WorldWideScience

Sample records for policies adopted nationwide

  1. Social media adoption in local health departments nationwide.

    Science.gov (United States)

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

    2013-09-01

    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.

    Science.gov (United States)

    Sullivan, Ann

    1995-01-01

    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. Wrongful Adoption: Law, Policy and Practice.

    Science.gov (United States)

    Freundlich, Madelyn; Peterson, Lisa

    The past decade has seen an increase in cases where adoptive parents fail to receive accurate or complete information about a child's physical, emotional, or developmental problems or about the child's birth family and history. In these cases adoptive parents are confronted with extremely expensive medical care or mental health care. This…

  4. Religious beliefs and alcohol control policies: a Brazilian nationwide study

    Directory of Open Access Journals (Sweden)

    Giancarlo Lucchetti

    2014-03-01

    Full Text Available Objective: The connection between lower alcohol use and religiousness has been extensively examined. Nevertheless, few studies have assessed how religion and religiousness influence public policies. The present study seeks to understand the influence of religious beliefs on attitudes toward alcohol use. Methods: A door-to-door, nationwide, multistage population-based survey was carried out. Self-reported religiousness, religious attendance, and attitudes toward use of alcohol policies (such as approval of public health interventions, attitudes about drinking and driving, and attitudes toward other alcohol problems and their harmful effects were examined. Multiple logistic regression was used to control for confounders and to assess explanatory variables. Results: The sample was composed of 3,007 participants; 57.3% were female and mean age was 35.7 years. Religiousness was generally associated with more negative attitudes toward alcohol, such as limiting hours of sale (p < 0.01, not having alcohol available in corner shops (p < 0.01, prohibiting alcohol advertisements on TV (p < 0.01, raising the legal drinking age (p < 0.01, and raising taxes on alcohol (p < 0.05. Higher religious attendance was associated with less alcohol problems (OR: 0.61, 95%CI 0.40-0.91, p = 0.017, and self-reported religiousness was associated with less harmful effects of drinking (OR: 0.61, 95%CI 0.43-0.88, p = 0.009. Conclusions: Those with high levels of religiousness support more restrictive alcohol policies. These findings corroborate previous studies showing that religious people consume less alcohol and have fewer alcohol-related problems.

  5. Economic Motives for Adopting LGBT-Related Workplace Policies

    OpenAIRE

    Sears, Brad; Mallory, Christy; Hunter, Nan

    2011-01-01

    The past decade has seen a large increase in the number of corporations adopting LGBT-related workplace policies.  This study evaluates the economic impact of non-discrimination and benefits policies by analyzing the extent to which economic reasons motivate corporations to adopt such policies.  This study reviews statements issued when adopting such policies by the top 50 Fortune 500 companies and the top 50 federal government contractors.  Overall, we find that almost all of top 50 Fortune ...

  6. Romanian Policy-Mix to Adopting Euro

    Directory of Open Access Journals (Sweden)

    Cristian Socol

    2007-09-01

    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?

  7. Policy Incentives for the Adoption of Electric Vehicles across Countries

    Directory of Open Access Journals (Sweden)

    Xingping Zhang

    2014-11-01

    Full Text Available Electric vehicles (EVs have prominent advantages for reducing CO2 emissions and alleviating the dependence on fossil fuel consumption in the transport sector. Therefore, many countries have set targets for EV development in recent years and have employed a number of policies to achieve environmental objectives and alleviate the energy pressure. Despite the fact that the adoption of EVs has increased in the past few years, more policies, such as financial incentives, technology support or charging infrastructure, should be made by governments to promote broader range use of EVs. In this paper, we review the relevant policies that different countries may adopt for stimulating the market of EVs. Based on this, we analyze the relationship between the policies and the adoption of EVs by taking America as an example. In conclusion, some effective policies are summarized to spur the market. Therefore, each country should learn from each other and employ effective policies based on the actual situation.

  8. Arts Curriculum Implementation: "Adopt and Adapt" as Policy Translation

    Science.gov (United States)

    Chapman, Sian; Wright, Peter; Pascoe, Robin

    2018-01-01

    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…

  9. Challenges : adopting GIS for diplomacy and foreign policy

    Science.gov (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.

  10. The effect of policy incentives on electric vehicle adoption

    International Nuclear Information System (INIS)

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

    2016-01-01

    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.

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

    Directory of Open Access Journals (Sweden)

    Julijanti

    2014-08-01

    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. Rate of electronic health record adoption in South Korea: A nation-wide survey.

    Science.gov (United States)

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

    2017-05-01

    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.

  13. A policy framework for accelerating adoption of new vaccines

    Science.gov (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

    2010-01-01

    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

  14. Adoption

    Science.gov (United States)

    ... a relative, foster parent, or a completely new family. An adoptive family might be a single parent, a couple, or ... doesn't mean they don't love their adoptive family or feel close to them. This curiosity, which ...

  15. The Ripple Effect of Virginia Tech: Assessing the Nationwide Impact on Campus Safety and Security Policy and Practice

    Science.gov (United States)

    Rasmussen, Chris; Johnson, Gina

    2008-01-01

    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;…

  16. Adoption of Obesity Prevention Policies and Practices by Australian Primary Schools: 2006 to 2013

    Science.gov (United States)

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

    2015-01-01

    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…

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

    Directory of Open Access Journals (Sweden)

    Ovidiu-Ioan Moisescu

    2015-12-01

    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.

  18. The Adoption of Indirect Instruments of Monetary Policy

    OpenAIRE

    Tomás J. T. Baliño; Charles Enoch; William E. Alexander

    1995-01-01

    This paper examines the experience of implementing indirect instruments of monetary policy. The experiences of country studies illustrate the variety of circumstances under which indirect instruments of monetary policy have been introduced. Case Studies are presented for Chile, Egypt, Ghana, Indonesia, Mexico, New Zealand, and Poland.

  19. Parental Ethnotheories and Family Language Policy in Transnational Adoptive Families

    Science.gov (United States)

    Fogle, Lyn Wright

    2013-01-01

    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…

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

    OpenAIRE

    Mallory, Christy; Sears, Brad

    2011-01-01

    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...

  1. Assessment of post-Fukushima renewable energy policy in Japan's nation-wide power grid

    International Nuclear Information System (INIS)

    Komiyama, Ryoichi; Fujii, Yasumasa

    2017-01-01

    This manuscript analyzes an optimal power generation mix in Japan's nation-wide power grid by considering the post-Fukushima energy policy which puts a high priority on expanding renewable energy. The study is performed, employing an optimal power generation mix model which is characterized by detailed geographical resolution derived from 135 nodes and 166 high-voltage power transmission lines with 10-min temporal resolution. Simulated results reveal that renewable energy promotion policy underlies the necessity for capacity expansion of inter- or intra-regional power transmission lines in Japan in order to realize economical power system operation. In addition, the results show that the integration of massive variable renewable (VR) such as PV and wind decreases the capacity factor of power plant including ramp generator and possibly affects that profitability, which implies the challenge to ensure power system adequacy enough to control VR variability. - Highlights: • Authors analyze installable potential of renewable by Japan's power grid model. • Power grid of the model includes 135 nodes and 166 power transmission lines. • Renewable promotion underlies the necessity for capacity expansion of power lines. • Unremunerated power plants affect power grid adequacy under extensive renewable.

  2. (Re)Thinking the Adoption of Inclusive Education Policy in Ontario Schools

    Science.gov (United States)

    Massouti, Ayman

    2018-01-01

    The purpose of this article is to advance a proposal for the analysis of how inclusive education policies in Ontario schools are adopted. In particular, I use the notion of "Policy Enactment" to re-conceptualize the processes of putting inclusive education policies into practice. The argument is that the traditional…

  3. Toward Reproducible Computational Research: An Empirical Analysis of Data and Code Policy Adoption by Journals.

    Directory of Open Access Journals (Sweden)

    Victoria Stodden

    Full Text Available Journal policy on research data and code availability is an important part of the ongoing shift toward publishing reproducible computational science. This article extends the literature by studying journal data sharing policies by year (for both 2011 and 2012 for a referent set of 170 journals. We make a further contribution by evaluating code sharing policies, supplemental materials policies, and open access status for these 170 journals for each of 2011 and 2012. We build a predictive model of open data and code policy adoption as a function of impact factor and publisher and find higher impact journals more likely to have open data and code policies and scientific societies more likely to have open data and code policies than commercial publishers. We also find open data policies tend to lead open code policies, and we find no relationship between open data and code policies and either supplemental material policies or open access journal status. Of the journals in this study, 38% had a data policy, 22% had a code policy, and 66% had a supplemental materials policy as of June 2012. This reflects a striking one year increase of 16% in the number of data policies, a 30% increase in code policies, and a 7% increase in the number of supplemental materials policies. We introduce a new dataset to the community that categorizes data and code sharing, supplemental materials, and open access policies in 2011 and 2012 for these 170 journals.

  4. Toward Reproducible Computational Research: An Empirical Analysis of Data and Code Policy Adoption by Journals.

    Science.gov (United States)

    Stodden, Victoria; Guo, Peixuan; Ma, Zhaokun

    2013-01-01

    Journal policy on research data and code availability is an important part of the ongoing shift toward publishing reproducible computational science. This article extends the literature by studying journal data sharing policies by year (for both 2011 and 2012) for a referent set of 170 journals. We make a further contribution by evaluating code sharing policies, supplemental materials policies, and open access status for these 170 journals for each of 2011 and 2012. We build a predictive model of open data and code policy adoption as a function of impact factor and publisher and find higher impact journals more likely to have open data and code policies and scientific societies more likely to have open data and code policies than commercial publishers. We also find open data policies tend to lead open code policies, and we find no relationship between open data and code policies and either supplemental material policies or open access journal status. Of the journals in this study, 38% had a data policy, 22% had a code policy, and 66% had a supplemental materials policy as of June 2012. This reflects a striking one year increase of 16% in the number of data policies, a 30% increase in code policies, and a 7% increase in the number of supplemental materials policies. We introduce a new dataset to the community that categorizes data and code sharing, supplemental materials, and open access policies in 2011 and 2012 for these 170 journals.

  5. MONEY: FROM STATISTICAL DEFINITION TO MONETARY POLICY FOR ADOPTING EURO.

    Directory of Open Access Journals (Sweden)

    Zapodeanu Daniela

    2011-07-01

    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.

  6. Adopting and Implementing Globalised Policies of Intercultural Education: The Example of Cyprus

    Science.gov (United States)

    Hajisoteriou, Christina; Angelides, Panayiotis

    2017-01-01

    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,…

  7. The Role of Government Policies in the Adoption of Conservation Tillage in China: A Theoretical Model

    Science.gov (United States)

    Ding, Ya

    2018-01-01

    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.

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

    Directory of Open Access Journals (Sweden)

    Isabel Maria Lopes

    2017-03-01

    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.

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

    Directory of Open Access Journals (Sweden)

    Robinson Rachel Sullivan

    2016-08-01

    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.

  10. Barriers to adopting and implementing local-level tobacco control policies.

    Science.gov (United States)

    Satterlund, Travis D; Cassady, Diana; Treiber, Jeanette; Lemp, Cathy

    2011-08-01

    Although California communities have been relatively successful in adopting and implementing a wide range of local tobacco control policies, the process has not been without its setbacks and barriers. Little is known about local policy adoption, and this paper examines these processes related to adopting and implementing outdoor smoke-free policies, focusing on the major barriers faced by local-level tobacco control organizations in this process. Ninety-six projects funded by the California Tobacco Control Program submitted final evaluation reports pertaining to an outdoor smoking objective, and the reports from these projects were analyzed. The barriers were grouped in three primary areas: politically polarizing barriers, organizational barriers, and local political orientation. The barriers identified in this study underscore the need for an organized action plan in adopting local tobacco policy. The authors also suggest potential strategies to offset the barriers, including: (1) having a "champion" who helps to carry an objective forward; (2) tapping into a pool of youth volunteers; (3) collecting and using local data as a persuasive tool; (4) educating the community in smoke-free policy efforts; (5) working strategically within the local political climate; and (6) demonstrating to policymakers the constituent support for proposed policy.

  11. Countering tobacco industry sponsorship of Hispanic/Latino organizations through policy adoption: a case study.

    Science.gov (United States)

    Portugal, Cecilia; Cruz, Tess Boley; Espinoza, Lilia; Romero, Marisol; Baezconde-Garbanati, Lourdes

    2004-07-01

    Restricted by Master Settlement Agreement (MSA) provisions, the tobacco industry employs corporate sponsorship of communities of color (e.g., sponsoring community cultural events and/or chambers of commerce) to secure their stronghold. The Hispanic/Latino Tobacco Education Network (H/LaTEN) initiated efforts to counter these marketing forms within the Hispanic community. In 1998, 38 California Hispanic Chambers of Commerce (CHCCs) were contacted to assess the tobacco industry's marketing tactics and penetration. CHCCs reported receiving tobacco funding in the past, making them susceptible to future protobacco industry influence. Subsequently, an intervention was implemented to inoculate the CHCCs against industry influence by encouraging an antitobacco corporate sponsorship policy adoption. Six CHCCs representing approximately 400 businesses in the community adopted this policy. Targeting susceptible organizations including and beyond the Hispanic community and advocating for an antitobacco corporate sponsorship policy adoption are strategies that can be used in tandem with MSA enforcement to effectively build resistance.

  12. Climate Change Policy and the Adoption of Methane Digesters on Livestock Operations

    OpenAIRE

    Key, Nigel D.; Sneeringer, Stacy E.

    2011-01-01

    Methane digesters—biogas recovery systems that use methane from manure to generate electricity—have not been widely adopted in the United States because costs have exceeded benefits to operators. Burning methane in a digester reduces greenhouse gas emissions from manure management. A policy or program that pays producers for these emission reductions—through a carbon offset market or directly with payments—could increase the number of livestock producers who would profit from adopting a metha...

  13. Adopting local alcohol policies: a case study of community efforts to regulate malt liquor sales.

    Science.gov (United States)

    McKee, Patricia A; Nelson, Toben F; Toomey, Traci L; Shimotsu, Scott T; Hannan, Peter J; Jones-Webb, Rhonda J

    2012-01-01

    To learn how the local context may affect a city's ability to regulate alcohol products such as high-alcohol-content malt liquor, a beverage associated with heavy drinking and a spectrum of nuisance crimes in urban areas. An exploratory, qualitative case study comparing cities that adopted policies to restrict malt liquor sales with cities that considered, but did not adopt policies. Nine large U.S. cities in seven states. City legislators and staff, alcohol enforcement personnel, police, neighborhood groups, business associations, alcohol retailers, and industry representatives. Qualitative data were obtained from key informant interviews (n = 56) and media articles (n = 360). The data were coded and categorized. Similarities and differences in major themes among and across Adopted and Considered cities were identified. Cities faced multiple barriers in addressing malt liquor-related problems, including a lack of enforcement tools, alcohol industry opposition, and a lack of public and political will for alcohol control. Compared to cities that did not adopt malt liquor sales restrictions, cities that adopted restrictions appeared to have a stronger public mandate for a policy and were less influenced by alcohol industry opposition and lack of legislative authority for alcohol control. Strategies common to successful policymaking efforts are discussed. Understanding the local context may be a critical step in winning support for local alcohol control policies.

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

    International Nuclear Information System (INIS)

    Requate, T.

    2005-01-01

    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

  15. 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.

    2012-01-01

    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.

  16. Adoption and Design of Emerging Dietary Policies to Improve Cardiometabolic Health in the US.

    Science.gov (United States)

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

    2018-04-14

    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

  17. 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.

    2014-01-01

    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

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

    International Nuclear Information System (INIS)

    Karger, Cornelia R.; Bongartz, Richard

    2008-01-01

    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

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

    Science.gov (United States)

    Shearer, Jessica C; Stack, Meghan L; Richmond, Marcie R; Bear, Allyson P; Hajjeh, Rana A; Bishai, David M

    2010-03-16

    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.

  20. Policy integration, coherence and governance in Dutch climate policy : a multi-level analysis of mitigation and adoption policy

    NARCIS (Netherlands)

    Bommel, van S.; Kuindersma, W.

    2008-01-01

    This report assesses the integration of climate policy in Dutch public policy at the national, regional, local and area level. The national analysis focuses on the horizontal integration of climate policy in national government programmes, adaptation and mitigation strategies and specific policy

  1. Barriers to clinical adoption of next generation sequencing: Perspectives of a policy Delphi panel

    Directory of Open Access Journals (Sweden)

    Donna A. Messner

    2016-09-01

    Full Text Available This research aims to inform policymakers by engaging expert stakeholders to identify, prioritize, and deliberate the most important and tractable policy barriers to the clinical adoption of next generation sequencing (NGS. A 4-round Delphi policy study was done with a multi-stakeholder panel of 48 experts. The first 2 rounds of online questionnaires (reported here assessed the importance and tractability of 28 potential barriers to clinical adoption of NGS across 3 major policy domains: intellectual property, coverage and reimbursement, and FDA regulation. We found that: 1 proprietary variant databases are seen as a key challenge, and a potentially intractable one; 2 payer policies were seen as a frequent barrier, especially a perceived inconsistency in standards for coverage; 3 relative to other challenges considered, FDA regulation was not strongly perceived as a barrier to clinical use of NGS. Overall the results indicate a perceived need for policies to promote data-sharing, and a desire for consistent payer coverage policies that maintain reasonably high standards of evidence for clinical utility, limit testing to that needed for clinical care decisions, and yet also flexibly allow for clinician discretion to use genomic testing in uncertain circumstances of high medical need.

  2. 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.

    Science.gov (United States)

    Brown, Suzanne; Groza, Victor

    2013-01-01

    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.

  3. Affording Sustainability: Adopting a Theory of Affordances as a Guiding Heuristic for Environmental Policy.

    Science.gov (United States)

    Kaaronen, Roope O

    2017-01-01

    Human behavior is an underlying cause for many of the ecological crises faced in the 21st century, and there is no escaping from the fact that widespread behavior change is necessary for socio-ecological systems to take a sustainable turn. Whilst making people and communities behave sustainably is a fundamental objective for environmental policy, behavior change interventions and policies are often implemented from a very limited non-systemic perspective. Environmental policy-makers and psychologists alike often reduce cognition 'to the brain,' focusing only to a minor extent on how everyday environments systemically afford pro-environmental behavior. Symptomatic of this are the widely prevalent attitude-action, value-action or knowledge-action gaps, understood in this paper as the gulfs lying between sustainable thinking and behavior due to lack of affordances. I suggest that by adopting a theory of affordances as a guiding heuristic, environmental policy-makers are better equipped to promote policies that translate sustainable thinking into sustainable behavior, often self-reinforcingly, and have better conceptual tools to nudge our socio-ecological system toward a sustainable turn. Affordance theory, which studies the relations between abilities to perceive and act and environmental features, is shown to provide a systemic framework for analyzing environmental policies and the ecology of human behavior. This facilitates the location and activation of leverage points for systemic policy interventions, which can help socio-ecological systems to learn to adapt to more sustainable habits. Affordance theory is presented to be applicable and pertinent to technically all nested levels of socio-ecological systems from the studies of sustainable objects and households to sustainable urban environments, making it an immensely versatile conceptual policy tool. Finally, affordance theory is also discussed from a participatory perspective. Increasing the fit between local

  4. 77 FR 70181 - Request for Information on Adopting Smoke-Free Policies in Public Housing Agencies (PHAs) and...

    Science.gov (United States)

    2012-11-23

    ... 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...

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

    Directory of Open Access Journals (Sweden)

    Anna Ceccarelli

    2011-06-01

    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.

  6. 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".

    Science.gov (United States)

    Lee, Lucy

    2015-03-10

    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.

  7. Affording Sustainability: Adopting a Theory of Affordances as a Guiding Heuristic for Environmental Policy

    Directory of Open Access Journals (Sweden)

    Roope O. Kaaronen

    2017-11-01

    Full Text Available Human behavior is an underlying cause for many of the ecological crises faced in the 21st century, and there is no escaping from the fact that widespread behavior change is necessary for socio-ecological systems to take a sustainable turn. Whilst making people and communities behave sustainably is a fundamental objective for environmental policy, behavior change interventions and policies are often implemented from a very limited non-systemic perspective. Environmental policy-makers and psychologists alike often reduce cognition ‘to the brain,’ focusing only to a minor extent on how everyday environments systemically afford pro-environmental behavior. Symptomatic of this are the widely prevalent attitude–action, value–action or knowledge–action gaps, understood in this paper as the gulfs lying between sustainable thinking and behavior due to lack of affordances. I suggest that by adopting a theory of affordances as a guiding heuristic, environmental policy-makers are better equipped to promote policies that translate sustainable thinking into sustainable behavior, often self-reinforcingly, and have better conceptual tools to nudge our socio–ecological system toward a sustainable turn. Affordance theory, which studies the relations between abilities to perceive and act and environmental features, is shown to provide a systemic framework for analyzing environmental policies and the ecology of human behavior. This facilitates the location and activation of leverage points for systemic policy interventions, which can help socio–ecological systems to learn to adapt to more sustainable habits. Affordance theory is presented to be applicable and pertinent to technically all nested levels of socio–ecological systems from the studies of sustainable objects and households to sustainable urban environments, making it an immensely versatile conceptual policy tool. Finally, affordance theory is also discussed from a participatory perspective

  8. Affording Sustainability: Adopting a Theory of Affordances as a Guiding Heuristic for Environmental Policy

    Science.gov (United States)

    Kaaronen, Roope O.

    2017-01-01

    Human behavior is an underlying cause for many of the ecological crises faced in the 21st century, and there is no escaping from the fact that widespread behavior change is necessary for socio-ecological systems to take a sustainable turn. Whilst making people and communities behave sustainably is a fundamental objective for environmental policy, behavior change interventions and policies are often implemented from a very limited non-systemic perspective. Environmental policy-makers and psychologists alike often reduce cognition ‘to the brain,’ focusing only to a minor extent on how everyday environments systemically afford pro-environmental behavior. Symptomatic of this are the widely prevalent attitude–action, value–action or knowledge–action gaps, understood in this paper as the gulfs lying between sustainable thinking and behavior due to lack of affordances. I suggest that by adopting a theory of affordances as a guiding heuristic, environmental policy-makers are better equipped to promote policies that translate sustainable thinking into sustainable behavior, often self-reinforcingly, and have better conceptual tools to nudge our socio–ecological system toward a sustainable turn. Affordance theory, which studies the relations between abilities to perceive and act and environmental features, is shown to provide a systemic framework for analyzing environmental policies and the ecology of human behavior. This facilitates the location and activation of leverage points for systemic policy interventions, which can help socio–ecological systems to learn to adapt to more sustainable habits. Affordance theory is presented to be applicable and pertinent to technically all nested levels of socio–ecological systems from the studies of sustainable objects and households to sustainable urban environments, making it an immensely versatile conceptual policy tool. Finally, affordance theory is also discussed from a participatory perspective. Increasing the fit

  9. Perceptions of the state policy environment and adoption of medications in the treatment of substance use disorders.

    Science.gov (United States)

    Knudsen, Hannah K; Abraham, Amanda J

    2012-01-01

    Despite growing interest in the use of evidence-based treatment practices for treating substance use disorders, adoption of medications by treatment programs remains modest. Drawing on resource dependence and institutional theory, this study examined the relationships between adoption of medications by treatment programs and their perceptions about the state policy environment. Data were collected through mailed surveys and telephone interviews with 250 administrators of publicly funded substance abuse treatment programs in the United States between 2009 and 2010. Multiple imputation and multivariate logistic regression were used to estimate the associations between perceptions of the state policy environment and the odds of adopting at least one medication for the treatment of substance use disorders. A total of 91 (37%) programs reported having prescribed any medication for treatment of a substance use disorder. Programs were significantly more likely to have adopted at least one medication if they perceived greater support for medications by the Single State Agency. The odds of adoption were significantly greater if the program was aware that at least one medication was included on their state's Medicaid formulary and that state-contract funding permitted the purchase of medications. States may play significant roles in promoting the adoption of medications, but adequate dissemination of information about state policies and priorities may be vital to further adoption. Future research should continue to study the relationships between the adoption of medications for treating substance use disorders and the evolving policy environment.

  10. 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

    2016-01-01

    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.

  11. 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.

    2016-01-01

    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.

  12. Interaction of Technology Adoption Constraints and Multi-level Policy Coherence at the Energy-Food Nexus

    Science.gov (United States)

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

    2017-12-01

    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

  13. An integrated production-inventory model for food products adopting a general raw material procurement policy

    Science.gov (United States)

    Fauza, G.; Prasetyo, H.; Amanto, B. S.

    2018-05-01

    Studies on an integrated production-inventory model for deteriorating items have been done extensively. Most of the studies define deterioration as physical depletion of some inventories over time. This definition may not represent the deterioration characteristics of food products. The quality of food production decreases over time while the quantity remains the same. Further, in the existing models, the raw material is replenished several times (or at least once) within one production cycle. In food industries, however, a food company, for several reasons (e.g., the seasonal raw materials, discounted price, etc.) sometimes will get more benefit if it orders raw materials in a large quantity. Considering this fact, this research, therefore, is aimed at developing a more representative inventory model by (i) considering the quality losses in food and (ii) adopting a general raw material procurement policy. A mathematical model is established to represent the proposed policy in which the total profit of the system is the objective function. To evaluate the performance of the model, a numerical test was conducted. The numerical test indicates that the developed model has better performance, i.e., the total profit is 2.3% higher compared to the existing model.

  14. People adopt optimal policies in simple decision-making, after practice and guidance.

    Science.gov (United States)

    Evans, Nathan J; Brown, Scott D

    2017-04-01

    Organisms making repeated simple decisions are faced with a tradeoff between urgent and cautious strategies. While animals can adopt a statistically optimal policy for this tradeoff, findings about human decision-makers have been mixed. Some studies have shown that people can optimize this "speed-accuracy tradeoff", while others have identified a systematic bias towards excessive caution. These issues have driven theoretical development and spurred debate about the nature of human decision-making. We investigated a potential resolution to the debate, based on two factors that routinely differ between human and animal studies of decision-making: the effects of practice, and of longer-term feedback. Our study replicated the finding that most people, by default, are overly cautious. When given both practice and detailed feedback, people moved rapidly towards the optimal policy, with many participants reaching optimality with less than 1 h of practice. Our findings have theoretical implications for cognitive and neural models of simple decision-making, as well as methodological implications.

  15. Nationwide survey of policies and practices related to capillary blood sampling in medical laboratories in Croatia.

    Science.gov (United States)

    Krleza, Jasna Lenicek

    2014-01-01

    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.

  16. Switching statins in Norway after new reimbursement policy: a nationwide prescription study.

    Science.gov (United States)

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

    2007-10-01

    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.

  17. Nationwide survey of policies and practices related to capillary blood sampling in medical laboratories in Croatia

    Science.gov (United States)

    Krleza, Jasna Lenicek

    2014-01-01

    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 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). Results: 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. Conclusions: 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. PMID:25351353

  18. Switching statins in Norway after new reimbursement policy – a nationwide prescription study

    Science.gov (United States)

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

    2007-01-01

    . 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

  19. 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

    2008-01-01

    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......-smokers divided by total ever-smokers. In regression analyses we explored the correlation between national quit ratios and the national score on the Tobacco Control Scale. RESULTS: Quit ratios were especially high (>45%) in Sweden, England, Netherlands, Belgium and France, and relatively low (... quit ratios than countries with less developed tobacco control policies. High and low educated smokers benefit about equally from the nation-wide tobacco control policies....

  20. A meta-analysis of determinants of RFID adoption around the world: Organization, technology, and public policy

    Directory of Open Access Journals (Sweden)

    Sabinne Lee

    2017-01-01

    Full Text Available Purpose - This paper aims to explore various factors associated with radio frequency identification (RFID adoption with quantitative meta-analysis. More specifically, this paper attempts to measure key variables of RFID adoption derived from Rogers’ innovation theory and further examines how state intervention influences the process of RFID adoption. First, this paper compares, relying on a meta-analysis, various mean effect sizes among technological, organizational and environmental factors (i.e. government-driven policies that Rogers suggested in his innovation model. Design/methodology/approach - In mean effect size analysis, this paper finds that the technological factor is the most powerful factor that affects the RFID adoption. The technological factor is statistically significant across all regions, including North America, Europe and Asia. The organizational factor is significant only in developing countries like Southeast Asian countries and East Asian countries. Environmental factors like government intervention for facilitating RFID adoption are strong enough only in Southeast Asia and Europe. Findings - This paper finds that government’s supportive policy is more effective in Europe but not in America, while external pressure is still more effective in Southeast Asia. These results implicate that developmentalism or government-driven policy can be effective not only in developing countries but also in the case of developed countries. In addition, this paper conducts a seemingly unrelated regression (SUR analysis based on Fisher’s standardized score. Originality/value - In SUR analysis, this paper finds that the correlations between RFID adoption intention and three innovation factors vary across industrial areas. More specifically, the manufacturing area shows negative moderating effect on all three equations where correlations between Rogers’ innovation factors and RFID adoption intention are meta-dependent variables. Also

  1. Adoptive parenting.

    Science.gov (United States)

    Grotevant, Harold D; Lo, Albert Yh

    2017-06-01

    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.

  2. Farmers' adoption of maize (Zea mays L.). Hybrids and persistence of landraces in Southwest China: implications for policy and breeding

    NARCIS (Netherlands)

    Li, Jingsong; Lammerts Van Bueren, E.; Jiggins, Janice; Leeuwis, C.

    2012-01-01

    This paper examines changes in the distribution of maize hybrids and landraces in the mountainous areas of southwest China over 1998–2008, farmers’ reasons for cultivar adoption and the implications for national policies in relation to seed production and breeding, based on baseline data and a

  3. 12 CFR 550.140 - Must I adopt and follow written policies and procedures in exercising fiduciary powers?

    Science.gov (United States)

    2010-01-01

    ... procedures in exercising fiduciary powers? 550.140 Section 550.140 Banks and Banking OFFICE OF THRIFT SUPERVISION, DEPARTMENT OF THE TREASURY FIDUCIARY POWERS OF SAVINGS ASSOCIATIONS Exercising Fiduciary Powers § 550.140 Must I adopt and follow written policies and procedures in exercising fiduciary powers? You...

  4. Globalisation, Language Planning and Language Rights: The Recent Script Policy Measures Adopted by Japan and the People's Republic of China

    Science.gov (United States)

    Premaratne, Dilhara D.

