoption, the question is raised of the links which the adoptive parents may or may not maintain with the culture of the child's birth country. The name which the adoptive parents choose reflects this questioning. A study was carried out into this subject with parents and children in order to gain a better understanding of the feelings of belonging, filiation and affiliation in these situations.

  20. 76 FR 74803 - Laboratory Animal Welfare: Adoption and Implementation of the Eighth Edition of the Guide for the... (United States)


    ...: Adoption and Implementation of the Eighth Edition of the Guide for the Care and Use of Laboratory Animals... the Guide for the Care and Use of Laboratory Animals (Guide) and has determined to adopt the 8th... the PHS Policy on Humane Care and Use of Laboratory Animals, that they have met the required schedule...

  1. Networks in social policy problems

    CERN Document Server

    Scotti, marco


    Network science is the key to managing social communities, designing the structure of efficient organizations and planning for sustainable development. This book applies network science to contemporary social policy problems. In the first part, tools of diffusion and team design are deployed to challenges in adoption of ideas and the management of creativity. Ideas, unlike information, are generated and adopted in networks of personal ties. Chapters in the second part tackle problems of power and malfeasance in political and business organizations, where mechanisms in accessing and controlling informal networks often outweigh formal processes. The third part uses ideas from biology and physics to understand global economic and financial crises, ecological depletion and challenges to energy security. Ideal for researchers and policy makers involved in social network analysis, business strategy and economic policy, it deals with issues ranging from what makes public advisories effective to how networks influenc...

  2. Technology identity: the role of sociotechnical representations in the adoption of medical devices. (United States)

    Ulucanlar, S; Faulkner, A; Peirce, S; Elwyn, G


    This study explored the sociotechnical influences shaping the naturally-occurring adoption and non-adoption of device technologies in the UK's National Health Service (NHS), amid increasing policy interest in this area. The study was informed by Science and Technology Studies and structuration and Actor Network Theory perspectives, drawing attention to the performative capacities of the technology alongside human agentic forces such as agendas and expectations, in the context of structural and macro conditions. Eight technologies were studied using a comparative ethnographic case study design and purposive and snowball sampling to identify relevant NHS, academic and industry participants. Data were collected between May 2009 and February 2012, included in-depth interviews, conference observations and printed and web-based documents and were analysed using constructivist grounded theory methods. The study suggests that while adoption decisions are made within the jurisdiction of healthcare organisations, they are shaped within a dynamic and fluid 'adoption space' that transcends organisational and geographic boundaries. Diverse influences from the industry, health care organisation and practice, health technology assessment and policy interact to produce 'technology identities.' Technology identities are composite and contested attributes that encompass different aspects of the technology (novelty, effectiveness, utility, risks, requirements) and that give a distinctive character to each. We argue that it is these socially constructed and contingent heuristic identities that shape the desirability, acceptability, feasibility and adoptability of each technology, a perspective that policy must acknowledge in seeking to intervene in health care technology adoption. Copyright © 2013 Elsevier Ltd. All rights reserved.

  3. To adopt or not to adopt? The RFID adoption consideration by entrepreneurs in a purchasing cooperative in Dutch book retailing

    NARCIS (Netherlands)

    van der Sijde, P.C.; van Reekum, R.; Jeurissen, W; Rosendaal, B.W.


    Our focus is on the agenda-setting of a purchasing cooperative aiming to have their members consider the adoption of a new logistics information system based on RFID. Adding "technology trust", we used the UTAUT model to determine the adoption intention of associated book retailers. Using structural

  4. Scenarios of technology adoption towards low-carbon cities

    International Nuclear Information System (INIS)

    Mohareb, Eugene A.; Kennedy, Christopher A.


    Technological change has often been presented as a readily accepted means by which long-term greenhouse gas (GHG) emission reductions can be achieved. Cities are the future centers of economic growth, with the global population becoming predominantly urban; hence, increases or reductions of GHG emissions are tied to their energy strategies. This research examines the likelihood of a developed world city (the Greater Toronto Area) achieving an 80% reduction in GHG emissions through policy-enabled technological change. Emissions are examined from 3 major sources: light duty passenger vehicles, residential buildings and commercial/institutional buildings. Logistic diffusion curves are applied for the adoption of alternative vehicle technologies, building retrofits and high performance new building construction. This research devises high, low and business-as-usual estimates of future technological adoption and finds that even aggressive scenarios are not sufficient to achieve an 80% reduction in GHG emissions by 2050. This further highlights the challenges faced in maintaining a relatively stable climate. Urban policy makers must consider that the longer the lag before this transition occurs, the greater the share of GHG emissions mitigation that must addressed through behavioural change in order to meet the 2050 target, which likely poses greater political challenges. - Highlights: • Explores policy options in a city targeting an 80% GHG emission reduction target by 2050. • Aggressive building code changes will have minimal impact on GHG mitigation. • Support of low-carbon electricity for the majority of generation necessary by 2050. • Internal combustion engine use must be mostly eliminated from the vehicle stock. • Policies supporting elimination of physical exchange space should be promoted

  5. Healthy depictions? Depicting adoption and adoption news events on broadcast news. (United States)

    Kline, Susan L; Chatterjee, Karishma; Karel, Amanda I


    Given that the public uses the media to learn about adoption as a family form, this study analyzes U.S. television news coverage of adoption between 2001 and 2005 (N = 309 stories), to identify the types of news events covered about adoption. A majority of news stories covered fraud, crime, legal disputes, and negative international adoption cases. Adoptees as defective or unhealthy were depicted more in negative news event stories, birth parents appeared less overall, and adoptive parents were most likely to have healthy depictions in positively oriented adoption experience, big family, and reunion stories. Although three quarters of the stories used primary adoption participants as news sources, one-third of the negative event stories did not contain healthy depictions of adoption participants. The authors discuss ways journalists and researchers might improve adoption news coverage.

  6. Attachment, cognitive, and motor development in adopted children: short-term outcomes after international adoption. (United States)

    van Londen, W Monique; Juffer, Femmie; van Ijzendoorn, Marinus H


    To examine infant attachment and developmental functioning shortly after international adoption. At 14 months, infant-mother attachment and mental (MDI) and psychomotor (PDI) development were assessed in 70 internationally adopted children. Mean age at arrival was 5.5 months, mean stay in the adoptive family 8.7 months. Adopted children's MDI and PDI did not deviate from normative scores. Also, their secure-insecure attachment distribution was comparable with that of normative groups. However, more adoptees were disorganized attached (36 vs. 15% in normative groups). Temporary residence in a foster home in the country of origin before adoption was related to higher MDI and PDI, whereas disorganized attachment in the adoptive family was related to lower MDI and PDI scores. The majority of internationally adopted children form secure attachment relationships and function at normative developmental levels shortly after adoption. Residence in a foster family before adoption may partly prevent developmental delays.

  7. Adopters and non-adopters of wood pellet heating in Norwegian households

    International Nuclear Information System (INIS)

    Sopha, Bertha Maya; Hertwich, Edgar G.; Kloeckner, Christian A.


    The aim of the present paper is to understand the differences between adopters and non-adopters of wood pellet heating in Norwegian households by comparing the two groups with regard to key points of adoption. A mail survey of 669 adopters and 291 non-adopters of wood pellet heating was conducted in 2008. Results indicate that there are significant differences between groups with respect to socio-demographic factors, decision-related factors, heating systems adopted and reasons for shifting heating systems. The results also indicate that the adopter group shows characteristics of early adopters, whereas the non-adopter group has characteristics of late adopters. The results for levels of income and education contradict what would be predicted from theory, however. Both groups show no significant difference with respect to values, but the perception of which heating system is the most environmentally friendly differs significantly. The top three reasons cited by the adopter group for installing wood pellet heating are getting an environmentally friendly heating system, low operation costs and an anticipated increase in electricity prices. According to the non-adopter group, the main barriers to adoption are high installation costs, followed by the difficulties of refitting the house for wood pellet heating. A higher subsidy (i.e., an average of 64% of the total installation cost) rather than the current subsidy of up to 20% was required by the non-adopter group to switch to wood pellet heating. (author)

  8. Chapitre 13. Overview of Current Public Policies



    Current Public Policies, Rules and Legislation – especially European ones – With Regard to Highly Skilled Immigration, Nationality Regimes, Stay Rights, etc.Binod Khadria Introduction: Three Levels of Public Policies Policies and programs adopted by the developed receiving countries – mainly the United States, Canada, Australia, and the European Union (EU) countries – for the admission of foreign workers with a view to facilitating and/or regulating high-skill immigration fall into three broa...

  9. A Study of Philippine Monetary and Banking Policies


    Bautista, Ernesto D.


    This study assesses the Philippine monetary and banking policies with the view of identifying preferred policy options and features of a monetary and banking policy program supportive of overall economic growth and agro-industrial development. It describes the following: the impact of existing monetary and banking policy on short- and long-term economic development and the legislative and administrative measures required to adopt and implement such a monetary and banking policy. It also ident...

  10. Information systems security policies: a survey in Portuguese public administration


    Lopes, Isabel Maria; Sá-Soares, Filipe de


    Information Systems Security is a relevant factor for present organizations. Among the security measures, policies assume a central role in literature. However, there is a reduced number of empirical studies about the adoption of information systems security policies. This paper contributes to mitigate this flaw by presenting the results of a survey in the adoption of Information System Security Policies in Local Public Administration in Portugal. The results are discussed in light of literat...

  11. Pre-placement screening in international adoption. (United States)

    Diamond, Gary W; Senecky, Yehuda; Schurr, Daniel; Zuckerman, Jay; Inbar, Dov; Eidelman, Arthur; Cohen, Herbert J


    The number of child adoptions from abroad is increasing, but the adverse living conditions of these children prior to the adoption raise questions on their medical and neurodevelopmental status, particularly since there are no guidelines for pre- or post-adoption medical evaluation. To describe the condition of a cohort of young children who were candidates for adoption in East European orphanages and foster homes, and to determine those attributes associated with a family's decision to adopt or refuse a particular child. Eighty-two young children, median age 11 months, were evaluated by Israeli pediatricians in Eastern Europe between 3 weeks and 6 months prior to their adoption. The evaluation consisted of comprehensive medical and neurodevelopmental testing on site using a battery of standardized assessment tools, and observation of free play and social interactive behaviors recorded on videotape. Laboratory tests included complete blood count, chemistries, serology screening, and metabolic and genetic testing. The children were growth-retarded. Medical problems were classified as resolved (pneumonia and diarrhea) in 32.8%; or ongoing, such as hepatitis B and C, failure to thrive, organomegaly, and visual and hearing disorders, in 14.8%. Neuromotor status was grossly abnormal in 13.4%. Twenty-two percent of the children were rejected for adoption by families in Israel. Factors associated with the adoption decision were performance skills on developmental testing (P = 0.0001), present medical status (P = 0.002), and weight (P = 0.016). Pre-placement comprehensive screening of children eligible for foreign adoption, which includes developmental screening, helps to identify a wide variety of strengths and impairments in a child's background before the adoption procedure is finalized. A family's decision to adopt or not was associated with the child's performance on Bayley Scales, weight, and current medical status, but not with language delays, serious past medical

  12. Governance of Public Benefit Funds to Promote Innovation in Energy by Addressing Early Adopter Risks

    Energy Technology Data Exchange (ETDEWEB)

    Paterson, Andrew; Oppenheim, Jerrold; Dubravka Pineda, Maria


    Building a better energy future will be expensive, in part, because it will require modernizing energy infrastructure and bringing more innovative technologies to deliver energy more efficiently to consumers with less environmental impact. With the extended recession and turmoil in credit markets in 2008, some states have turned to public benefit funds to address critical risks in adopting innovative energy technologies and systems. This paper updates valuable observations for governing PBFs to promote wider adoption of innovative energy technologies enabling a better balance of risk and return in concert with other policy tools by negotiating mitigation of early adopter risks.