    2015-01-01

    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…

  5. Child morbidity and mortality associated with alternative policy responses to the economic crisis in Brazil: A nationwide microsimulation study.

    Science.gov (United States)

    Rasella, Davide; Basu, Sanjay; Hone, Thomas; Paes-Sousa, Romulo; Ocké-Reis, Carlos Octávio; Millett, Christopher

    2018-05-01

    Since 2015, a major economic crisis in Brazil has led to increasing poverty and the implementation of long-term fiscal austerity measures that will substantially reduce expenditure on social welfare programmes as a percentage of the country's GDP over the next 20 years. The Bolsa Família Programme (BFP)-one of the largest conditional cash transfer programmes in the world-and the nationwide primary healthcare strategy (Estratégia Saúde da Família [ESF]) are affected by fiscal austerity, despite being among the policy interventions with the strongest estimated impact on child mortality in the country. We investigated how reduced coverage of the BFP and ESF-compared to an alternative scenario where the level of social protection under these programmes is maintained-may affect the under-five mortality rate (U5MR) and socioeconomic inequalities in child health in the country until 2030, the end date of the Sustainable Development Goals. We developed and validated a microsimulation model, creating a synthetic cohort of all 5,507 Brazilian municipalities for the period 2017-2030. This model was based on the longitudinal dataset and effect estimates from a previously published study that evaluated the effects of poverty, the BFP, and the ESF on child health. We forecast the economic crisis and the effect of reductions in BFP and ESF coverage due to current fiscal austerity on the U5MR, and compared this scenario with a scenario where these programmes maintain the levels of social protection by increasing or decreasing with the size of Brazil's vulnerable populations (policy response scenarios). We used fixed effects multivariate regression models including BFP and ESF coverage and accounting for secular trends, demographic and socioeconomic changes, and programme duration effects. With the maintenance of the levels of social protection provided by the BFP and ESF, in the most likely economic crisis scenario the U5MR is expected to be 8.57% (95% CI: 6.88%-10.24%) lower

  6. The adoption of energy efficiency enhancing technologies. Market Performance and Policy Strategies in Case of Heterogeneous Firms

    Energy Technology Data Exchange (ETDEWEB)

    Verhoef, E.; Nijkamp, P. [Department of Spatial Economics, Free University Amsterdam, Amsterdam (Netherlands)

    1997-07-01

    The adoption of energy-efficiency enhancing technologies by heterogeneous firms is analyzed. The fact that energy use does not only cause external environmental costs through pollution, but also directly affects the profitability of the firm and hence its behaviour on input and output markets is taken for granted. It is demonstrated that the consideration of such market processes may have important implications for the efficiency of environmental policies concerned with energy use. The analysis focuses in particular on the efficiency of the market-led adoption and diffusion process under various policy regimes. It is shown that the promotion of energy-efficiency enhancing technologies might have unexpected effects in that it could lead to an increase in energy use, while the use of energy taxes might actually reduce the attractiveness of energy-saving technologies. 22 refs.

  7. 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

    2015-01-01

    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

  8. 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

    2014-01-01

    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

  9. Movements, Countermovements and Policy Adoption: The Case of Right-to-Work Activism

    Science.gov (United States)

    Dixon, Marc

    2008-01-01

    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…

  10. Child morbidity and mortality associated with alternative policy responses to the economic crisis in Brazil: A nationwide microsimulation study

    Science.gov (United States)

    Paes-Sousa, Romulo; Ocké-Reis, Carlos Octávio; Millett, Christopher

    2018-01-01

    Background Since 2015, a major economic crisis in Brazil has led to increasing poverty and the implementation of long-term fiscal austerity measures that will substantially reduce expenditure on social welfare programmes as a percentage of the country’s GDP over the next 20 years. The Bolsa Família Programme (BFP)—one of the largest conditional cash transfer programmes in the world—and the nationwide primary healthcare strategy (Estratégia Saúde da Família [ESF]) are affected by fiscal austerity, despite being among the policy interventions with the strongest estimated impact on child mortality in the country. We investigated how reduced coverage of the BFP and ESF—compared to an alternative scenario where the level of social protection under these programmes is maintained—may affect the under-five mortality rate (U5MR) and socioeconomic inequalities in child health in the country until 2030, the end date of the Sustainable Development Goals. Methods and findings We developed and validated a microsimulation model, creating a synthetic cohort of all 5,507 Brazilian municipalities for the period 2017–2030. This model was based on the longitudinal dataset and effect estimates from a previously published study that evaluated the effects of poverty, the BFP, and the ESF on child health. We forecast the economic crisis and the effect of reductions in BFP and ESF coverage due to current fiscal austerity on the U5MR, and compared this scenario with a scenario where these programmes maintain the levels of social protection by increasing or decreasing with the size of Brazil’s vulnerable populations (policy response scenarios). We used fixed effects multivariate regression models including BFP and ESF coverage and accounting for secular trends, demographic and socioeconomic changes, and programme duration effects. With the maintenance of the levels of social protection provided by the BFP and ESF, in the most likely economic crisis scenario the U5MR is

  11. Adopting, manipulating, transforming: tactics used by gender practitioners in South African NGOs to translate international gender policies into local practice.

    Science.gov (United States)

    Mannell, Jenevieve

    2014-11-01

    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.

  12. Familial transmission of prostate, breast and colorectal cancer in adoptees is related to cancer in biological but not in adoptive parents: a nationwide family study.

    Science.gov (United States)

    Zöller, Bengt; Li, Xinjun; Sundquist, Jan; Sundquist, Kristina

    2014-09-01

    Familial clustering of prostate, breast and colorectal cancer is well established, but the familial risk of these cancers has not been determined among adoptees. The aim was to disentangle the contributions of genetic and environmental factors to the familial transmission of prostate, breast and colorectal cancer. The Swedish Multi-Generation Register was used to follow all adoptees born between 1932 and 1969 (n=70,965) for prostate, breast and colorectal cancer from January 1958 up to December 2010. The risk of prostate, breast and colorectal cancer was estimated in adoptees with at least one biological parent with the same cancer type compared with adoptees without a biological parent with the same cancer type. The risk of cancer was also determined in adoptees with at least one adoptive parent with cancer compared with adoptees with an adoptive parent without cancer. Adoptees with at least one biological parent with prostate, breast or colorectal cancer were more likely to have cancer of the same type than adoptees with biological parents not affected by these respective cancer types (standardised incidence ratio=SIR: 1.8 [95% confidence interval 1.2-2.7], 2.0 [1.6-2.5] and 1.9 [1.2-2.9], respectively). In contrast, adoptees with at least one adoptive parent with prostate, breast or colorectal cancer were not at an increased risk of these respective cancer types (SIR=1.2 [0.94-1.6], 0.97 [0.71-1.3], and 1.1 [0.71-1.5], respectively). The findings of the study support the importance of genetic/biological factors in the familial transmission of prostate, breast and colorectal cancer. Copyright © 2014 Elsevier Ltd. All rights reserved.

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

    Directory of Open Access Journals (Sweden)

    Pradeep Kumar Misra

    2010-07-01

    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.

  14. Language Learning as Culture Keeping: Family Language Policies of Transnational Adoptive Parents

    Science.gov (United States)

    Shin, Sarah J.

    2014-01-01

    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…

  15. 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

    2013-04-01

    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.

  16. Continuing medical education and pharmaceutical industry involvement: An evaluation of policies adopted by Canadian professional medical associations.

    Science.gov (United States)

    Shnier, Adrienne; Lexchin, Joel

    2017-01-01

    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.

  17. Conflict and compromise in public health policy: analysis of changes made to five competitive food legislative proposals prior to adoption.

    Science.gov (United States)

    Dinour, Lauren M

    2015-04-01

    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 important strategy for reducing childhood obesity. Yet little is known about the decision-making processes by which such legislation is formed and adopted. Using a comparative case study design, this study describes and analyzes the policy formation processes surrounding five state-level competitive food bills introduced in 2009-2010. Data for each case were drawn from multiple key informant interviews and document reviews. Case studies were conducted, analyzed, and written independently using a standard protocol and were subsequently compared for recurring and unique themes. Abbreviated case studies and summary tables are provided. Results indicate that bill cost is a major barrier to achieving strong, health-promoting policy change. Additionally, findings reveal that supporters of stronger competitive food policies often concede to changes that weaken a bill in order to neutralize opposition and achieve stakeholder buy-in. These challenges suggest that continued research on the development, implementation, and evaluation of public health policies can contribute to the advancement of new strategies for effective health promotion. © 2015 Society for Public Health Education.

  18. Recommendations for Adopting the International Code of Marketing of Breast-milk Substitutes Into U.S. Policy.

    Science.gov (United States)

    Soldavini, Jessica; Taillie, Lindsey Smith

    2017-08-01

    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.

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

    NARCIS (Netherlands)

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

    2014-01-01

    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

  20. 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.

    2008-01-01

    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

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

    OpenAIRE

    Borges Ladeira, Francielli Martins; Vier Machado, Hilka

    2013-01-01

    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 ...

  2. Impact of climate policy uncertainty on the adoption of electricity generating technologies

    International Nuclear Information System (INIS)

    Fuss, Sabine; Obersteiner, Michael; Johansson, Daniel J.A.; Szolgayova, Jana

    2009-01-01

    This paper presents a real options model where multiple options are evaluated simultaneously so that the effect of the individual options on each other is accounted for. We apply this model to the electricity sector, where we analyze three typical technologies based on fossil fuel, fossil fuel with carbon capture and renewable energy, respectively. In this way, we can analyze the transition from CO 2 -intensive to CO 2 -neutral electricity production in the face of rising and uncertain CO 2 prices. In addition, such a modelling approach enables us to estimate precisely the expected value of (perfect) information, i.e. the willingness of investors and producers to pay for information about the correct CO 2 price path. As can be expected, the expected value of information rises with increasing CO 2 price uncertainty. In addition, the larger the price uncertainty, the larger are the cumulative CO 2 emissions over the coming century. The reason for this is that the transition to less CO 2 -intensive technologies is increasingly postponed with rising CO 2 price uncertainty. By testing different price processes (geometric Brownian motion versus jump processes with different jump frequencies), we can also make useful recommendations concerning the importance of policy predictability. We find that it is better to have climate change policies that are stable over a certain length of time and change abruptly than less abrupt but more frequently changing policies. Less frequent fluctuations reduce the expected value of information and result in smaller cumulative CO 2 emissions. (author)

  3. Technology and Policy Challenges in the Adoption and Operation of Health Information Exchange Systems.

    Science.gov (United States)

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

    2017-10-01

    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.

  4. Some Numbers behind Canada's Decision to Adopt an Orphan Drug Policy: US Orphan Drug Approvals in Canada, 1997-2012.

    Science.gov (United States)

    Herder, Matthew; Krahn, Timothy Mark

    2016-05-01

    We examined whether access to US-approved orphan drugs in Canada has changed between 1997 (when Canada chose not to adopt an orphan drug policy) and 2012 (when Canada reversed its policy decision). Specifically, we looked at two dimensions of access to US-approved orphan drugs in Canada: (1) regulatory access; and (2) temporal access. Whereas only 63% of US-approved orphan drugs were granted regulatory approval in 1997, we found that regulatory access to US-approved orphan drugs in Canada increased to 74% between 1997 and 2012. However, temporal access to orphan drugs is slower in Canada: in a head-on comparison of 40 matched drugs, only two were submitted and four were approved first in Canada; moreover, the mean review time in Canada (423 days) was longer than that in the US (mean = 341 days), a statistically significant difference (t[39] = 2.04, p = 0.048). These results raise questions about what motivated Canada's apparent shift in orphan drug policy. Copyright © 2016 Longwoods Publishing.

  5. Review of economic and energy sector implications of adopting global climate change policies

    Energy Technology Data Exchange (ETDEWEB)

    Novak, M.H.

    1997-12-31

    This paper summarizes a number of studies examining potential economic impacts of global climate change policies. Implications for the United States as a whole, the U.S. energy sector, the U.S. economy, businesses and consumers, and world economies are considered. Impact assessments are performed of U.S. carbon emissions, carbon taxes, and carbon restrictions by comparing estimates from various organizations. The following conclusions were made from the economic studies: (1) the economic cost of carbon abatement is expensive; (2) the cost of unilateral action is very expensive with little quantifiable evidence that global emissions are reduced; (3) multilateral actions of developed countries are also very expensive, but there is quantifiable evidence of global emissions reductions; and (4) global actions have only been theoretically addressed. Paralleling these findings, the energy analyses show that the U.S. is technologically unprepared to give up fossil fuels. As a result: (1) carbon is not stabilized without a high tax, (2) stabilization of carbon is elusive, (3) technology is the only long-term answer, and (4) targeted programs may be appropriate to force technology development. 8 tabs.

  6. Language policy and language learning in Macedonia Which lessons may be adopted from the Swiss model?

    Directory of Open Access Journals (Sweden)

    Xhaferri, Gëzim

    2014-03-01

    Full Text Available The following paper will investigate the acquisition of Macedonian languages in public schools and universities, focusing on the Albanian and Macedonian languages. As the saying goes: "The more languages you speak, the more human you are". Abiding by this proverb, the citizens of the Republic of Macedonia should be encouraged to become multilingual by learning the national languages. The acquisition of the national languages in a multilingual, multiethnic and multicultural country like Macedonia is, in my opinion, a necessary step toward the establishment of smooth and peaceful communication between the country's two largest cultural groups (Macedonians and Albanians, and is therefore also a prerequisite for the successful integration of every citizen into their home country's society. This paper also investigates Switzerland's multilingual and multicultural society, which serves as a successful and positive example of how a nation can deal with a multilingual population and the integration of its population. With this in mind, the question is raised here whether the model of Switzerland's language policy and national language instruction can perhaps also serve as an example for the Republic of Macedonia.

  7. Openness in Adoption: Exploring Family Connections.

    Science.gov (United States)

    Grotevant, Harold D.; McRoy, Ruth G.

    Noting social and demographic changes provoking a trend toward openness in adoption practice, this book presents the findings from a nationwide study examining the impact of variations in openness in adoption on participants in the adoptive kinship network: adopted children, adoptive parents, and the children's birth parents. The first chapter of…

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

    Science.gov (United States)

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

    2015-12-30

    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. Deans of all UK medical schools registered with the Medical Schools Council were invited to participate in this survey electronically. The number of medical schools that operate institutional MB/PhD programmes or permit self-directed student PhD intercalation. Medical school recruitment procedures and attitudes to policy guidance. 27 of 33 (81%) registered UK medical schools responded. Four (14%) offer an institutional MB/PhD programme. However, of those without institutional programmes, 17 (73%) permit study interruption and PhD intercalation: two do not (one of whom had discontinued their programme in 2013), three were unsure and one failed to answer the question. Regarding student eligibility, respondents cited high academic achievement in medical studies and a bachelor's or master's degree. Of the Medical schools without institutional MB/PhD programmes, 5 (21%) have intentions to establish a programme, 8 (34%) do not and 3 were unsure, seven did not answer. 19 medical schools (70%) considered national guidelines are needed for future MB/PhD programme development. We report the first national survey of MB/PhD training in the UK. Four medical schools have operational institutional MB/PhD programmes, with a further five intending to establish one. Most medical schools permit study interruption and PhD intercalation. The total number MB/PhD students yet to graduate from medical school could exceed 150, with 30 graduating per year. A majority of medical school respondents to this survey believe national guidelines are required for MB/PhD programme development and implementation. Further research should focus on the MB/PhD student experience. Discussion regarding local and national MB/PhD policies between medical

  9. An analysis of policy scenario effects on the adoption of energy production on the farm: A case study in Emilia–Romagna (Italy)

    International Nuclear Information System (INIS)

    Bartolini, Fabio; Viaggi, Davide

    2012-01-01

    The agriculture sector’s contribution to energy production is a central issue in ongoing policy debates, and one of the central elements of the development of Bioeconomy sector. The Common Agricultural Policy (CAP) is one of the main determinants of the different farm strategies of European farmers. The CAP is now undergoing a thorough revision process which necessarily includes a debate of the role of the policy in rural areas and the effectiveness of the various CAP policy mechanisms. The objective of this paper is to assess the impact of alternative CAP scenarios in the light of the possible changes in 2013 and the willingness to adopt energy plants for energy crops in the Province of Bologna (Italy). This is pursued using both survey information and farm-household mathematical programming models, hence using stated intentions and simulated profitability to analyse the adopt of new technologies for energy production. The results underscore the relevance of the CAP scenarios in altering intentions with regard to the adoption of energy production and the relevant effect of uncertainty in delaying the diffusion of energy production systems. - Highlights: ► We analyse policy effects on adoption of energy production by the farms. ► CAP scenario strongly affects the intention to adopt energy productions. ► Uncertainty in decision variables have the effect to postpone the decision on energy productions.

  10. 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.

    2015-01-01

    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

  11. Differences in school environment, school policy and actions regarding overweight prevention between Dutch schools. A nationwide survey

    Directory of Open Access Journals (Sweden)

    Buijs Goof

    2010-01-01

    Full Text Available Abstract Background Schools are regarded as an important setting for the prevention of overweight. This study presents a nationally representative picture of the obesogenity of the school environment, the awareness of schools regarding overweight, and actions taken by the schools aiming at overweight prevention. In addition, differences between school levels were studied. Methods In 2006-2007, questionnaires were sent to all Dutch secondary schools (age group 12-18 years. Prevalences of the outcome variables were calculated for the schools in total and by school level. The association between school level and outcome variables were analysed by a log linear regression. Results Unhealthy foods and drinks are widely available at secondary schools. One third of the schools indicated that overweight has increased among students and half of the schools agreed that schools were (coresponsible for the prevention of overweight. Only 3% of the schools have a policy on overweight prevention. Small differences were observed between vocational education schools and higher education schools. The presence of vending machines did not differ by school level, but at vocational education schools, the content of the vending machines was less healthy. Conclusion This study describes the current situation at schools which is essential for the development and evaluation of future overweight prevention policies and interventions. In general, secondary schools are not actively involved in overweight prevention and the nutritional environment at most schools could be improved. The small differences between school levels do not give reason for a differential approach for a certain school level for overweight prevention.

  12. Impact of Smoke-Free Residence Hall Policies: The Views of Administrators at 3 State Universities

    Science.gov (United States)

    Gerson, Megan

    2005-01-01

    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…

  13. 75 FR 8953 - Office of the National Coordinator for Health Information Technology HIT Policy Committee...

    Science.gov (United States)

    2010-02-26

    ... Coordinator for Health Information Technology, HHS. ACTION: Notice of meeting. This notice announces a... Information Technology (ONC). The meeting will be open to the public. Name of Committee: HIT Policy Committee... a policy framework for the development and adoption of a nationwide health information technology...

  14. UNICEF's contribution to the adoption and implementation of option B+ for preventing mother-to-child transmission of HIV: a policy analysis.

    Science.gov (United States)

    Chersich, M F; Newbatt, E; Ng'oma, K; de Zoysa, I

    2018-06-01

    Between 2011 and 2013, global and national guidelines for preventing mother-to-child transmission (PMTCT) of HIV shifted to recommend Option B+, the provision of lifelong antiretroviral treatment for all HIV-infected pregnant women. We aimed to analyse how Option B+ reached the policy agenda, and unpack the processes, actors and politics that explain its adoption, with a focus on examining UNICEF's contribution to these events. Analysis drew on published articles and other documentation, 30 key informants interviews with staff at UNICEF, partner organisations and government officials, and country case studies. Cameroon, India, South Africa and Zimbabwe were each visited for 5-8 days. Interview transcripts were analysed using Dedoose software, reviewed several times and then coded thematically. A national policy initiative in Malawi in 2011, in which the country adopted Option B+, rather than existing WHO recommended regimens, irrevocably placed the policy on the global agenda. UNICEF and other organisations recognised the policy's potential impact and strategically crafted arguments to support it, framing these around operational considerations, cost-effectiveness and values. As 'policy entrepreneurs', these organisations vigorously promoted the policy through a variety of channels and means, overcoming concerted opposition. WHO, on the basis of scanty evidence, released a series of documents towards the policy's endorsement, paving the way for its widespread adoption. National-level policy transformation was rapid and definitive, distinct from previous incremental policy processes. Many organisations, including UNICEF, facilitated these changes in country, acting individually, or in concert. The adoption of the Option B+ policy marked a departure from established processes for PMTCT policy formulation which had been led by WHO with the support of technical experts, and in which recommendations were developed following shifts in evidence. Rather, changes were

  15. 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.

    2014-01-01

    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

  16. Designers' enactment of the policy intentions. An ethnographic study of the adoption of energy regulations in England and Wales

    International Nuclear Information System (INIS)

    Zapata-Lancaster, Gabriela; Tweed, Chris

    2014-01-01

    The United Kingdom is aspiring to reduce the carbon emissions in the building sector, aiming to achieve nearly zero carbon buildings by 2020. The policy models in England and Wales rely on three strands: regulations; financial incentives and educational schemes. A growing body of literature suggests that the building industry is facing several barriers that hinder the delivery of the expected carbon targets outlined at policy level. This research explores the enactment of the policy aspirations by building designers using a bottom-up approach. An ethnographic study was conducted to analyse the design process of six non-domestic buildings. The work identified the designers' responses to adopt the policy agenda in routine design and overcome the challenges that emerged during the design process. The understanding of the designers' responses could inform the policy model and suggest areas that need attention for the timely delivery of the expected carbon reductions. - Highlights: • Designers' compliance of regulations may not conform to performance-driven processes. • Stakeholders' expectations and poor awareness of performance hinder compliance. • Designers implement flexible responses to adopt the low carbon policy agenda. • The engagement of the stakeholders enables the continuity of energy aspirations. • Policies may benefit from understanding the bottom-up responses in routine design

  17. Why Do Policy-Makers Adopt Global Education Policies? Toward a Research Framework on the Varying Role of Ideas in Education Reform

    Science.gov (United States)

    Verger, Antoni

    2014-01-01

    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…

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

    OpenAIRE

    Cheng Fang; Bruce A. Babcock

    2003-01-01

    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...

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

    OpenAIRE

    Savage, Jeff; Ribaudo, Marc

    2012-01-01

    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 ...

  20. Policies and practices related to information system adoption in hospitals owned by Ministries of Health in the Arab Gulf.

    Science.gov (United States)

    Nabali, H M

    1992-07-01

    This is a discussion paper based on the findings from a study of the factors affecting the adoption of computer-based hospital information systems (CBHIS) in the Arabian Gulf. The study involved on-site visits to hospitals in Bahrain, Kingdom of Saudi Arabia, Kuwait, Qatar and the United Arab Emirates as well as visits to ministries of health in these countries. The focus of this paper is on the adoption of CBHIS by ministry of health (MOH) hospitals, in specific, because of the main role that ministries of health play as providers of health care in the Region. Prior to describing CBHIS adoption practices, an overview of the Region in terms of its economic development and its health care delivery systems is presented. Next, the research setting along with the major findings are briefly described followed by a discussion of the advantages and disadvantages of centralized CBHIS adoptions. Finally, management guidelines related to the adoption of CBHIS by multi-hospital institutions are proposed.

  1. 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

    2016-12-01

    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.

  2. 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

    2014-01-01

    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

  3. Classifying Adoption of Sustainability Policies and Programs: Quantitative and Qualitative Methods for the Development of a Community Sustainability Typology

    Science.gov (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...

  4. THE IMPORTANCE OF THE ADOPTION AND APPLICATION OF ACCOUNTING POLICIES TRANSITION COUNTRIES WITH REGARD TO COMPANIES IN SERBIA

    OpenAIRE

    ŽELJKO GRUBLJEŠIĆ; DALIBOR PAVLOVIĆ; RATKO GARIĆ; RAJKO MACURA; VESNA PETROVIĆ

    2016-01-01

    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 recommendati...

  5. Policy needs and options for a common transatlantic approach towards measuring adoption, usage and benefits of eHealth.

    Science.gov (United States)

    Stroetmann, Karl A; Middleton, Blackford

    2011-01-01

    The European Union (EU) sponsored ARGOS project analysed current eHealth policy thinking in both the EU and the USA, compared strategic challenges and outcomes in selected fields, and drafted roadmaps towards developing advanced global approaches for these issues. This policy brief focuses on better understanding the benefits and costs of eHealth investments, assessing their overall socio-economic impact, identifying challenges and success factors, as well as measuring and globally benchmarking the concrete usage of eHealth solutions. These are by now key policy priorities not only of national governments and the European Commission, but also of international institutions like WHO or OECD. There is a strong felt transatlantic need for stocktaking, identifying lessons learned, sharing of experience, and working together to advance these issues for the benefit of health systems. A growing number of national and international activities can be taken advantage of. Recommendations on how to proceed with such transatlantic activities are proposed.

  6. 75 FR 16126 - Office of the National Coordinator for Health Information Technology; HIT Policy Committee...

    Science.gov (United States)

    2010-03-31

    ... Coordinator for Health Information Technology, HHS. ACTION: Notice of meeting. This notice announces a... Information Technology (ONC). The meeting will be open to the public. Name of Committee: HIT Policy Committee... framework for the development and adoption of a nationwide health information technology infrastructure that...

  7. 76 FR 9782 - Office of the National Coordinator for Health Information Technology; HIT Policy Committee's...

    Science.gov (United States)

    2011-02-22

    ... Coordinator for Health Information Technology, HHS. ACTION: Notice of meetings. This notice announces... for Health Information Technology (ONC). The meetings will be open to the public via dial-in access... policy framework for the development and adoption of a nationwide health information technology...

  8. 75 FR 151 - Office of the National Coordinator for Health Information Technology; HIT Policy Committee...

    Science.gov (United States)

    2010-01-04

    ... Coordinator for Health Information Technology, HHS. ACTION: Notice of meeting. This notice announces a... Information Technology (ONC). The meeting will be open to the public. Name of Committee: HIT Policy Committee... framework for the development and adoption of a nationwide health information technology infrastructure that...

  9. 76 FR 9784 - Office of the National Coordinator for Health Information Technology; HIT Policy Committee...

    Science.gov (United States)

    2011-02-22

    ... Coordinator for Health Information Technology, HHS. ACTION: Notice of meeting. This notice announces a... Information Technology (ONC). The meeting will be open to the public. Name of Committee: HIT Policy Committee... framework for the development and adoption of a nationwide health information technology infrastructure that...

  10. 75 FR 65486 - Office of the National Coordinator for Health Information Technology; HIT Policy Committee...

    Science.gov (United States)

    2010-10-25

    ... Coordinator for Health Information Technology, HHS. ACTION: Notice of meeting. This notice announces a... Information Technology (ONC). The meeting will be open to the public. Name of Committee: HIT Policy Committee... framework for the development and adoption of a nationwide health information technology infrastructure that...

  11. 75 FR 29762 - Office of the National Coordinator for Health Information Technology; HIT Policy Committee...

    Science.gov (United States)

    2010-05-27

    ... Coordinator for Health Information Technology, HHS. ACTION: Notice of meeting. This notice announces a... Information Technology (ONC). The meeting will be open to the public. Name of Committee: HIT Policy Committee... framework for the development and adoption of a nationwide health information technology infrastructure that...

  12. 75 FR 51820 - Office of the National Coordinator for Health Information Technology; HIT Policy Committee...

    Science.gov (United States)

    2010-08-23

    ... Coordinator for Health Information Technology, HHS. ACTION: Notice of meeting. This notice announces a... Information Technology (ONC). The meeting will be open to the public. Name of Committee: HIT Policy Committee... framework for the development and adoption of a nationwide health information technology infrastructure that...

  13. 76 FR 4352 - Office of the National Coordinator for Health Information Technology; HIT Policy Committee...

    Science.gov (United States)

    2011-01-25

    ... Coordinator for Health Information Technology, HHS. ACTION: Notice of meeting. This notice announces a... Information Technology (ONC). The meeting will be open to the public. Name of Committee: HIT Policy Committee... framework for the development and adoption of a nationwide health information technology infrastructure that...

  14. 75 FR 5595 - Office of the National Coordinator for Health Information Technology; HIT Policy Committee...

    Science.gov (United States)

    2010-02-03

    ... Coordinator for Health Information Technology, HHS. ACTION: Notice of meeting. This notice announces a... Information Technology (ONC). The meeting will be open to the public. Name of Committee: HIT Policy Committee... framework for the development and adoption of a nationwide health information technology infrastructure that...

  15. 75 FR 51819 - Office of the National Coordinator for Health Information Technology; HIT Policy Committee...

    Science.gov (United States)

    2010-08-23

    ... Coordinator for Health Information Technology, HHS. ACTION: Notice of meeting. This notice announces a... Information Technology (ONC). The meeting will be open to the public. Name of Committee: HIT Policy Committee... framework for the development and adoption of a nationwide health [[Page 51820

  16. 75 FR 57026 - Office of the National Coordinator for Health Information Technology; HIT Policy Committee...

    Science.gov (United States)

    2010-09-17

    ... Coordinator for Health Information Technology, HHS. ACTION: Notice of meeting. This notice announces a... Information Technology (ONC). The meeting will be open to the public. Name of Committee: HIT Policy Committee... framework for the development and adoption of a nationwide health information technology infrastructure that...

  17. 75 FR 42091 - Office of the National Coordinator for Health Information Technology; HIT Policy Committee...

    Science.gov (United States)

    2010-07-20

    ... Coordinator for Health Information Technology, HHS. ACTION: Notice of meeting. This notice announces a... Information Technology (ONC). The meeting will be open to the public. Name of Committee: HIT Policy Committee... framework for the development and adoption of a nationwide health information technology infrastructure that...

  18. 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.

    2004-10-01

    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.)

  19. THE IMPORTANCE OF THE ADOPTION AND APPLICATION OF ACCOUNTING POLICIES TRANSITION COUNTRIES WITH REGARD TO COMPANIES IN SERBIA

    Directory of Open Access Journals (Sweden)

    ŽELJKO GRUBLJEŠIĆ

    2016-02-01

    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.

  20. 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)

    2017-01-01

    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.

  1. Open adoption of infants: adoptive parents' feelings seven years later.

    Science.gov (United States)

    Siegel, Deborah H

    2003-07-01

    Adoptions today increasingly include contact between adoptive and birth families. What do these "open adoptions" look like? How do the participants feel about them? This article, based on part of a longitudinal study that first examined adoptive parents' perceptions of their infants' open adoptions seven years ago, explores the parents' reactions now that their children are school age. This qualitative descriptive research revealed changes in the openness in the adoptions over time and identified four dimensions along which open adoptions vary. Findings showed parents' enthusiasm for the openness in their adoptions, regardless of the type and extent of openness. Implications for social work practice, education, and policy are explored.

  2. Adoption and Assisted Reproduction. Adoption and Ethics, Volume 4.

    Science.gov (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…

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

    Science.gov (United States)

    Vandevijvere, Stefanie; Swinburn, Boyd

    2014-05-15

    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

  4. Adopting a Water-Food-Energy nexus approach to explore the synergies and trade-offs of food-water policies in Spain

    Science.gov (United States)

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

    2016-04-01

    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

  5. Informed policies

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

    INTERNATIONAL DEVELOPMENT RESEARCH CENTRE. Informed ... more evidence-based policy on social ... Community involvement is key to the success of CBMS in reducing poverty. IDRC ... nationwide network of “telecentres” that ... and holidays for young people to use for ... National Conference on Youth led to the.

  6. Adoption of Broadband Services

    DEFF Research Database (Denmark)

    Falch, Morten

    2008-01-01

    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 suc....... Many countries have provided active support for stimulating diffusion of broadband and national variants of this type of policies in different countries are important for an explanation of national differences in adoption of broadband....

  7. Smartphone adoption

    DEFF Research Database (Denmark)

    Petrovcikova, Katarina; Sudzina, Frantisek

    2017-01-01

    Smartphones are used by majority of Western population, and they are mobile phones of choice also in the rest of the world. The Theory of Consumption Values (TCV) is a marketing theory that explains purchase behavior of consumer goods and services. The framework consists of functional, social......, epistemic, hedonic, and conditional values; the latter being functional and/or social values present only in a specific situation. TCV is used in mobile device adoption literature disproportionably more often than in other fields. But virtually all TCV studies focused on smartphones are qualitative. The aim...

  8. Open adoption: adoptive parents' reactions two decades later.

    Science.gov (United States)

    Siegel, Deborah H

    2013-01-01

    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 in 1988. Every seven years these parents who adopted infants in open adoptions have participated in tape-recorded interviews to explore their evolving reactions to their open adoption experiences. This article reports the results of in-depth interviews with these parents now that their children have reached young adulthood. This longitudinal research illuminates how open adoptions change over the course of childhood and adolescence, parents' feelings about open adoption, challenges that emerge in their relationships with their children's birth families, how those challenges are managed and viewed, and parents' advice for others living with open adoption and for clinical social work practice and policy. Findings reveal that regardless of the type of openness, these adoptive parents generally feel positive about knowing the birth parents and having contact with them, are comfortable with open adoption, and see it serving the child's best interests.

  9. Adoption of medication alert systems in hospital outpatient departments in Taiwan.

    Science.gov (United States)

    Kuo, Yu-Chun; Cheng, Shou-Hsia

    2017-06-01

    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.

  10. 2015 E-Truck Task Force: Key Barriers Affecting E-Truck Adoption, Industry and Policy Implications, and Recommendations to Move the Market Forward

    OpenAIRE

    Brotherton, Tom; Gilde, Alycia; Tomic, Jasna

    2016-01-01

    CALSTART’s E-Truck Task Force (ETTF) produced a report outlining the markets for electric drive trucks (E-Trucks), the prime barriers facing their success and provided key findings and recommendations to support expanding E-Truck adoption. Four key findings have been identified by the E-Truck Task Force as barriers currently affecting the growth and viability of E-Truck sales

  11. Thinking About Adoption

    Science.gov (United States)

    ... asked questions. Q: I think I want to adopt. Where do I begin?​ A: Thinking about adoption ... through adoption. Learn more about their How-to-Adopt and Adoption Parenting Network . Q: What are the ...

  12. The role of civil society in health policy making in South Africa: a review of the strategies adopted by the Treatment Action Campaign.

    Science.gov (United States)

    Sabi, Stella C; Rieker, Mark

    2017-03-01

    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.

  13. 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)

    2017-01-01

    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.

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

    OpenAIRE

    Zori, S.

    2015-01-01

    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, ...

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

    Science.gov (United States)

    McDaniel, Patricia A; Malone, Ruth E

    2018-01-01

    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.

  16. Strengthening Adoption Practice, Listening to Adoptive Families

    Science.gov (United States)

    Atkinson, Anne; Gonet, Patricia

    2007-01-01

    In-depth interviews with 500 adoptive families who received postadoption services through Virginia's Adoptive Family Preservation (AFP) program paint a richly detailed picture of the challenges adoptive families face and what they need to sustain adoption for many years after finalization. Findings document the need for support in a variety of…

  17. 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.

    2017-01-01

    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.

  18. Implications of adopting a biodiversity-based vulnerability index versus a shoreline environmental sensitivity index on management and policy planning along coastal areas.

    Science.gov (United States)

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

    2017-02-01

    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.

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

    Energy Technology Data Exchange (ETDEWEB)

    Kerstens, S.M., E-mail: sjoerd.kerstens@rhdhv.com [Royal HaskoningDHV, P.O. Box 1132, 3800 BC, Amersfoort (Netherlands); Spiller, M., E-mail: marc.spiller@wur.nl [Wageningen University, Sub-department of Environmental Technology, P.O. Box 8129, 6700 EV Wageningen (Netherlands); Leusbrock, I., E-mail: ingo.leusbrock@wur.nl [Wageningen University, Sub-department of Environmental Technology, P.O. Box 8129, 6700 EV Wageningen (Netherlands); Zeeman, G., E-mail: grietje.zeeman@wur.nl [Wageningen University, Sub-department of Environmental Technology, P.O. Box 8129, 6700 EV Wageningen (Netherlands)

    2016-04-15

    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

  20. 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.

    2016-01-01

    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

  1. Antecedents to the adoption of ASPS in healthcare.

    Science.gov (United States)

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

    2003-01-01

    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.

  2. Translating policies into practice: a framework to prevent childhood obesity in afterschool programs.

    Science.gov (United States)

    Beets, Michael W; Webster, Collin; Saunders, Ruth; Huberty, Jennifer L

    2013-03-01

    Afterschool programs (3-6 p.m.) are positioned to play a critical role in combating childhood obesity. To this end, state and national organizations have developed policies related to promoting physical activity and guiding the nutritional quality of snacks served in afterschool programs. No conceptual frameworks, however, are available that describe the process of how afterschool programs will translate such policies into daily practice to reach eventual outcomes. Drawing from complex systems theory, this article describes the development of a framework that identifies critical modifiable levers within afterschool programs that can be altered and/or strengthened to reach policy goals. These include the policy environment at the national, state, and local levels; individual site, afterschool program leader, staff, and child characteristics; and existing outside organizational partnerships. Use of this framework and recognition of its constituent elements have the potential to lead to the successful and sustainable adoption and implementation of physical activity and nutrition policies in afterschool programs nationwide.

  3. 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

  4. Trade Policy

    OpenAIRE

    Murray Gibbs

    2007-01-01

    In an otherwise insightful and thoughtful article, Sebastian Pfotenhauer (Trade Policy Is Science Policy,” Issues, Fall 2013) might better have entitled his contribution “Trade Policy Needs to Be Reconciled with Science Policy.” The North American Free Trade Agreement (NAFTA) and the agreements administered by the World Trade Organization, particularly the General Agreement on Tariffs and Trade (GATT) and the Technical Barriers to Trade (TBT), were adopted to promote international trade and i...

  5. Adopted Children and Discipline

    Science.gov (United States)

    ... Family Dynamics > Adoption & Foster Care > Adopted Children & Discipline Family Life ... are the reasons for these patterns of parental inaction? Some adoptive parents are afraid their youngster might stop loving ...

  6. 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 ...

  7. Macro influencers of electronic health records adoption.

    Science.gov (United States)

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

    2015-01-01

    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.

  8. 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

    Science.gov (United States)

    Masaitis, A.

    2012-12-01

    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.

  9. Understanding producers' motives for adopting sustainable practices

    NARCIS (Netherlands)

    Trujillo-Barrera, Andres; Pennings, Joost M.E.; Hofenk, Dianne

    2016-01-01

    Understanding the motives and risk attitudes of producers to engage in sustainable practices is important for policy-makers who wish to increase the likelihood of adoption and improve the design of incentives. This article examines the underlying motives of producers to adopt sustainable

  10. Essays on Policy Evaluation with Endogenous Adoption

    Science.gov (United States)

    Gentile, Elisabetta

    2011-01-01

    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…

  11. 78 FR 24749 - Health Information Technology Policy Committee Appointment

    Science.gov (United States)

    2013-04-26

    ... 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...

  12. The impact of federal incentives on the adoption of hybrid electric vehicles in the United States

    International Nuclear Information System (INIS)

    Jenn, Alan; Azevedo, Inês L.; Ferreira, Pedro

    2013-01-01

    Starting in 2004, the federal government in the United States offered several nationwide incentives to consumers to increase the adoption of hybrid electric vehicles. This study assesses the effectiveness of the Energy Policy Act of 2005 in this regard using econometric methods and data between 2000 and 2010. Our model accounts for network externalities by using lagged sales as an independent variable. This approach helps to capture the exponential initial growth associated with the diffusion of new technologies and avoids overestimating the effect of the policy incentives. Our results show that the Energy Policy Act of 2005 increased the sales of hybrids from 3% to 20% depending on the vehicle model considered. In addition, we find that this incentive is only effective when the amount provided is sufficiently large. - Highlights: • We collected data on monthly car sales by vehicle model for 11 years. • Econometric methods are used to model vehicle sales. • Inclusion of a lagged dependent variable is employed to control for natural growth. • Direct monetary incentives are found to be statistically insignificant. • Macro-effects of unemployment and gas prices are important for vehicle sales

  13. Machine Replacement, Technology Adoption and Convergence.

    OpenAIRE

    Boucekkine, Raouf; Martinez, Blanca

    1999-01-01

    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...

  14. 77 FR 10183 - Reissuance of Nationwide Permits

    Science.gov (United States)

    2012-02-21

    ... Civil Works Program (Engineer Circular 1165- 2-211). The current Engineer Circular applies to Corps..., Corps of Engineers Reissuance of Nationwide Permits; Notice #0;#0;Federal Register / Vol. 77 , No. 34..., Corps of Engineers RIN 0710-AA71 Reissuance of Nationwide Permits AGENCY: Army Corps of Engineers, DoD...

  15. Adopted children in their adoptive families.

    Science.gov (United States)

    Schechter, M D; Holter, F R

    1975-08-01

    The adoptive process can produce unusual stresses on the child, and biologic and adoptive parents, from prenatal to postnatal life, and through the various phases of physical and pscyhological development. Because of the possibility of these children and their families falling into the "at risk" category with greater potential for psychological and social problems, the pediatrician is of primary importance in diagnosis and counseling. The pediatrician can be of major help in properly diagnosing emotional, behavioral and/or learning problems occurring in adopted children. There must be a thorough evaluation of the child and his family to understand and properly treat symptomatic behavior. The pediatrician can give advice regarding developmental milestones, and especially help the adoptive parents in appreciating their conscious and unconscious attitudes so as to enhance attachment behaviors. Pediatricians are the consultants to whom parents turn for advice regarding the timing of telling about adoption. This advice needs to be individualized according to the specific child's needs. Using a developmental conceptual framework, the pediatrician is in the best position to help the parents and their adopted children with their feelings about societal attitudes and how these can most appropriately be handled. Along this line, the pediatrician can give help and advice when and if the adoptee decides to search for his biologic parents. There is a need to clarify laws which seal the original birth certificate permitting those adoptees who wish to attain a knowledge of potentially related disease processes and an identity with his own genealogical past to do so. This would also allow the adoptee to offer his own children information about their own genetic pool and an awareness of adoption as one of the most valuable and historically significant child rearing practices.

  16. A nationwide low-level waste management system

    International Nuclear Information System (INIS)

    1985-01-01

    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

  17. The Danish Adoption Register.

    Science.gov (United States)

    Petersen, Liselotte; Sørensen, Thorkild I A

    2011-07-01

    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.

  18. Nationwide rural well water survey

    International Nuclear Information System (INIS)

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

    1993-01-01

    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.)

  19. Textbook and Instructional Materials Adoption Policy and Procedures. Policy Brief

    Science.gov (United States)

    Dumas, Paul

    2006-01-01

    In the U.S.-affiliated Pacific, the U.S. Department of Education (U.S. ED) and the U.S. Department of the Interior (DOI) are responsible for assisting State educational agencies (SEAs) in the development of planning and accountability systems to meet the requirements of the "No Child Left Behind Act of 2001" (NCLB) requirements and…

  20. 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

    2017-01-01

    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.)

  1. 2008 TIGER/Line Nationwide Dataset

    Data.gov (United States)

    California Natural Resource Agency — 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...

  2. The Danish Adoption Register

    DEFF Research Database (Denmark)

    Petersen, Liselotte; Sørensen, Thorkild I A

    2011-01-01

    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....

  3. Becoming an Adoptive Parent

    DEFF Research Database (Denmark)

    McIlvenny, Paul; Raudaskoski, Pirkko Liisa

    Our research approaches transnational adoption as a nexus of local and global practices which are mediated in talk, text and other modalities of discourse. We use mediated discourse analysis combined with virtual ethnography to understand the cross-cultural similarities and differences in transna......Our research approaches transnational adoption as a nexus of local and global practices which are mediated in talk, text and other modalities of discourse. We use mediated discourse analysis combined with virtual ethnography to understand the cross-cultural similarities and differences...... 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......, we trace how adopters publicly narrate their own experiences and problems with fertility and with adoption, as well as how they construct their personal websites, network with others locally and internationally, orient to other ‘sites’ or sources of information, share advice and create 'public goods...

  4. Medicare program; update of ratesetting methodology, payment rates, payment policies, and the list of covered procedures for ambulatory surgical centers effective October 1, 1998; reopening of comment period and delay in adoption of the proposed rule as final--HCFA. Notice of reopening of comment period for proposed rule and delay in adoption of provisions of the proposed rule as final.

    Science.gov (United States)

    1998-10-01

    This notice reopens the comment period for a proposed rule affecting Medicare payments to ambulatory surgical centers (ASCs) that was originally published in the Federal Register on June 12, 1998 (63 FR 32290). This document gives notice of a delay in the adoption of the provisions of the June 12, 1998 ASC proposed rule as a final rule to be concurrent with the adoption as final of the hospital outpatient prospective payment system (PPS) that is the subject of a proposed rule published in the Federal Register on September 8, 1998 (63 FR 47551). In addition this document confirms that the current ASC payment rates that are effective for services furnished on or after October 1, 1998, will remain in effect until rebased ASC rates and the provisions of the June 12, 1998 ASC proposed rule are adopted as final to be concurrent with the adoption as final of the Medicare hospital PPS.

  5. The Adoption Process: Knowing the Experience of Adopting Families.

    Directory of Open Access Journals (Sweden)

    Ana Carolina Gravena Vanalli

    2015-01-01

    Full Text Available Adoption includes changes to both the child and the adoptive home. Seeking to know the experiences regarding adoption, the couple and the family's experiences, two adoptive mothers were interviewed. The results indicate that the integration of the adopted child was carried out in a positive way, filling an apparent empty spot, and the adopted child was considered responsible for family harmony.

  6. Rainfall recharge estimation on a nation-wide scale using satellite information in New Zealand

    Science.gov (United States)

    Westerhoff, Rogier; White, Paul; Moore, Catherine

    2015-04-01

    Models of rainfall recharge to groundwater are challenged by the need to combine uncertain estimates of rainfall, evapotranspiration, terrain slope, and unsaturated zone parameters (e.g., soil drainage and hydraulic conductivity of the subsurface). Therefore, rainfall recharge is easiest to estimate on a local scale in well-drained plains, where it is known that rainfall directly recharges groundwater. In New Zealand, this simplified approach works in the policy framework of regional councils, who manage water allocation at the aquifer and sub-catchment scales. However, a consistent overview of rainfall recharge is difficult to obtain at catchment and national scale: in addition to data uncertainties, data formats are inconsistent between catchments; the density of ground observations, where these exist, differs across regions; each region typically uses different local models for estimating recharge components; and different methods and ground observations are used for calibration and validation of these models. The research described in this paper therefore presents a nation-wide approach to estimate rainfall recharge in New Zealand. The method used is a soil water balance approach, with input data from national rainfall and soil and geology databases. Satellite data (i.e., evapotranspiration, soil moisture, and terrain) aid in the improved calculation of rainfall recharge, especially in data-sparse areas. A first version of the model has been implemented on a 1 km x 1 km and monthly scale between 2000 and 2013. A further version will include a quantification of recharge estimate uncertainty: with both "top down" input error propagation methods and catchment-wide "bottom up" assessments of integrated uncertainty being adopted. Using one nation-wide methodology opens up new possibilities: it can, for example, help in more consistent estimation of water budgets, groundwater fluxes, or other hydrological parameters. Since recharge is estimated for the entire land

  7. Adopt Your Watershed

    Data.gov (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...

  8. Adoption and Sibling Rivalry

    Science.gov (United States)

    ... Life Medical Home Family Dynamics Adoption & Foster Care Communication & Discipline Types of Families Media Work & Play Getting ... as deep, loving, and long-lasting as any parent-child relationship. Last Updated 11/21/2015 Source Caring ...

  9. Clinical Knowledge Governance Framework for Nationwide Data Infrastructure Projects.

    Science.gov (United States)

    Wulff, Antje; Haarbrandt, Birger; Marschollek, Michael

    2018-01-01

    The availability of semantically-enriched and interoperable clinical information models is crucial for reusing once collected data across institutions like aspired in the German HiGHmed project. Funded by the Federal Ministry of Education and Research, this nationwide data infrastructure project adopts the openEHR approach for semantic modelling. Here, strong governance is required to define high-quality and reusable models. Design of a clinical knowledge governance framework for openEHR modelling in cross-institutional settings like HiGHmed. Analysis of successful practices from international projects, published ideas on archetype governance and own modelling experiences as well as modelling of BPMN processes. We designed a framework by presenting archetype variations, roles and responsibilities, IT support and modelling workflows. Our framework has great potential to make the openEHR modelling efforts manageable. Because practical experiences are rare, prospectively our work will be predestinated to evaluate the benefits of such structured governance approaches.

  10. Characterizing the adoption of low-grade hardwood lumber by the secondary wood processing industry

    Science.gov (United States)

    Robert L. Smith; Wibke Pohle; Philip Araman; Dan Cumbo

    2004-01-01

    This study investigated the adoption of low-grade lumber in the secondary hardwood industry. Factors influencing decisions regarding the utilization of low-grade lumber were identified and value-added opportunities to increase the use of low-grade lumber among manufacturers currently using higher grades were evaluated. Data were collected via a nationwide mail survey...

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

    International Nuclear Information System (INIS)

    Bergek, Anna; Mignon, Ingrid

    2017-01-01

    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.

  12. Organizational Green IT Adoption: Concept and Evidence

    Directory of Open Access Journals (Sweden)

    Qi Deng

    2015-12-01

    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.

  13. Adoption, nation, migration

    DEFF Research Database (Denmark)

    Müller, Anders Riel

    2013-01-01

    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?...

  14. Connecting primary care clinics and community pharmacies through a nationwide electronic prescribing network: A qualitative study

    Directory of Open Access Journals (Sweden)

    Marie-Pierre Gagnon

    2015-10-01

    Full Text Available Background The use of medication is at the heart of primary care, but is also the cause for major health concerns. It is therefore important to examine the prescription of medication process.Objective This study identifies the barriers and facilitators perceived by community pharmacists and primary care physicians concerning the adoption of a nationwide electronic prescribing (e-prescribing network in the province of Quebec, Canada.Methods We used purposive sampling to identify the most intensive users of the e-prescribing network. We conducted phone and in-person interviews. Interviews were transcribed, and we analysed their content with NVivo, using the clinical adoption framework (CAF for the codification of the data.Results We interviewed 33 pharmacists, 2 pharmacy technicians, 11 physicians and 3 clinic managers. Adoption of the e-prescribing network was fairly low. The respondents underlined adaptation of their work environment, openness to change and perception of benefits as facilitators to the adoption of the network. However, important barriers were perceived, including system quality issues and paper prescriptions being the only legal document in the prescribing process. Even if respondents recognised that the e-prescribing network can offer substantial benefits to the prescribing process, issues still persisted and raised barriers to the full use of such a network, especially in a context where different local information systems are connected within a nationwide e-prescribing network.Conclusion This study, based on the CAF, provides a better understanding of the factors related to the adoption of a nationwide e-prescribing network connecting primary care clinics and community pharmacies. 

  15. 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.

    2002-01-01

    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

  16. 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

    2012-11-01

    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.

  17. Nationwide peritoneal dialysis nurse training in Thailand: 3-year experience.

    Science.gov (United States)

    Thaiyuenwong, Jutiporn; Mahatanan, Nanta; Jiravaranun, Somsong; Boonyakarn, Achara; Rodpai, Somrak; Eiam-Ong, Somchai; Tungsanga, Kriang; Dhanakijcharoen, Prateep; Kanjanabuch, Talerngsak

    2011-09-01

    Peritoneal dialysis (PD) center is not possible to operate if there is no availability of dedicated PD nurse. Generally, the nurse has to play many roles, including educator coordinator, and sometimes leader. As professionalism, the PD nurses need to have both theoretical and practical skills. With the tremendous leap of PD population after the launch of "PD First" policy in Thailand, the shortage of skillful PD nurse is concerned. Hence, the nationwide PD nurse training course was established with the collaborations of many organizations and institutes. Until now, 3 generations of 225 PD nurses are the productions of the course. This number represents 80 percent of PD nurses distributed throughout the whole nation. The survey operated in the year 2010 demonstrated that the output of the course was acceptable in terms of quality since most of the trained PD nurses had a confidence in taking care of PD patients. The quality of patient care is good as indicated by KPIs.

  18. Shifts in the architecture of the Nationwide Health Information Network.

    Science.gov (United States)

    Lenert, Leslie; Sundwall, David; Lenert, Michael Edward

    2012-01-01

    In the midst of a US $30 billion USD investment in the Nationwide Health Information Network (NwHIN) and electronic health records systems, a significant change in the architecture of the NwHIN is taking place. Prior to 2010, the focus of information exchange in the NwHIN was the Regional Health Information Organization (RHIO). Since 2010, the Office of the National Coordinator (ONC) has been sponsoring policies that promote an internet-like architecture that encourages point to-point information exchange and private health information exchange networks. The net effect of these activities is to undercut the limited business model for RHIOs, decreasing the likelihood of their success, while making the NwHIN dependent on nascent technologies for community level functions such as record locator services. These changes may impact the health of patients and communities. Independent, scientifically focused debate is needed on the wisdom of ONC's proposed changes in its strategy for the NwHIN.

  19. CERTS customer adoption model

    Energy Technology Data Exchange (ETDEWEB)

    Rubio, F. Javier; Siddiqui, Afzal S.; Marnay, Chris; Hamachi,Kristina S.

    2000-03-01

    This effort represents a contribution to the wider distributed energy resources (DER) research of the Consortium for Electric Reliability Technology Solutions (CERTS, http://certs.lbl.gov) that is intended to attack and, hopefully, resolve the technical barriers to DER adoption, particularly those that are unlikely to be of high priority to individual equipment vendors. The longer term goal of the Berkeley Lab effort is to guide the wider technical research towards the key technical problems by forecasting some likely patterns of DER adoption. In sharp contrast to traditional electricity utility planning, this work takes a customer-centric approach and focuses on DER adoption decision making at, what we currently think of as, the customer level. This study reports on Berkeley Lab's second year effort (completed in Federal fiscal year 2000, FY00) of a project aimed to anticipate patterns of customer adoption of distributed energy resources (DER). Marnay, et al., 2000 describes the earlier FY99 Berkeley Lab work. The results presented herein are not intended to represent definitive economic analyses of possible DER projects by any means. The paucity of data available and the importance of excluded factors, such as environmental implications, are simply too important to make such an analysis possible at this time. Rather, the work presented represents a demonstration of the current model and an indicator of the potential to conduct more relevant studies in the future.

  20. Åben Adoption

    DEFF Research Database (Denmark)

    Jeldtoft, Nadia

    2007-01-01

    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...

  1. 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...

  2. Adopted Adolescents' Preoccupation with Adoption: The Impact on Adoptive Family Relationships.

    Science.gov (United States)

    Kohler, Julie K.; Grotevant, Harold D.; McRoy, Ruth G.

    2002-01-01

    Examines relationship between intensity of adopted adolescents' thinking about their adoptions and their adoptive family relationships in 135 adopted adolescents. Adolescents with extremely high levels of preoccupation reported significantly higher levels of alienation and significantly lower levels of trust for their adoptive mothers and fathers.…

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

    African Journals Online (AJOL)

    Issues and challenges in the adoption of International Financial Reporting Standards in Nigeria. ... to have some weaknesses, as such, implementation of policy results in a lot of challenges. ... Accounting infrastructure should be strengthened.

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

    African Journals Online (AJOL)

    user

    the basis for product or service development, pricing, marketing and policy formulation. In this study we ... Key words: Mobile financial services, Adoption, Tanzania ...... Financial Inclusion Strategies Referenca Framework. Washington DC: ...

  5. Adoption, nation, migration

    DEFF Research Database (Denmark)

    Müller, Anders Riel

    2013-01-01

    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...

  6. Hospitious Adoption: How Hospitality Empowers Children and Transforms Adoption

    Science.gov (United States)

    Gritter, James L.

    2009-01-01

    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…

  7. Awareness of BIM adoption in Brunei

    Science.gov (United States)

    Rahman, Md Motiar

    2017-09-01

    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.

  8. Ethical Perspectives on the Current Controversy Regarding Openness in Adoption.

    Science.gov (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…

  9. Adoption Barriers of Open-Source Software: A Systematic Review

    DEFF Research Database (Denmark)

    Petrov, Dmitrij; Obwegeser, Nikolaus

    2018-01-01

    of external support. At the organizational level, companies lack financial and human resources, while adequate managerial support is also identified as a crucial aspect. On the environmental side, cultural elements, policies, and legal frameworks can hinder FLOSS adoption. Individual factors......, such as employees’ resistance to change and non-competitive technology leadership behaviour may also negatively influence the adoption process....

  10. Intercountry Adoption: A Comparison between France and England.

    Science.gov (United States)

    Greenfield, Joanna

    1995-01-01

    Examined the intercountry adoption experiences of 100 French and 100 English families, comparing policy in each country. Found a lack of effective and sensitive management of the introductory meetings between prospective parents and adoptive children, and of adequate birth records information. (HTH)

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

    Directory of Open Access Journals (Sweden)

    Nir Menachemi

    2006-06-01

    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.

  12. Green Technology Adoption and the Business Cycle

    OpenAIRE

    Bourgeon , Jean-Marc; Hovsepian , Margot

    2018-01-01

    We analyze the adoption of green technology in a dynamic economy affected by random shocks where demand spillovers are the main driver of technological improvements. Firms’ beliefs and consumers’ anticipations drive the path of the economy. We derive the optimal policy of investment subsidy and the expected time and likelihood of reaching a targeted level of environmental quality under economic uncertainty. This allows us to estimate the value that should be given to the environment in order ...

  13. POPULATION POLICY OR SOCIAL POLICY?

    Directory of Open Access Journals (Sweden)

    ANDREI STANOIU

    2011-04-01

    Full Text Available After 1989, the demographic situation of Romania population experienced a dramatic, very concerning and dangerous evolution trend. One of the first measures of the new political power was to abolish the very restrictive, anti-human and abusive legal regulation adopted in 1966 by the communist regime concerning abortion and the whole old demographic policy. As a result of this measure and of the worsening economic and social situation of the great majority of Romanian population, the birth rate declined sharply and, from 1992, the natural demographic growth rate became a negative one. The absolute number of Romanian population decreased more and more and, if nothing changes, in the next few decades it will be no bigger than 15 million people. At the same time, the process of demographic ageing of population will accentuate, generating serious problems from demographic and social-economic point of view, Taking into account the present demographic situation and, especially, the foreseen trend of evolution, it is more than clear that there should be taken some urgent, coherent and consistent measures in order to stop this dangerous demographic evolution, until it is not too late, and to avoid, as much as possible, a potential demographic disaster. The problem is: what kind of measures should be taken and what kind of policy should be adopted? Some social scientists believe that a new population policy should be adopted; some others believe that rather a social policy should be adopted. The purpose of my paper is to analyze this different opinions and to show that, behind the dispute on the terminology, should be taken consistent measures, at governmental level, in order to assure a substantial improvement of demographic situation, not only from a quantitative, but from a qualitative point of view as well, and to identify some of these kind of measures.

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

    Directory of Open Access Journals (Sweden)

    Maria Acciaiuoli Barbosa-Ducharne

    2016-01-01

    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.

  15. Adopting preoperative fasting guidelines.

    Science.gov (United States)

    Anderson, Megan; Comrie, Rhonda

    2009-07-01

    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.

  16. Education Policies and Policy Making in Arizona: Report on a Survey of Education Policy Actors

    Science.gov (United States)

    Lawton, Stephen B.

    2011-01-01

    This study provides an objective look at the education policies adopted by the State of Arizona since 2000, describes participants in the policy-making process, and identifies policy options for the future. The framework of the study uses a typology of educational policies with seven categories: school building and facilities, curriculum…

  17. International Adoption: Issues of Acknowledgement of Adoption and Birth Culture.

    Science.gov (United States)

    Trolley, Barbara C.; And Others

    1995-01-01

    Families who adopt children internationally are faced with not only the acknowledgement of the adoption but also the recognition of the child's birth culture. Thirty-four families were surveyed to assess issues regarding the relevance, frequency, and means of acknowledgement of the adoption and of the birth culture. Findings suggest ways adoption…

  18. Running continuous academic adoption programmes

    DEFF Research Database (Denmark)

    Nielsen, Tobias Alsted

    Running successful academic adoption programmes requires executive support, clear strategies, tactical resources and organisational agility. These two presentations will discuss the implementation of strategic academic adoption programs down to very concrete tool customisations to meet specific...

  19. 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.