    Directory of Open Access Journals (Sweden)

    Emmanuel DONKOR


    Full Text Available This paper employed the endogenous switching regression and propensity score matching methods to analyse the impact of row-planting technology on rice productivity using 470 rice farms in Northern Ghana. The empirical findings showed that the adoption of row-planting technology exerted greater positive impact on rice yields of smallholder farmers. In addition, rice yields of adopters and non-adopters are driven by farm inputs, socioeconomic, institutional and technological factors. We suggest that achieving self-sufficiency in rice and rural economic transformation in sub-Saharan Africa requires promotion of agricultural technologies including row-planting. Different specific policy interventions are also required to promote rice yields for adopters and non-adopters.

  14. Predictors of Relationship Dissolution in Lesbian, Gay, and Heterosexual Adoptive Parents (United States)

    Goldberg, Abbie E.; Garcia, Randi


    Little work has examined relationship dissolution or divorce in adoptive parents or same-sex parent couples. The current study examined predictors of relationship dissolution across the first 5 years of parenthood among a sample of heterosexual, lesbian, and gay male adoptive couples. Of the 190 couples in the study, 15 (7.9%) dissolved their relationships during the first 5 years of adoptive parenthood. Specifically, 7 of 57 lesbian couples (12.3%), 1 of 49 gay male couples (2.0%), and 7 of 84 heterosexual couples (8.3%) dissolved their unions. Results of our logistic regression analysis revealed that the odds of relationship dissolution were significantly higher for (a) couples who adopted a non-infant (i.e., older) child); (b) participants who reported feeling less prepared for the adoption, three months post-adoptive placement; and (c) couples in which both partners reported very low, or very high, pre-adoption levels of relationship maintenance behaviors. Findings have implications for adoption professionals seeking to support same-sex and heterosexual prospective adopters, as well as societal debates and policy regarding same-sex relationships and parenting. PMID:26053348

  15. Understanding ICT Adoption Determinants among Indonesian SMEs in Fashion Subsector (47-57

    Directory of Open Access Journals (Sweden)

    Rini Setiowati


    Full Text Available This paper investigates factors that affect the adoption of Information Communication and Technology (ICT among SMEs in fashion subsector in Indonesia. This study adopts Technology, Organization, and Environment (TOE framework which consist technological factors such as relative advantage, compatibility, complexity, trialability, observability;organizational factors such as owner/manager IT knowledge, owner/manager innovativeness;and environmental factors namely competitive pressure, market turbulence, and institutional intervention. A questionnaire-based survey was used to collect data from 204 SME owners/managers. The results show that under technological factors, compatibility, complexity, trialability, and observability significantly and positively influence ICT adoption. However, relative advantage and complexity have significant but negative influence on ICT adoption. Moreover, the organizational factors namely owner/manager’s knowledge and innovativeness also contribute significantly to the adoption. Furthermore, among three environmental factors, competitive pressure and institutional intervention are determinants that influence ICT adoption in SMEs, whereas market turbulence shows no significant contribution toward the adoption of ICT. This study provides valuable insights for government and policy makers as well as for SMEs owner/managers to develop strategies that promote and foster the adoption of ICT. Keywords: ICT adoption,TOE framework,SMEs,fashion subsector, Indonesia

  16. Modelling the adoption of automatic milking systems in Noord-Holland

    Directory of Open Access Journals (Sweden)

    Matteo Floridi


    Full Text Available Innovation and new technology adoption represent two central elements for the business and industry development process in agriculture. One of the most relevant innovations in dairy farms is the robotisation of the milking process through the adoption of Automatic Milking Systems (AMS. The purpose of this paper is to assess the impact of selected Common Agricultural Policy measures on the adoption of AMS in dairy farms. The model developed is a dynamic farm-household model that is able to simulate the adoption of AMS taking into account the allocation of productive factors between on-farm and off-farm activities. The model simulates the decision to replace a traditional milking system with AMS using a Real Options approach that allows farmers to choose the optimal timing of investments. Results show that the adoption of AMS, and the timing of such a decision, is strongly affected by policy uncertainty and market conditions. The effect of this uncertainty is to postpone the decision to adopt the new technology until farmers have gathered enough information to reduce the negative effects of the technological lock-in. AMS adoption results in an increase in farm size and herd size due to the reduction in the labour required for milking operations.

  17. Pre-operative fasting: a nationwide survey of German anaesthesia departments. (United States)

    Breuer, J-P; Bosse, G; Seifert, S; Prochnow, L; Martin, J; Schleppers, A; Geldner, G; Soreide, E; Spies, C


    Shorter pre-operative fasting improves clinical outcome without an increased risk. Since October 2004, German Anaesthesiology Societies have officially recommended a fast of 2 h for clear fluids and 6 h for solid food before elective surgery. We conducted a nationwide survey to evaluate the current clinical practice in Germany. Between July 2006 and January 2007, standardized questionnaires were mailed to 3751 Anaesthesiology Society members in leading positions requesting anonymous response. The overall response rate was 66% (n=2418). Of those, 2148 (92%) claimed familiarity with the new guidelines. About a third (n=806, 34%) reported full adherence to the new recommendations, whereas 1043 (45%) reported an eased fasting practice. Traditional Nil per os after midnight was still recommended by 157 (7%). Commonest reasons reported for adopting the new guidelines were: 'improved pre-operative comfort' (84%), and 'increased patient satisfaction' (83%); reasons against were: 'low flexibility in operation room management' (19%), and 'increased risk of aspiration' (13%). Despite the apparent understanding of the benefits from reduced pre-operative fasting, full implementation of the guidelines remains poor in German anaesthesiology departments.

  18. Modelling and Applying Oss Adoption Strategies

    NARCIS (Netherlands)

    Lopez, L.; Costal, D.; Ayala, C.P.; Haaland, K.; Glott, R.


    Increasing adoption of Open Source Software (OSS) in information system engineering has led to the emergence of different OSS business strategies that affect and shape organizations’ business models. In this context, organizational modeling needs to reconcile efficiently OSS adoption strategies with

  19. MSW Students' Attitudes toward Transracial Adoption (United States)

    Lee, Jaegoo; Crolley-Simic, Josie; Vonk, M. Elizabeth


    This study explored the attitudes of MSW students ("N"?=?147) toward transracial adoption and included an investigation of the students' personal experiences that may affect their attitudes. Statistical analyses revealed that although the majority of students supported the practice of transracial adoption, a number of students gave…

  20. Faculty Adoption of Active Learning Classrooms (United States)

    Van Horne, Sam; Murniati, Cecilia Titiek


    Although post-secondary educational institutions are incorporating more active learning classrooms (ALCs) that support collaborative learning, researchers have less often examined the cultural obstacles to adoption of those environments. In this qualitative research study, we adopted the conceptual framework of activity theory to examine the…

  1. Variety Characteristics And Cassava Adoption Among Rural ...

    African Journals Online (AJOL)

    Variety Characteristics And Cassava Adoption Among Rural Households In Imo State. DO Onu, DO Ohajianya. Abstract. This study investigated the factors contributing to low levels of adoption of improved cassava varieties in Imo State. A sample of 120 respondents was randomly selected for the study and interviewed ...

  2. Adoption and Privatization: An Issue Brief. (United States)

    Sullivan, Ann

    Over the last several years, state and local governments have increased the privatization of a range of services that historically have been provided by government agencies, including adoption services. This issue brief of the Child Welfare League of America provides adoption professionals with information on the privatization of adoption…

  3. ICT Adoption in Facilities Management Supply Chain

    DEFF Research Database (Denmark)

    Scupola, Ada


    This article involves a qualitative study of factors impacting the adoption of ICT solutions in the Danish facility management supply chain. The results show that there are a number of drivers and barriers that influence the adoption of ICT solutions in this service sector. These have been groupe...

  4. Adoption of communication technologies and national culture

    NARCIS (Netherlands)

    Hofstede, G.J.


    This paper investigates the question what attributes of countries influence the differential speed at which they adopt new communication technologies. On the basis of empirical data, it concludes that besides GNP per capita, cultural variables predict the speed of technology adoption. In particular,

  5. Transracial Adoption Is A Solution Now (United States)

    Vieni, Miriam


    The author strongly argues for transracial adoption considering it as an effective way to eradicate various problems facing black children. She answers various objections raised against transracial adoption. The important issue, the author maintains, is to provide psychological care to many black children who need it badly. (SE)

  6. The Politics and Realities of Transracial Adoption. (United States)

    Courtney, Mark E.


    Argues the transracial adoption debate has focused on the impact on children adopted rather than on efforts to improve the lives of children of color. Suggests society focus on conditions that bring the children to the attention of child protection authorities and solve problems in the child welfare system. (Author/SD)

  7. IQ Correlations in Transracial Adoptive Families. (United States)

    Scarr, Sandra; And Others


    Intelligence tests were administered twice to 426 members of 93 transracial adoptive families, once when the adopted children's ages averaged 7 years and again when they averaged 17 years. Correlations suggest that influences on intellectual development in this sample of black and interracial adoptees reared in white families are similar to those…

  8. Mother-Infant Attachment in Adoptive Families. (United States)

    Singer, Leslie M.; And Others


    No differences were found in mother-infant attachment between nonadopted and intraracial adopted subjects or between intraracial and interracial adopted subjects. Suggests that the higher incidence of psychological problems found among adoptees in middle childhood and adolescence cannot be explained in terms of insecure attachment relationships…

  9. Soil Resources Degradation and Conservation Techniques Adopted ...

    African Journals Online (AJOL)

    include among others: pedestals, armour layers and tree moulds which lead to the destruction of many ... soil management practices adopted by the farmers on the eroded lands as well as the laboratory analyses of the ... observation of the soil management practices adopted by the farmers. In the administration of the.

  10. Adoption Of Cassava Production Technologies Among Women ...

    African Journals Online (AJOL)

    Findings from the study revealed that the awareness level on cassava production technologies was low (36.9%) and adoption level was also low (21.6%). The study identified 5 important constraints to the adoption of cassava production technologies. These are: inadequate fund, high cost of technologies, inadequate land ...