  20. The Texas Adoption Project: adopted children and their intellectual resemblance to biological and adoptive parents.

    Science.gov (United States)

    Horn, J M

    1983-04-01

    Intelligence test scores were obtained from parents and children in 300 adoptive families and compared with similar measures available for the biological mothers of the same adopted children. Results supported the hypothesis that genetic variability is an important influence in the development of individual differences for intelligence. The most salient finding was that adopted children resemble their biological mothers more than they resemble the adoptive parents who reared them from birth. A small subset of the oldest adopted children did not resemble their biological mothers. The suggestion that the influence of genes declines with age is treated with caution since other adoption studies report a trend in the opposite direction.

  1. Adoption research, practice, and societal trends: Ten years of progress.

    Science.gov (United States)

    Wiley, Mary O'Leary

    2017-12-01

    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).

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

    International Nuclear Information System (INIS)

    Nikula, Anneli

    2000-01-01

    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

  3. Adoption of nuclear power generation

    International Nuclear Information System (INIS)

    Sommers, P.

    1980-01-01

    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

  4. Predicting Virtual Learning Environment Adoption

    DEFF Research Database (Denmark)

    Penjor, Sonam; Zander, Pär-Ola Mikael

    2016-01-01

    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...... to investigate the influence of five predictors (relative advantage, complexity, compatibility, trialability and observability) and their significance in the perception of academic staff at the RUB in relation to the probability of VLE adoption. These predictors are attributes of the VLE that determine the rate...... of adoption by various adopter group memberships (Innovators, Early Adopters, Early Majority, Late Majority, Laggards). Descriptive statistics and regression analysis were deployed to analyse adopter group memberships and predictor significance in VLE adoption and use. The results revealed varying attitudes...

  5. A Dutch Nationwide Bariatric Quality Registry: DATO.

    Science.gov (United States)

    Poelemeijer, Youri Q M; Liem, Ronald S L; Nienhuijs, Simon W

    2017-12-22

    In the Netherlands, the number of bariatric procedures increased exponentially in the 90s. To ensure and improve the quality of bariatric surgery, the nationwide Dutch Audit for Treatment of Obesity (DATO) was established in 2014. The audit was coordinated by the Dutch Institute for Clinical Auditing (DICA). This article provides a review of the aforementioned process in establishing a nationwide registry in the Netherlands. In collaboration with the DATO's scientific committee and other stakeholders, an annual list of several external quality indicators was formulated. This list consists of volume, process, and outcome indicators. In addition to the annual external indicators, the database permits individual hospitals to analyze their own data. The dashboard provides several standardized reports and detailed quality indicators, which are updated on a weekly base. Since the start, all 18 Dutch bariatric centers participated in the nationwide audit. A total of 21,941 cases were registered between 2015 and 2016. By 2016, the required variables were registered in 94.3% of all cases. A severe complicated course was seen in 2.87%, and mortality in 0.05% in 2016. The first-year follow-up shows a > 20% TWL in 86.1% of the registered cases. The DATO has become rapidly a mature registry. The well-organized structure of the national audit institution DICA and governmental funding were essential. However, most important were the bariatric teams themselves. The authors believe reporting the results from the registry has already contributed to more knowledge and acceptance by other health care providers.

  6. 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

    2013-12-01

    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.

  7. The Lesotho curriculum and assessment policy: Opportunities and ...

    African Journals Online (AJOL)

    Hennie

    The Curriculum and Assessment Policy 2009 represents the latest education reform, which marks a ... statements create for educational development in Lesotho. We adopt a ...... approach is adopted in the higher grades, where there is policy ...

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

    Directory of Open Access Journals (Sweden)

    Norbayah BTE MOHD SUKI

    2006-04-01

    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.

  9. [Experiences of a nation-wide integrated program for healthy body weight among students].

    Science.gov (United States)

    Liou, Yiing Mei; Chen, Mei-Yen; Chiang, Li-Chi; Chien, Li-Yin; Chang, Po-Lun; Hung, Yung-Tai

    2007-10-01

    Taiwan has good support systems for obesity prevention and management. The percentage of elementary school students with normal body weight, however, has undergone a sustained decrease to 55%. Many factors are associated with this trend, such as lack of physical activity, dissatisfaction with body image, unbalanced dietary pattern, and unsupportive environment. Even though the rate of overweight and obesity is under control, the rate of underweight among girls has undergone a sustained increase, to 28%. Nurses therefore organized the "Aid students to fit" project, which emphasizes the bipolar issue of overweight and underweight. This national project is sponsored by the Ministry of Education and is expected to establish a beneficial environment, in which students can easily adopt healthy lifestyles and increase self-esteem. The program incorporates the AID triangle concept (Active, Image, Diet) and five strategies for achieving the goals. These strategies are: 1. Develop a persuasive statement to fit in with the philosophies of parents, students and teachers. 2. Set up measurable behavior indices and slogans. (Active life: 210 minutes per week. Image: confident and elegant. Diet: balanced and wise choice of low fat and high fiber foods.) 3. Establish a nation-wide interactive surveillance system for body weight control. 4. Develop an internet system that emphasizes tailored case management for overweight students. 5. Develop a supportive teaching plan, material, and aids to promote a healthy school environment. Five modeling schools, moreover, can be used to demonstrate the program. Educators can also download a free teaching plan, material, and aids at the website for healthy weight management (www.ym.edu.tw/active/aid). The authors brought together scholars from eight universities to accomplish the program. In support of the program, the Taiwan Ministry of Education addressed the new recommendation for physical activity which is to engage in moderate intensity

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

    International Nuclear Information System (INIS)

    Vermeulen, Walter J.V.; Hovens, Jeroen

    2006-01-01

    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

  11. The Optimal Timing of Adoption of a Green Technology

    International Nuclear Information System (INIS)

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

    2007-01-01

    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

  12. Impact of nationwide centralization of pancreaticoduodenectomy on hospital mortality

    NARCIS (Netherlands)

    de Wilde, R. F.; Besselink, M. G. H.; van der Tweel, I.; de Hingh, I. H. J. T.; van Eijck, C. H. J.; Dejong, C. H. C.; Porte, R. J.; Gouma, D. J.; Busch, O. R. C.; Molenaar, I. Q.

    Background: The impact of nationwide centralization of pancreaticoduodenectomy (PD) on mortality is largely unknown. The aim of this study was to analyse changes in hospital volumes and in-hospital mortality after PD in the Netherlands between 2004 and 2009. Methods: Nationwide data on International

  13. Impact of nationwide centralization of pancreaticoduodenectomy on hospital mortality

    NARCIS (Netherlands)

    de Wilde, R. F.; Besselink, M. G. H.; van der Tweel, I.; de Hingh, I. H. J. T.; van Eijck, C. H. J.; Dejong, C. H. C.; Porte, R. J.; Gouma, D. J.; Busch, O. R. C.; Molenaar, I. Q.

    2012-01-01

    Background: The impact of nationwide centralization of pancreaticoduodenectomy (PD) on mortality is largely unknown. The aim of this study was to analyse changes in hospital volumes and in-hospital mortality after PD in the Netherlands between 2004 and 2009. Methods: Nationwide data on International

  14. A Study of the Adjustment of Adopted Children in Air Force Families

    Science.gov (United States)

    1988-01-01

    exist among the members. According to Hoggett (1984), "the effects of an adoption order reproduce the birth relationship almost in its entirety. The...Publications. Hoggett , B. (1984). Adoption law: An overview. In P. Bean (Ed.), Adoption---Essays in social policy, law, and sociology. London: Tavistock

  15. (SAGE): Adopt, adapt, or contextualise?

    African Journals Online (AJOL)

    and time-consuming and requires CPG knowledge ... Step 4. Consider whether to adopt, adapt or contextualise. Step 4.1 Adopt. Decide to .... review. PLoS One 2013;8:e82915. http://dx.doi.org/10.1371/journal.pone.0082915. 14. AGREE ...

  16. Healthy Travel for International Adoptions

    Centers for Disease Control (CDC) Podcasts

    2007-10-22

    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.

  17. Hospital admissions for acute myocardial infarction before and after implementation of a comprehensive smoke-free policy in Uruguay

    Science.gov (United States)

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

    2012-01-01

    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

  18. Hospital admissions for acute myocardial infarction before and after implementation of a comprehensive smoke-free policy in Uruguay.

    Science.gov (United States)

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

    2013-05-01

    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.

  19. 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

    2016-02-01

    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

  20. Health information technology adoption in U.S. acute care hospitals.

    Science.gov (United States)

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

    2013-04-01

    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.

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

    International Nuclear Information System (INIS)

    Rebane, Kaja L.; Barham, Bradford L.

    2011-01-01

    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.

  2. THE FORESIGHTS OF THE ADOPTION OF EURO

    Directory of Open Access Journals (Sweden)

    Claudia Loredana Juncu

    2012-06-01

    Full Text Available Even if the Euro critics showed the warning that the change of the national currency brings a loose of the control and the decision power about the monetary problems and the flexibility of the decisions, many consider that the adoption of the single currency would allow us to protect the economies from the external shocks. We have to eliminate the uncertainty, the high costs and we have to be able to avoid and / or manage the monetary fluctuations especially in situations like today’s economic crisis. One of the effects the crisis has created throughout the European Union and especially in Romania is connected with the return back in the country of the population that works in Western Europe and the reflux of money it implies. The structural problems of the Romanian economy that creates this workforce dynamic is to continue to affect the Euro adoption plan until significant solutions will be addressed in order to maintain the workforce in the country.Europe is facing a dilemma. For now there is a significant distrust in Euro. Romania needs to acknowledge the fact that a single European currency allows first of all the overpass of the actual internal fragmentation of the market and so to strengthen the national position in relation with the international. Romania can still be optimistic about the objective of adopting Euro if an efficient financial policy will be implemented.

  3. Population policy.

    Science.gov (United States)

    1987-03-01

    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.

  4. Nationwide Database of Surgical Treatment Pattern for Patients With Stress Urinary Incontinence in Korea

    Directory of Open Access Journals (Sweden)

    Sung Yong Cho

    2014-06-01

    Full Text Available PurposeNationwide database regarding stress urinary incontinence (SUI is important for evaluating treatment patterns for SUI and for establishing appropriate national policies regarding SUI management. The purpose of this present study was to investigate surgical treatment patterns for women with SUI and analyze the current status of SUI management in Korea by using a nationwide database.MethodsData used for investigating the surgical trends and changes in Korea were retrieved from the Health Insurance Review & Assessment Service from 2008 to 2011.ResultsThe number of surgical cases of SUI decreased continuously from 2008 to 2011. The proportion of transvaginal surgery using a midurethral sling increased continuously. Sling procedures were most commonly performed for women in their 40s followed by women in their 50s. Transvaginal surgery using a single sling or a readjustable sling was performed from 5.6% to 6.1%, which showed no significant change in the number of surgical cases.ConclusionsThere is a growing need for an appropriate national welfare policy and budget to care for aged and super-aged women in Korea. The early detection and intervention of silent SUI should be actively considered as an important preventive strategy to improve the quality of life in younger women.

  5. 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...

  6. Adopting the EURO in Romania

    Directory of Open Access Journals (Sweden)

    Ilie ŞIMON

    2011-03-01

    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.

  7. Adopting Internet Banking in Ghana

    OpenAIRE

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

    2013-01-01

    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...

  8. Adopt, Adapt, Enact or Use?

    OpenAIRE

    Lauterbach , Jens; Mueller , Benjamin

    2014-01-01

    Part 1: IS/IT Implementation and Appropriation; International audience; Information Systems (IS) are omnipresent in today’s organizations. While much research has been performed on adoption, implementation, and use of IS, still many practitioners are faced with IS change endeavors in organizations that equal “death march” projects and fail before or directly after go-live. Research with a positivist stance has thoroughly studied factors that describe individuals’ intentions to adopt or use te...

  9. Factors in Agile Methods Adoption

    Directory of Open Access Journals (Sweden)

    Samia Abdalhamid

    2017-05-01

    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.

  10. What new policies should South Africa's life insurance industry adopt?

    Science.gov (United States)

    Solomon, G

    1996-12-01

    By February 1996, the South African life insurance industry had paid out more than R75 million in AIDS-related claims. This situation requires imposition of controls that will make economic sense while reflecting the social responsibility of the insurance companies. AIDS mortality rates suggest that for each 10% of the infected insured population, the risk premium rates should increase 400%. Thus, without controls, the life insurance sector may collapse. While it has been charged that HIV testing associated with the provision of life insurance discriminates against infected individuals, failure to test compromises the rights of uninfected individuals in the individual assurance market. HIV test protocols can be used that protect applicants from false positive results, prevent fraud, and preserve confidentiality. Proposals to require five-year retesting have also been criticized but would protect the interests of uninfected individuals who want life insurance to remain affordable. In an innovative move, South Africa now includes "full-blown AIDS" among the list of "dreaded diseases" that trigger an immediate pay-out. While purchasing life insurance may fall low on the list of priorities of an infected person, demand continues, and two companies offer expensive products to those with Stage I and II disease. Medical insurance is also threatened by the increased costs associated with HIV/AIDS, and treatment protocols may be the only way to control medical expenses and assure the future of medical insurance. At this stage of the epidemic, no one seems prepared to meet their share of the costs associated with HIV/AIDS.

  11. Major Environmental Policy in 2000

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Hong Jin [Ministry Of Environment, Kwachon (Korea)

    2000-04-01

    As a new millennium has started, there are active movements developing a basic paradigm of vision and policy over a nation-wide to prepare changes actively. For the environmental sector, it is possible to live in a pleasant environment if everyone prepare and work together like dealing with Y2K problem. With a goal of being an environmentally advanced country in the early new millennium, it is planned to improve a basic life environment such as water and air and to promote an advanced environmental management policy for showing results of its reform in 2000. Therefore, it examines environmental management circumstances and a direction of environmental policy first and it discusses more about major environmental policy related to petroleum industry. 7 tabs.

  12. The New Digital [St]age: Barriers to the Adoption and Adaptation of New Technologies to Deliver Extension Programming and How to Address Them

    Science.gov (United States)

    Seger, Jamie

    2011-01-01

    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…

  13. Expedited Permanency Planning: Evaluation of the Kentucky Adoptions Opportunities Project.

    Science.gov (United States)

    Martin, Mavin H.; Barbee, Anita P.; Antle, Becky F.; Sar, Bibhuti

    2002-01-01

    Presents evaluation findings of a 3-year Kentucky Adoptions Opportunities Project. Notes that a majority of children had one or both parents coping with multiple risk factors including mental illness, substance abuse, mental retardation, or family violence. Discusses major barriers to permanency, as well as policy and practice implications in the…

  14. Healthcare Cost and Utilization Project Nationwide Readmissions Database (NRD)

    Data.gov (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...

  15. National Information Utility Seeks to Serve Schools Nationwide.

    Science.gov (United States)

    Platzer, Nancy

    1985-01-01

    Outlines the pros and cons of the National Information Utility Program, which is designed to provide current updatable courseware to schools nationwide. The information is broadcast over FM radio and television signals to facilities subscribing to the utility. (MD)

  16. HCUP Nationwide Emergency Department Database (NEDS) Restricted Access File

    Data.gov (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...

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

    Directory of Open Access Journals (Sweden)

    Inwon Kang

    2018-01-01

    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.

  18. Variation in interoperability across clinical laboratories nationwide.

    Science.gov (United States)

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

    2017-12-01

    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.

  19. An unexpected reversal: the "demise" of international adoption in Brazil

    Directory of Open Access Journals (Sweden)

    Claudia Fonseca

    2007-01-01

    Full Text Available During the 90s, there was a dramatic fall in intercountry adoptions of Brazilian children - from over 2000 per annum at the beginning of the decade, to under 400 at decade's close. In this paper, on the basis of archival material, we will attempt to outline possible reasons for this drop, considering hypotheses linked to the international market of adoptable children, legal restrictions on intercountry adoption imposed by the Brazilian government, and, finally, scandals in the mass media which stigmatize local intermediaries and officials involved in this activity. We conclude that inflamed public opinion and scandals in the media, although highly influential, are not necessarily the most adequate ingredients for a sensible policy on adoption.

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

    Directory of Open Access Journals (Sweden)

    Tomasa Báñez Tello

    2017-12-01

    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.

  1. Personality disorders in adopted versus non-adopted adults.

    Science.gov (United States)

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

    2015-04-30

    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.

  2. Adopting Sustainability in the Organization

    DEFF Research Database (Denmark)

    Frandsen, Sanne; Morsing, Mette; Vallentin, Steen

    2013-01-01

    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...... corporate vignettes. Findings – Prior studies tend to assume that awareness raising is a sufficient means to create employee commitment and support for corporate sustainability programs, while empirical observations indicate that managerial disregard of conflicting interpretations of sustainability may...... result in the illegitimacy of such programs. Originality/value – The authors suggest that a loosely coupled approach to sustainability adoption is a productive way to understand internal legitimacy construction, as it appreciates complexity and polyphony....

  3. Re an Adoption Application (Surrogacy)

    Science.gov (United States)

    1987-03-02

    In England, it is illegal under the Adoption Act 1958 to pay or reward anyone in an effort to adopt a child. A family court was asked in this case whether a surrogacy arrangement involving the payment of 5,000 pounds violated the Act. The applicants, a husband and wife, were unable to have children and had entered into an informal arrangement with a woman who agreed to engage in sexual intercourse with the husband and bear a child for the couple in exchange for 10,000 pounds. Because the surrogate wrote a book about her experience from which she made money, and sincerely wanted to help out the childless couple, she accepted only half of her fee. Convinced that the surrogate arrangement was not commercial in nature, the court found no violation of English law, authorized the payment to the mother, and authorized adoption of the child by the father and his wife.

  4. Adopting to Agile Software Development

    Directory of Open Access Journals (Sweden)

    Linkevics Gusts

    2014-12-01

    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.

  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

    2014-01-01

    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. Determinants of internet poker adoption.

    Science.gov (United States)

    Philander, Kahlil S; Abarbanel, B Lillian

    2014-09-01

    In nearly all jurisdictions, adoption of a new form of gambling has been a controversial and contentious subject. Online gambling has been no different, though there are many aspects that affect online gambling that do not appear in the brick and mortar environment. This study seeks to identify whether demographic, economic, political, technological, and/or sociological determinants contribute to online poker gambling adoption. A theoretical discussion of these categories' importance to online poker is provided and exploratory empirical analysis is used to examine their potential validity. The analysis revealed support for all of the proposed categories of variables thought to be predictive of online gambling legality.

  7. Competitive Advantages Through it Innovation Adoption by Smes

    Directory of Open Access Journals (Sweden)

    S. Moghavvemi

    2013-01-01

    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

  8. Competitive Advantages Through it Innovation Adoption by Smes

    Directory of Open Access Journals (Sweden)

    S. Moghavvemi

    2012-07-01

    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

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

    Directory of Open Access Journals (Sweden)

    Eun Ji Oh

    2017-11-01

    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.

  10. Strategies from a nationwide health information technology implementation: the VA CART story.

    Science.gov (United States)

    Box, Tamára L; McDonell, Mary; Helfrich, Christian D; Jesse, Robert L; Fihn, Stephan D; Rumsfeld, John S

    2010-01-01

    The VA Cardiovascular Assessment, Reporting, and Tracking (CART) system is a customized electronic medical record system which provides standardized report generation for cardiac catheterization procedures, serves as a national data repository, and is the centerpiece of a national quality improvement program. Like many health information technology projects, CART implementation did not proceed without some barriers and resistance. We describe the nationwide implementation of CART at the 77 VA hospitals which perform cardiac catheterizations in three phases: (1) strategic collaborations; (2) installation; and (3) adoption. Throughout implementation, success required a careful balance of technical, clinical, and organizational factors. We offer strategies developed through CART implementation which are broadly applicable to technology projects aimed at improving the quality, reliability, and efficiency of health care.

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

    DEFF Research Database (Denmark)

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

    2009-01-01

    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...

  12. Social Networks and Technology Adoption

    OpenAIRE

    Hogset, Heidi

    2005-01-01

    This study analyzes social network effects on Kenyan smallholders' decision to adopt improved natural resource management techniques. These effects are decomposed into effects from social influence and learning through networks (strong ties), group effects, weak ties effects, informal finance, and conflicts arising from technological externalities, controlling for non-network effects.

  13. Understanding the adoption of TELEs

    DEFF Research Database (Denmark)

    Christiansen, Ellen; Nyvang, Tom

    2006-01-01

    a systemic, Bateson-inspired, understanding of learning and based on data from observation, qualitative interviews, and surveys, a number of barriers to adoption at the organisational level are identified, all requiring management initiatives if the application is to fully unfold its potential....

  14. 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 http://www.cerge-ei.cz/pdf/wp/Wp414.pdf

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

    Science.gov (United States)

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

    2018-01-15

    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

  16. Inducing Lactation: Breastfeeding for Adoptive Moms

    Science.gov (United States)

    ... Dynamics > Adoption & Foster Care > Inducing Lactation: Breastfeeding for Adoptive Moms Family Life Listen Español Text Size Email Print Share Inducing Lactation: Breastfeeding for Adoptive Moms Page Content Article Body A growing number ...

  17. 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.

    2015-01-01

    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

  18. Toward a Nationwide Mobile-Based Public Healthcare Service System with Wireless Sensor Networks

    Directory of Open Access Journals (Sweden)

    Chien-wen Shen

    2016-01-01

    Full Text Available This paper describes the development of a nationwide public healthcare service system with the integration of cloud technology, wireless sensor networks, and mobile technology to provide citizens with convenient and professional healthcare services. The basic framework of the system includes the architectures for the user end of wireless physiological examinations, for the regional healthcare cloud, and for national public healthcare service system. Citizens with chronic conditions or elderly people who are living alone can use the wireless physiological sensing devices to keep track of their health conditions and get warning if the system detects abnormal signals. Through mobile devices, citizens are able to get real-time health advice, prompt warning, health information, feedback, personalized support, and intervention ubiquitously. With the long-term tracking data for physiological sensing, reliable prediction models for epidemic diseases and chronic diseases can be developed for the government to respond to and control diseases immediately. Besides, such a nationwide approach enables government to have a holistic understanding of the public health information in real time, which is helpful to establish effective policies or strategies to prevent epidemic diseases or chronic diseases.

  19. Decrease in seroprevalence of Hepatitis A after the implementation of nationwide disposable tableware use in Taiwan

    Directory of Open Access Journals (Sweden)

    Kan Wei-Chih

    2010-11-01

    Full Text Available Abstract Background Taiwan is an endemic area of viral hepatitis, including hepatitis A, which is transmitted mainly from the fecal-oral route. In order to reduce the transmission through food intake, the government implemented a policy of nationwide disposal tableware use in public eating places in 1982. We conducted a study to estimate the seroprevalence of Hepatitis A in a group of workers in Taiwan in 2005, determine the risk factors, and compare seroprevalence to published estimates in Taiwan to evaluate changes in the seroprevalence after the implementation of the nationwide disposal tableware use. Methods We recruited workers of an industrial park during their annual health examinations in 2005 and measured their anti-hepatitis A virus IgG titer using microparticle enzyme immunoassay. We compared the seroprevalence across different birth cohorts within the study population and also analyzed data from previous studies. Results The overall sero-positive rate was 22.0% in the 11,777 participants. The rate was much lower among those who were covered by the program since birth (born after 1982 in comparison with those who were not (2.7% vs. 25.3%, p Conclusions Data from both the current and previous studies in different time periods supported the effectiveness of disposal tableware in preventing the transmission of hepatitis A.

  20. Institutional racism in public health contracting: Findings of a nationwide survey from New Zealand.

    Science.gov (United States)

    Came, H; Doole, C; McKenna, B; McCreanor, T

    2018-02-01

    Public institutions within New Zealand have long been accused of mono-culturalism and institutional racism. This study sought to identify inconsistencies and bias by comparing government funded contracting processes for Māori public health providers (n = 60) with those of generic providers (n = 90). Qualitative and quantitative data were collected (November 2014-May 2015), through a nationwide telephone survey of public health providers, achieving a 75% response rate. Descriptive statistical analyses were applied to quantitative responses and an inductive approach was taken to analyse data from open-ended responses in the survey domains of relationships with portfolio contract managers, contracting and funding. The quantitative data showed four sites of statistically significant variation: length of contracts, intensity of monitoring, compliance costs and frequency of auditing. Non-significant data involved access to discretionary funding and cost of living adjustments, the frequency of monitoring, access to Crown (government) funders and representation on advisory groups. The qualitative material showed disparate provider experiences, dependent on individual portfolio managers, with nuanced differences between generic and Māori providers' experiences. This study showed that monitoring government performance through a nationwide survey was an innovative way to identify sites of institutional racism. In a policy context where health equity is a key directive to the health sector, this study suggests there is scope for New Zealand health funders to improve their contracting practices. Copyright © 2017 Elsevier Ltd. All rights reserved.

  1. The pediatrician's role in supporting adoptive families.

    Science.gov (United States)

    Jones, Veronnie F; Schulte, Elaine E

    2012-10-01

    Each year, more children join families through adoption. Pediatricians have an important role in assisting adoptive families in the various challenges they may face with respect to adoption. The acceptance of the differences between families formed through birth and those formed through adoption is essential in promoting positive emotional growth within the family. It is important for pediatricians to be aware of the adoptive parents' need to be supported in their communication with their adopted children.

  2. Critical Factors for Personal Cloud Storage Adoption in China

    Directory of Open Access Journals (Sweden)

    Jianya Wang

    2016-06-01

    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.

  3. Market effects on electronic health record adoption by physicians.

    Science.gov (United States)

    Abdolrasulnia, Maziar; Menachemi, Nir; Shewchuk, Richard M; Ginter, Peter M; Duncan, W Jack; Brooks, Robert G

    2008-01-01

    Despite the advantages of electronic health record (EHR) systems, the adoption of these systems has been slow among community-based physicians. Current studies have examined organizational and personal barriers to adoption; however, the influence of market characteristics has not been studied. The purpose of this study was to measure the effects of market characteristics on EHR adoption by physicians. Generalized hierarchal linear modeling was used to analyze EHR survey data from Florida which were combined with data from the Area Resource File and the Florida Office of Insurance Regulation. The main outcome variable was self-reported use of EHR by physicians. A total of 2,926 physicians from practice sizes of 20 or less were included in the sample. Twenty-one percent (n = 613) indicated that they personally and routinely use an EHR system in their practice. Physicians located in counties with higher physician concentration were found to be more likely to adopt EHRs. For every one-unit increase in nonfederal physicians per 10,000 in the county, there was a 2.0% increase in likelihood of EHR adoption by physicians (odds ratio = 1.02, confidence interval = 1.00-1.03). Health maintenance organization penetration rate and poverty level were not found to be significantly related to EHR adoption. However, practice size, years in practice, Medicare payer mix, and measures of technology readiness were found to independently influence physician adoption. Market factors play an important role in the diffusion of EHRs in small medical practices. Policy makers interested in furthering the adoption of EHRs must consider strategies that would enhance the confidence of users as well as provide financial support in areas with the highest concentration of small medical practices and Medicare beneficiaries. Health care leaders should be cognizant of the market forces that enable or constrain the adoption of EHR among their practices and those of their competitors.

  4. Nationwide cross-sectional survey of schistosomiasis and soil-transmitted helminthiasis in Sudan: study protocol.

    Science.gov (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

    2017-09-12

    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.

  5. Research misconduct definitions adopted by U.S. research institutions.

    Science.gov (United States)

    Resnik, David B; Neal, Talicia; Raymond, Austin; Kissling, Grace E

    2015-01-01

    In 2000, the U.S. federal government adopted a uniform definition of research misconduct as fabrication, falsification, or plagiarism (FFP), which became effective in 2001. Institutions must apply this definition of misconduct to federally-funded research to receive funding. While institutions are free to adopt definitions of misconduct that go beyond the federal standard, it is not known how many do. We analyzed misconduct policies from 183 U.S. research institutions and coded them according to thirteen different types of behavior mentioned in the misconduct definition. We also obtained data on the institution's total research funding and public vs. private status, and the year it adopted the definition. We found that more than half (59%) of the institutions in our sample had misconduct policies that went beyond the federal standard. Other than FFP, the most common behaviors included in definitions were "other serious deviations" (45.4%), "significant or material violations of regulations" (23.0%), "misuse of confidential information" (15.8%), "misconduct related to misconduct" (14.8%), "unethical authorship other than plagiarism" (14.2%), "other deception involving data manipulation" (13.1%), and "misappropriation of property/theft" (10.4%). Significantly more definitions adopted in 2001 or later went beyond the federal standard than those adopted before 2001 (73.2% vs. 26.8%), and significantly more definitions adopted by institutions in the lower quartile of total research funding went beyond the federal standard than those adopted by institutions in the upper quartiles. Public vs. private status was not significantly associated with going beyond the federal standard.

  6. Factors affecting the adoption of quality assurance technologies in healthcare.

    Science.gov (United States)

    Storey, John

    2013-01-01

    In the light of public concern and of strong policy emphasis on quality and safety in the nursing care of patients in hospital settings, this paper aims to focus on the factors affecting the adoption of innovative quality assurance technologies. Two sets of complementary literature were mined for key themes. Next, new empirical insights were sought. Data gathering was conducted in three phases. The first involved contact with NHS Technology Hubs and other institutions which had insights into leading centres in quality assurance technologies. The second phase was a series of telephone interviews with lead nurses in those hospitals which were identified in the first phase as comprising the leading centres. The third phase comprised a series of face to face interviews with innovators and adopters of healthcare quality assurance technologies in five hospital trusts. There were three main sets of findings. First, despite the strong policy push and the templates established at national level, there were significant variations in the nature and robustness of the quality assurance toolkits that were developed, adapted and adopted. Second, in most of the adopting cases there were important obstacles to the full adoption of the toolkits that were designed. Third, the extent and nature of the ambition of the developers varied dramatically - some wished to see their work impacting widely across the health service; others had a number of different reasons for wanting to restrict the impact of their work. The general concerns about front-line care and the various inquiries into care quality failures emphasise the need for improved and consistent care quality assurance methodologies and practice. The technology adoption literature gives only partial insight into the nature of the challenges; this paper offers specific insights into the factors inhibiting the full adoption of quality assurance technologies in ward-based care.

  7. Democratic cultural policy : democratic forms and policy consequences

    OpenAIRE

    Gray, Clive

    2012-01-01

    The forms that are adopted to give practical meaning to democracy are assessed to identify what their implications are for the production of public policies in general and cultural policies in particular. A comparison of direct, representative, democratic elitist and deliberative versions of democracy identifies clear differences between them in terms of policy form and democratic practice. Further elaboration of these differences and their consequences are identified as areas for further res...

  8. SMEs' E-commerce Adoption

    DEFF Research Database (Denmark)

    Scupola, Ada

    2009-01-01

    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...... 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...... and Australia.  Research limitations/implications - The main limitation relates to the difficulty of generalization of the findings to a larger population of SMEs.  To overcome this, a statistical survey is planned to be conducted in the future. Practical implications - The results of the empirical research...

  9. 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...... are interactionally occasioned. Our special concern is with how the past is built into the present through memory work that is actualised and performed not just through language but also through embodied attention such as body posture, gaze and gestures. In other words, we study how the past is folded into the now...... 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...

  10. 32 CFR 168a.4 - Policy and procedures.

    Science.gov (United States)

    2010-07-01

    ... to pursue graduate degrees in science, engineering, or other fields of study that are designated, in... DEFENSE SCIENCE AND ENGINEERING GRADUATE FELLOWSHIPS § 168a.4 Policy and procedures. (a) Sponsoring... nationwide competition in which all appropriate actions have been taken to encourage applications from...

  11. CDC's Prevention Status Reports: Monitoring the Status of Public Health Policies and Practices for Improved Performance and Accountability.

    Science.gov (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

  12. Barriers to Electronic Health Record Adoption: a Systematic Literature Review.

    Science.gov (United States)

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

    2016-12-01

    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.

  13. Staying in Tune with Music Education: Policy Awareness among Music Education Majors

    Science.gov (United States)

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

    2015-01-01

    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…

  14. 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

    2016-01-01

    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.

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

    OpenAIRE

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

    2013-01-01

    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. Aortic events in a nationwide Marfan syndrome cohort

    DEFF Research Database (Denmark)

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

    2017-01-01

    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...

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

    DEFF Research Database (Denmark)

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

    2016-01-01

    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...

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

    DEFF Research Database (Denmark)

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

    2013-01-01

    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....

  19. Educational Elements of a Comprehensive State Policy on Aging.

    Science.gov (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…

  20. Adoption of the EU SEA Directive in Turkey

    International Nuclear Information System (INIS)

    Unalan, Dilek; Cowell, Richard

    2009-01-01

    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.

  1. 33 CFR 230.21 - Adoption.

    Science.gov (United States)

    2010-07-01

    ... FOR IMPLEMENTING NEPA § 230.21 Adoption. See 40 CFR 1506.3. A district commander will normally adopt... recirculated as provided in 40 CFR 1506.3 (b) or (c), the adopted EIS with the supplement, if any, will be processed in accordance with this regulation. A district commander may also adopt another agency's EA/FONSI. ...

  2. 75 FR 68166 - National Adoption Month, 2010

    Science.gov (United States)

    2010-11-04

    ... potential, and spread their wings when given the loving and firm foundation of family. Adoptive families... to ensure that all qualified caregivers have the ability to serve as adoptive families. This year, on... care adoptions as part of my Administration's support for this important day. Adoptive families are...

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

    Science.gov (United States)

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

    2017-06-01

    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. Lost opportunities: Modeling commercial building energy code adoption in the United States

    International Nuclear Information System (INIS)

    Nelson, Hal T.

    2012-01-01

    This paper models the adoption of commercial building energy codes in the US between 1977 and 2006. Energy code adoption typically results in an increase in aggregate social welfare by cost effectively reducing energy expenditures. Using a Cox proportional hazards model, I test if relative state funding, a new, objective, multivariate regression-derived measure of government capacity, as well as a vector of control variables commonly used in comparative state research, predict commercial building energy code adoption. The research shows little political influence over historical commercial building energy code adoption in the sample. Colder climates and higher electricity prices also do not predict more frequent code adoptions. I do find evidence of high government capacity states being 60 percent more likely than low capacity states to adopt commercial building energy codes in the following year. Wealthier states are also more likely to adopt commercial codes. Policy recommendations to increase building code adoption include increasing access to low cost capital for the private sector and providing noncompetitive block grants to the states from the federal government. - Highlights: ► Model the adoption of commercial building energy codes from 1977–2006 in the US. ► Little political influence over historical building energy code adoption. ► High capacity states are over 60 percent more likely than low capacity states to adopt codes. ► Wealthier states are more likely to adopt commercial codes. ► Access to capital and technical assistance is critical to increase code adoption.

  5. Juridical aspects of post mortem adoption

    Directory of Open Access Journals (Sweden)

    Sergio Rodrigo Martinez

    2015-12-01

    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.

  6. Factors Affecting Customers Adoption of Internet Banking in Pakistan

    Directory of Open Access Journals (Sweden)

    Samia Abbasi

    2017-06-01

    Full Text Available Unlike many developed countries, internet banking is a new phenomenon for Pakistani consumers as majority of banking customers seems to be fairly unfamiliar with different aspects of this service. This can be due to the diverse educational backgrounds, level of internet access, personal experiences and different socio-cultural backgrounds of customers. The present study looked at various factors influencing adoption of internet banking in Pakistan. The study used survey methodology with a sample of 250 individuals. Results of the research revealed reluctance to change has no significant impact on adoption of internet banking. On other hand access to internet, ease of use and security and privacy are found to be critical factors influencing adoption of internet banking. The results of the present study may facilitate policy makers and bank management to advance electronic banking services in Pakistan in a befitting manner. Lastly, managerial implications, study limitations and future research directions are provided.

  7. Adopted preschool child with ADHD

    OpenAIRE

    STAŇKOVÁ, Iveta

    2016-01-01

    This bachelor´s work was written based on personal experience and practice with a family in which a pre-school child with ADHD syndrom lives. The intended objective is to provide pieces of advice to many parents. This work could serve as a guide in searching effective strategies for a child with attention and hyperactivity deficit disorder. The second objective is to share experience and educational methods when dealing with an adopted child diagnosed with the ADHD syndrom at the age of three...

  8. [Adoptive parents' satisfaction with the adoption experience and with its impact on family life].

    Science.gov (United States)

    Sánchez-Sandoval, Yolanda

    2011-11-01

    In this study, we discuss the relevance of adoptive families' satisfaction in the assessment of adoption processes. The effects of adoption on a sample group of 272 adoptive families are analyzed. Most families show high levels of satisfaction as to: their decision to adopt, the features of their adopted children and how adoption has affected them as individuals and as a family. Statistical analyses show that these families can have different satisfaction levels depending on certain features of the adoptees, of the adoptive families or of their educational style. Life satisfaction of the adoptees is also related to how their adoptive parents evaluate the adoption.

  9. Bridging the Divide: Openness in Adoption and Post-adoption Psychosocial Adjustment among Birth and Adoptive Parents

    Science.gov (United States)

    Ge, Xiaojia; Natsuaki, Misaki N.; Martin, David; Leve, Leslie; Neiderhiser, Jenae; Shaw, Daniel S.; Villareal, Georgette; Scaramella, Laura; Reid, John; Reiss, David

    2008-01-01

    Using 323 matched parties of birth mothers and adoptive parents, this study examined the association between the degree of adoption openness (e.g., contact and knowledge between parties) and birth and adoptive parents’ post-adoption adjustment shortly after the adoption placement (6 to 9 months). Data from birth fathers (N=112), an understudied sample, also were explored. Openness was assessed by multiple informants. Results indicated that openness was significantly related to satisfaction with adoption process among adoptive parents and birth mothers. Increased openness was positively associated with birth mothers’ post-placement adjustment as indexed by birth mothers’ self reports and the interviewers’ impression of birth mothers’ adjustment. Birth fathers’ report of openness was associated with their greater satisfaction with the adoption process and better post-adoption adjustment. PMID:18729667

  10. From Delivery to Adoption of Physical Activity Guidelines: Realist Synthesis

    Directory of Open Access Journals (Sweden)

    Liliana Leone

    2017-10-01

    Full Text Available Background: 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. Methods: 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. Results: 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. Conclusions: 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.

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

    Energy Technology Data Exchange (ETDEWEB)

    None,

    1980-05-01

    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.

  12. Older people dying with dementia: a nationwide study

    NARCIS (Netherlands)

    Meeussen, K.; van den Block, L.; Echteld, M.; Boffin, N.; Bilsen, J.; van Casteren, V.; Deliens, L.

    2012-01-01

    Background: Large-scale nationwide data describing the end-of-life characteristics of older people with dementia are lacking. This paper describes the dying process and end-of-life care provided to elderly people with mild or severe dementia in Belgium. It compares with elderly people dying without

  13. 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.

  14. Why common carrier and network neutrality principles apply to the Nationwide Health Information Network (NWHIN).

    Science.gov (United States)

    Gaynor, Mark; Lenert, Leslie; Wilson, Kristin D; Bradner, Scott

    2014-01-01

    The Office of the National Coordinator will be defining the architecture of the Nationwide Health Information Network (NWHIN) together with the proposed HealtheWay public/private partnership as a development and funding strategy. There are a number of open questions--for example, what is the best way to realize the benefits of health information exchange? How valuable are regional health information organizations in comparison with a more direct approach? What is the role of the carriers in delivering this service? The NWHIN is to exist for the public good, and thus shares many traits of the common law notion of 'common carriage' or 'public calling,' the modern term for which is network neutrality. Recent policy debates in Congress and resulting potential regulation have implications for key stakeholders within healthcare that use or provide services, and for those who exchange information. To date, there has been little policy debate or discussion about the implications of a neutral NWHIN. This paper frames the discussion for future policy debate in healthcare by providing a brief education and summary of the modern version of common carriage, of the key stakeholder positions in healthcare, and of the potential implications of the network neutrality debate within healthcare.

  15. The Adoption and Use of Health Information Technology in Rural Areas: Results of a National Survey

    Science.gov (United States)

    Singh, Ranjit; Lichter, Michael I.; Danzo, Andrew; Taylor, John; Rosenthal, Thomas

    2012-01-01

    Context: Health information technology (HIT) is a national policy priority. Knowledge about the special needs, if any, of rural health care providers should be taken into account as policy is put into action. Little is known, however, about rural-urban differences in HIT adoption at the national level. Purpose: To conduct the first national…

  16. Adoption of Mobile Payment Platforms

    DEFF Research Database (Denmark)

    Staykova, Kalina Stefanova; Damsgaard, Jan

    2016-01-01

    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...

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2010-07-01

    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)

  18. Policy options

    International Nuclear Information System (INIS)

    Miller, A.

    1990-01-01

    The obstacles to bringing about consumer response to environmental dangers are particularly challenging for global problems like ozone depletion and the greenhouse effect. In this situation, there is the danger of what is commonly termed the tragedy of the commons, the ecological destruction that can occur from uncontrolled use of shared resources like the atmosphere. There is probably no country for which reductions in global warming provide an adequate economic incentive to reduce greenhouse gas emissions unilaterally, even though such action could yield substantial global benefits. From any one country's viewpoint, the costs of controlling emissions may exceed the benefits since, without international agreement, reductions achieved by one nation may be offset by another. Therefore, even though the entire world may be better off as a result of efforts to lower emissions, new economic incentives are necessary to lead the market to a socially efficient outcome. This paper describes the range of domestic and international policies that could be adopted to reduce emissions of greenhouse gases, and also discusses the results of modeling analyses of government actions that could reduce or increase such emissions

  19. Adoption of Children with Disabilities: An Exploration of the Issues for Adoptive Families

    Science.gov (United States)

    Good, Gretchen A.

    2016-01-01

    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…

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

    International Nuclear Information System (INIS)

    Bauner, Christoph; Crago, Christine L.

    2015-01-01

    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.

  1. Evolution of consumer information preferences with market maturity in solar PV adoption

    Science.gov (United States)

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

    2017-07-01

    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.

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

    Directory of Open Access Journals (Sweden)

    F. Kanwal

    2017-08-01

    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.

  3. Macroprudential Policy: A Review

    Directory of Open Access Journals (Sweden)

    Mahdi Ebrahimi Kahou

    2015-10-01

    Full Text Available The severity and longevity of the recession caused by the 2007 financial crisis has highlighted the lack of a reliable macro-based financial regulation framework. As a consequence, addressing the link between the stability of the financial system as a whole and the performance of the overall economy has become a mandate for policymakers and scholars. Many countries have adopted macroprudential tools as policy responses for safeguarding the financial system. This paper provides a literature review of macroprudential policies, its objectives and the challenges that a macro-based framework needs to overcome, such as financial stability, procyclicality, and systemic risk.

  4. Food Service Guideline Policies on State Government-Controlled Properties.

    Science.gov (United States)

    Zaganjor, Hatidza; Bishop Kendrick, Katherine; Warnock, Amy Lowry; Onufrak, Stephen; Whitsel, Laurie P; Ralston Aoki, Julie; Kimmons, Joel

    2016-09-13

    Food service guideline (FSG) policies can impact millions of daily meals sold or provided to government employees, patrons, and institutionalized persons. This study describes a classification tool to assess FSG policy attributes and uses it to rate FSG policies. Quantitative content analysis. State government facilities in the United States. Participants were from 50 states and District of Columbia in the United States. Frequency of FSG policies and percentage alignment to tool. State-level policies were identified using legal research databases to assess bills, statutes, regulations, and executive orders proposed or adopted by December 31, 2014. Full-text reviews were conducted to determine inclusion. Included policies were analyzed to assess attributes related to nutrition, behavioral supports, and implementation guidance. A total of 31 policies met the inclusion criteria; 15 were adopted. Overall alignment ranged from 0% to 86%, and only 10 policies aligned with a majority of the FSG policy attributes. Western states had the most FSG policies proposed or adopted (11 policies). The greatest number of FSG policies were proposed or adopted (8 policies) in 2011, followed by the years 2013 and 2014. The FSG policies proposed or adopted through 2014 that intended to improve the food and beverage environment on state government property vary considerably in their content. This analysis offers baseline data on the FSG landscape and information for future FSG policy assessments. © The Author(s) 2016.

  5. Food Service Guideline Policies on State Government Controlled Properties

    Science.gov (United States)

    Zaganjor, Hatidza; Bishop Kendrick, Katherine; Warnock, Amy Lowry; Onufrak, Stephen; Whitsel, Laurie P.; Ralston Aoki, Julie; Kimmons, Joel

    2017-01-01

    Purpose Food service guidelines (FSG) policies can impact millions of daily meals sold or provided to government employees, patrons, and institutionalized persons. This study describes a classification tool to assess FSG policy attributes and uses it to rate FSG policies. Design Quantitative content analysis. Setting State government facilities in the U.S. Subjects 50 states and District of Columbia. Measures Frequency of FSG policies and percent alignment to tool. Analysis State-level policies were identified using legal research databases to assess bills, statutes, regulations, and executive orders proposed or adopted by December 31, 2014. Full-text reviews were conducted to determine inclusion. Included policies were analyzed to assess attributes related to nutrition, behavioral supports, and implementation guidance. Results A total of 31 policies met inclusion criteria; 15 were adopted. Overall alignment ranged from 0% to 86%, and only 10 policies aligned with a majority of FSG policy attributes. Western States had the most FSG policy proposed or adopted (11 policies). The greatest number of FSG policies were proposed or adopted (8 policies) in 2011, followed by the years 2013 and 2014. Conclusion FSG policies proposed or adopted through 2014 that intended to improve the food and beverage environment on state government property vary considerably in their content. This analysis offers baseline data on the FSG landscape and information for future FSG policy assessments. PMID:27630113

  6. Are You Pregnant and Thinking about Adoption?

    Science.gov (United States)

    ... agreements can be useful tools in setting common expectations and should be filed before the adoption is ... allow, and some States require, adoptive parents to pay for the birth mother’s counseling (with various time ...

  7. 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 a...

  8. The Challenges of Adopting International Financial Reporting ...

    African Journals Online (AJOL)

    The Challenges of Adopting International Financial Reporting System in Nigeria. ... Nigeria is going to adopt International Financial Reporting Standard (IFRS) ... its challenges and to proffer solutions that would ensure seamless transition in ...

  9. farmer's characteristics and adoption of recommended practices ...

    African Journals Online (AJOL)

    Prof. Ekwueme

    80 respondents reveals that fadama farming was dominated by females ... determinants of respondents' adoption of fadama-related technologies, accounting for about 39% of .... of male adoption of improved practices could be related to the.

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

    African Journals Online (AJOL)

    Factors Influencing Adoption of Cocoa Technologies Disseminated by Olam Organisation in ... Journal of Agricultural Research and Development ... level, household size, no of farm family assisting on the farm, management system adopted, ...

  11. Energy policy in transport and transport policy

    International Nuclear Information System (INIS)

    Van Dender, Kurt

    2009-01-01

    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.

  12. Energy policy in transport and transport policy

    Energy Technology Data Exchange (ETDEWEB)

    Van Dender, Kurt [Joint Transport Research Centre of the International Transport Forum and the OECD, 2 rue Andre Pascale, F-75775 Paris Cedex 16 (France)

    2009-10-15

    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. (author)

  13. Representative Incidents in the Adoption Process.

    Science.gov (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

    2014-01-01

    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. 32 CFR 584.4 - Adoption proceedings.

    Science.gov (United States)

    2010-07-01

    ... CUSTODY, AND PATERNITY § 584.4 Adoption proceedings. (a) General. This chapter does not apply to those... soldier for leave to attend an adoption hearing on (date) has been granted. (ii) A request by the soldier for leave to attend an adoption hearing on (date), if made, would be approved. (iii) Due to military...

  16. 40 CFR 1506.3 - Adoption.

    Science.gov (United States)

    2010-07-01

    ...) An agency may adopt a Federal draft or final environmental impact statement or portion thereof... are substantially the same, the agency adopting another agency's statement is not required to recirculate it except as a final statement. Otherwise the adopting agency shall treat the statement as a draft...

  17. eHealth adoption factors in medical hospitals: A focus on the Netherlands.

    Science.gov (United States)

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

    2017-04-01

    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. Policy Review on Adult Learning: The Adult Non-Formal Education Policy of Mali, West Africa

    Science.gov (United States)

    Gadio, Moussa

    2011-01-01

    This article focuses on the issue of policy development for adult learning in Mali, West Africa. On January 2007, the Malian government adopted the "Adult Non-formal Education Policy Document," which was intended to regulate the adult learning sector and federate the actions of policy makers, adult education providers, and adult…

  19. Recent urban policy and development in China: a reversal of "anti-urbanism".

    Science.gov (United States)

    Kwok, R Y

    1987-10-01

    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.

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

    Directory of Open Access Journals (Sweden)

    Xie Fengbo

    2012-02-01

    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 https://www.cnrds.net 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

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

    Science.gov (United States)

    Xie, Fengbo; Zhang, Dong; Wu, Jinzhao; Zhang, Yunfeng; Yang, Qing; Sun, Xuefeng; Cheng, Jing; Chen, Xiangmei

    2012-02-28

    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. 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 https://www.cnrds.net 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. 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. 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 such patients. Furthermore, it is a

  2. An expanded nationwide view of chronic kidney disease in Aboriginal Australians.

    Science.gov (United States)

    Hoy, Wendy E; Mott, Susan A; Mc Donald, Stephen P

    2016-11-01

    We summarize new knowledge that has accrued in recent years on chronic kidney disease (CKD) in Indigenous Australians. CKD refers to all stages of preterminal kidney disease, including end-stage kidney failure (ESKF), whether or not a person receives renal replacement therapy (RRT). Recently recorded rates of ESKF, RRT, non-dialysis CKD hospitalizations and CKD attributed deaths were, respectively, more than sixfold, eightfold, eightfold and threefold those of non-Indigenous Australians, with age adjustment, although all except the RRT rates are still under-enumerated. However, the nationwide average Indigenous incidence rate of RRT appears to have stabilized. The median age of Indigenous people with ESKF was about 30 years less than for non-Indigenous people, and 84% of them received RTT, while only half of non-Indigenous people with ESKF did so. The first-ever (2012) nationwide health survey data showed elevated levels of CKD markers in Indigenous people at the community level. For all CKD parameters, rates among Indigenous people themselves were strikingly correlated with increasing remoteness of residence and socio-economic disadvantage, and there was a female predominance in remote areas. The burden of renal disease in Australian Indigenous people is seriously understated by Global Burden of Disease Mortality methodology, because it employs underlying cause of death only, and because deaths of people on RRT are frequently attributed to non-renal causes. These data give a much expanded view of CKD in Aboriginal people. Methodologic approaches must be remedied for a full appreciation of the burden, costs and outcomes of the disease, to direct appropriate policy development. © 2016 Asian Pacific Society of Nephrology.

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

    Science.gov (United States)

    2012-01-01

    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 https://www.cnrds.net 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

  4. Adoption of Electronic Health Records: A Roadmap for India.

    Science.gov (United States)

    Srivastava, Sunil Kumar

    2016-10-01

    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.

  5. Adoption of Electronic Health Records: A Roadmap for India

    Science.gov (United States)

    2016-01-01

    Objectives 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. Methods 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. Results 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. Conclusions 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. PMID:27895957

  6. Age at placement, adoption experience and adult adopted people's contact with their adoptive and birth mothers: an attachment perspective.

    Science.gov (United States)

    Howe, D

    2001-09-01

    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

  7. Adoption of Electronic Health Records

    Science.gov (United States)

    Grabenbauer, L; Fraser, R.; McClay, J.; Woelfl, N.; Thompson, C.B.; Cambell, J.; Windle, J.

    2011-01-01

    Objective Less than 20% of hospitals in the US have an electronic health record (EHR). In this qualitative study, we examine the perspectives of both academic and private physicians and administrators as stakeholders, and their alignment, to explore their perspectives on the use of technology in the clinical environment. Methods Focus groups were conducted with 74 participants who were asked a series of open-ended questions. Grounded theory was used to analyze the transcribed data and build convergent themes. The relevance and importance of themes was constructed by examining frequency, convergence, and intensity. A model was proposed that represents the interactions between themes. Results Six major themes emerged, which include the impact of EHR systems on workflow, patient care, communication, research/outcomes/billing, education/learning, and institutional culture. Academic and private physicians were confident of the future benefits of EHR systems, yet cautious about the current implementations of EHR, and its impact on interactions with other members of the healthcare team and with patients, and the amount of time necessary to use EHR’s. Private physicians differed on education and were uneasy about the steep learning curve necessary for use of new systems. In contrast to physicians, university and hospital administrators are optimistic, and value the availability of data for use in reporting. Conclusion The results of our study indicate that both private and academic physicians concur on the need for features that maintain and enhance the relationship with the patient and the healthcare team. Resistance to adoption is related to insufficient functionality and its potential negative impact on patient care. Integration of data collection into clinical workflows must consider the unexpected costs of data acquisition. PMID:23616868

  8. Binge Drinking – Nationwide Problem, Local Solutions

    Centers for Disease Control (CDC) Podcasts

    2012-01-03

    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.

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

    OpenAIRE

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

    2013-01-01

    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 ...

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

    Directory of Open Access Journals (Sweden)

    Darrel Montero

    2014-05-01

    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.

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

    DEFF Research Database (Denmark)

    Khalid, Md. Saifuddin; Buus, Lillian

    2018-01-01

    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....

  12. Palliative sedation at home in the Netherlands: a nationwide survey among nurses.

    Science.gov (United States)

    Brinkkemper, Tijn; Klinkenberg, Marianne; Deliens, Luc; Eliel, Miriam; Rietjens, Judith A C; Zuurmond, Wouter W A; Perez, Roberto S G M

    2011-08-01

    This paper is a report of a nationwide study conducted to assess experiences of nurses involved in palliative sedation at home after introduction of a physicians' guideline for palliative sedation. Most studies investigating the practice of palliative sedation focus on physicians' practices and attitudes. However, little is known about experiences and attitudes of nurses. A web-based structured questionnaire was offered to 387 nurses providing medical technical care in 2007, assessing their experiences concerning decision-making, treatment policy and communication, focussing on the last patient receiving palliative sedation. The questionnaire was filled out by 201 nurses (response rate 52%). The majority of respondents agreed with the indication for palliative sedation. However, 21% reported to have refused carrying out a palliative sedation in the preceding year. The general practitioner was not present at the start of palliative sedation in a third of the cases, but was available when needed. The sedation was considered insufficiently effective by 42% of the respondents. According to a third of the respondents, the level of sedation was not related to the required level of symptom relief nor were changes in dosage based on the severity of symptoms. Although the guideline for palliative sedation appears to be followed adequately in the majority of cases with respect to indication for palliative sedation and reportage. The survey findings revealed shortcomings in medication policy, communication, medical control over the start and continued monitoring of palliative sedation. © 2011 The Authors. Journal of Advanced Nursing © 2011 Blackwell Publishing Ltd.

  13. From Toques to Tokes: Two challenges facing nationwide legalization of cannabis in Canada.

    Science.gov (United States)

    Bear, Daniel

    2017-04-01

    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.

  14. Aligning European OA policies with Horizon 2020

    OpenAIRE

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

    2015-01-01

    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...

  15. New Perspectives on Policy Uncertainty

    OpenAIRE

    Hlatshwayo, Sandile

    2017-01-01

    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...

  16. Sustainability Policy and Environmental Policy

    OpenAIRE

    John C. V. Pezzey

    2001-01-01

    A theoretical, representative agent economy with a depletable resource stock, polluting emissions and productive capital is used to contrast environmental policy, which internalises externalised environmental values, with sustainability policy, which achieves some form of intergenerational equity. The obvious environmental policy comprises an emissions tax and a resource stock subsidy, each equal to the respective external cost or benefit. Sustainability policy comprises an incentive affectin...

  17. CERN anti-fraud policy

    CERN Multimedia

    2013-01-01

    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...

  18. Adoption Applicants Screening: Characteristics and Challenges

    Directory of Open Access Journals (Sweden)

    رضا رزاقی

    2018-03-01

    Full Text Available Recently an increasing interest in studying and exploring the Iranian adoptive families has been evolved. Nevertheless, there are still frequent unknown factors about adoption in Iran. This study proceed to survey on characteristics of adoptive applicants due to programming and interventional needs in adoption counselling area. In this study, the descriptive survey method has been used and it involved all clients who referred to adoption counseling from March 2014 to March 2016. The clients were 411 adoptive applicants who ate-nded in semi-structured interview. Among the clients, 78% of them aimed at the adoption institutionally and 22% have followed the process illegally. Nearly half of the marriage life of infertile couples were spent to seek for infertility services. The findings indicated that nearly 27 percent of applicants are ready for adoption and other applicants require more preparation or canceling adoption process. Adoptive applicant screening process is critical and sensitive and consulting services facilitate this process; but the important point is the use of standard instrument and check-lists according to local and cultural conditions.

  19. Does Driving Range of Electric Vehicles Influence Electric Vehicle Adoption?

    Directory of Open Access Journals (Sweden)

    Seiho Kim

    2017-10-01

    Full Text Available This study aims to determine the influential factors on the market share of electric vehicles through panel data analysis based on time series data from 2011 to 2015 in 31 countries. We selected five significant independent variables that are expected to affect electric vehicle adoption based on literature review. The econometric model in this study suggests that the relative price of electric vehicle compared to internal combustion engine vehicle, driving range, and number of models available in markets are correlated to the market share of electric vehicles. On the other hand, relationship between recharging infrastructure—an important factor for electric vehicle adoption in many studies—and market share of electric vehicles turned out to be insignificant in this study. From a political point of view, we argue that policy makers need to allocate more resources to research and development in order to extend driving range at the early stage of electric vehicle deployment in the markets.

  20. High-level managers' considerations for RFID adoption in hospitals: an empirical study in Taiwan.

    Science.gov (United States)

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

    2014-02-01

    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.

  1. Adopters and non-adopters of Internet banking: A segmentation study

    OpenAIRE

    Patsiotis, A.; Hughes, T.; Webber, D. J.

    2012-01-01

    Purpose – This study examines Internet banking adoption and resistance behaviour in Greece in order to develop profiles of adopters and non-adopters of the service. The aim is to illustrate customers’ resistance behaviour towards Internet banking. Existing research does not explain resistance behaviour, since it does not clearly distinguish non-adoption from resistance. Consequently, it has not recognized the different types of non-adoption.\\ud Design/methodology/approach – A measuring instru...

  2. Contact in Adoption and Adoptive Identity Formation: The Mediating Role of Family Conversation

    OpenAIRE

    Korff, Lynn Von; Grotevant, Harold D.

    2011-01-01

    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...

  3. The intrapersonal conflict particularities of potential adopters.

    Directory of Open Access Journals (Sweden)

    Inga Russu

    2016-11-01

    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.

  4. THE INTRAPERSONAL CONFLICT PARTICULARITIES OF POTENTIAL ADOPTERS

    Directory of Open Access Journals (Sweden)

    Inga RUSSU

    2016-11-01

    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.

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

    International Nuclear Information System (INIS)

    Yeh, Sonia

    2007-01-01

    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

  6. KNOWLEDGE, TECHNOLOGY ADOPTION AND FINANCIAL INNOVATION

    OpenAIRE

    Ana Fernandes

    2004-01-01

    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...

  7. Mandatory IFRS adoption and accounting comparability

    OpenAIRE

    Cascino, Stefano; Gassen, Joachim

    2010-01-01

    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...

  8. Measures for Predictors of Innovation Adoption

    Science.gov (United States)

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

    2014-01-01

    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

  9. IFRS Adoption and Accounting Quality: A Review

    OpenAIRE

    Duarte, Ana; Saur- Amaral, Irina; Azevedo, Graça

    2015-01-01

    Literature on IFRS adoption by countries concerning high quality, understandable and applicable IFRS in order to be worldwide accepted has generated a pertinent discussion, since the results presented in the literature are not unanimous on the adoption of IFRS and accounting quality. Soderstrom and Sun (2007) analyzed a research published in leading accounting journals selected from 1990’s on the consequences of IFRS adoption and found that the determinants of accounting quality after the ado...

  10. ICT Adoption in Facilities Management Supply Chain

    DEFF Research Database (Denmark)

    Scupola, Ada

    2012-01-01

    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 grouped...... concerned with ICT adoption, operations and service management (especially facilities management) as well as operation managers and ICT managers....

  11. 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.