  11. Stakeholders’ influence on the adoption of energy-saving technologies in Italian homes

    International Nuclear Information System (INIS)

    Berardi, Umberto


    The instability and fragmentation of the temporary aggregations of many stakeholders in construction processes are barriers to adopting new technologies. This paper investigates the influence of different stakeholders on the adoption of mature energy-saving technologies in new residential buildings. Recent literature about the influence of different stakeholders on construction processes is reviewed focusing in their interest for energy saving technologies. To gain an insight into the specific roles played by stakeholders (general contractors, construction firms, architects, users and public governments) in different projects, a case study methodology was used. The influence on the adoption of energy-saving technologies of stakeholders was assessed through semi-structured interviews. These interviews focused on the interest and power for the adoption of several energy-saving technologies. Having recognized that the interest in adoption is often expressed late in the construction processes, the time of introduction of this interest was assessed. This paper provides an empirical insight into significant barriers for the adoption of energy saving technologies which are the low influence of highly motivated stakeholders on the decision of adoption, and the delay at which the interest in energy-saving technologies emerges. Finally, policies to overcome these barriers are suggested. - Highlights: • Why energy saving technologies are rarely adopted in buildings? • Diffusion is slowed by the late participation of stakeholders with great interest for energy technologies. • The influence of construction stakeholders for the adoption of energy saving technologies is measured in Italian case studies. • More integrated relationships among stakeholders are required to help the adoption of energy saving technologies. • Process re-organizations and policies which increase final users’ power are needed

  12. Children in adoptive families: overview and update. (United States)

    Nickman, Steven L; Rosenfeld, Alvin A; Fine, Paul; Macintyre, James C; Pilowsky, Daniel J; Howe, Ruth-Arlene; Derdeyn, Andre; Gonzales, Mayu Bonoan; Forsythe, Linda; Sveda, Sally A


    To summarize the past 10 years of published research concerning the 2% of American children younger than 18 years old who are adoptees. Review recent literature on developmental influences, placement outcome, psychopathology, and treatment. Adoption carries developmental opportunities and risks. Many adoptees have remarkably good outcomes, but some subgroups have difficulties. Traditional infant, international, and transracial adoptions may complicate adoptees' identity formation. Those placed after infancy may have developmental delays, attachment disturbances, and posttraumatic stress disorder. Useful interventions include preventive counseling to foster attachment, postadoption supports, focused groups for parents and adoptees, and psychotherapy. Variables specific to adoption affect an adopted child's developmental trajectory. Externalizing, internalizing, attachment, and posttraumatic stress disorder symptoms may arise. Child and adolescent psychiatrists can assist both adoptive parents and children.

  13. Measure of clinical information technology adoption. (United States)

    Lee, Jinhyung; Park, Young-Taek


    The objective of this study was to create a new measure for clinical information technology (IT) adoption as a proxy variable of clinical IT use. Healthcare Information and Management Systems Society (HIMSS) data for 2004 were used. The 18 clinical IT applications were analyzed across 3,637 acute care hospitals in the United States. After factor analysis was conducted, the clinical IT adoption score was created and evaluated. Basic clinical IT systems, such as laboratory, order communication/results, pharmacy, radiology, and surgery information systems had different adoption patterns from advanced IT systems, such as cardiology, radio picture archiving, and communication, as well as computerized practitioner order-entry. This clinical IT score varied across hospital characteristics. Different IT applications have different adoption patterns. In creating a measure of IT use among various IT components in hospitals, the characteristics of each type of system should be reflected. Aggregated IT adoption should be used to explain technology acquisition and utilization in hospitals.

  14. Holistic BIM Adoption and Diffusion in Malaysia

    Directory of Open Access Journals (Sweden)

    Mamter Shahela


    Full Text Available Building Information Modeling is modeling technology and associated set of processes to produce, communicate and analyze digital information models for construction life cycle. Although many benefits can gain by the implementation of BIM, the pace adoption of BIM in Malaysia is still slow. There is an abundance of theories and models purporting to describe the drivers and mechanisms of how new technologies are adopted or diffused into a particular section of society or by individuals or stake players. In addition, many acceptance theories, which imply the adoption of new technologies and can be applied in every sector. This paper aims to present a review of the existing literature of BIM adoption and diffusion theory/model/framework in Malaysia. Researcher revealed the list of driven factors of Holistic BIM Adoption. In addition, it will deal with how to work effectively with groups that initially are relatively

  15. Nutrition policy in South Korea. (United States)

    Park, Hye-Kyung


    Since 1970s, the economic and social development in South Korea, as well as dietary pattern, has undergone various changes. Concerns for the decreased nutrition quality and physical activities among Koreans, especially young population, call for a need of a holistic approach in national food and nutrition policy. The National Health Promotion Act of 1995 included national interventions and programs to deal with nutrition-related chronic diseases and obesity prevention. A nation-wide monitoring system, which includes nutrition and health examination survey, is being built and run by the Ministry of Health and Welfare and its affiliated organizations every three years. The Korea Food and Drug Administration (KFDA) is another key agency undertaking national food and nutrition policies. The KFDA recently promulgated the national strategic plans for improving food safety and nutrition, focusing on children. Nutrition labelling policy for processed food is managed by KFDA and various education programs are developed and disseminated to enhance the awareness of nutrition labelling. The agency also makes standards and regulates foods for special dietary uses and health functional food. The Rural Development Administration (RDA) is responsible for maintaining the food composition database. Finally, the National School Lunch Program is mainly governed by the Ministry of Education and Human Resources Development. The above central government agencies along with regional health centers are making efforts to promote the healthy eating habits in addition to constructing healthy environment by making laws and programs and by research and social marketing.

  16. Assessing the level of healthcare information technology adoption in the United States: a snapshot

    Directory of Open Access Journals (Sweden)

    Middleton Blackford


    Full Text Available Abstract Background Comprehensive knowledge about the level of healthcare information technology (HIT adoption in the United States remains limited. We therefore performed a baseline assessment to address this knowledge gap. Methods We segmented HIT into eight major stakeholder groups and identified major functionalities that should ideally exist for each, focusing on applications most likely to improve patient safety, quality of care and organizational efficiency. We then conducted a multi-site qualitative study in Boston and Denver by interviewing key informants from each stakeholder group. Interview transcripts were analyzed to assess the level of adoption and to document the major barriers to further adoption. Findings for Boston and Denver were then presented to an expert panel, which was then asked to estimate the national level of adoption using the modified Delphi approach. We measured adoption level in Boston and Denver was graded on Rogers' technology adoption curve by co-investigators. National estimates from our expert panel were expressed as percentages. Results Adoption of functionalities with financial benefits far exceeds adoption of those with safety and quality benefits. Despite growing interest to adopt HIT to improve safety and quality, adoption remains limited, especially in the area of ambulatory electronic health records and physician-patient communication. Organizations, particularly physicians' practices, face enormous financial challenges in adopting HIT, and concerns remain about its impact on productivity. Conclusion Adoption of HIT is limited and will likely remain slow unless significant financial resources are made available. Policy changes, such as financial incentivesto clinicians to use HIT or pay-for-performance reimbursement, may help health care providers defray upfront investment costs and initial productivity loss.

  17. Trialability, observability and risk reduction accelerating individual innovation adoption decisions. (United States)

    Hayes, Kathryn J; Eljiz, Kathy; Dadich, Ann; Fitzgerald, Janna-Anneke; Sloan, Terry


    The purpose of this paper is to provide a retrospective analysis of computer simulation's role in accelerating individual innovation adoption decisions. The process innovation examined is Lean Systems Thinking, and the organizational context is the imaging department of an Australian public hospital. Intrinsic case study methods including observation, interviews with radiology and emergency personnel about scheduling procedures, mapping patient appointment processes and document analysis were used over three years and then complemented with retrospective interviews with key hospital staff. The multiple data sources and methods were combined in a pragmatic and reflexive manner to explore an extreme case that provides potential to act as an instructive template for effective change. Computer simulation of process change ideas offered by staff to improve patient-flow accelerated the adoption of the process changes, largely because animated computer simulation permitted experimentation (trialability), provided observable predictions of change results (observability) and minimized perceived risk. The difficulty of making accurate comparisons between time periods in a health care setting is acknowledged. This work has implications for policy, practice and theory, particularly for inducing the rapid diffusion of process innovations to address challenges facing health service organizations and national health systems. Originality/value - The research demonstrates the value of animated computer simulation in presenting the need for change, identifying options, and predicting change outcomes and is the first work to indicate the importance of trialability, observability and risk reduction in individual adoption decisions in health services.

  18. Incentives for early adoption of carbon capture technology

    International Nuclear Information System (INIS)

    Comello, Stephen; Reichelstein, Stefan


    We analyze a policy proposal for regulating the next generation of baseload electricity generation facilities in the United States. The cornerstone of this regulation is a (hypothetical) EPA mandate for an emission standard of 80 kg of CO 2 per MWh of electricity generated. The mandate would go into effect at the end of 2027 for all power generating facilities that come into operation after 2017. Fossil-fuel power plants could meet the standard by capturing between 80 and 90% of their current CO 2 emissions. While the initial cost of complying with this standard is relatively high for first-of-a-kind facilities, learning effects are projected to reduce this cost substantially by the end of 2027, provided new facilities consistently adopt carbon capture technology in the intervening years. We identify a combination of investment- and production tax credits that provide the required incentives for new facilities to be willing to comply with the standard ahead of the mandate. Due to the anticipated learning effects, the incremental cost associated with the stricter emission limit is projected to about 1.2¢ per kWh of electricity in the long run. - Highlights: • Study the cost effects of a CO 2 emission standard for natural gas power plants. • The standard requires the deployment of carbon capture technology. • Future compliance costs are reduced through learning effects. • Identify tax incentives that induce early technology adoption. • Early adoption results in relatively modest electricity cost increases

  19. Factors influencing adoption of manure separation technology in The Netherlands. (United States)

    Gebrezgabher, Solomie A; Meuwissen, Miranda P M; Kruseman, Gideon; Lakner, Dora; Oude Lansink, Alfons G J M


    Manure separation technologies are essential for sustainable livestock operations in areas with high livestock density as these technologies result in better utilization of manure and reduced environmental impact. Technologies for manure separation have been well researched and are ready for use. Their use, however, has been limited to the Netherlands. This paper investigates the role of farm and farmer characteristics and farmers' attitudes toward technology-specific attributes in influencing the likelihood of the adoption of mechanical manure separation technology. The analysis used survey data collected from 111 Dutch dairy farmers in 2009. The results showed that the age and education level of the farmer and farm size are important variables explaining the likelihood of adoption. In addition to farm and farmer characteristics, farmers' attitudes toward the different attributes of manure separation technology significantly affect the likelihood of adoption. The study generates useful information for policy makers, technology developers and distributors in identifying the factors that impact decision-making behaviors of farmers. Copyright © 2014 Elsevier Ltd. All rights reserved.

  20. Fuel Cell Electric Vehicles: Drivers and Impacts of Adoption.

    Energy Technology Data Exchange (ETDEWEB)

    Levinson, Rebecca Sobel [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); West, Todd H. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Manley, Dawn K. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)


    We present scenario and parametric analyses of the US light duty vehicle (LDV) stock, sim- ulating the evolution of the stock in order to assess the potential role and impacts of fuel cell electric vehicles (FCEVs). The analysis probes the competition of FCEVs with other LDVs and the effects of FCEV adoption on LDV fuel use and emissions. We parameterize commodity and technology prices in order to explore the sensitivities of FCEV sales and emissions to oil, natural gas, battery technology, fuel cell technology, and hydrogen produc- tion prices. We additionally explore the effects of vehicle purchasing incentives for FCEVs, identifying potential impacts and tipping points. Our analyses lead to the following conclu- sions: (1) In the business as usual scenario, FCEVs comprise 7% of all new LDV sales by 2050. (2) FCEV adoption will not substantially impact green house gas emissions without either policy intervention, significant increases in natural gas prices, or technology improve- ments that motivate low carbon hydrogen production. (3) FCEV technology cost reductions have a much greater potential for impact on FCEV sales than hydrogen fuel cost reductions. (4) FCEV purchasing incentives must be both substantial and sustained in order to motivate lasting changes to FCEV adoption.

  1. Contact in Adoption and Adoptive Identity Formation: The Mediating Role of Family Conversation (United States)

    Korff, Lynn Von; Grotevant, Harold D.


    The present study examined adoption-related family conversation as a mediator of the association between adoptive parents’ facilitation of contact with birth relatives and adolescent adoptive identity formation. The sample consisted of 184 adoptive families. Data were collected in two waves from adoptive mothers and fathers, and adoptees (M = 15.68 years at adolescence; M = 24.95 years at emerging adulthood) using semistructured interviews and questionnaires. Structural equation models showed a good fit to sample data, and analyses supported the hypothesized mediation model. Contact with birth relatives is associated with more frequent adoption-related family conversation, which in turn is associated with the development of adoptive identity. These results highlight the importance of supporting activities such as contact that lead to adoption-related family conversation. PMID:21517175

  2. Using Surveys of Students' Social-Emotional Learning and School Climate for Accountability and Continuous Improvement. Policy Brief 17-1 (United States)

    Hough, Heather; Kalogrides, Demetra; Loeb, Susanna


    The research featured in this paper is part of the CORE-PACE Research Partnership, through which Policy Analysis for California Education (PACE) has partnered with the CORE districts to conduct research designed to support them in continuous improvement while simultaneously helping to improve policy and practice in California and nationwide.…

  3. School District Wellness Policies: Evaluating Progress and Potential for Improving Children's Health Five Years after the Federal Mandate. Brief Report. Volume 3 (United States)

    Chriqui, Jamie; Resnick, Elissa; Schneider, Linda; Schermbeck, Rebecca; Adcock, Tessa; Carrion, Violeta; Chaloupka, Frank


    This brief report updates data published in August 2010 from the most comprehensive, ongoing nationwide analysis of written wellness policies. It includes data from the 2006-07 through the 2010-11 school years, which were the first five years following the required implementation date for wellness policies. The major findings and trends presented…

  4. Health Care Organizations and Policy Leadership: Perspectives on Nonsmoker-Only Hiring Policies. (United States)

    McDaniel, Patricia A; Malone, Ruth E


    To explore employers' decisions to base hiring policies on tobacco or nicotine use and community perspectives on such policies, and analyze the implications for organizational identity, community engagement, and health promotion. From 2013 to 2016, 11 executives from six health care organizations and one non-health-care organization with nonsmoker-only hiring policies were interviewed about why and how their policies were created and implemented, concerns about the policies, and perceptions of employee and public reactions. Focus groups were conducted with community members (n = 51) who lived in or near cities where participating employers were based, exploring participants' opinions about why an employer would stop hiring smokers and their support (or not) for such a policy. Most employers excluded from employment those using all forms of nicotine. Several explained their adoption of the policy as a natural extension of a smoke-free campus and as consistent with their identity as health care organizations. They regarded the policy as promoting health. No employer mentioned engaging in a community dialogue before adopting the policy or reported efforts to track the policy's impact on rejected applicants. Community members understood the cost-saving appeal of such policies, but most opposed them. They made few exceptions for health care organizations. Policy decisions undertaken by health care organizations have influence beyond their immediate setting and may establish precedents that others follow. Nonsmoker-only hiring policies may fit with a health care organization's institutional identity but may not be congruent with community values or promote public health.

  5. Labor positions on worksite tobacco control policies: a review of arbitration cases. (United States)

    Sorensen, G; Youngstrom, R; Maclachlan, C; Gibson, S J; Emmons, K; Johnston, D; Levenstein, C


    Although worksite smoking restrictions have become increasingly common in recent years, organized labor has generally not been involved in the adoption of these policies; some evidence suggests that unions often oppose the adoption of worksite smoking policies. To contribute to an understanding of labor's role in tobacco control policies, this paper reports the results of a review of 85 arbitration cases and 5 cases of unfair labor practices charges published between 1986 and 1994. In most of the cases reviewed, management unilaterally imposed a new smoking policy, which the union then grieved. Union opposition to the policy generally focused on the process by which the policy was adopted, rather than the content of the policy; the concern was that management had breached its duty to bargain with the union regarding the adoption of the policy. These results underline the importance of joint labor-management actions on worksite tobacco control policies.

  6. Nationwide survey of policies and practices related to capillary blood sampling in medical laboratories in Croatia


    Lenicek Krleza, Jasna


    Introduction: Capillary sampling is increasingly used to obtain blood for laboratory tests in volumes as small as necessary and as non-invasively as possible. Whether capillary blood sampling is also frequent in Croatia, and whether it is performed according to international laboratory standards is unclear. Materials and methods: All medical laboratories that participate in the Croatian National External Quality Assessment Program (N = 204) were surveyed on-line to collect information about t...

  7. 45 CFR 1612.11 - Recipient policies and procedures. (United States)


    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false Recipient policies and procedures. 1612.11 Section... RESTRICTIONS ON LOBBYING AND CERTAIN OTHER ACTIVITIES § 1612.11 Recipient policies and procedures. Each recipient shall adopt written policies and procedures to guide its staff in complying with this part. ...

  8. 45 CFR 1636.5 - Recipient policies, procedures and recordkeeping. (United States)


    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false Recipient policies, procedures and recordkeeping... CORPORATION CLIENT IDENTITY AND STATEMENT OF FACTS § 1636.5 Recipient policies, procedures and recordkeeping. Each recipient shall adopt written policies and procedures to guide its staff in complying with this...

  9. 45 CFR 1609.6 - Recipient policies, procedures and recordkeeping. (United States)


    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false Recipient policies, procedures and recordkeeping... CORPORATION FEE-GENERATING CASES § 1609.6 Recipient policies, procedures and recordkeeping. Each recipient shall adopt written policies and procedures to guide its staff in complying with this part and shall...

  10. 45 CFR 1637.5 - Recipient policies, procedures and recordkeeping. (United States)


    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false Recipient policies, procedures and recordkeeping... CORPORATION REPRESENTATION OF PRISONERS § 1637.5 Recipient policies, procedures and recordkeeping. Each recipient shall adopt written policies and procedures to guide its staff in complying with this part and...

  11. 45 CFR 1639.6 - Recipient policies and procedures. (United States)


    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false Recipient policies and procedures. 1639.6 Section... WELFARE REFORM § 1639.6 Recipient policies and procedures. Each recipient shall adopt written policies and procedures to guide its staff in complying with this part. ...

  12. 45 CFR 1627.8 - Recipient policies, procedures and recordkeeping. (United States)


    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false Recipient policies, procedures and recordkeeping... CORPORATION SUBGRANTS AND MEMBERSHIP FEES OR DUES § 1627.8 Recipient policies, procedures and recordkeeping. Each recipient shall adopt written policies and procedures to guide its staff in complying with this...

  13. 45 CFR 1633.4 - Recipient policies, procedures and recordkeeping. (United States)


    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false Recipient policies, procedures and recordkeeping... CORPORATION RESTRICTION ON REPRESENTATION IN CERTAIN EVICTION PROCEEDINGS § 1633.4 Recipient policies, procedures and recordkeeping. Each recipient shall adopt written policies and procedures to guide its staff...

  14. 45 CFR 1644.5 - Recipient policies and procedures. (United States)


    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false Recipient policies and procedures. 1644.5 Section... DISCLOSURE OF CASE INFORMATION § 1644.5 Recipient policies and procedures. Each recipient shall adopt written policies and procedures to implement the requirements of this part. ...

  15. 45 CFR 1626.12 - Recipient policies, procedures and recordkeeping. (United States)


    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false Recipient policies, procedures and recordkeeping... SERVICES CORPORATION RESTRICTIONS ON LEGAL ASSISTANCE TO ALIENS § 1626.12 Recipient policies, procedures and recordkeeping. Each recipient shall adopt written policies and procedures to guide its staff in...

  16. 45 CFR 1617.4 - Recipient policies and procedures. (United States)


    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false Recipient policies and procedures. 1617.4 Section... CLASS ACTIONS § 1617.4 Recipient policies and procedures. Each recipient shall adopt written policies and procedures to guide its staff in complying with this part. ...

  17. A Review of Open Access Self-Archiving Mandate Policies (United States)

    Xia, Jingfeng; Gilchrist, Sarah B.; Smith, Nathaniel X. P.; Kingery, Justin A.; Radecki, Jennifer R.; Wilhelm, Marcia L.; Harrison, Keith C.; Ashby, Michael L.; Mahn, Alyson J.


    This article reviews the history of open access (OA) policies and examines the current status of mandate policy implementations. It finds that hundreds of policies have been proposed and adopted at various organizational levels and many of them have shown a positive effect on the rate of repository content accumulation. However, it also detects…

  18. Assessing Segregation under a New Generation of Controlled Choice Policies (United States)

    Frankenberg, Erica


    Student assignment policies (SAPs) in K-12 schools can either reproduce or help ameliorate existing inequality. Some districts are trying to maintain voluntarily adopted integration policies despite the Supreme Court's recent 2007 decision in "Parents Involved," which prohibited most race-conscious school choice policies that were…

  19. 45 CFR 650.2 - National Science Foundation patent policy. (United States)


    ... 45 Public Welfare 3 2010-10-01 2010-10-01 false National Science Foundation patent policy. 650.2... FOUNDATION PATENTS § 650.2 National Science Foundation patent policy. As authorized by the National Science... adopted the following statement of NSF patent policy. (a) In accordance with the Bayh-Dole Act and the...

  20. [International adoption: children's health risk evolution]. (United States)

    Dartiguenave, C


    The socioeconomic and sanitary conditions in many countries make it necessary to weigh as precisely as possible the uncertainties which might affect the health of internationally adopted children, which is one of the key drivers to adoption decision. Indeed, health troubles are more and more frequent among children proposed by countries, at a time when there are fewer children to be adopted. Hence the institutions and the actors in the field of international adoption are compelled to frequently update their professional practices, so as to cope both with the declining offer for adoptable children and with the increasing pressure from the birth countries of children to make host countries adopt children with high age or with special needs. It also requires from the administrations the will to provide better initial information and to implement the demand for an agreement. Meanwhile, in spite of those growing constraints, adopting families have been more and more risk adverse during the latest decades, this being a common trend in our developed countries.

  1. International adoption: issues in infectious diseases. (United States)

    Staat, Dana D; Klepser, Michael E


    International adoptions have become increasingly common in the United States. Children awaiting international adoption and families traveling to adopt these children can be exposed to a variety of infectious diseases. Compared with the United States, foreign countries often have different immunization practices and methods of diagnosing, treating, and monitoring disease. Reporting of medical conditions can also differ from that of the United States. The prevalence of infectious diseases varies from country to country and may or may not be common among adopted children. The transmission of tuberculosis, hepatitis B, and measles from adopted children to family members has been documented. Furthermore, infectious organisms (e.g., intestinal parasites), bacterial pathogens (e.g., Bordetella pertussis and Treponema pallidum), and viruses (e.g., human immunodeficiency virus and hepatitis viruses) may cause clinically significant morbidity and mortality among infected children. Diseases such as severe acute respiratory syndrome or avian influenza have not been reported among international adoptees, but transmission is possible if infection is present. Family members may be infected by others during travel or by their adopted child after returning home. Families preparing to adopt a child from abroad should pay special attention to the infectious diseases they may encounter and to the precautions they should take on returning home.