    2015-01-01

    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

  12. Energy conservation goals: What people adopt, what they recommend, and why

    OpenAIRE

    Shahzeen Z. Attari; David H. Krantz; Elke U. Weber

    2016-01-01

    Failures to reduce greenhouse gas emissions by adopting policies, technologies, and lifestyle changes have led the world to the brink of crisis, or likely beyond. Here we use Internet surveys to attempt to understand these failures by studying factors that affect the adoption of personal energy conservation behaviors and also endorsement of energy conservation goals proposed for others. We demonstrate an asymmetry between goals for self and others (“I’ll do the easy thing...

  13. Pre-operative fasting: a nationwide survey of German anaesthesia departments.

    Science.gov (United States)

    Breuer, J-P; Bosse, G; Seifert, S; Prochnow, L; Martin, J; Schleppers, A; Geldner, G; Soreide, E; Spies, C

    2010-03-01

    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.

  14. Privacy Policy

    Science.gov (United States)

    ... Home → NLM Privacy Policy URL of this page: https://medlineplus.gov/privacy.html NLM Privacy Policy To ... out of cookies in the most popular browsers, http://www.usa.gov/optout_instructions.shtml. Please note ...

  15. Scenarios of technology adoption towards low-carbon cities

    International Nuclear Information System (INIS)

    Mohareb, Eugene A.; Kennedy, Christopher A.

    2014-01-01

    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

  16. Argentina's radioactive waste disposal policy

    International Nuclear Information System (INIS)

    Palacios, E.

    1986-01-01

    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

  17. Substance use disorders and adoption: findings from a national sample.

    Directory of Open Access Journals (Sweden)

    Gihyun Yoon

    Full Text Available BACKGROUND: Prior research has shown that adoptees have a higher rate of substance use disorders (SUDs than nonadoptees. But these findings have not been verified with a population-based sample of adult adoptees in the United States. Also, no previous adoption study has measured the prevalence of each specific substance use disorder (SUD. We aimed to compare lifetime prevalence rates and odds ratios of SUDs in adopted and nonadopted adults. METHODS AND FINDINGS: The data come from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC. The main outcome measure was the prevalence of lifetime SUDs in adopted (n = 378 and nonadopted adults (n = 42503. Adoptees and nonadoptees were compared to estimate the odds of lifetime SUDs using logistic regression analysis. Adoptees had higher prevalence rates of lifetime SUDs than nonadoptees. Overall, adoptees had a 1.87-fold increase (adjusted odds ratio [AOR] 1.87, 95% CI 1.51-2.31 in the odds of any lifetime SUD compared to nonadoptees. For each SUD, adoptees had higher odds for alcohol abuse/dependence (AOR 1.84, nicotine dependence (AOR 1.78, cannabis abuse/dependence (AOR 1.77, cocaine abuse/dependence (AOR 2.54, amphetamine abuse/dependence (AOR 3.14, hallucinogen abuse/dependence (AOR 2.85, opioid abuse/dependence (AOR 2.21, and other drug abuse/dependence (AOR 2.87 compared to nonadoptees. This study also identified two adoption-specific risk factors (Hispanic, never married associated with any lifetime SUD. CONCLUSIONS: This study demonstrated an increased risk of lifetime SUDs in adopted adults. The findings can be useful for clinicians and policy makers to provide education, prevention, and support for adoptees and their families.

  18. The policies

    International Nuclear Information System (INIS)

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

    2005-01-01

    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.)

  19. Contact Between Adoptive and Birth Families: Perspectives from the Minnesota Texas Adoption Research Project.

    Science.gov (United States)

    Grotevant, Harold D; McRoy, Ruth G; Wrobel, Gretchen M; Ayers-Lopez, Susan

    2013-09-01

    A growing number of adoptive families have contact with their children's birth relatives. The Minnesota Texas Adoption Research Project is examining longitudinally the consequences of variations in contact arrangements for birth mothers, adoptive parents, and adopted children in domestic infant adoptions, and is studying the dynamics of relationships within these family systems. Individuals who had contact were more satisfied with their arrangements than those who did not have contact. Satisfaction with contact predicted more optimal adjustment among adopted adolescents and emerging adults. Adoption-related communication predicted identity development among adopted adolescents and emerging adults. Birth mothers who were more satisfied with their contact arrangements, regardless of level of contact, had less unresolved grief 12 to 20 years after placement. Adoptive and birth relatives who engage in contact need flexibility, strong interpersonal skills, and commitment to the relationship. These skills can be learned, and they can be supported by others, through informal, psychoeducational, and therapeutic means.

  20. Healthy depictions? Depicting adoption and adoption news events on broadcast news.

    Science.gov (United States)

    Kline, Susan L; Chatterjee, Karishma; Karel, Amanda I

    2009-01-01

    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.

  1. 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.

    2011-01-01

    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)

  2. Comparing decision-support systems in adopting sustainable intensification criteria

    Directory of Open Access Journals (Sweden)

    Bouda eVosough Ahmadi

    2015-02-01

    Full Text Available Sustainable intensification (SI is a multifaceted concept incorporating the ambition to increase or maintain the current level of agricultural yields while reduce negative ecological and environmental impacts. Decision-support systems (DSS that use integrated analytical methods are often used to support decision making processes in agriculture. However, DSS often consist of set of values, objectives and assumptions that may be inconsistent or in conflict with merits and objectives of SI. These potential conflicts will have consequences for adoption and up-take of agricultural research, technologies and related policies and regulations such as genetic technology in pursuit of SI. This perspective paper aimed at comparing a number of frequently used socio-economic DSS with respect to their capacity in incorporating various dimensions of SI, and discussing their application to analyzing farm animal genetic resources (FAnGR policies. The case of FAnGR policies was chosen because of its great potential in delivering merits of SI. It was concluded that flexible DSS, with great integration capacity with various natural and social sciences, are needed to provide guidance on feasibility, practicality and policy implementation for SI.

  3. Inter-Organizational Information Systems Adoption

    DEFF Research Database (Denmark)

    Lyytinen, Kalle; Damsgaard, Jan

    2011-01-01

    consisting of dyadic, hub and spoke, industry and community configurations. Specific forms or adoption analysis are suggested for each type of configuration. Overall, configuration analysis redirects IOIS adoption studies both at the theoretical and the methodological level, and a corresponding research...

  4. Farmers' Characteristics and Adoption' of Recommended Practices ...

    African Journals Online (AJOL)

    Gender, educational and household characteristics of respondents were significant determinants of respondents' adoption of Fadama-related technologies, accounting for about 39% of variability in adoption. High costs of water pumps, lack of agro-chemicals (fertilizers) and inadequate funds were major constraint to ...

  5. ADOPTION OF IMPROVED TECHNOLOGY IN ETHIOPIA By

    African Journals Online (AJOL)

    Etsub [ ETSUB

    forms often used are the probit (the standard cumulative distribution function) and ... are techniques for estimating the probability of an event (such as adoption) that can .... credit, availability of labour, etc., are expected to influence the adoption behaviour ..... and have the opportunity to adjust productive resources over time.

  6. Model Adoption Exchange Payment System: Executive Summary.

    Science.gov (United States)

    Ambrosino, Robert J.

    This executive summary provides a brief description of the Model Adoption Exchange Payment System (MAEPS), a unique payment system aimed at improving the delivery of adoption exchange services throughout the United States. Following a brief introductory overview, MAEPS is described in terms of (1) its six components (registration, listing,…

  7. Essays in technology adoption and corporate finance

    OpenAIRE

    Patel, Pratish

    2013-01-01

    This dissertation consists of three chapters that concern technology adoption and corporate finance. The first chapter analyzes the optimal investment strategy of two firms confronted with the option to adopt a new technology. The second chapter analyzes the link between debt maturity and term spread. The third chapter analyzes the role of debt financing on skyscraper heights.

  8. Determinants of rainwater harvesting technology (RWHT) adoption ...

    African Journals Online (AJOL)

    2014-11-26

    Nov 26, 2014 ... study evaluated the determinants of farmers' decisions to adopt rainwater harvesting technology ... adoption of RWHT in the study area. ... In South Africa, agriculture involves large numbers of ... Study area and data collection ..... study in rainwater harvesting: A 2011 perspective. ... Kluwer Academic.

  9. Adoption of communication technologies and national culture

    NARCIS (Netherlands)

    Hofstede, G.J.

    2001-01-01

    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,

  10. Intercountry Adoption Agencies and the HCIA

    NARCIS (Netherlands)

    P. Selman (Peter); K.E. Cheney (Kristen)

    2014-01-01

    textabstractThis report discusses concerns raised by participants of Thematic Area 3 (Intercountry Adoption Agencies and the HCIA) of the International Forum on Intercountry Adoption and Global Surrogacy held in August 2014. The aim is to report the views of those participating in this area on the

  11. Adoptive Parents' Attitudes Toward Open Birth Records.

    Science.gov (United States)

    Geissinger, Shirley

    1984-01-01

    Investigated adoptive parents' (N=42) attitudes toward the open birth record issues using a mail survey. Analysis indicated that parental fear was the most important variable. Most supported a measure allowing adult adoptees access to birth records, provided such access was agreeable to birth and adoptive parents. (JAC)

  12. Covering Adoption: General Depictions in Broadcast News

    Science.gov (United States)

    Kline, Susan L.; Karel, Amanda I.; Chatterjee, Karishma

    2006-01-01

    Using theories of stigma (Goffman, 1963) and media frames (Iyengar, 1991), 292 news stories pertaining to adoption that appeared on major broadcast networks between 2001 and 2004 were analyzed. Media coverage of adoptees contained more problematic than positive depictions. Although birth parents were not always depicted, adoptive parent and…

  13. Health Reform Requires Policy Capacity

    Directory of Open Access Journals (Sweden)

    Pierre-Gerlier Forest

    2015-05-01

    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

  14. Holistic BIM Adoption and Diffusion in Malaysia

    Directory of Open Access Journals (Sweden)

    Mamter Shahela

    2016-01-01

    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. Organizational adoption of preemployment drug testing.

    Science.gov (United States)

    Spell, C S; Blum, T C

    2001-04-01

    This study explored the adoption of preemployment drug testing by 360 organizations. Survival models were developed that included internal organizational and labor market factors hypothesized to affect the likelihood of adoption of drug testing. Also considered was another set of variables that included social and political variables based on institutional theory. An event history analysis using Cox regressions indicated that both internal organizational and environmental variables predicted adoption of drug testing. Results indicate that the higher the proportion of drug testers in the worksite's industry, the more likely it would be to adopt drug testing. Also, the extent to which an organization uses an internal labor market, voluntary turnover rate, and the extent to which management perceives drugs to be a problem were related to likelihood of adoption of drug testing.

  16. Infections as risk factor for autoimmune diseases - A nationwide study

    DEFF Research Database (Denmark)

    Nielsen, Philip Rising; Kragstrup, Tue Wenzel; Deleuran, Bent Winding

    2016-01-01

    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...

  17. 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

    2010-09-15

    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.

  18. IMPACT OF ROW-PLANTING ADOPTION ON PRODUCTIVITY OF RICE FARMING IN NORTHERN GHANA

    Directory of Open Access Journals (Sweden)

    Emmanuel DONKOR

    2016-11-01

    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.

  19. Predictors of Relationship Dissolution in Lesbian, Gay, and Heterosexual Adoptive Parents

    Science.gov (United States)

    Goldberg, Abbie E.; Garcia, Randi

    2015-01-01

    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

  20. Minimum Wage Policy and Country’s Technical Efficiency

    OpenAIRE

    Karim, Mohd Zaini Abd; Chan, Sok-Gee; Hassan, Sallahuddin

    2016-01-01

    Recently, the government has decided that Malaysia would introduce a minimum wage policy. However, some quarters argued against the idea of a nationwide minimum wage asserting that it will lead to an increase in the cost of doing business and thus will hurt Malaysian competitiveness. Although standard economic theory unambiguously implies that wage floors have a negative impact on employment, the existing empirical literature is not so clear. Some studies have found the expected negative impa...

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

    Directory of Open Access Journals (Sweden)

    Matteo Floridi

    2013-05-01

    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.

  2. Networks in social policy problems

    CERN Document Server

    Scotti, marco

    2012-01-01

    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...

  3. Plans & Policies for Technology in Education: A Compendium. A Technology Leadership Network Special Report.

    Science.gov (United States)

    National School Boards Association, Alexandria, VA. Inst. for the Transfer of Technology to Education.

    This document shows how education leaders nationwide--many of them part of the National School Boards Association's 345-district Technology Leadership Network--have addressed technology-related policy issues such as copyright, purchasing, network/Internet use, and ethics as well as technology planning topics including staff development, classroom…

  4. Nationwide survey of policies and practices related to capillary blood sampling in medical laboratories in Croatia

    OpenAIRE

    Lenicek Krleza, Jasna

    2014-01-01

    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...

  5. Privacy Policy Implementation on the Nation-Wide EHR in Japan for Hospitals and Patients.

    Science.gov (United States)

    Kume, Naoto; Kobayashi, Shinji; Araki, Kenji; Yoshihara, Hiroyuki

    2017-01-01

    Shared clinical information is an important contribution to regional medicine. Clinical information sharing with patients is also recommended to motivate patients and promote health. On the other hand, the threat of information leaks, caused by internet connected records, is critical to hospitals. The traditional approach is complete isolation of hospital networks, instead of information sharing. The authors propose methods here to maximize information sharing by following hospital preferences for electronic health records.

  6. Contact in Adoption and Adoptive Identity Formation: The Mediating Role of Family Conversation

    Science.gov (United States)

    Korff, Lynn Von; Grotevant, Harold D.

    2012-01-01

    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

  7. Contact in adoption and adoptive identity formation: the mediating role of family conversation.

    Science.gov (United States)

    Von Korff, Lynn; Grotevant, Harold D

    2011-06-01

    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. 2011 APA, all rights reserved

  8. Stakeholders’ influence on the adoption of energy-saving technologies in Italian homes

    International Nuclear Information System (INIS)

    Berardi, Umberto

    2013-01-01

    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

  9. 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)

    2017-11-01

    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.

  10. Incentives for early adoption of carbon capture technology

    International Nuclear Information System (INIS)

    Comello, Stephen; Reichelstein, Stefan

    2014-01-01

    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

  11. A Study of Philippine Monetary and Banking Policies

    OpenAIRE

    Bautista, Ernesto D.

    1992-01-01

    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...

  12. Adoption of Improved Potato Varieties in Nepal

    Directory of Open Access Journals (Sweden)

    Samaya Gairhe

    2017-05-01

    Full Text Available Nepal is one of the top twenty countries where potato contributes substantially for the human diet. Enhancing adoption of improved potato varieties could impact on farmer’s income, household food and nutritional security. As such, using a multistage sampling procedure, a study was conducted to assess the determinants of improved potato varieties adoption in Nepal covering 180 samples in four districts, two in hills and two in Tarai region. The study revealed that; Kavre and Bardiya districts in the hills and Tarai, respectively, were dominated by improved potato varieties adoption. On the other hand, Dhankuta and Jhapa in the hills and Tarai, respectively, were dominated by local potato varieties adoption. The informal seed sources followed by agro-vet and market were the major sources for improved varietal adoption. Farmers’ accesses to training and formal seed sources were important factor determining improved potato varietal adoption. However, households with larger farm size were less likely to allocate more area for improved potato varieties as many of farmers were reluctant to take potato cultivation as agri-business and still follow subsistence farming. Potato R&D programs, therefore, need to strengthen formal seed system to enhance access to quality potato seeds and build producer’s capacity through regular training and exposer visits in order to improve adoption of improved potato varieties in Nepal.

  13. 16 CFR 610.2 - Centralized source for requesting annual file disclosures from nationwide consumer reporting...

    Science.gov (United States)

    2010-01-01

    ... provide a consumer report to a third party relating to a consumer, regardless of whether the consumer report is owned by that nationwide consumer reporting agency or by an associated consumer reporting... agency for the purpose of providing consumer reports, provided that the nationwide consumer reporting...

  14. 75 FR 9277 - Proposed Information Collection (Nation-Wide Customer Satisfaction Surveys) Activity: Comment...

    Science.gov (United States)

    2010-03-01

    ... 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...

  15. 77 FR 64382 - Agency Information Collection (Nation-Wide Customer Satisfaction Surveys) Activities Under OMB...

    Science.gov (United States)

    2012-10-19

    ... 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...

  16. 77 FR 2349 - Proposed Information Collection (Nation-wide Customer Satisfaction Surveys) Activity: Comment...

    Science.gov (United States)

    2012-01-17

    ... 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...

  17. 75 FR 25320 - Agency Information Collection (Nation-wide Customer Satisfaction Surveys) Activities Under OMB...

    Science.gov (United States)

    2010-05-07

    ... 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. 75 FR 52713 - Nationwide Aerial Application of Fire Retardant on National Forest System Lands

    Science.gov (United States)

    2010-08-27

    ... DEPARTMENT OF AGRICULTURE Forest Service Nationwide Aerial Application of Fire Retardant on... statement for the continued nationwide aerial application of fire retardant on National Forest System lands... Forest Service is working to restore fire-adapted ecosystems through prescribed fire, other fuel...

  19. Information systems security policies: a survey in Portuguese public administration

    OpenAIRE

    Lopes, Isabel Maria; Sá-Soares, Filipe de

    2010-01-01

    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...

  20. Use of a Nationwide Personally Controlled Electronic Health Record by Healthcare Professionals and Patients: A Case Study with the French DMP.

    Science.gov (United States)

    Seroussi, Brigitte; Bouaud, Jacques

    2017-01-01

    If the wide adoption of electronic health records (EHRs) is necessary to address health information sharing and care coordination issues, it is not sufficient. In order to address health information sharing, some countries, among which, France, have implemented a centralized framework with "new" nationwide care records. The French DMP is a centralized, nationally shared, electronic medical record, created according to the opt-in model. More than five years after the launching of the DMP project, DMPs have been created for 1.5% of the target population, which demonstrates the poor adoption of the tool by healthcare professionals. Among the 583,997 existing DMPs in June 2016, 41% were empty, and 24% of non-empty DMPs were actually accessed. If these "active" DMPs were equally accessed by both healthcare professionals and patients, patients accessed DMP documents four times more than healthcare professionals.

  1. 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.

    1995-12-01

    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)

  2. 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)

    2017-09-01

    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.

  3. Cultural Tourism in Transnational Adoption: "Staged Authenticity" and Its Implications for Adopted Children

    Science.gov (United States)

    Quiroz, Pamela Anne

    2012-01-01

    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…

  4. Korean Adoptee Identity: Adoptive and Ethnic Identity Profiles of Adopted Korean Americans

    Science.gov (United States)

    Beaupre, Adam J.; Reichwald, Reed; Zhou, Xiang; Raleigh, Elizabeth; Lee, Richard M.

    2015-01-01

    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…

  5. Assessing the level of healthcare information technology adoption in the United States: a snapshot

    Directory of Open Access Journals (Sweden)

    Middleton Blackford

    2006-01-01

    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.

  6. School District Wellness Policies: Evaluating Progress and Potential for Improving Children's Health Five Years after the Federal Mandate. Brief Report. Volume 3

    Science.gov (United States)

    Chriqui, Jamie; Resnick, Elissa; Schneider, Linda; Schermbeck, Rebecca; Adcock, Tessa; Carrion, Violeta; Chaloupka, Frank

    2013-01-01

    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…

  7. Using Surveys of Students' Social-Emotional Learning and School Climate for Accountability and Continuous Improvement. Policy Brief 17-1

    Science.gov (United States)

    Hough, Heather; Kalogrides, Demetra; Loeb, Susanna

    2017-01-01

    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.…

  8. Birth Trends among Female Physicians in Taiwan: A Nationwide Survey from 1996 to 2013

    Science.gov (United States)

    Wang, Yi-Jen; Chiang, Shu-Chiung; Chen, Tzeng-Ji; Chou, Li-Fang; Hwang, Shinn-Jang; Liu, Jui-Yao

    2017-01-01

    Background: Although more and more women are becoming physicians, their decisions regarding pregnancy may be affected by the lengthy period of medical education and postgraduate training. The aim of this study was to explore the birth trends among female physicians in Taiwan; Methods: Retrospective analyses of maternal ages at delivery from 1996 to 2013, both for physicians and the general population, were conducted using a nationwide dataset called National Health Insurance Research Database; Results: During the study period, 8540 female physicians were identified. The physicians delivered a total of 4940 births in that time, with a rise from 210 in 1996 to 440 in 2013. In addition, the mean maternal age of the physicians at delivery increased from 32.19 years (standard deviations (SD) 2.80) in 1996 to 33.61 (SD 3.21) in 2013, values significantly higher than those for non-physicians of 27.81 (SD 4.74) in 1996 (p < 0.001) and 31.36 (SD 4.78) in 2013 (p < 0.001); Conclusion: Female physicians usually gave birth at an older age than non-physicians, but the discrepancy between the two groups gradually declined over the 18-year course of the study. The establishment of a maternity-friendly environment for female physicians should be considered by those who determine healthcare system policies. PMID:28698490

  9. What Provisions Do Orthopaedic Programs Make for Maternity, Paternity, and Adoption Leave?

    Science.gov (United States)

    Weiss, Jennifer; Teuscher, David

    2016-09-01

    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

  10. When to Tell Your Child About Adoption

    Science.gov (United States)

    ... All Around Family Life Family Life Family Life Medical Home Family Dynamics Media Work & Play Getting Involved in Your ... Word Shop AAP Find a Pediatrician Family Life Medical Home Family Dynamics Adoption & Foster Care Communication & Discipline Types of ...

  11. Internationally Adopted Children: Important Information for Parents

    Science.gov (United States)

    ... All Around Family Life Family Life Family Life Medical Home Family Dynamics Media Work & Play Getting Involved in Your ... Word Shop AAP Find a Pediatrician Family Life Medical Home Family Dynamics Adoption & Foster Care Communication & Discipline Types of ...

  12. Interfacing and adopting ITIL and COBIT

    CERN Document Server

    Hardy, Gary

    2013-01-01

    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.

  13. IMAZAPYR-RESISTANT MAIZE TECHNOLOGY ADOPTION FOR ...

    African Journals Online (AJOL)

    Prof. Adipala Ekwamu

    decisions by protecting maize (Zea mays L.) crop in western Kenya from Striga. Key Words: Adopters, Zea ... Africa, efficient and profitable production of maize is severely constrained by ..... gap by understanding its source. African. Journal of ...

  14. Improvisation during Process-Technology Adoption

    DEFF Research Database (Denmark)

    Tjørnehøj, Gitte; Mathiassen, Lars

    2010-01-01

    SPI technology adoption and events that causes the process to drift in unpredictable directions. To further understand how management's attempt to control the process is complemented by drifting, this article investigates the role of improvisation in adoption of SPI technology in a Danish software......Most software firms struggle to take advantage of the potential benefits of software process improvement (SPI) as they adopt this technology into the complex and dynamic realities of their day-to-day operation. Such efforts are therefore typically fluctuating between management's attempt to control...... firm, SmallSoft, over a 10-year period (1996–2005). We found that micro-level and macro-level improvisations interacted, often in uncoordinated ways, to shape SPI technology adoption at SmallSoft. The improvisations enhanced employee creativity, motivation and empowerment, created momentum...

  15. Role of value compatibility in IT adoption

    DEFF Research Database (Denmark)

    Bunker, Deborah; Kautz, Karlheinz; Nguyen, Anne Luu Thanh

    2007-01-01

    Compatibility has been recognised as an important element in the adoption of IT innovations in organisations but as a concept it has been generally limited to technical or functional factors. Compatibility is also significant, however, with regard to value compatibility between the organisation......, and the adopted IT innovation. We propose a framework to determine value compatibility analysing the organisation's and information system's structure, practices and culture, and explore the value compatibility of an organisation with its adopted self-service computer-based information system. A case study......-service acceptance and training issues experienced by the case organisation. These findings add insight into the problems experienced with value compatibility and the adoption of the information systems, and show the potential use of the proposed framework in the detection of such problems.Journal of Information...

  16. Impact of Adoption on Birth Parents

    Science.gov (United States)

    ... landscape of privacy and confidentiality, including in adoption (Child Welfare Information Gateway, 2013b). With a simple Internet search or a review of social media sites, individuals may be able to quickly determine ...

  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

    2012-01-01

    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. Influence of recent tobacco control policies and campaigns on Quitline call volume in Korea

    Directory of Open Access Journals (Sweden)

    Jin-Ju Park

    2018-03-01

    It appears that the continuous efforts to add up of tobacco control policies in the context of a nationwide anti-tobacco mass media campaign that includes the Quitline number is the most effective approach to maintaining the upward trend in smoking cessation intentions. Based on the Korean experience, Quitline data may be useful for measuring the impact of tobacco control policies and campaigns in Asian Pacific countries.

  19. Comparability Effects of Mandatory IFRS Adoption

    OpenAIRE

    Stefano Cascino; Joachim Gassen

    2012-01-01

    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...

  20. The Adoption and Diffusion of Service Products

    OpenAIRE

    Myung Joong Kwon

    2003-01-01

    The objective of this paper is to theoretically explore the innovation, adoption and diffusion of service product. A theoretical model of the diffusion of service product is developed that takes account of transportation, waiting and searching casts in the adoption of service product. The main results of the model are; (1) the diffusion of service product is slower than that of the manufacturing equivalent and (2) the delivery or retail distribution service speeds up the diffusion of the manu...

  1. Network Effects in Countries' Adoption of IFRS

    OpenAIRE

    Ramanna, Karthik; Sletten, Ewa

    2014-01-01

    If the differences in accounting standards across countries reflect relatively stable institutional differences (e.g., auditing technology, the rule of law, etc.), why did several countries rapidly, albeit in a staggered manner, adopt IFRS over local standards in the 2003–2008 period? We test the hypothesis that perceived network benefits from the extant worldwide adoption of IFRS can explain part of countries' shift away from local accounting standards. That is, as more jurisdictions with ec...

  2. A maturity model for blockchain adoption

    OpenAIRE

    Wang, Huaiqing; Chen, Kun; Xu, Dongming

    2016-01-01

    Background: The rapid development of the blockchain technology and its various applications has rendered it important to understand the guidelines for adopting it. Methods: The comparative analysis method is used to analyze different dimensions of the maturity model, which is mainly based on the commonly used capability maturity model. Results: The blockchain maturity model and its adoption process have been discussed and presented. Conclusions: This study serves as a guide to institutions to...

  3. Advancing Consumer Adoption of Blockchain Applications

    OpenAIRE

    Witherspoon, Zane

    2017-01-01

    Blockchain technology as a whole is experiencing a dramatic rise in adoption, in no small part due to the developer-friendly Ethereum network. While the number of smart-contract powered distributed applications (Dapps) continues to rise, they face many of the same challenges all new technologies face as they are introduced to a market. By modeling the consumer adoption of blockchain technology and analyzing scholarly literature on supply-side factors affecting the diffusion of technology, we ...

  4. Beyond preadoptive risk: The impact of adoptive family environment on adopted youth's psychosocial adjustment.

    Science.gov (United States)

    Ji, Juye; Brooks, Devon; Barth, Richard P; Kim, Hansung

    2010-07-01

    Adopted children often are exposed to preadoptive stressors--such as prenatal substance exposure, child maltreatment, and out-of-home placements--that increase their risks for psychosocial maladjustment. Psychosocial adjustment of adopted children emerges as the product of pre- and postadoptive factors. This study builds on previous research, which fails to simultaneously assess the influences of pre- and postadoptive factors, by examining the impact of adoptive family sense of coherence on adoptee's psychosocial adjustment beyond the effects of preadoptive risks. Using a sample of adoptive families (n = 385) taking part in the California Long Range Adoption Study, structural equation modeling analyses were performed. Results indicate a significant impact of family sense of coherence on adoptees' psychosocial adjustment and a considerably less significant role of preadoptive risks. The findings suggest the importance of assessing adoptive family's ability to respond to stress and of helping families to build and maintain their capacity to cope with stress despite the sometimes fractious pressures of adoption.

  5. Bridging the divide: openness in adoption and postadoption psychosocial adjustment among birth and adoptive parents.

    Science.gov (United States)

    Ge, Xiaojia; Natsuaki, Misaki N; Martin, David M; Leve, Leslie D; Neiderhiser, Jenae M; Shaw, Daniel S; Villareal, Georgette; Scaramella, Laura; Reid, John B; Reiss, David

    2008-08-01

    Using 323 matched parties of birth mothers and adoptive parents, this study examined the association between the degree of adoption openness (e.g., contact and knowledge between parties) and birth and adoptive parents' postadoption adjustment shortly after the adoption placement (6 to 9 months). Data from birth fathers (N = 112), an understudied sample, were also explored. Openness was assessed by multiple informants. Results indicated that openness was significantly related to satisfaction with adoption process among adoptive parents and birth mothers. Increased openness was positively associated with birth mothers' postplacement adjustment, as indexed by birth mothers' self-reports and the interviewers' impression of birth mothers' adjustment. Birth fathers' report of openness was associated with their greater satisfaction with the adoption process and better postadoption adjustment.

  6. Moses and Superman Come Home: Counseling Adoptees and Adoptive Families.

    Science.gov (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…

  7. '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.

  8. Health Care Organizations and Policy Leadership: Perspectives on Nonsmoker-Only Hiring Policies.

    Science.gov (United States)

    McDaniel, Patricia A; Malone, Ruth E

    2018-02-01

    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.

  9. The Process of Adoption of Evidence-based Tobacco Use Prevention Programs in California Schools

    Science.gov (United States)

    Little, Melissa A.; Pokhrel, Pallav; Sussman, Steve; Rohrbach, Louise Ann

    2014-01-01

    Although there are a number of research-validated substance use prevention programs available for wide-scale dissemination, very little is known about the factors that influence adoption of evidence-based prevention programs in schools. We tested a model of the mechanisms of program adoption in schools that was guided by diffusion of innovations and social ecological theories. Cross-sectional data were collected from a sample of school district and county office of education tobacco use prevention education coordinators throughout California. Structural equation modeling was used to test the effects of community- and organizational variables on the adoption of prevention programs via school administrators’ beliefs and the organization’s receipt of funding for the program. Results supported the hypothesis that the process of adoption begins with forming beliefs about the program, leading to adoption through the receipt of funding. In addition, we found direct effects of various community- and organizational-level factors on beliefs, receipt of funding, and adoption. These results are likely to inform policies that affect school districts’ use of evidence-based substance use prevention programming, which should ultimately lead to reductions in negative health outcomes among adolescents. Specifically, this study identifies various factors that could be targeted for improvement to enhance evidence-based program adoption. To our knowledge, this is the first study to empirically elucidate the process of adoption of evidence-based tobacco prevention programs in schools. PMID:24398826

  10. 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.