  2. Cultural Tourism in Transnational Adoption: "Staged Authenticity" and Its Implications for Adopted Children (United States)

    Quiroz, Pamela Anne


    The discursive practices of adoptive parents in two online transnational adoption forums (2006-2008) and observations of five international adoption workshops suggest that what Heather Jacobson described as "culture keeping", the cultural socialization of children that retains a sense of native group identity, is more aptly characterized as…

  3. Korean Adoptee Identity: Adoptive and Ethnic Identity Profiles of Adopted Korean Americans (United States)

    Beaupre, Adam J.; Reichwald, Reed; Zhou, Xiang; Raleigh, Elizabeth; Lee, Richard M.


    Adopted Korean adolescents face the task of grappling with their identity as Koreans and coming to terms with their adoptive status. In order to explore these dual identities, the authors conducted a person-centered study of the identity profiles of 189 adopted Korean American adolescents. Using cluster analytic procedures, the study examined…

  4. Setting Performance Goals for Adoption Services: Estimating the Need for Adoption of Children in Foster Care. (United States)

    Barth, Richard P.


    While adoption is a goal for welfare services when children cannot remain at home, adoption should not become a goal unless family reunification cannot occur. Recent initiatives take an oversimplified approach to agency standards, creating misunderstanding of programs. Adoption rates of agencies should be rewarded only after estimating pool of…

  5. Training for Transracial Adoptive Parents by Public and Private Adoption Agencies. (United States)

    Vonk, M. Elizabeth; Angaran, Ruth


    This study sought to determine aspects of training provided to transracial adoptive parents by public and private U.S. adoption agencies. Responses to a survey of a random sample of public and private agencies indicated that about half of the agencies that facilitate transracial adoption provide relevant training. Findings pose implications for…

  6. Open Adoption of Infants: Adoptive Parents' Perceptions of Advantages and Disadvantages. (United States)

    Siegel, Deborah H.


    Conducted qualitative study of adoptive parents' (n=21 couples) reactions to recent open adoptions of their infants. Findings indicated overwhelmingly positive feelings about open adoption. Respondents often noted that issue of openness was eclipsed by other concerns: coping with infertility, finding a baby, dealing with personnel, and dealing…

  7. Parallel Process Issues for Lesbian and Gay Adoptive Parents and Their Adopted Children (United States)

    Matthews, John D.; Cramer, Elizabeth P.


    Gays and lesbians, both single and coupled, are increasingly turning to adoption to create or expand their families. This manuscript specifically addresses the continuing needs of adoptees and adoptive parents by exploring key issues in the life course of gays and lesbians and their adopted children, and identifying potential parallel development…

  8. Characterisation of adopters and non-adopters of dairy technologies in Ethiopia and Kenya. (United States)

    Kebebe, E G; Oosting, S J; Baltenweck, I; Duncan, A J


    While there is a general consensus that using dairy technologies, such as improved breeds of dairy cows, can substantially increase farm productivity and income, adoption of such technologies has been generally low in developing countries. The underlying reasons for non-adoption of beneficial technologies in the dairy sector are not fully understood. In this study, we characterised adopters and non-adopters of dairy technologies in Ethiopia and Kenya based on farmers' resources ownership in order to identify why many farmers in Ethiopia and Kenya have not adopted improved dairy technologies. As compared to non-adopters, farmers who adopt dairy technology own relatively more farm resources. The result signals that differences in resource endowments could lead to divergent technology adoption scenarios. Results show that a higher proportion of sample smallholders in Kenya have adopted dairy technologies than those in Ethiopia. Except for the use of veterinary services, fewer than 10% of sample farmers in Ethiopia have adopted dairy technologies-less than half the number of adopters in Kenya. The higher level of dairy technology adoption in Kenya can be ascribed partly to the long history of dairy development, including improvements in the value chain for the delivery of inputs, services and fluid milk marketing. Interventions that deal with the constraints related to access to farm resources and input and output markets could facilitate uptake of dairy technology in developing countries.

  9. A Non-Modeling Exploration of Residential Solar Photovoltaic (PV) Adoption and Non-Adoption

    Energy Technology Data Exchange (ETDEWEB)

    Moezzi, Mithra [Portland State Univ., Portland, OR (United States); Ingle, Aaron [Portland State Univ., Portland, OR (United States); Lutzenhiser, Loren [Portland State Univ., Portland, OR (United States); Sigrin, Benjamin O. [National Renewable Energy Laboratory (NREL), Golden, CO (United States)


    Although U.S. deployment of residential rooftop solar photovoltaic (PV) systems has accelerated in recent years, PV is still installed on less than 1 percent of single-family homes. Most research on household PV adoption focuses on scaling initial markets and modeling predicted growth rather than considering more broadly why adoption occurs. Among the studies that have investigated the characteristics of PV adoption, most collected data from adopters, sometimes with additional non-adopter data, and rarely from people who considered but did not adopt PV. Yet the vast majority of Americans are non-adopters, and they are a diverse group - understanding their ways of evaluating PV adoption is important. Similarly, PV is a unique consumer product, which makes it difficult to apply findings from studies of other technologies to PV. In addition, little research addresses the experience of households after they install PV. This report helps fill some of these gaps in the existing literature. The results inform a more detailed understanding of residential PV adoption, while helping ensure that adoption is sufficiently beneficial to adopters and even non-adopters.

  10. A Nationwide Census of ICU Capacity and Admissions in Mongolia


    Mendsaikhan, Naranpurev; Begzjav, Tsolmon; Lundeg, Ganbold; Brunauer, Andreas; D?nser, Martin W.


    In Mongolia, a Central Asian lower-middle income country, intensive care medicine is an under-resourced and-developed medical specialty. The burden of critical illness and capacity of intensive care unit (ICU) services in the country is unknown. In this nationwide census, we collected data on adult and pediatric/neonatal ICU capacities and the number of ICU admissions in 2014. All hospitals registered to run an ICU service in Mongolia were surveyed. Data on the availability of an adult and/or...

  11. A nationwide study on anastomotic leakage after colonic cancer surgery

    DEFF Research Database (Denmark)

    Krarup, Peter-Martin; Jorgensen, L N; Andreasen, A H


    Aim: Anastomotic leakage (AL) is a major challenge in colorectal cancer surgery due to increased morbidity and mortality. Possible risk factors should be investigated differentially, distinguishing between rectal and colonic surgery in large-scale studies to avoid selection bias and confounding....... Method: The incidence and risk factors associated with AL were analysed in an unselected nation-wide prospective cohort of patient subjected to curative colonic cancer surgery with primary anastomosis and entered into The Danish Colorectal Cancer Group database between May 2001 and December 2008. Results...

  12. Dysejaculation after laparoscopic inguinal herniorrhaphy: a nationwide questionnaire study

    DEFF Research Database (Denmark)

    Bischoff, Joakim Mutahi; Linderoth, Gitte; Aasvang, Eske Kvanner


    BACKGROUND: Dysejaculation and pain from the groin and genitals during sexual activity represent a clinically significant problem in up to 4% of younger males after open inguinal herniorrhaphy. The aim of this questionnaire study is to assess the prevalence of dysejaculation and pain during sexual...... activity after laparoscopic inguinal herniorrhaphy on a nationwide basis. METHODS: The study population comprised all men aged 18-50 years registered in the Danish Hernia Database (n = 1,671) who underwent primary laparoscopic herniorrhaphy between January 1, 1998 and November 30, 2009. Questionnaires...

  13. Infections as risk factor for autoimmune diseases - A nationwide study

    DEFF Research Database (Denmark)

    Nielsen, Philip Rising; Kragstrup, Tue Wenzel; Deleuran, Bent Winding


    Viruses, bacteria and other infectious pathogens are the major postulated environmental triggers of autoimmunity. In the present nation-wide study we describe the association between infections and 29 autoimmune diseases. We used the Danish Civil Registration System to identify 4.5 million persons...... to the etiology of autoimmune diseases together with genetic factors....... born between 1945 and 2000. Information on infections and autoimmune diseases was obtained from the Danish Hospital Register. The cohort was followed from 1977 to 2012. Incidence rate ratios for developing an autoimmune disease were estimated using poisson regression. We found an association between...

  14. Policy Innovation in Innovation Policy

    DEFF Research Database (Denmark)

    Borras, Susana

    as with national and sub-national governments in Europe, all of them introducing interesting novelties in their innovation policy. These changes refer to different aspects of policy, mainly the content of policy initiatives towards science, technology and innovation; the instruments governments are using...... to achieve their goals; and the actors in the policy system that are being mobilised in pursuing these goals. This paper deals with these policy changes, paying special attention to the novelties introduced since the early 1990s in Europe. The perspective of this paper deals mainly on the changes introduced...... at the EU level, and mentions similar trends taking place at national and sub-national levels. The questions that guide the contents here are essentially three, namely, what are the main traits of innovation policies in Europe since the 1990s and how have the EU and different national governments approached...

  15. What Provisions Do Orthopaedic Programs Make for Maternity, Paternity, and Adoption Leave? (United States)

    Weiss, Jennifer; Teuscher, David


    The process of choosing medical specialty and residency programs is multifaceted. Today's generation of medical students may have an increased interest in work-life balance and time with their families. In considering this factor, medical students may be influenced by policy regarding maternity, paternity, and adoption leave during residency and fellowship training. Current policy among orthopaedic programs regarding maternity, paternity, and adoption leave is not well described. To understand the influence these policies may have on the choices that medical students make in choosing their specialty, the policies must first be better understood. (1) What proportion of orthopaedic programs have formal or unwritten policies regarding maternity, paternity, and adoptive leave? (2) What are the provisions for time away, allotment of time, and makeup options for trainees who take leave? (3) What proportion of orthopaedic programs report utilization of leave, and what proportions of leave are for maternity, paternity, or adoptive reasons? Accredited programs in orthopaedic surgery were identified through the Council of Orthopedic Residency Directors within the American Orthopaedic Association. Current program directors of these accredited programs were surveyed. The survey was emailed to 144 program directors, of which 141 emails were delivered. Responses were received from 45 program directors, representing 31% of programs. The survey focused on maternity, paternity, and adoptive leave, and it consisted of questions designed to explore program policies (formal, unwritten, no policy, or in development), time considerations (amount allowed, allocation of time away, and makeup requirements), and utilization (trainees who took leave and type of leave used). Most respondents have maternity leave policy (formal: 36 of 45 [80%]; unwritten: 17 of 45 [38%]). Sixteen programs (16 of 45 [36%]) reported having both a formal and an unwritten maternity leave policy. Less than half of

  16. Calibration of individual dosemeters by using external beams of photon radiation. A nationwide survey among Personal Dosimetry Services, authorized by CSN

    International Nuclear Information System (INIS)

    Brosed, A.; Ginjaume, M.


    A nationwide survey in 1995 among Personal Dosimetry Services, authorized by the Spanish Nuclear Safety Council (CSN), has led the Spanish Dosimetry Laboratories to review and update the dosimetric conversion coefficients and correction factors in use in Spain since 1987. The recommendations of the ICRU Report 47(1992) are discussed and adopted. In addition differences in back-scattering form IRCU tissue and PMMA phantoms are analysed. Analytical functions used to calculate conversion coefficients and back-scattering correction factors due to the use of different phantom materials are presented, together with the adopted final values. Firstly, the above mentioned parameters are applied to ISO narrow spectra series, which are discribed in this report. Secondly, differences between 1995 and 1987 values are also shown. (Author)

  17. A comparison of the drivers influencing farmers' adoption of enterprises associated with renewable energy

    International Nuclear Information System (INIS)

    Tate, Graham; Mbzibain, Aurelian; Ali, Shaukat


    A declared target of both the UK government and the European Union is to produce 15% of energy requirements from renewable sources by the year 2020; however the UK is very unlikely to achieve this. The Department for the Environment, Food and Rural Affairs (Defra) has identified the potential amongst the farming industry to help meet this objective () but there is little published research on how organisations can successfully interact with farmers to achieve structural change. This paper reports the findings of a postal questionnaire survey of farmers in the West Midlands Region of the UK where principal component analysis revealed that personal, farm business, regulatory and behavioural drivers affected the rate of adoption of renewable energy (RE) enterprises. Of the 393 farmers who responded, 14% had adopted one or more enterprises associated with RE with solar energy production the most popular of the RE technologies available to farmers. The study found that the most influential personal level factors contributing to the adoption of RE and associated technologies were cognitive, such as level of education, but not administrative, such as the attractiveness of government schemes supporting RE and associated enterprises. Adopters also tended to be younger than non-adopters, perhaps reflecting the impact of long investment payback periods typically found with RE enterprises, they were involved with larger and more financially viable businesses that were more likely to trade as limited companies or family partnerships. Of current non adopters, 66% might decide to invest in RE technologies over the next five years. For these potential adopters, it emerged that personal, farm business and behavioural factors were the most significant drivers though contrary to expectation current non adopters assessed the policy support framework more favourably than current adopters. The explanation of this seems to be connected with timing, in that two very positive and

  18. The trends in EMR and CPOE adoption in Japan under the national strategy. (United States)

    Yoshida, Yuichi; Imai, Takeshi; Ohe, Kazuhiko


    We evaluate the status of health information system (HIS) adoption (In this paper, "HIS" means electronic medical record system (EMR) and computerized provider order entry system (CPOE)). We also evaluate the affect of the policies of Japanese government. The status of HIS adoption in Japan from 2002 to 2011 was investigated using reports from complete surveys of all medical institutions conducted by the Ministry of Health, Labour and Welfare (MHLW). HIS-related budgets invested by the Japanese government from 2000 to 2008 were surveyed mainly using literatures and administrative documents of the Japanese government (MHLW and Ministry of Economy, Trade and Industry). The rates of HIS adoption in Japan in 2011 were: 20.9% for the rate of EMR adoption in clinics, 20.1% for the rate of EMR adoption and 36.6% for the rate of CPOE adoption in hospitals. In hospitals, the rate of EMR and CPOE adoption were 51.5% and 78.6% in 822 large hospitals (400 or more beds), 27.3% and 52.1% in 1832 medium hospitals (200-399 beds), and 13.5% and 26.0% in 5951 small hospitals (less than 200 beds), respectively. Japan has a large number of medical institutions (99,547 clinics and 8605 hospitals) with a low rate of EMR adoption in clinics and a high rate of HIS adoption in hospitals. The national budget to expand HIS use was implemented for medium and large hospitals mainly. The policy target of New IT Reform Strategy was not achieved. The rate of HIS adoption in Japanese medium and large hospitals is high compared to small hospitals and clinics, and this is attributable to the fact that the Japanese government placed the target for HIS adoption on key hospitals with a large number of beds and concentrated budget investment in those hospitals. Besides, legal approval of EMR and the introduction of Diagnostic Procedure Combination system facilitated EMR adoption. There is less financial support for small hospitals than medium and large hospitals. The low rate of EMR adoption in clinics

  19. Checklist "Open Access Policies": Analysis of the Open Access Policies of Public Universities in Austria

    Directory of Open Access Journals (Sweden)

    Bruno Bauer


    Full Text Available This checklist provides an overview of the Open Access policies implemented at Austrian universities and extramural research institutions. Furthermore, the polices adopted at nine public universities are analyzed and the respective text modules are categorized thematically. The second part of the checklist presents measures for the promotion of Open Access following the implementation of an Open Access policy.

  20. A matter of attachment? How adoptive parents foster post-institutionalized children's social and emotional adjustment. (United States)

    Barone, Lavinia; Lionetti, Francesca; Green, Jonathan


    The current study investigates the contribution of children's age at adoption (M = 46.52 months, SD = 11.52 months) and parents' attachment on post-institutionalized children's attachment and social-emotional adjustment. A total of 132 subjects, 48 post-institutionalized children aged 3-5 years, and their adoptive parents, took part in the study. One year from adoption, children's attachment distribution was as follows: 31% secure, 42% disorganized, and 27% insecure. Parents' secure attachment increased children's probability of presenting a secure attachment pattern; specifically, mothers' attachment patterns were most strongly associated with those of their adopted children, with fathers' making an additional contribution. Two years from adoption, secure children showed more adequate social competences than their insecure and disorganized peers and presented better emotional comprehension. The effect of age at adoption was delimited to a marginal association with behavioral problems. This pattern of associations suggests that attachment - both of adoptive parents and of children - substantially fosters social-emotional adjustment of post-institutionalized children who have experienced a period in emotionally neglecting environments beyond their first year of life, regardless of their age at adoption. Implications for policies and practices are discussed.

  1. [Importance and Implementation of Prevention in Germany--A Nationwide Survey of Decision-makers in the GKV-Spitzenverband and Political Decision-makers]. (United States)

    Pawils, S; Boettcher, A; Metzner, F; Plaumann, M; Walter, U


    Representatives of the statutory health insurance (n=46) and policy makers at the local, federal and state level (n=136) were interviewed in 2 nationwide online surveys about the significance and degree of implementation of prevention. The group comparison between the decision-makers shows significant differences in terms of attitudes towards health prevention. The political leaders are demanding an improvement of the GKV-benefit package and the obstacles require the cooperation of urgent attention. © Georg Thieme Verlag KG Stuttgart · New York.

  2. Right on target: Exploring the factors leading to inflation targeting adoption

    NARCIS (Netherlands)

    Samarina, A..; de Haan, J.


    This paper examines which economic, fiscal, external, financial, and institutional characteristics of countries affect the likelihood that they adopt inflation targeting (IT) as their monetary policy strategy. We estimate a panel binary response model for 60 countries and two subsamples consisting

  3. A Framework for Institutional Adoption and Implementation of Blended Learning in Higher Education (United States)

    Graham, Charles R.; Woodfield, Wendy; Harrison, J. Buckley


    There has been rapid growth in blended learning implementation and research focused on course-level issues such as improved learning outcomes, but very limited research focused on institutional policy and adoption issues. More institutional-level blended learning research is needed to guide institutions of higher education in strategically…

  4. Boarding the Euro Plane : Euro Adoption in the Czech Republic and Slovakia

    NARCIS (Netherlands)

    Dandashly, Assem; Verdun, Amy


    What explains euro adoption strategies in the Czech Republic and Slovakia? How have each of these two countries performed under the regime they joined (Czech Republic: flexible exchange rates; Slovakia: in the euro area)? How has that experience affected Czech and Slovak policies towards euro

  5. The adoption of new smart-grid technologies incentives, outcomes, and opportunities

    CERN Document Server

    Guo, Christopher; Narayanan, Anu


    RAND Corporation researchers review the current technical, regulatory, and economic context of the electricity market and theoretical benefits of developing a smart grid; discuss some entrepreneurial opportunities associated with smart-grid data; examine empirical evidence related to smart-grid adoption and implementation; and offer policy suggestions for overcoming identified barriers.

  6. Factors affecting farmers' adoption of integrated rice-fish farming systems in the Mekong delta, Vietnam

    NARCIS (Netherlands)

    Bosma, R.H.; Nhan, D.K.; Udo, H.M.J.; Kaymak, U.


    This study investigated the determinants of the adoption of improved rice–fish farming systems in the Mekong delta to support policy making, agricultural land-use planning and extension of integrated rice–fish farming. Recently these systems have been referred to as adaptations to climate change,

  7. Strategies for Promoting Green Building Technologies Adoption in the Construction Industry—An International Study

    Directory of Open Access Journals (Sweden)

    Albert Ping Chuen Chan


    Full Text Available Because green building technologies (GBTs adoption is a promising way of ameliorating the sustainability performance of buildings, GBTs are receiving increased interest in the global construction community. The barriers to the adoption of GBTs, such as higher cost and lack of awareness, further indicate that proper strategies need to be devised for promoting the wider adoption of GBTs in buildings development. However, there exist limited empirical studies identifying the strategies for promoting GBTs adoption in the construction industry. This study aims to identify the strategies that are important for promoting GBTs adoption in construction. After a comprehensive literature review to identify strategies for the promotion of GBTs adoption, empirical data were gleaned through a questionnaire survey with 104 green building experts around the world. The analysis results validated the importance of all of the 12 promotion strategies used for the study. Green building experts from different countries and with different backgrounds had significant agreement on the relative importance ranking of the promotion strategies. Furthermore, “financial and further market-based incentives for GBTs adopters”, “availability of better information on cost and benefits of GBTs”, “mandatory governmental policies and regulations”, and “green rating and labeling” were identified as the top four important promotion strategies. The research findings provide a valuable reference to assist practitioners and policy makers in developing practical strategies for promoting GBTs adoption to eventually achieve the sustainable development of buildings. From the perspective of international experts, this study adds to the green building literature by offering empirical evidence of the important strategies for promoting GBTs adoption in the construction industry. Future research will investigate the interrelationships among the promotion strategies and their

  8. Moses and Superman Come Home: Counseling Adoptees and Adoptive Families. (United States)

    Saiz, Stephen G.

    This paper looks at three parties impacted by adoption: the adoptive parents, the adopted child, and the adoptive family. When working with adoptive parents, counselors should respect the strength of the couple, their commitment to parenthood, and the closeness that may develop from weathering the issue of childlessness. Adoptive parents are…

  9. 5 CFR 843.404 - Proof of adoption. (United States)


    ... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Proof of adoption. 843.404 Section 843... Proof of adoption. (a) An adopted child is— (1) A child adopted by the employee or retiree before the... petition for adoption was filed by the employee or retiree and who is adopted by the current spouse of the...

  10. Adoption Activities on the Internet: A Call for Regulation (United States)

    Roby, Jini L.; White, Holly


    There is a growing practice of adoption services on the Internet with varying degrees of regulation, depending on whether it is domestic infant adoption, public foster care adoption, or international adoption. Regulation is particularly lacking in domestic infant adoptions, with Web sites connecting prospective birth and adoptive parents,…

  11. Psychological Ramifications of Adoption and Implications for Counseling. (United States)

    Helwig, Andrew A.; Ruthven, Dorothy H.