    2012-01-01

    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,

  11. A Framework for Institutional Adoption and Implementation of Blended Learning in Higher Education

    Science.gov (United States)

    Graham, Charles R.; Woodfield, Wendy; Harrison, J. Buckley

    2013-01-01

    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…

  12. The adoption of new smart-grid technologies incentives, outcomes, and opportunities

    CERN Document Server

    Guo, Christopher; Narayanan, Anu

    2015-01-01

    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.

  13. VET in Schools: The Adoption of National Training Packages in a Secondary School Setting.

    Science.gov (United States)

    Dixon, Kathryn; Pelliccione, Lina

    2003-01-01

    Vocational education and training (VET) teachers in Australian secondary schools (n=11) identified the following influences on adoption of National Training Packages: ways in which teachers construct meaning for innovations, organizational culture, infrastructure, leadership, and policy. More time, training, and a coordinator helped embed and…

  14. Boarding the Euro Plane : Euro Adoption in the Czech Republic and Slovakia

    NARCIS (Netherlands)

    Dandashly, Assem; Verdun, Amy

    2015-01-01

    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

  15. 13 CFR 113.135 - Designation of responsible employee and adoption of grievance procedures.

    Science.gov (United States)

    2010-01-01

    ... employee and adoption of grievance procedures. 113.135 Section 113.135 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION NONDISCRIMINATION IN FINANCIAL ASSISTANCE PROGRAMS OF SBA-EFFECTUATION OF POLICIES... Programs or Activities Receiving Federal Financial Assistance Introduction § 113.135 Designation of...

  16. Strategies for Promoting Green Building Technologies Adoption in the Construction Industry—An International Study

    Directory of Open Access Journals (Sweden)

    Albert Ping Chuen Chan

    2017-06-01

    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

  17. Assessing Segregation under a New Generation of Controlled Choice Policies

    Science.gov (United States)

    Frankenberg, Erica

    2017-01-01

    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…

  18. A Review of Open Access Self-Archiving Mandate Policies

    Science.gov (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.

    2012-01-01

    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…

  19. 45 CFR 650.2 - National Science Foundation patent policy.

    Science.gov (United States)

    2010-10-01

    ... 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. Internet use in radiology: results of a nationwide survey

    Energy Technology Data Exchange (ETDEWEB)

    Vorbeck, F; Zimmermann, C; Vorbeck-Meister, I; Kainberger, F; Imhof, H

    1999-08-01

    Purpose: To determine the number of radiologists who currently have Internet access, their use patterns on the Internet for Radiology purposes, the web sites they would recommend, and the potential site access to the Internet that they would like to see in the future. In addition, this study analyzed the best way to find nationwide radiological sites and their content. Materials and Methods: In a nationwide survey, 854 Austrian radiologist were asked to fill out and return a questionnaire about Internet access, current problems, current and future use, which web site they recommend, and about the use of e-mail. Next, the available nationwide radiological sites were searched with seven major search engines using 37 different keywords, as well as by category search, and by searching for links on the homepages of the radiological departments of all Universities of Austria. Then, the offered information of the founded pages was classified in categories. Results: Of the 210 (24.6%) radiologists who returned the questionnaire, 154 (73%) had Internet access. Time expenditure was considered the main problem using the Internet. The Internet was used for literature research by 69% of the radiologists with Internet access, for e-mail by 60%, and for congress information by 57%. In future, 43% would like to read electronic journals more often and 39% would like to use the web more intensively for scientific congresses. At the present time, we found 17 radiological web sites in Austria. The most promising way to find these sites was to use the search engines Alta Vista and Hotbot. Fifteen (88%) sites offered information for patients, seven (41%) for radiologists, five (29%) for students, and four (24%) for researchers. Summary: Many radiologists in Austria already have Internet access, although time expenditure was considered the main problem with Internet use. Survey responses showed a need for electronic journals. To our point of view, Universities and radiological societies

  1. Internet use in radiology: results of a nationwide survey

    International Nuclear Information System (INIS)

    Vorbeck, F.; Zimmermann, C.; Vorbeck-Meister, I.; Kainberger, F.; Imhof, H.

    1999-01-01

    Purpose: To determine the number of radiologists who currently have Internet access, their use patterns on the Internet for Radiology purposes, the web sites they would recommend, and the potential site access to the Internet that they would like to see in the future. In addition, this study analyzed the best way to find nationwide radiological sites and their content. Materials and Methods: In a nationwide survey, 854 Austrian radiologist were asked to fill out and return a questionnaire about Internet access, current problems, current and future use, which web site they recommend, and about the use of e-mail. Next, the available nationwide radiological sites were searched with seven major search engines using 37 different keywords, as well as by category search, and by searching for links on the homepages of the radiological departments of all Universities of Austria. Then, the offered information of the founded pages was classified in categories. Results: Of the 210 (24.6%) radiologists who returned the questionnaire, 154 (73%) had Internet access. Time expenditure was considered the main problem using the Internet. The Internet was used for literature research by 69% of the radiologists with Internet access, for e-mail by 60%, and for congress information by 57%. In future, 43% would like to read electronic journals more often and 39% would like to use the web more intensively for scientific congresses. At the present time, we found 17 radiological web sites in Austria. The most promising way to find these sites was to use the search engines Alta Vista and Hotbot. Fifteen (88%) sites offered information for patients, seven (41%) for radiologists, five (29%) for students, and four (24%) for researchers. Summary: Many radiologists in Austria already have Internet access, although time expenditure was considered the main problem with Internet use. Survey responses showed a need for electronic journals. To our point of view, Universities and radiological societies

  2. Contact Between Birth and Adoptive Families During the First Year Post-Placement: Perspectives of Lesbian, Gay, and Heterosexual Parents.

    Science.gov (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.

  3. ENERGY POLICY

    OpenAIRE

    Avrupa Topluluğu Enstitüsü, Marmara Üniversitesi

    2015-01-01

    John Mitchell considers EU policies on energy supply security; Tera Allas on energy security of supply in the UK: the way forward; Peter Odell assesses public/private partnerships on the UKCS; Olivier Appert provides an overview of French energy policy.

  4. Energy policy

    International Nuclear Information System (INIS)

    Forrester, J.W.

    1979-01-01

    The author places the energy problem in the context of world economy. The various obstacles encountered in the United States to spell out a viable national energy policy are cited. A certain number of practical proposals is given to lead to an 'effective policy' which would allow energy economy at the same time as energy development, that is, including nuclear energy [fr

  5. 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

    2014-01-01

    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

  6. [Perception of parental socialization strategies in adoptive and non-adoptive families].

    Science.gov (United States)

    Bernedo Muñoz, Isabel María; Fuentes Rebollo, María Jesús; Fernández-Molina, M; Bersabé Morán, Rosa

    2007-11-01

    Although parental socialization styles have been investigated in recent years, little research has been carried out on the issue of parental styles in adoptive families. The aim of this research is to analyse parental styles both from the point of view of the parents and of adopted and non-adopted adolescents, taking as covariables the adolescents' sex and age. The sample was made up of 55 adopted adolescents (20 boys and 35 girls with an age range of 11-17 years) and their 55 adoptive parents, and 402 non-adopted adolescents (200 boys and 202 girls with an age range of 11-17 years), and their 258 parents. Two scales evaluated parental styles: the Affect Scale and the Rules and Demands Scale. The results showed that, both from the point of view of the parents and of the adolescents, adoptive families are more affective, communicative and inductive, and less critical and indulgent than non-adoptive families. No differences were found between adopted and non-adopted adolescents on the Parents' Rigidity Scale.

  7. The International Adoption Project: population-based surveillance of Minnesota parents who adopted children internationally.

    Science.gov (United States)

    Hellerstedt, Wendy L; Madsen, Nikki J; Gunnar, Megan R; Grotevant, Harold D; Lee, Richard M; Johnson, Dana E

    2008-03-01

    To conduct the first population-based surveillance in the United States of parents who adopted children from countries outside of the United States. A 556-item survey was mailed to 2,977 parents who finalized an international adoption in Minnesota between January 1990 and December 1998; 1,834 (62%) parents returned a survey. Eighty-eight percent of the parents reported transracial adoptions (97% of the parents were white); 57% of the adopted children were Asian; 60% were female; and on average, the children were 18 months-old at the time of placement. Only 15% of the parents reported household annual incomes less than $50,000 and 71% reported they had college educations. Sixty-one percent traveled to their child's country of birth prior to the adoption. Almost three-quarters involved their children in experiences related to their birth countries and 98% would recommend international adoption. Three-quarters of the parents believe that parental leave was an issue for them as they adopted. This is the first population-based survey of U.S. parents who have adopted internationally. The adoptive parents were socioeconomically different than birth parents in Minnesota and their families are most likely to be transracial. Because international adoption has become more prevalent, it is important to understand the strengths and needs of families that are created through this unique form of migration.

  8. Checklist "Open Access Policies": Analysis of the Open Access Policies of Public Universities in Austria

    Directory of Open Access Journals (Sweden)

    Bruno Bauer

    2016-12-01

    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.

  9. Dysejaculation after laparoscopic inguinal herniorrhaphy: a nationwide questionnaire study

    DEFF Research Database (Denmark)

    Bischoff, Joakim Mutahi; Linderoth, Gitte; Aasvang, Eske Kvanner

    2012-01-01

    or genitals during sexual activity was reported by 88 patients (10.9%), and 19 patients (2.4%) reported that the pain had impaired their sexual activity to a moderate or severe degree. Older patients and patients with longer follow-up had lower prevalence of pain during sexual activity. CONCLUSIONS......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...

  10. Nation-Wide Mobile Network Energy Evolution Analysis

    DEFF Research Database (Denmark)

    Perez, Eva; Frank, Philipp; Micallef, Gilbert

    2013-01-01

    Mobile network operators are facing a challenging dilemma. While on the one hand they are committed to reducing their carbon emissions, and energy consumption, they are also required to continuously upgrade existing networks, ensuring that the relentless growth in data traffic can still be suppor......Mobile network operators are facing a challenging dilemma. While on the one hand they are committed to reducing their carbon emissions, and energy consumption, they are also required to continuously upgrade existing networks, ensuring that the relentless growth in data traffic can still...... 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....

  11. Performance of clinical mammography: a nationwide study from Denmark

    DEFF Research Database (Denmark)

    Jensen, Allan; Vejborg, Ilse; Severinsen, Niels

    2006-01-01

    that clinical mammography worked best in patient populations of purely symptomatic women. Our data indicate that to increase the accuracy of clinical mammography at the community level, the presence of an experienced radiologist should be prioritized ahead of raising the clinic size.......Clinical mammography is the key tool for breast cancer diagnosis, but little is known about the impact of the organisational set-up on the performance. We evaluated whether organisational factors influence the performance of clinical mammography. Clinical mammography data from all clinics...... in Denmark in the year 2000 were collected and linked to cancer outcome. Use of the National Institute of Radiation Hygiene register for identification of radiology clinics ensured comprehensive nationwide registration. We used the final mammographic assessment at the end of the imaging work-up to determine...

  12. Familial aggregation of congenital hydrocephalus in a nationwide cohort

    DEFF Research Database (Denmark)

    Munch, Tina Nørgaard; Rostgaard, Klaus; Rasmussen, Marie-Louise Hee

    2012-01-01

    The objective of the study was to investigate familial aggregation of primary congenital hydrocephalus in an unselected, nationwide population. Based on the Danish Central Person Register, we identified all children born in Denmark between 1978 and 2008 and their family members (up to third......-degree relatives). Information on primary congenital hydrocephalus was obtained from the National Patient Discharge Register. Using binomial log-linear regression, we estimated recurrence risk ratios of congenital hydrocephalus. An alternative log-linear regression model was applied to quantify the genetic effect...... and the maternal effect. Of 1 928 683 live-born children, 2194 had a diagnosis of idiopathic congenital hydrocephalus (1.1/1000). Of those, 75 (3.4%) had at least one other family member with primary congenital hydrocephalus. Significantly increased recurrence risk ratios of primary congenital hydrocephalus were...

  13. A nationwide study on anastomotic leakage after colonic cancer surgery

    DEFF Research Database (Denmark)

    Krarup, Peter-Martin; Jorgensen, L N; Andreasen, A H

    2012-01-01

    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......: AL occurred in 593 (6.4%) of 9333 patients. Laparoscopic surgery (odds ratio [OR], 1.34; 95% confidence interval [CI], 1.05-1.70; P = 0.03); left hemicolectomy (OR, 2.02; 95% CI, 1.50-2.72) or sigmoid colectomy (OR, 1.69; 95% CI, 1.32-2.17; P = 0.01); intraoperative blood loss (OR, 1.04; 95% CI, 1...

  14. Cholecystectomy in Danish children--a nationwide study

    DEFF Research Database (Denmark)

    Langballe, Karen Oline; Bardram, Linda

    2014-01-01

    into the secure Web site by the surgeon immediately after the operation. In the present analysis, we have included children ≤ 15 years from the five year period January 1, 2006, to December 31, 2010. RESULTS: In the study period 35,444 patients were operated with a cholecystectomy. Of these, 196 (0.5%) were ≤ 15......BACKGROUND: An increase in the frequency of cholecystectomy in children has been described during the last decades. Part of the reason is that more cholecystectomies in children are performed for dyskinesia of the gallbladder and not only for gallstone disease. We conducted the first nationwide...... study to describe outcome of cholecystectomies performed in children in Denmark by using data from the national Danish Cholecystectomy Database (DCD). METHODS: In the DCD, two data sources were combined: administrative data from the National Patient Registry (NPR) and clinical data entered...

  15. Ambulatory Care Visits to Pediatricians in Taiwan: A Nationwide Analysis

    Directory of Open Access Journals (Sweden)

    Ling-Yu Yang

    2015-11-01

    Full Text Available Pediatricians play a key role in the healthy development of children. Nevertheless, the practice patterns of pediatricians have seldom been investigated. The current study analyzed the nationwide profiles of ambulatory visits to pediatricians in Taiwan, using the National Health Insurance Research Database. From a dataset that was randomly sampled one out of every 500 records among a total of 309,880,000 visits in 2012 in the country, 9.8% (n = 60,717 of the visits were found paid to pediatricians. Children and adolescents accounted for only 69.3% of the visits to pediatricians. Male pediatricians provided 80.5% of the services and the main workforces were those aged 40–49 years. The most frequent diagnoses were respiratory tract diseases (64.7% and anti-histamine agents were prescribed in 48.8% of the visits to pediatricians. Our detailed results could contribute to evidence-based discussions on health policymaking.

  16. Aortic events in a nationwide Marfan syndrome cohort.

    Science.gov (United States)

    Groth, Kristian A; Stochholm, Kirstine; Hove, Hanne; Kyhl, Kasper; Gregersen, Pernille A; Vejlstrup, Niels; Østergaard, John R; Gravholt, Claus H; Andersen, Niels H

    2017-02-01

    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. 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 diagnosis prior or after the first aortic event. From the total cohort of 412 patients, 150 (36.4 %) had an aortic event. Fifty percent were event free at age 49.6. Eighty patients (53.3 %) had prophylactic surgery and seventy patients (46.7 %) a dissection. The yearly event rate was 0.02 events/year/patient in the period 1994-2014. Male patients had a significant higher risk of an aortic event at a younger age with a hazard ratio of 1.75 (CI 1.26-2.42, p = 0.001) compared with women. Fifty-three patients (12.9 %) were diagnosed with MFS after their first aortic event which primarily was aortic dissection [n = 44 (83.0 %)]. More than a third of MFS patients experienced an aortic event and male patients had significantly more aortic events than females. More than half of the total number of dissections was in patients undiagnosed with MFS at the time of their event. This emphasizes that diagnosing MFS is lifesaving and improves mortality risk by reducing the risk of aorta dissection.

  17. Anger and Impulsivity Among Japanese Adolescents: A Nationwide Representative Survey.

    Science.gov (United States)

    Itani, Osamu; Kaneita, Yoshitaka; Munezawa, Takeshi; Ikeda, Maki; Osaki, Yoneatsu; Higuchi, Susumu; Kanda, Hideyuki; Nakagome, Sachi; Suzuki, Kenji; Ohida, Takashi

    2016-07-01

    This study aimed to clarify the prevalence of anger and impulsivity and its associated factors through a nationwide survey of junior and senior high school adolescent students in Japan. A self-administered questionnaire covering (1) personal data, (2) lifestyle, (3) mental health status, and (4) feelings of anger and impulsivity was distributed to junior and senior high school students in Japan. Among the total of 10,955 junior high schools and 5,115 senior high schools nationwide, 130 and 110 were randomly selected, respectively. Of those, 92 junior and 80 senior high schools participated in the survey. The survey period was from December 2008 to the end of January 2009. A total of 95,680 questionnaires were collected. After excluding invalid responses, the remaining 94,777 responses (response rate: 62.3%) were analyzed. From the questions regarding anger and impulsivity, 8.7% (95% CI, 8.5%-8.9%) and 7.5% (95% CI, 7.3%-7.7%) of the participants were considered to have experienced intense anger and impulsivity, respectively. Logistic regression analysis indicated that the odds ratios for experiencing intense feelings of anger were significantly higher (all P values breakfast, did not wish to go to university, had short sleep duration, had decreased positive feelings, had increased depressive feelings, or used mobile phones for longer hours. The odds ratios for experiencing intense impulsivity were significantly higher among students who smoked, consumed alcohol, skipped breakfast, did not participate in club activities, had short sleep duration, had decreased positive feelings, had increased depressive feelings, or used mobile phones for longer hours. The results suggest that healthy lifestyle habits, good sleep habits, and improved mental health are important for preventing intense feelings of anger and impulsivity among adolescents. © Copyright 2016 Physicians Postgraduate Press, Inc.

  18. Are new industry policies precautionary?

    DEFF Research Database (Denmark)

    Galland, Daniel; McDaniels, Timothy L

    2008-01-01

    . 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...

  19. Effects of IFRS adoption on tax avoidance

    Directory of Open Access Journals (Sweden)

    Renata Nogueira Braga

    Full Text Available ABSTRACT This study investigates the association between mandatory International Financial Reporting Standards (IFRS adoption and corporate tax avoidance. In this study, tax avoidance is defined as a reduction in the effective corporate income tax rate through tax planning activities, whether these are legal, questionable, or even illegal. Three measures of tax avoidance are used and factors at the country and firm level (that have already been associated with tax avoidance in prior research are controlled. Using samples that range from 9,389 to 15,423 publicly-traded companies from 35 countries, covering 1999 to 2014, it is found that IFRS adoption is associated with higher levels of corporate tax avoidance, even when the level of book-tax conformity required in the countries and the volume of accruals are controlled, both of which are considered potential determinants of this relationship. Furthermore, the results suggest that after IFRS adoption, firms in higher book-tax conformity environments engage more in tax avoidance than firms in lower book-tax conformity environments. It is also identified that engagement in tax avoidance after IFRS adoption derives not only from accruals management, but also from practices that do not involve accruals. The main conclusion is that companies engage more in tax avoidance after mandatory IFRS adoption.

  20. Identifying PEV early adopters and their needs

    International Nuclear Information System (INIS)

    Tsang, A.

    2009-01-01

    This presentation discussed drivers and incentives for the widespread adoption of electric vehicles (EVs) as well as the potential impacts on electric utility customers. For many drivers, the adoption of EVs will result in fuel cost savings of $1200 per year. Approximately 73 per cent of Canada's population is concentrated in urban areas. Ninety-five per cent of car trips are less than 30 km in distance. Canada's federal and provincial governments support the adoption of EVs. British Columbia (BC) currently has the most attractive combination of low electricity prices and high fuel costs in North America. Provincial sales tax rebates of up to $2000 are available for EV adopters, while carbon taxes are now being applied to fossil fuel users. New homes in Vancouver are required to provide dedicated charging circuits for EVs. The use of EVs will create new demands for customer service from fuel retailers, developers, fleets and consumer services. BC is expected to have one of the highest EV adoption rates in North America. Unconstrained EV charging is expected to impact the electricity grid by 2015. tabs., figs.

  1. Pharmacy Customers’ Experiences With Electronic Prescriptions: Cross-Sectional Survey on Nationwide Implementation in Finland

    Science.gov (United States)

    Timonen, Johanna; Ahonen, Riitta

    2018-01-01

    Background One of the forerunners in electronic health, Finland has introduced electronic prescriptions (ePrescriptions) nationwide by law. This has led to significant changes for pharmacy customers. Despite the worldwide ambition to develop ePrescription services, there are few reports of nationally adopted systems and particularly on the experiences of pharmacy customers. Objective The aim of this study was to investigate Finnish pharmacy customers’ (1) experiences with purchasing medicines with ePrescriptions; (2) experiences with renewing ePrescriptions and acting on behalf of someone else at the pharmacy; (3) ways in which customers keep up to date with their ePrescriptions; and (4) overall satisfaction with ePrescriptions. Methods Questionnaires were distributed to 2913 pharmacy customers aged ≥18 years purchasing prescription medicines for themselves with an ePrescription in 18 community pharmacies across Finland in autumn 2015. Customers’ experiences were explored with 10 structured questions. The data were stored in SPSS for Windows and subjected to descriptive analysis, chi-square, Fisher exact, Kolmogorov-Smirnov, the Mann-Whitney U, and Kruskal-Wallis tests. Results Completed questionnaires were returned by 1288 customers, a response rate of 44.19% (1288/2913). The majority of the respondents did not encounter any problems during pharmacy visits (1161/1278, 90.85%) and were informed about the current status of their ePrescriptions after their medication was dispensed (1013/1276, 79.44%). Over half of the respondents had usually received a patient instruction sheet from their physician (752/1255, 59.92%), and nearly all of them regarded its content as clear (711/724, 98.2%). Half of the respondents had renewed their ePrescriptions through the pharmacy (645/1281, 50.35%), and one-third of them had acted on behalf of someone else with ePrescriptions (432/1280, 33.75%). Problems were rarely encountered in the renewal process (49/628, 7.8%) or when

  2. Pharmacy Customers' Experiences With Electronic Prescriptions: Cross-Sectional Survey on Nationwide Implementation in Finland.

    Science.gov (United States)

    Lämsä, Elina; Timonen, Johanna; Ahonen, Riitta

    2018-02-23

    One of the forerunners in electronic health, Finland has introduced electronic prescriptions (ePrescriptions) nationwide by law. This has led to significant changes for pharmacy customers. Despite the worldwide ambition to develop ePrescription services, there are few reports of nationally adopted systems and particularly on the experiences of pharmacy customers. The aim of this study was to investigate Finnish pharmacy customers' (1) experiences with purchasing medicines with ePrescriptions; (2) experiences with renewing ePrescriptions and acting on behalf of someone else at the pharmacy; (3) ways in which customers keep up to date with their ePrescriptions; and (4) overall satisfaction with ePrescriptions. Questionnaires were distributed to 2913 pharmacy customers aged ≥18 years purchasing prescription medicines for themselves with an ePrescription in 18 community pharmacies across Finland in autumn 2015. Customers' experiences were explored with 10 structured questions. The data were stored in SPSS for Windows and subjected to descriptive analysis, chi-square, Fisher exact, Kolmogorov-Smirnov, the Mann-Whitney U, and Kruskal-Wallis tests. Completed questionnaires were returned by 1288 customers, a response rate of 44.19% (1288/2913). The majority of the respondents did not encounter any problems during pharmacy visits (1161/1278, 90.85%) and were informed about the current status of their ePrescriptions after their medication was dispensed (1013/1276, 79.44%). Over half of the respondents had usually received a patient instruction sheet from their physician (752/1255, 59.92%), and nearly all of them regarded its content as clear (711/724, 98.2%). Half of the respondents had renewed their ePrescriptions through the pharmacy (645/1281, 50.35%), and one-third of them had acted on behalf of someone else with ePrescriptions (432/1280, 33.75%). Problems were rarely encountered in the renewal process (49/628, 7.8%) or when acting on behalf of another person (25

  3. Consumer awareness in the adoption of microgeneration technologies. An empirical investigation in the Republic of Ireland

    Energy Technology Data Exchange (ETDEWEB)

    Claudy, Marius C.; O' Driscoll, Aidan [Faculty of Business, Dublin Institute of Technology, Aungier Street, Dublin 2 (Ireland); Michelsen, Claus [Department of Urban Economics, Halle Institute for Economic Research, D-06017 Halle (Saale) (Germany); Mullen, Michael R. [Department of Marketing, Florida Atlantic University, 111 E. Las Olas Blvd., Fort Lauderdale, FL 33301 (United States)

    2010-09-15

    Despite major policy and marketing efforts, the uptake of microgeneration technologies in most European countries remains low. Whereas most academic studies and policy reports aim to identify the underlying reasons why people buy these new technologies, they often fail to assess the general level of consumer awareness. The process of adopting an innovation, however, shows that awareness is a prerequisite which needs to be understood before adoption can be addressed. This paper takes a closer look at awareness of microgeneration and presents the results from a nationally representative study conducted in the Republic of Ireland. Findings from logistic regressions clearly indicate that awareness varies significantly between the individual technologies and customer segments. The paper concludes with implications for policy makers and marketers aiming to promote microgeneration technologies in consumer markets. (author)

  4. Consumer awareness in the adoption of microgeneration technologies. An empirical investigation in the Republic of Ireland

    International Nuclear Information System (INIS)

    Claudy, Marius C.; O'Driscoll, Aidan; Michelsen, Claus; Mullen, Michael R.

    2010-01-01

    Despite major policy and marketing efforts, the uptake of microgeneration technologies in most European countries remains low. Whereas most academic studies and policy reports aim to identify the underlying reasons why people buy these new technologies, they often fail to assess the general level of consumer awareness. The process of adopting an innovation, however, shows that awareness is a prerequisite which needs to be understood before adoption can be addressed. This paper takes a closer look at awareness of microgeneration and presents the results from a nationally representative study conducted in the Republic of Ireland. Findings from logistic regressions clearly indicate that awareness varies significantly between the individual technologies and customer segments. The paper concludes with implications for policy makers and marketers aiming to promote microgeneration technologies in consumer markets. (author)

  5. Inhibitors of e-Government adoption: Determinants of habit and adoption intentions

    Directory of Open Access Journals (Sweden)

    Manuel Rey-Moreno

    2017-09-01

    Full Text Available Explanatory models of e-Government adoption are based on the premise that user behavior results from users’ intentions, which derive from users’ beliefs and attitudes. According to such models, citizens’ high intentions to use e-Government tools should have led to the widespread adoption of these tools. Yet this has not occurred. Therefore, existing models fail to explain the adoption of e-Government. These models must be complemented to explain the cause of citizens’ failure to adopt e-Government. Attempts to build a satisfactory model include the design of dual models (jointly analyzing facilitators and inhibitors and integrating models (jointly analyzing the interaction between intention and habit in prompting behavior. This study identified several inhibitors of e-Government adoption. Organizational support, self-efficacy, benefits, loss aversion, regret aversion, control, transition costs, sunk costs/switching costs, uncertainty, habit, resistance, and inertia were found to inhibit citizens’ adoption of e-Government.

  6. Data Policy

    Directory of Open Access Journals (Sweden)

    Mark A Parsons

    2013-07-01

    Full Text Available The first purpose of data policy should be to serve the objectives of the organization or project sponsoring the collection of the data. With research data, data policy should also serve the broader goals of advancing scientific and scholarly inquiry and society at large. This is especially true with government-funded data, which likely comprise the vast majority of research data. Data policy should address multiple issues, depending on the nature and objectives of the data. These issues include data access requirements, data preservation and stewardship requirements, standards and compliance mechanisms, data security issues, privacy and ethical concerns, and potentially even specific collection protocols and defined data flows. The specifics of different policies can vary dramatically, but all data policies need to address data access and preservation. Research data gain value with use and must therefore be accessible and preserved for future access. This article focuses on data access. While policy might address multiple issues, at a first level it must address where the data stand on what Lyon (2009 calls the continuum of openness. Making data as openly accessible as possible provides the greatest societal benefit, and a central purpose of data policy is to work toward ethically open data access. An open data regime not only maximizes the benefit of the data, it also simplifies most of the other issues around effective research data stewardship and infrastructure development.

  7. Economics of household technology adoption in developing countries: evidence from solar technology adoption in rural India

    OpenAIRE

    Aklin, M.; Bayer, P.; Harish, S.P.; Urpelainen, J.

    2018-01-01

    Innovation is one of the most important drivers of economic development. Even in developing countries, households have access to a wide array of new technologies. However, factors affecting households’ technology adoption decisions remain poorly understood. Using data on solar microgrid adoption from rural India, we investigate the determinants of household technology adoption. We offer all households identical solar products to avoid bias from product differentiation. Households pay a monthl...

  8. The experience of adoptive parents in adoption reunion relationships: a qualitative study.

    Science.gov (United States)

    Petta, Gabrielle A; Steed, Lyndall G

    2005-04-01

    The issues experienced by adoptive parents when faced with an adult child's searching or reunion relationship with his or her birth family, how adoptive parents place themselves within this process, and the factors that influence their experience at this time were explored in a qualitative study of 21 adoptive parents. Themes derived from semistructured interviews are discussed, and implications for clinical practice and future research are suggested. Copyright (c) 2005 APA, all rights reserved.

  9. Nationwide Natural Resource Inventory of the Philippines Using Lidar: Strategies, Progress, and Challenges

    Science.gov (United States)

    Blanco, A. C.; Tamondong, A.; Perez, A. M.; Ang, M. R. C.; Paringit, E.; Alberto, R.; Alibuyog, N.; Aquino, D.; Ballado, A.; Garcia, P.; Japitana, M.; Ignacio, M. T.; Macandog, D.; Novero, A.; Otadoy, R. E.; Regis, E.; Rodriguez, M.; Silapan, J.; Villar, R.

    2016-06-01

    The Philippines has embarked on a detailed nationwide natural resource inventory using LiDAR through the Phil-LiDAR 2 Program. This 3-year program has developed and has been implementing mapping methodologies and protocols to produce high-resolution maps of agricultural, forest, coastal marine, hydrological features, and renewable energy resources. The Program has adopted strategies on system and process development, capacity building and enhancement, and expanding the network of collaborations. These strategies include training programs (on point cloud and image processing, GIS, and field surveys), workshops, forums, and colloquiums (program-wide, cluster-based, and project-based), and collaboration with partner national government agencies and other organizations. In place is a cycle of training, implementation, and feedback in order to continually improve the system and processes. To date, the Program has achieved progress in the development of workflows and in rolling out products such as resource maps and GIS data layers, which are indispensable in planning and decision-making. Challenges remains in speeding up output production (including quality checks) and in ensuring sustainability considering the short duration of the program. Enhancements in the workflows and protocols have been incorporated to address data quality and data availability issues. More trainings have been conducted for project staff hired to address human resource gaps. Collaborative arrangements with more partners are being established. To attain sustainability, the Program is developing and instituting a system of training, data updating and sharing, information utilization, and feedback. This requires collaboration and cooperation of the government agencies, LGUs, universities, other organizations, and the communities.

  10. The US CDC Centers for public health preparedness : building a nationwide exemplar network

    Energy Technology Data Exchange (ETDEWEB)

    Harris, D.A.; Paulson, G.; Perry, E. [New Jersey Univ. of Medicine and Dentistry, New Brunswick, NJ (United States). School of Public Health

    2005-07-01

    The network of Centers for Public Health Preparedness (CPHP) was created by the United States Centers for Disease Control and Prevention in response to the perception that public health professionals were inadequately prepared to respond to terrorism incidents, natural disasters and similar major events. The events of September 11, 2001 and the subsequent anthrax attacks confirmed the wisdom of a concerted approach to emergency preparedness. This paper provides an outline of the network's recent activities as well as a review of the rationale, history and progress of the network to date. In the most recent grant cycle, each center was required to allocate 20 per cent of its resources to network-wide activities, including contribution of CPHP-developed materials to a central resource center maintained by the Association of Schools of Public Health. The materials are publicly available and are to be used in the development of training programs; the establishment of 19 or more exemplar groups that focus on specific preparedness-related knowledge domains such as mental health, educational evaluation methods and field epidemiology, who are also expected to develop tool kits of validated and fully described training materials for use by any CPHP person or group. The outcome of the CPHP network activities is the development of a more comprehensive and robust core of preparedness training materials that aim to facilitate rapid and effective training, while at the same time eliminating redundancy and duplication of effort. It was concluded that the expenditure of 20 per cent of center funds on network development activities is forcing the academically based CPHPs to adopt a new collaborative paradigm in order to ensure effective nationwide preparedness. 3 refs.

  11. Socio-Economic Factors Assessment Affecting the Adoption of Soil Conservation Technologies on Rwenzori Mountain

    Directory of Open Access Journals (Sweden)

    Nabalegwa Wambede Muhamud

    2015-06-01

    Full Text Available This study analysed the role of socio-economic factors in influencing farmers’ adoption to soil conservation technologies in Bugoye Sub-county, Rwenzori Mountain. A cross sectional household survey design was used in this study, using systematic sampling to obtain 150 household samples. Qualitative analysis and chi-square tests were used to analyze these data. Results indicated that only 54% of the sampled households have adopted soil conservation, and revealed that eight of the nine factors significantly influenced farmers’ adoption, which are slope, farm size, farm distance from home, education level, family income, training, membership to NGOs, and credit accessibility. Only family size was insignificant. Other constraints are labour demands, cost of conservation work, land fragmentation, crop pests, and the limited agricultural extension services. It is recommended to perform training for farmers on designing soil conservation structures. Policies for empowering farmers with extra income are crucial to increase the adoption of soil conservation efforts.

  12. Problems of the adoption of the Euro in Poland and the Baltic countries

    Directory of Open Access Journals (Sweden)

    Gediminas Davulis

    2011-12-01

    Full Text Available The possibilities of Poland, Latvia and Lithuania to adopt the euro, which is one of most important task of the economic policy in these countries is analyzed in the article. The international importance of the euro, the advantages and disadvantages of the single currency are discussed. Experience of Germany in adopting of the euro is analyzed. The strategy of the adoption of the euro in Lithuania is presented. The analysis based on the data of Eurostat database shows that Poland is the country with most possibilities to adopt the euro. However both Lithuania and Latvia may become the euro zone member states, too, if they firstly will cope with financial problems of the government and will revitalise and develop their internal market.

  13. Trade Potential Determinants of the Adoption of Seed Yam Innovations in Ghana

    Directory of Open Access Journals (Sweden)

    Moro Seidu

    2014-06-01

    Full Text Available This paper analyses the factors that influence the adoption of seed yam innovations in Kpandai District in Northern Ghana. In contrast to most empirical studies on innovation adoption in which a specific technology is analyzed, this study covers several seed yam technologies (such as minisett, milked seeds, small setts, traditional setts. The paper estimate a logit model with data from 510 sampled yam farm households. It was identified that households’ ability and willingness to address consumer complaints, export, and integration into market economy positively and significantly influence the adoption of seed yam innovation. However, farm size and cost of transportation significantly influences the adoption of seed yam innovation negatively. The results therefore call for policies aimed at ensuring means to promote integration of households into local and international markets by bridging the gap of trust between farmers and yam exporters or middlemen.

  14. International adoption among families in the United States: considerations of social justice.

    Science.gov (United States)

    Hollingsworth, Leslie Doty

    2003-04-01

    The practice of international adoption of children is critiqued, using Rawls' egalitarian concept of a distributive method of social justice. From this perspective, international adoption may be perceived as contradictory to principles of social justice by ignoring the social context within which it occurs. Social contexts that frequently surround international adoption are severe poverty and the disenfranchisement of the adopted child's biological family; the disenfranchisement of certain children because of their lower social status; gender oppression and discrimination against female children; risk to children's rights to the knowledge of their birth history and parentage; risk to children's rights to identification with their ethnic, cultural, and national group; and practices that may involve abduction, deceit, and trafficking in children. The article presents alternate views, including libertarian and utilitarian perspectives. Solutions from two international conventions are critiqued and implications are discussed for social work policy advocacy, practice, and research.

  15. Factors Affecting The Adoption Of Mhealth In Maternal Health Care In Nakuru Provincial General Hospital

    Directory of Open Access Journals (Sweden)

    Simon Munyua

    2015-08-01

    Full Text Available Abstract Access to timely and quality maternal health care remains to be a major development challenge in many developing economies particularly in Kenya. The countrys system of providing maternal health care also continue to be anchored on conventional methods of physical presence of the patient and the doctor in a hospital setup. The countrys ICT and health policies also place very little emphasis on the use of these platforms. This study therefore sought to establish the factors affecting the adoption of mHealth by focusing on maternal health in Nakuru Provincial General Hospital. Objectives of the study were to determine the extent to knowledge and awareness affects the adoption of mHealth in maternal health care at Nakuru PGH to identify the government policies affecting the adoption of mHealth in maternal health care at Nakuru PGH to assess how access to technology affects the adoption of mHealth in maternal healthcare to establish the effects of ICT infrastructure on the adoption of mHealth in maternal health care and to identify the cost aspects affecting the adoption of mHealth in maternal health care at Nakuru Provincial General Hospital. It is envisaged that the study could provide useful information on the adoption of mHealth in managing maternal health care in Nakuru Provincial General Hospital. Descriptive survey research design will be used where all the medical staff and patients of Nakuru Provincial General Hospital was surveyed. The study population therefore was made up of 24 medical staff and 3460 mothers visiting the antenatal clinic selected using clustered random sampling technique. The main instrument for primary data collection was the questionnaire. Data analysis was then done using both descriptive and inferential statistics. Descriptive statistics to be used include frequency counts percentages and measures of central tendency. Inferential statistics on the other hand include t-test analysis and spearman correlation

  16. Technology adoption subsidies. An experiment with managers

    International Nuclear Information System (INIS)

    Aalbers, Rob; Van der Heijden, Eline; Potters, Jan; Van Soest, Daan; Vollebergh, Herman

    2009-01-01

    We evaluate the impact of technology adoption subsidies on investment behavior in an individual choice experiment. In a laboratory setting professional managers are confronted with an intertemporal decision problem in which they have to decide whether or not to search for, and possibly adopt, a new technology. Technologies differ in the per-period benefits they yield, and their purchase price increases with the per-period benefits provided. We introduce a subsidy on the more expensive technologies (that also yield larger per-period benefits), and find that the subsidy scheme induces agents to search for and adopt these more expensive technologies even though the subsidy itself is too small to render these technologies profitable. We speculate that the result is driven by the positive connotation (affect) that the concept 'subsidy' invokes. (author)

  17. Technology adoption subsidies. An experiment with managers

    Energy Technology Data Exchange (ETDEWEB)

    Aalbers, Rob [Netherlands Bureau for Economic Policy Analysis, P.O. Box 80510, 2508 GM The Hague (Netherlands); Van der Heijden, Eline; Potters, Jan [CentER and Department of Economics, Tilburg University, P.O. Box 90153, 5000 LE Tilburg (Netherlands); Van Soest, Daan [Department of Spatial Economics/IVM, VU University, De Boelelaan 1105, 1081 HV Amsterdam (Netherlands); Vollebergh, Herman [Tinbergen Institute, Erasmus University Rotterdam and Netherlands Environmental Assessment Agency, P.O. Box 303, 3720 AH Bilthoven (Netherlands)

    2009-05-15

    We evaluate the impact of technology adoption subsidies on investment behavior in an individual choice experiment. In a laboratory setting professional managers are confronted with an intertemporal decision problem in which they have to decide whether or not to search for, and possibly adopt, a new technology. Technologies differ in the per-period benefits they yield, and their purchase price increases with the per-period benefits provided. We introduce a subsidy on the more expensive technologies (that also yield larger per-period benefits), and find that the subsidy scheme induces agents to search for and adopt these more expensive technologies even though the subsidy itself is too small to render these technologies profitable. We speculate that the result is driven by the positive connotation (affect) that the concept 'subsidy' invokes. (author)

  18. Predictors of race, adoption, and sexual orientation related socialization of adoptive parents of young children.

    Science.gov (United States)

    Goldberg, Abbie E; Smith, JuliAnna Z

    2016-04-01

    Using a sample of 125 lesbian, gay, and heterosexual adoptive parent couples with young children (M = 6.32 years), this study examined predictors of direct socialization (preparation for adoptism, racism, and heterosexism) and indirect socialization (modeling interactions by responding to outsiders' inquiries about their child's adoptive status, racial background, or family structure). In terms of direct socialization, parents of older children tended to engage in more socialization around adoptism and heterosexism, and parents of daughters tended to engage in more socialization around racism and heterosexism. Greater perceived child interest in adoption was related to more direct socialization around adoptism. Parents of color reported more direct socialization around racism. Having a child of color was related to more direct socialization around heterosexism. Regarding indirect socialization, sexual minority parents reported more socialization around adoption and race. Greater perceived child interest in adoption was related to more indirect adoption socialization. Being more "out" was related to more indirect socialization around parent sexual orientation. (c) 2016 APA, all rights reserved).

  19. Policy offers protection from harassment

    Science.gov (United States)

    McNutt, Marcia

    We face a number of legal and ethical issues in our work as scientists and as AGU members. To uphold the highest ethical standards in our professional activities, the Council has adopted policies on free access to published material, ethics in publishing, and misconduct in science. But what about guidelines to govern the personal behavior that constitutes harassment, sexual or otherwise?For years the AGU headquarters staff has had a policy that offers protection from harassment and rules for dealing with it, but the membership went without one until 1994. That year the Council adopted a policy that extends to the membership as well as to the staff and the vendors they encounter at meetings. The law only requires a policy to prevent harassment in the workplace, but the Council felt that a harassment policy was particularly important for members because the subtle behavior that can constitute harassment is most likely to occur at events that combine work and social interaction, such as the meetings, conferences, and training seminars that AGU members attend.

  20. Technology adoption in nonrenewable resource management

    International Nuclear Information System (INIS)

    Cunha-e-Sa, Maria A.; Balcao Reis, Ana; Roseta-Palma, Catarina

    2009-01-01

    Technological change has played an important role in models of nonrenewable resource management, since its presence mitigates the depletion effect on extraction costs over time. We formalize the problem of a competitive nonrenewable resource extracting firm faced with the possibility of technology adoption. Based on a quadratic extraction cost function, our results show that the expected net benefits from adoption increase both with the size of the resource stock and with prices. A boundary that separates the region where expected net benefits are positive from the one where they are negative is derived. (author)

  1. Risk Factors in Euro Adoption by Romania

    Directory of Open Access Journals (Sweden)

    Roxana Maria BĂDÎRCEA

    2014-11-01

    Full Text Available The costs and benefits of adopting a unique currency have been studied and outlined by the optimum currency areas theory. This theory of Mundell has suffered modifications, a series of economists identifying and introducing a series of subsequent or additional criteria in the analysis. Starting from the costs indicated by the optimum currency areas theory and its further developments, I have identified a series of factors that I believe to represent future risks for the Romanian economy within the process of adopting the unique euro currency.

  2. FinTech Adoption Across Generations

    DEFF Research Database (Denmark)

    Carlin, Bruce; Olafsson, Arna; Pagel, Michaela

    financial fee payments and penalties, but differs cross-sectionally in the population. After adopting the new technology, Millennials and members of Generation X incur fewer financial fees and penalties, whereas Baby Boomers do not benefit from the technological advance. Millennials and Gen Xers save fees...... by using their credit cards rather than overdrafts to manage short-term liabilities. Moreover, Millennials shift some of their spending to discretionary entertainment, whereas members of Generation X remain more austere. Finally, while men tend to adopt new technology and access information at a higher...

  3. Retail industry adopting change : adaptation: automation: benefits

    OpenAIRE

    Ahmed, Nabeel

    2013-01-01

    This thesis contains the research on the key change adoptive agents/forces and the solu-tions to the world‟s rapidly growing and one of the most consumer facing industry. The trillions worth retail industries are undergoing the period of important restructuring inter-nally and externally. The author highlights the key factors that force the retail industry to adopt modern technologies for their daily business processes in order to be more competi-tive. The factors have been viewed in two pers...

  4. adoption and utilization of programme communication variables

    African Journals Online (AJOL)

    Mugumbate

    citizens in the dire need to participate in solving problems affecting their welfare ... hence, vital issues and concepts may be misunderstood or misinterpreted by the .... policies and programming that ensure that child rights to health, nutrition ...

  5. Geophysicists adopt new approach to misconduct

    Science.gov (United States)

    Allen, Michael

    2017-11-01

    Geophysicists found guilty of harassment, discrimination or bullying could be expelled from the American Geophysical Union (AGU) after it updated its ethics policy to define these misdemeanours as scientific misconduct.

  6. An ICT Adoption Framework for Education: A Case Study in Public Secondary School of Indonesia

    Science.gov (United States)

    Nurjanah, S.; Santoso, H. B.; Hasibuan, Z. A.

    2017-01-01

    This paper presents preliminary research findings on the ICT adoption framework for education. Despite many studies have been conducted on ICT adoption framework in education at various countries, they are lack of analysis on the degree of component contribution to the success to the framework. In this paper a set of components that link to ICT adoption in education is observed based on literatures and explorative analysis. The components are Infrastructure, Application, User Skills, Utilization, Finance, and Policy. The components are used as a basis to develop a questionnaire to capture the current ICT adoption condition in schools. The data from questionnaire are processed using Structured Equation Model (SEM). The results show that each component contributes differently to the ICT adoption framework. Finance provides the strongest affect to Infrastructure readiness, whilst User Skills provides the strongest affect to Utilization. The study concludes that development of ICT adoption framework should consider components contribution weights among the components that can be used to guide the implementation of ICT adoption in education.

  7. Spatial and Temporal Characteristics of PV Adoption in the UK and Their Implications for the Smart Grid

    Directory of Open Access Journals (Sweden)

    J. Richard Snape

    2016-03-01

    Full Text Available Distributed renewable electricity generators facilitate decarbonising the electricity network, and the smart grid allows higher renewable penetration while improving efficiency. Smart grid scenarios often emphasise localised control, balancing small renewable generation with consumer electricity demand. This research investigates the applicability of proposed decentralised smart grid scenarios utilising a mixed strategy: quantitative analysis of PV adoption data and qualitative policy analysis focusing on policy design, apparent drivers for adoption of the deviation of observed data from the feed-in tariff impact assessment predictions. Analysis reveals that areas of similar installed PV capacity are clustered, indicating a strong dependence on local conditions for PV adoption. Analysing time series of PV adoption finds that it fits neither neo-classical predictions, nor diffusion of innovation S-curves of adoption cleanly. This suggests the influence of external factors on the decision making process. It is shown that clusters of low installed PV capacity coincide with areas of high population density and vice versa, implying that while visions of locally-balanced smart grids may be viable in certain rural and suburban areas, applicability to urban centres may be limited. Taken in combination, the data analysis, policy impact and socio-psychological drivers of adoption demonstrate the need for a multi-disciplinary approach to understanding and modelling the adoption of technology necessary to enable the future smart grid.

  8. The experience of a nationwide Community of Practice to set up Regional Prevention Plans in Italy.

    Science.gov (United States)

    Giusti, Angela; Perra, Alberto; Lombardo, Flavia

    2017-07-27

    In 2010, the Italian Ministry of Health decided to start the planning process to elaborate the National Plan of Prevention 2010-2012 jointly with the 21 Regions. The National Institute of Health was responsible for supporting regional planners (RPs) by an original participatory approach of a web-based Community of Practice (CoP) to set up their own Regional Plans of Prevention. In this paper, we summarise the theoretical framework adopted, the main phases characterising the lifecycle of the nationwide CoP, the evaluation approach adopted and its findings. Following the CoP theoretical framework from Wenger, an initial group of RPs were trained on Project Cycle Management as a planning method and thereafter they started interacting on a web-based Moodle platform for 8 months. The CoP evaluation mainly took into account aspects of 'immediate value', such as members interactions within the website, and several quantitative and qualitative tools were used to monitor changes over time. Data were retrieved from Moodle statistics or directly from the RPs by the means of a Knowledge, Attitude and Practice survey, a reaction survey, SWOT analysis and focus groups. The level of individual RPs knowledge increased after the initial course from 55.7% to 75%, attitudes and competence perception about the planning process method also showed an overall favourable change. During the CoP life span, the number of members increased from the original 98 RPs to include up to 600 new members on the basis of spontaneous demand. From April 2010 to January 2011, the 'vital signs' of the CoP were monitored, including RP logins (13,450 total logins and 3744 unique logins), views (27,522) and posts (1606) distributed in 326 forum discussion threads. Data and information retrieved from quantitative and qualitative evaluation approaches proved to be useful for the management and follow-up of the CoP. The CoP experience was successful as 19 out of 20 Regions submitted their Regional Preventive

  9. Calculating the price trajectory of adoption of fuel cell vehicles

    Energy Technology Data Exchange (ETDEWEB)

    Adamson, K.-A. [Technical University of Berlin (Germany). Fuel Cell and Hydrogen Research Centre

    2005-03-01

    How do you model consumer behaviour for disruptive technologies? Technologies that potentially have no antecedents and that, by their very definition, change consumer behaviour patterns? This paper outlines a methodology and results employed during a study to model the consumer willingness to pay for fuel cell vehicles, a potential disruptive innovation (DI). The first part of the study provides a short overview on DI highlighting why the fuel cell family of technologies may represent an upcoming DI. From the post ante study of successful historical disruptive innovations a number of initial rules of adoption' can be sketched. Further narrowing of the focus on economic reasons for adoption provides a framework for which the willingness to pay for the new disruptive technology, such as, here, fuel cell vehicles, can be analysed during different phases of the market. This economic framework is then applied to the potential future market of fuel cell vehicles using information from a model that was built from vehicles during the build years 1994-2002 in the subcompact, compact and luxury class. The results presented in this paper concentrate on the subcompact and compact class of vehicle and supersede the initial results previously published. Finally, there is a short discussion on different pathways that this can be taken forward and used to help in policy decisions. (author)

  10. Solar Adoption and Energy Consumption in the Residential Sector

    Science.gov (United States)

    McAllister, Joseph Andrew

    the extent increases are present for some solar adopters, the analysis seeks to determine whether there is a "solar rebound" effect analogous to the "rebound" or "take-back" effect that has been observed and studied within the energy efficiency literature. Similarly, to the extent that electric users may decrease overall consumption after installation of a solar system, the study seeks to explore the possibility that solar adoption is part of a continued effort towards clean energy practices more generally, such as energy efficiency and conservation. In this way, the study seeks to determine whether there is a synergistic effect between solar and decreased consumption, for solar adopters generally or for some subsets therein. The assembled data allowed testing of various hypotheses that could help explain observed changes in consumption in different households. One variable that was carefully examined was the sizing of the solar system. As part of the study, analysis of 4,355 systems was conducted to determine how each residential solar system was sized with respect to pre-installation energy consumption. Other potentially interesting or explanatory variables for which information was available include total and net costs of the solar system; age of the home; the climate zone (inland or coastal) where the home is located; the home's pre-installation energy consumption; home characteristics such as assessed value and square footage; and the identity of the solar installation contractor. Aside from extending the literature on the rebound effect to the context of home-based energy generation, this study links to the innovation diffusion literature by focusing on solar "innovators" to understand more about the characteristics that may drive behavior, or conditions under which they also adopt clean energy technologies and practices. The results have clear policy relevance with regard to the development and coordination of policies to promote integration of solar and energy

  11. Maintaining Sibling Relationships for Children in Foster and Adoptive Placements.

    Science.gov (United States)

    James, Sigrid; Monn, Amy R; Palinkas, Lawrence A; Leslie, Laurel K

    2008-01-01

    To better understand the nature of sibling relationships among children in foster or adoptive placement and the challenges and processes involved in maintaining these relationships, we conducted an exploratory analysis of data collected from semi-structured interviews with caregivers of 14 foster and adopted children in San Diego County. We identified three patterns of placement histories and living situations which appeared to impact the degree of contact maintained with siblings: (1) children who had never lived together and were not currently placed together; (2) children who at some point lived with or were placed together with their siblings, but were now separated from them; and (3) children who had lived with their siblings all their life and were placed together with at least some of their siblings at the time of the interview. Children's current living situations and placement histories, caregivers' experiences and perceptions of feasibility and desirability of sibling contact, and the sibling relationship itself are primary determinants in the development and maintenance of contact between siblings. Implications for child welfare policy and practice are discussed.

  12. Adoption of Sun Safe Work Place Practices by Local Governments

    Science.gov (United States)

    Wallis, Allan; Andersen, Peter A.; Buller, David B.; Walkosz, Barbara; Lui, Lucia; Buller, Mary; Scott, Michael D.; Jenkins, Rob

    2014-01-01

    Context Outdoor workers are especially susceptible to skin cancer, the most common, but also one of the most preventable, forms of cancer. Colorado, the location of the study, has the second highest rate of skin cancer deaths in the nation. Objective Local government managers in Colorado—in municipalities, counties and special districts—were surveyed in order to ascertain the extent to which they engage in formal (written) and informal practices to protect their outdoor workers against excessive exposure to sun. Design The survey consisted of 51 question assessing awareness of formal or informal practices for sun protection of outdoor workers. An index of practices--the study's dependent variable--was created that was comprised or practices such as providing employees free or reduced-cost sunscreen, wide-brimmed hats, sunglasses, long-sleeved work shirts, long work pants, and temporary or permanent outdoor shade shelters. Proscriptive policies, such as restricting the use of broad brimmed hats, were subtracted from the index. Surveys were completed by 825 administrators representing 98 jurisdictions. Responses from administrators in the same jurisdiction were averaged. Results Over 40 percent of responding jurisdictions indicated that they engaged in informal sun safety practices. Tests conducted to determine what variables might account for the adoption of these sun protection practices found that the degree to which a community could be regarded as cosmopolite and as having an individualistic political culture were significant predictors. Type of government was also significant. Although, higher community income was a significant predictor, neither local government budget nor size was significant. Conclusions The adoption of sun safe practices bears low costs with potentially high returns. Findings from this study suggest that awareness campaigns might most effectively target cosmopolite communities, but that the greatest impact might be achieved by targeting

  13. Examining perspectives on telecare: factors influencing adoption, implementation, and usage

    Directory of Open Access Journals (Sweden)

    Barrett D

    2014-12-01

    Full Text Available David Barrett,1 Jonathan Thorpe,2 Nick Goodwin3 1Faculty of Health and Social Care, 2Knowledge Exchange, University of Hull, Hull, 3International Foundation for Integrated Care, Oxford, UK Abstract: Telecare, or the use of remote care technologies to support safe and independent living, offers great potential to mitigate the challenges faced in a time of changing demographics. By supporting people to live for longer in their own home, telecare can enhance quality of life, reduce reliance on institutional care settings, and reduce costs. Despite these potential opportunities, the adoption of telecare has not been as fast or widespread as it might have been. This article discusses some of the factors acting as drivers or barriers, which have influenced adoption and impacted on implementation. The implications of the availability of such a wide range of telecare applications is explored; this diversity of choice allows for services to be tailored to the specific needs of users, but also causes a tangled web of terminology that can lead to confusion and lack of clarity. In terms of the evidence base, although evaluations of telecare services often demonstrate a high level of cost benefit and user satisfaction, primary research findings are not as positive. This paper focuses particularly on the Whole System Demonstrator, a large-scale, randomized controlled trial that raised questions about the value and cost-effectiveness of telecare. The paper also discusses the ethical, governance, and resource issues associated with telecare implementation and the organizational complexities inherent in such exciting but challenging changes to services. The policy perspective is also summarized, highlighting how much of the adoption of telecare to date has been influenced by top-down initiatives. Telecare will continue to evolve as our understanding and the technology continue to develop. This paper provides information and advice for commissioners, providers

  14. Adoption of sun safe workplace practices by local governments.

    Science.gov (United States)

    Wallis, Allan; Andersen, Peter A; Buller, David B; Walkosz, Barbara; Lui, Lucia; Buller, Mary; Scott, Michael D; Jenkins, Rob

    2014-01-01

    Outdoor workers are especially susceptible to skin cancer--the most common, but also one of the most preventable, forms of cancer. Colorado, the location of the study, has the second highest rate of skin cancer deaths in the nation. Local government managers in Colorado-in municipalities, counties, and special districts-were surveyed to ascertain the extent to which they engage in formal (written) and informal practices to protect their outdoor workers against excessive exposure to sun. The survey consisted of 51 questions assessing awareness of formal or informal practices for sun protection of outdoor workers. An index of practices--the study's dependent variable--was created that was composed or practices such as providing employees free or reduced-cost sunscreen, wide-brimmed hats, sunglasses, long-sleeved work shirts, long work pants, and temporary or permanent outdoor shade shelters. Proscriptive policies, such as restricting the use of broad brimmed hats, were subtracted from the index. Surveys were completed by 825 administrators representing 98 jurisdictions. Responses from administrators in the same jurisdiction were averaged. More than 40% of responding jurisdictions indicated that they engaged in informal sun safety practices. Tests conducted to determine what variables might account for the adoption of these sun protection practices found that the degree to which a community could be regarded as cosmopolite and as having an individualistic political culture were significant predictors. Type of government was also significant. Although, higher community income was a significant predictor, neither local government budget nor size was significant. The adoption of sun safe practices bears low costs with potentially high returns. Findings from this study suggest that awareness campaigns might most effectively target cosmopolite communities, but that the greatest impact might be achieved by targeting localite communities. Government size and budget do not

  15. Books on Adoption for Young Children: Looking at Language.

    Science.gov (United States)

    Schimmel, Nancy; Love, Susan

    1997-01-01

    Books can inform, reassure, and give young children the vocabulary to talk about adoption. This article presents and examines the language used to talk about adoption in eleven current children's books. Discusses surrogacy, adoption, "natural" parents, grief, "chosen-baby" stories, age at adoption, international adoption,…

  16. Australia's approach to monetary policy

    OpenAIRE

    Jane Sneddon Little

    2002-01-01

    According to Australia's Reserve Bank Act, the central bank's broad policy objectives include maintaining the stability of the currency, full employment, and the economic prosperity and welfare of the people of Australia. In 1993 the Reserve Bank of Australia adopted a specific, and thus transparent, inflation target as its operating objective; it aims to keep overall inflation between 2 percent and 3 percent on average over the business cycle.

  17. Adoption of recommended agricultural technologies of Anambra ...

    African Journals Online (AJOL)

    The study was on the adoption of selected agricultural technologies of Anambra State Agricultural Development programme by small scale farmers in Anambra State. Data were collected from purposively sampled 120 farmers in the state using structured interview schedule. The data were analyzed using percentages and ...

  18. Farmers\\' Characteristics And Adoption Of Recommended Practices ...

    African Journals Online (AJOL)

    The study focused on farmers under the fadama project scheme in Edo State, Nigeria with emphasis on the relationship between farmers\\' characteristics and adoption of recommended technologies. Analyses of data obtained from a random sample of 80 respondents reveals that fadama farming was dominated by females ...

  19. Green House Adoption and Nursing Home Quality.

    Science.gov (United States)

    Afendulis, Christopher C; Caudry, Daryl J; O'Malley, A James; Kemper, Peter; Grabowski, David C

    2016-02-01

    To evaluate the impact of the Green House (GH) model on nursing home resident-level quality of care measures. Resident-level minimum data set (MDS) assessments merged with Medicare inpatient claims for the period 2005 through 2010. Using a difference-in-differences framework, we compared changes in care quality and outcomes in 15 nursing homes that adopted the GH model relative to changes over the same time period in 223 matched nursing homes that had not adopted the GH model. For individuals residing in GH homes, adoption of the model lowered readmissions and several MDS measures of poor quality, including bedfast residents, catheter use, and pressure ulcers, but these results were not present across the entire GH organization, suggesting possible offsetting effects for residents of non-GH "legacy" units within the GH organization. GH adoption led to improvement in rehospitalizations and certain nursing home quality measures for individuals residing in a GH home. The absence of evidence of a decline in other clinical quality measures in GH nursing homes should reassure anyone concerned that GH might have sacrificed clinical quality for improved quality of life. © Health Research and Educational Trust.

  20. Comment on the Minnesota Transracial Adoption Study.

    Science.gov (United States)

    Levin, Michael; And Others

    1994-01-01

    Michael Levin argues that data from the study are consistent with a black/white IQ difference that is significantly genetic. Richard Lynn maintains that adoption by middle-class, white families has no effect on intelligence. Waldman, Weinberg, and Scarr respond to these criticisms and support the original conclusions. (SLD)