    Examines adoption issues including family member loss, infertility, transracial adoptions, special-needs adoptions, older child adoption, inherited traits, adoptive family, biological parents, and open adoption. Suggests specific therapeutic interventions including redefinition, use of paradox, family therapy approaches, group therapy, and…

  12. The Practice of Adoption: History, Trends, and Social Context (United States)

    Zamostny, Kathy P.; O'Brien, Karen M.; Baden, Amanda L.; Wiley, Mary O'Leary


    This article presents an overview of the practice of adoption to counseling psychologists to promote clinical understanding of the adoption experience and to stimulate research on adoption. The article includes definitions of adoption terminology, important historical and legal developments for adoption, a summary of adoption statistics,…

  13. Contact Between Birth and Adoptive Families During the First Year Post-Placement: Perspectives of Lesbian, Gay, and Heterosexual Parents. (United States)

    Farr, Rachel H; Goldberg, Abbie E

    Despite growing visibility of lesbian- and gay-parent adoption, only one qualitative study has examined birth family contact among adoptive families with lesbian and gay parents (Goldberg, Kinkler, Richardson, & Downing, 2011). We studied adoptive parents' (34 lesbian, 32 gay, and 37 heterosexual; N = 103 families) perspectives of birth family contact across the first year post-placement. Using questionnaire and interview data, we found few differences in openness dynamics by parental sexual orientation. Most reported some birth mother contact, most had legally finalized their adoption, and few described plans to withhold information from children. We discuss implications for clinical practice, policy, and research.

  14. Squamous cell carcinoma of the nasal vestibule 1993-2002: a nationwide retrospective study from DAHANCA

    DEFF Research Database (Denmark)

    Agger, Andreas; von Buchwald, Christian; Madsen, Anders Rørbaek


    A retrospective nationwide study of cancer of the nasal vestibule was conducted to evaluate classification systems and prognostic factors for treatment outcome.......A retrospective nationwide study of cancer of the nasal vestibule was conducted to evaluate classification systems and prognostic factors for treatment outcome....

  15. 75 FR 9277 - Proposed Information Collection (Nation-Wide Customer Satisfaction Surveys) Activity: Comment... (United States)


    ... DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900-0712] Proposed Information Collection (Nation-Wide Customer Satisfaction Surveys) Activity: Comment Request AGENCY: Veterans Health Administration... use of other forms of information technology. Title: Nation-wide Customer Satisfaction Surveys, VA...

  16. 77 FR 64382 - Agency Information Collection (Nation-Wide Customer Satisfaction Surveys) Activities Under OMB... (United States)


    ... DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900-0712] Agency Information Collection (Nation-Wide Customer Satisfaction Surveys) Activities Under OMB Review AGENCY: Veterans Health Administration... ``OMB Control No. 2900-0712.'' SUPPLEMENTARY INFORMATION: Title: Nation-wide Customer Satisfaction...

  17. 75 FR 25320 - Agency Information Collection (Nation-wide Customer Satisfaction Surveys) Activities Under OMB... (United States)


    ... DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900-0712] Agency Information Collection (Nation-wide Customer Satisfaction Surveys) Activities Under OMB Review AGENCY: Veterans Health Administration... ``OMB Control No. 2900-0712.'' SUPPLEMENTARY INFORMATION: Title: Nation-wide Customer Satisfaction...

  18. 77 FR 2349 - Proposed Information Collection (Nation-wide Customer Satisfaction Surveys) Activity: Comment... (United States)


    ... DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900-0712] Proposed Information Collection (Nation-wide Customer Satisfaction Surveys) Activity: Comment Request AGENCY: Veterans Health Administration... techniques or the use of other forms of information technology. Title: Nation-wide Customer Satisfaction...

  19. Interfacing and adopting ITIL and COBIT

    CERN Document Server

    Hardy, Gary


    IT is operationally critical and strategic to an enterprise's success. Implementing best professional management practices should be a management imperative. ITIL and COBIT are two of the most widely adopted frameworks for supporting IT governance and management improvement initiatives.

  20. Are You Pregnant and Thinking about Adoption? (United States)

    ... additional children? ƒ ƒ Keep in mind: There are no “right” or “wrong” responses to these questions, and you may not know the answers right now . Selecting an Agency or Independent Adoption If ...

  1. On Transracial Adoption of Black Children (United States)

    Jones, Edmond D.


    Transracial adoptions have been encouraged widely as a way to meet the needs of many black children. This practice and the agency philosophy behind it are challenged in the light of today's social realities. (Editor)

  2. Vested Interests and Resistance to Technology Adoption

    NARCIS (Netherlands)

    Canton, E.J.F.; de Groot, H.L.F.; Nahuis, R.


    Employed technologies differ vastly across countries. Within countries many technologies that would obviously improve firms’ efficiency are not adopted. This paper explains these observations by emphasizing that a new technology positively affects workers by lowering prices and increasing their real

  3. When to Tell Your Child About Adoption (United States)

    ... their child's feelings, sensing that he might be hurt at finding out he was adopted. They might ... example, he may understand that he has "two mothers" and "two fathers," but the social customs and ...

  4. Distributed PV Adoption in Maine Through 2021

    Energy Technology Data Exchange (ETDEWEB)

    Gagnon, Pieter; Sigrin, Ben


    NREL has used its dSolar (distributed solar) model to generate low-medium-high estimates of distributed PV adoption in Maine through 2021. This presentation gives a high-level overview of the model and modeling results.

  5. Are new industry policies precautionary?

    DEFF Research Database (Denmark)

    Galland, Daniel; McDaniels, Timothy L


    . The paper finally argues that, although in practice, policy makers generally tend to make incremental choices that are reactive to diverse issues, new industries could adopt more precautionary policies based on processes of public negotiation, analytical decision making and regional planning based......This paper argues that regulatory processes and outcomes in the context of a new industry could respond to mechanisms and factors that shape governmental agendas, illustrating how policy can behave reactively rather than in a precautionary manner. In the case of salmon aquaculture, an emerging...... industry characterized by risks, uncertainties, exponential growth, economic significance and environmental controversy, the outcomes of such reactive policies are generally reflected in siting criteria that yield implicit environmental and socio-economic disadvantages and trade-offs. This paper proposes...

  6. Do Economic Theories Inform Policy?

    DEFF Research Database (Denmark)

    Bartalevich, Dzmitry

    Adopting the (institutionalist) premise that ideas and the economic theories within which they are embedded influence policy, the dissertation investigates the influence of the Chicago School of antitrust analysis on the competition policy of the European Union (EU). The dissertation encapsulates...... three articles. The first article employs qualitative content analysis to assess whether and the extent to which the European Commission incorporates Chicago School theory into EU competition policy. It does so on the basis of current Commission Guidelines, Notices, and Block Exemption Regulations...... the Harvard School, the Freiburg School, and considerations for Single Market integration underpin EU merger control, in addition to the influence of the Chicago School. The analysis presented in the articles suggests that the Chicago School has exerted considerable influence over EU competition policy...

  7. [The outcomes of Adoption in the Case of the "British Chinese Adoption Study"]. (United States)

    Rushton, Alan


    Practitioners can over-estimate the incidence of problems in adopted children and adults because they do not see those who make good psychological and social adjustments. Research into adoption outcomes can be hard to interpret without information about differing pre-adoption histories. Examples are given of research into three types of adoption: domestic infant adoption, adoptions from public care of maltreated children and international adoption of ex-orphanage children. Although negative outcomes are indisputably evident for some, recovery from adversity is more common than many would predict. It is important to recognize that subsequent nurturing in consistent and stimulating environments can build a platform for effective adaptations to challenges in the future. However, a proper understanding of the consequences of adoption has been limited by the fact that follow-up studies have rarely extended beyond adolescence and early adulthood. The British Chinese Adoption Study is a 50 year follow-up of orphanage girls internationally adopted into the United Kingdom, and is given as an example of good outcomes despite early years of adversity. Scores on mental health assessments were equivalent to the non-adopted, age-matched comparison group of UK women. Most of the women were rated as "good functioning" and educational achievements were many times higher than the comparison women. Life-long adverse effects are not inevitable following early adversity. Improved circumstances can promote recovery and good adult adjustment. Practice and research implications are discussed.

  8. Comparability Effects of Mandatory IFRS Adoption


    Stefano Cascino; Joachim Gassen


    The mandatory adoption of IFRS by many countries worldwide fuels the expectation that financial accounting information might become more comparable across countries. This expectation is opposed to an alternative view that stresses the importance of incentives in shaping accounting information. We provide early evidence on this debate by investigating the effects of mandatory IFRS adoption on the comparability of financial accounting information around the world. Using two comparability proxie...

  9. Enterprise’ E-invoicing Adoption in China


    Yang, Xiaofan


    This master thesis is an empirical investigation project that has been carried out in cooperation with Trustweaver AB. The purpose is to identify the key factors that influence the adoption of electronic invoicing in Chinese enterprises. A background study on global e-invoicing adoption and current e-invoicing development in China is conducted. A research model integrated by the diffusion of innovation theory, the technology, organization, and environment framework and Iacovou et al. (1995) m...

  10. Adoption and cancer survivors: Findings from a learning activity for oncology nurses. (United States)

    Quinn, Gwendolyn P; Zebrack, Bradley J; Sehovic, Ivana; Bowman, Meghan L; Vadaparampil, Susan T


    To the authors' knowledge, little is known regarding the rate at which cancer survivors successfully adopt a child or about their experiences negotiating a costly, and perhaps discriminatory, process regarding the prospective parent's health history. The current study describes the results of a learning activity in which nurses contacted an adoption agency to learn more about the process for survivors with the goal of helping nurses provide patients with accurate information for making a well-informed decision regarding adoption. Training program participants identified an adoption agency (local, state, or international) and conducted an interview using a semistructured guide. After the interview, participants created a summary of responses to the questions. The authors examined responses to each question using qualitative content analysis. A total of 77 participants (98% completion rate) across 15 states provided a summary. Responses were distributed across the following categories: adoption costs, steps required for survivors seeking adoption, challenges for survivors seeking adoption, birth parents' reservations, and planned institutional changes to increase adoption awareness. The majority of respondents reported improving their knowledge of adoption and cancer, increased challenges for survivors, and the need to educate patients concerning the realities of adoption policies. The need for a letter stating the survivor was 5 years cancer free was identified as a significant obstacle for survivors. Nurses are charged with following practice guidelines that include recommendations for appropriate reproductive health referrals. Cancer survivors would benefit from a health care provider who can provide education and concrete information when patients are making a decision about fertility and adoption. © 2015 American Cancer Society.

  11. Denmark's planned nationwide warning system for fallout from nuclear accidents

    International Nuclear Information System (INIS)

    Walmod-Larsen, O.; Ryder, H.P.


    Denmark has no nuclear power plants, and has decided politically not to build any in the foreseeable future. However, within 150 km of its territory there are several plants in operation. After the Chernobyl accident, it was decided that the existing emergency plan for accidents at Sweden's Barsebaeck plant should be extended to cover the whole of Denmark, taking the above mentioned plants into consideration. Such a nation-wide emergency plan is now under preparation and is expected to be operational in 1989. Ten permanent, automatic, on-line monitoring stations are planned. The stations are required to be highly sensitive, able to detect an increase from man-made radioactivity of to 20 % of the usual natural radiation level. In case of an emergency, the ARGOS (Accident Reporting and Guiding Operational System) computer system will be connected to the central computer. ARGOS facilitates transmission, registration, evaluation and presentation of monitoring data from a large number of locations. The data are presented on color screens, prints or plots on suitable maps with the possibility of showing isocurves, population data and estimated doses. Another element in the proposed nation-wide emergency plan is the introduction of about 60 mobile radiation monitors, carried on vehicles or airborne, for use in alert situations. 1 ref., 1 fig

  12. Autoimmune hepatitis in Japan: trends in a nationwide survey. (United States)

    Takahashi, Atsushi; Arinaga-Hino, Teruko; Ohira, Hiromasa; Torimura, Takuji; Zeniya, Mikio; Abe, Masanori; Yoshizawa, Kaname; Takaki, Akinobu; Suzuki, Yoshiyuki; Kang, Jong-Hon; Nakamoto, Nobuhiro; Fujisawa, Tomoo; Yonemoto, Koji; Tanaka, Atsushi; Takikawa, Hajime


    A nationwide survey of autoimmune hepatitis (AIH) patients was performed in Japan in 2015. The aims of this study were to elucidate the trends and characteristics of AIH in Japan, in addition to identifying differences in AIH between acute hepatitis and chronic hepatitis. Questionnaires about patients with AIH diagnosed from 2009 to 2013 were sent to 437 hospitals or clinics with hepatology specialists. A total of 1682 patients were enrolled. The mean age at diagnosis was 60.0 years, and 87.1 % of patients were female. Serum immunoglobulin G levels were high, peaking at 1.5-2.0 g/dL. Histological diagnoses of chronic hepatitis, acute hepatitis, and cirrhosis were seen in 79.6, 11.7, and 6.7 % of patients respectively. In addition to elevation of aminotransferase levels, the frequencies of emperipolesis and human leukocyte antigen (HLA)-DR2 positivity were higher in patients with acute hepatitis than in those with chronic hepatitis. Approximately 80 % of patients were treated with corticosteroids, and in 97.7 % of them, their condition improved. Steroid pulse therapy was more frequently given to patients with acute hepatitis than to those with chronic hepatitis. In the present nationwide survey of AIH patients in Japan, patients with acute hepatitis had clinical features different from those of patients with chronic hepatitis.

  13. Low cost satellite land mobile service for nationwide applications (United States)

    Weiss, J. A.


    A satellite land mobile system using mobile radios in the UHF band, and Ku-band Communications Routing Terminals (earth stations) for a nationwide connection from any mobile location to any fixed or mobile location, and from any fixed location to any mobile location is proposed. The proposed nationwide satellite land mobile service provides: telephone network quality (1 out of 100 blockage) service, complete privacy for all the users, operation similar to the telephone network, alternatives for data services up to 32 Kbps data rates, and a cost effective and practical mobile radio compatible with system sizes ranging from 10,000 to 1,000,000 users. Seven satellite alternatives (ranging from 30 ft diameter dual beam antenna to 210 ft diameter 77 beam antenna) along with mobile radios having a sensitivity figure of merit (G/T) of -15 dB/deg K are considered. Optimized mobile radio user costs are presented as a function of the number of users with the satellite and mobile radio alternatives as system parameters.

  14. Nationwide trends in the surgical management of lumbar spinal stenosis. (United States)

    Bae, Hyun W; Rajaee, Sean S; Kanim, Linda E


    Retrospective analysis using national administrative data. This study presents US nationwide trends in the surgical management of patients with lumbar spinal stenosis (LSS) with and without coexisting spondylolisthesis and scoliosis from 2004 to 2009. Lack of consensus and wide variability exists in surgical decision making for patients with LSS. Data were obtained from the Nationwide Inpatient Sample, a database developed as part of the Healthcare Cost and Utilization Project. All discharged patients with a primary diagnosis of LSS were identified. Three subgroups were studied: (1) LSS alone, (2) LSS with spondylolisthesis, and (3) LSS with scoliosis. Surgical treatment was divided into 3 groups: (1) decompression only (laminectomy, discectomy), (2) simple fusion (1-2 disc levels, single approach), and (3) complex fusion (>2 disc levels or a combined posterior and anterior approach). Between 2004 and 2009, national estimates for the annual number of discharged inpatients with a primary diagnosis of LSS increased from 94,011 (population rate, [the age adjusted population rate per 100,000] 32.1) to 102,107 (population rate, 33.3). The rate of decompressions decreased from 58.5% to 49.2% for discharged patients with LSS from 2004 to 2009 (P spondylolisthesis and 67.6% of patients with coexisting scoliosis underwent a fusion procedure. This study demonstrates that the rate of simple fusion surgery has increased for treatment of LSS compared with decompression only. 4.

  15. A nationwide medication incidents reporting system in The Netherlands. (United States)

    Cheung, Ka-Chun; van den Bemt, Patricia M L A; Bouvy, Marcel L; Wensing, Michel; De Smet, Peter A G M


    Many Dutch hospitals have established internal systems for reporting incidents. However, such internal systems do not allow learning from incidents that occur in other hospitals. Therefore a multicenter, information technology (IT) supported reporting system named central medication incidents registration (CMR) was developed. This article describes the architecture, implementation and current status of the CMR in The Netherlands and compare it with similar systems in other countries. Adequate IT is required to sufficiently support a multicenter reporting system. The CMR system consists of a website, a database, a web-based reporting form, an application to import reports generated in other reporting systems, an application to generate an overview of reported medication incidents, and a national warning system for healthcare providers. From the start of CMR 90 of all 93 (96.8%) hospitals and 872 of 1948 (44.8%) community pharmacies participated. Between March 2006 and March 2010 the CMR comprised 15,694 reports of incidents. In the period from March 2010 to March 2011, 1642 reports were submitted by community pharmacies in CMR and the hospitals submitted 2517 reports. CMR is similar to various systems in other countries, but it seems to use more IT applications. The CMR is developing into a nationwide reporting system of medication incidents in The Netherlands, in which hospitals, community pharmacies, mental healthcare organizations and general practitioners participate. The architecture of the system met the requirements of a nationwide reporting system across different healthcare providers.

  16. Disaster Vulnerability of Hospitals: A Nationwide Surveillance in Japan. (United States)

    Ochi, Sae; Kato, Shigeaki; Kobayashi, Kenichi; Kanatani, Yasuhiro


    Hospital preparedness against disasters is key to achieving disaster mitigation for health. To gain a holistic view of hospitals in Japan, one of the most disaster-prone countries, a nationwide surveillance of hospital preparedness was conducted. A cross-sectional, paper-based interview was conducted that targeted all of the 8701 registered hospitals in Japan. Preparedness was assessed with regard to local hazards, compliance to building code, and preparation of resources such as electricity, water, communication tools, and transportation tools. Answers were obtained from 6122 hospitals (response rate: 70.3%), among which 20.5% were public (national or city-run) hospitals and others were private. Eight percent were the hospitals assigned as disaster-base hospitals and the others were non-disaster-base hospitals. Overall compliance to building code, power generators, water tanks, emergency communication tools, and helicopter platforms was 90%, 84%, 95%, 43%, and 22%, respectively. Major vulnerabilities in logistics in mega-cities and stockpiles required for chronic care emerged from the results of this nationwide surveillance of hospitals in Japan. To conduct further intensive surveillance to meet community health needs, appropriate sampling methods should be established on the basis of this preliminary study. Holistic vulnerability analysis of community hospitals will lead to more robust disaster mitigation at the local level.

  17. The influence of financial incentives and other socio-economic factors on electric vehicle adoption

    International Nuclear Information System (INIS)

    Sierzchula, William; Bakker, Sjoerd; Maat, Kees; Wee, Bert van


    Electric vehicles represent an innovation with the potential to lower greenhouse gas emissions and help mitigate the causes of climate change. However, externalities including the appropriability of knowledge and pollution abatement result in societal/economic benefits that are not incorporated in electric vehicle prices. In order to address resulting market failures, governments have employed a number of policies. We seek to determine the relationship of one such policy instrument (consumer financial incentives) to electric vehicle adoption. Based on existing literature, we identified several additional socio-economic factors that are expected to be influential in determining electric vehicle adoption rates. Using multiple linear regression analysis, we examined the relationship between those variables and 30 national electric vehicle market shares for the year 2012. The model found financial incentives, charging infrastructure, and local presence of production facilities to be significant and positively correlated to a country's electric vehicle market share. Results suggest that of those factors, charging infrastructure was most strongly related to electric vehicle adoption. However, descriptive analysis suggests that neither financial incentives nor charging infrastructure ensure high electric vehicle adoption rates. - Highlights: • This research analyzes electric vehicle adoption of 30 countries in 2012. • Financial incentives and charging infrastructure were statistically significant factors. • Country-specific factors help to explain diversity in national adoption rates. • Socio-demographic variables e.g., income and education level were not significant

  18. 'Adoption' by maternal siblings in wild chimpanzees.

    Directory of Open Access Journals (Sweden)

    Catherine Hobaiter

    Full Text Available The adoption of unrelated orphaned infants is something chimpanzees and humans have in common. Providing parental care has fitness implications for both the adopter and orphan, and cases of adoption have thus been cited as evidence for a shared origin of an altruistic behaviour. We provide new data on adoptions in the free-living Sonso chimpanzee community in Uganda, together with an analysis of published data from other long-term field sites. As a default pattern, we find that orphan chimpanzees do not become adopted by adult group members but wherever possible associate with each other, usually as maternal sibling pairs. This occurs even if both partners are still immature, with older individuals effectively becoming 'child household heads'. Adoption of orphans by unrelated individuals does occur but usually only if no maternal siblings or other relatives are present and only after significant delays. In conclusion, following the loss of their mother, orphaned chimpanzees preferentially associate along pre-existing social bonds, which are typically strongest amongst maternal siblings.

  19. Lessons from silage adoption studies in Honduras

    Directory of Open Access Journals (Sweden)

    Christoph Reiber


    Full Text Available To date, silage adoption has been low in the tropics, particularly under smallholder conditions. Innovation and adoption processes of silage technologies were promoted in drought-constrained areas of Honduras using a flexible, site-specific and participatory research and extension approach. A total of about 250 farmers participated in training workshops and field days conducted in 13 locations. Smallholders successfully ensiled maize, sorghum and/or Pennisetum spp., mainly in heap and earth silos, while adoption of little bag silage (LBS was low. LBS proved useful as a demonstration, experimentation and learning tool. A ‘silage boom’ occurred in 5 locations, where favorable adoption conditions included the presence of demonstration farms and involvement of key innovators, lack of alternative dry season feeds, perceived benefits of silage feeding, a favorable milk market and both extension continuity and intensity. The lack of chopping equipment was the main reason for non-adoption by poor smallholders. The study showed that, when targeting production system needs and farmer demands, silage promotion can lead to significant adoption, including at smallholder level, in the tropics. This experience could contribute to an increase in effectiveness and sustainability of silage extension in similar situations elsewhere.

  20. International adoption: a health and developmental prospective. (United States)

    Mason, Patrick; Narad, Christine


    Adoptions from international countries have become an option for many US families, with over 150,000 children adopted in the past 14 years. Typically, internationally adopted children present with a host of medical and developmental concerns. Issues such as growth stunting, abnormal behaviors, and significant delays in motor, speech, and language development are likely directly related to the prenatal and early postnatal environment experienced prior to adoption. The new family and its health-care team must quickly work to identify and address these issues to aid the child's integration into his or her new family. This article will examine potential issues seen in children who are being adopted, including the impact of early environment on subsequent development. We will summarize early and long-term medical issues and review the extent of developmental delays seen in children adopted internationally. Finally, we will discuss possible mechanisms leading to the observed delays, including the impact of stress on subsequent development. By understanding the extent of expected delays and the mechanisms likely causing the issues, the health-care team will be in a good position to quickly identify and develop intervention protocols that will foster the child's assimilation into his or her new family.