WorldWideScience

Sample records for public assistance compared

  1. Insurance, Public Assistance, and Household Flood Risk Reduction: A Comparative Study of Austria, England, and Romania.

    Science.gov (United States)

    Hanger, Susanne; Linnerooth-Bayer, Joanne; Surminski, Swenja; Nenciu-Posner, Cristina; Lorant, Anna; Ionescu, Radu; Patt, Anthony

    2017-08-17

    In light of increasing losses from floods, many researchers and policymakers are looking for ways to encourage flood risk reduction among communities, business, and households. In this study, we investigate risk-reduction behavior at the household level in three European Union Member States with fundamentally different insurance and compensation schemes. We try to understand if and how insurance and public assistance influence private risk-reduction behavior. Data were collected using a telephone survey (n = 1,849) of household decisionmakers in flood-prone areas. We show that insurance overall is positively associated with private risk-reduction behavior. Warranties, premium discounts, and information provision with respect to risk reduction may be an explanation for this positive relationship in the case of structural measures. Public incentives for risk-reduction measures by means of financial and in-kind support, and particularly through the provision of information, are also associated with enhancing risk reduction. In this study, public compensation is not negatively associated with private risk-reduction behavior. This does not disprove such a relationship, but the negative effect may be mitigated by factors related to respondents' capacity to implement measures or social norms that were not included in the analysis. The data suggest that large-scale flood protection infrastructure creates a sense of security that is associated with a lower level of preparedness. Across the board there is ample room to improve both public and private policies to provide effective incentives for household-level risk reduction. © 2017 The Authors Risk Analysis published by Wiley Periodicals, Inc. on behalf of Society for Risk Analysis.

  2. Poverty, Public Assistance and Single Mothers : A Comparative Look at Norway, Russia and the U.S

    Directory of Open Access Journals (Sweden)

    Pamela A. Brown

    2015-03-01

    Full Text Available This article presents some of the perceptions and experiences of mothers on public assistance and their social workers in three countries—Norway, Russia and the US. Based on in-depth interviews in each country with social workers and the women, five themes emerged that will be presented here. The mothers spoke of the inadequacy of economic support to meet their needs, a life of poverty that sometimes involved discrimination of them as mothers, and a loss of hope that their lives could be different. Two themes that stood out in the interviews with social workers was the lack of resources needed to help their clients and the dilemma faced as an agent of social welfare institutions balanced with being an advocate for the mothers’ needs.

  3. Daily Public Assistance Grants Award Activity

    Data.gov (United States)

    Department of Homeland Security — Daily activity of Public Assistance Grant Awards, including FEMA Region, State, Disaster Declaration Number, Event description, Mission Assigned agency, Assistance...

  4. Comparative Politics and Public Finance

    OpenAIRE

    Persson, Torsten; Roland, Gerard; Tabellini, Guido

    2000-01-01

    This paper presents a model of electoral accountability to compare the public finance outcomes under a presidential-congressional and a parliamentary system. In a presidential-congressional system, contrary to a parliamentary system, there are no endogenous incentives for legislative cohesion, but this allows for a clearer separation of powers. These features lead to clear differences in the public finance performance of the two systems. A parliamentary system has redistribution towards a maj...

  5. 32 CFR 202.13 - Technical assistance for public participation.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 2 2010-07-01 2010-07-01 false Technical assistance for public participation... Reporting Requirements § 202.13 Technical assistance for public participation. Community members of a RAB or TRC may request technical assistance for interpreting scientific and engineering issues with regard to...

  6. Personal Publication Assistant : Abstract recommendations by a cognitive model

    NARCIS (Netherlands)

    Van Maanen, Leendert; Van Rijn, Hedderik; van Grootel, Maarten; Kemna, Stephanie; Klomp, Martin; Scholtens, Erwin

    This paper discusses an analysis of how scientists select relevant publications, and an application that can assist scientists in this information selection task. The application, called the Personal Publication Assistant, is based on the assumption that successful information selection is driven by

  7. Enhancing public involvement in assistive technology design research.

    Science.gov (United States)

    Williamson, Tracey; Kenney, Laurence; Barker, Anthony T; Cooper, Glen; Good, Tim; Healey, Jamie; Heller, Ben; Howard, David; Matthews, Martin; Prenton, Sarah; Ryan, Julia; Smith, Christine

    2015-05-01

    To appraise the application of accepted good practice guidance on public involvement in assistive technology research and to identify its impact on the research team, the public, device and trial design. Critical reflection and within-project evaluation were undertaken in a case study of the development of a functional electrical stimulation device. Individual and group interviews were undertaken with lay members of a 10 strong study user advisory group and also research team members. Public involvement was seen positively by research team members, who reported a positive impact on device and study designs. The public identified positive impact on confidence, skills, self-esteem, enjoyment, contribution to improving the care of others and opportunities for further involvement in research. A negative impact concerned the challenge of engaging the public in dissemination after the study end. The public were able to impact significantly on the design of an assistive technology device which was made more fit for purpose. Research team attitudes to public involvement were more positive after having witnessed its potential first hand. Within-project evaluation underpins this case study which presents a much needed detailed account of public involvement in assistive technology design research to add to the existing weak evidence base. The evidence base for impact of public involvement in rehabilitation technology design is in need of development. Public involvement in co-design of rehabilitation devices can lead to technologies that are fit for purpose. Rehabilitation researchers need to consider the merits of active public involvement in research.

  8. Immigrants' Access to Public Assistance: Missed Opportunities following Welfare Reform

    Science.gov (United States)

    Crosby, Danielle A.; Hatfield, Bridget E.

    2008-01-01

    The Personal Responsibility and Work Reconciliation Act of 1996 reformed public assistance programs and reduced the safety net of supports for low-income families. Children living in low-income immigrant families face particular challenges in the current policy environment. In this article, the authors consider what these changes have meant for…

  9. EpiAssist: Service-learning in public health education.

    Science.gov (United States)

    Horney, Jennifer A; Bamrara, Sanjana; Macik, Maria Lazo; Shehane, Melissa

    2016-01-01

    Although public health degree programs typically require practica and other field experiences, service-learning courses, with a focus on civic engagement and the application of classroom learning in real world settings, can go beyond these requirements and provide benefits to students and community-based practice partners. The goal of this paper is to assess potential benefits of service-learning programs for both graduate-level public health students and state and local public health agency partners. EpiAssist is a new service-learning program developed at the School of Public Health of the Texas A and M University Health Science Center, USA, in January 2015. EpiAssist was integrated into a new course, Methods in Field Epidemiology. The integration of service-learning was guided by a partnership with the Texas A and M Center for Teaching Excellence. State, regional, and local public health partners requested EpiAssist via email or telephone. A listserv was used to recruit student volunteers to meet requests. 54 of 86 registered EpiAssist students (63%) participated in at least one of ten service-learning and three training activities between January and June, 2015. Service-learning activities included questionnaire development, in-person and telephone data collection, and data analysis. Training topics for students included the Epi Info™ software, community assessment and communicable disease reporting. Students and partner organizations provided generally positive assessments of this service learning program through an online evaluation. Service-learning provides students with enhanced classroom learning through applied public health experience in state, regional and local health departments. These experiences provide both needed surge capacity to public health departments and valuable hands-on field experience to students.

  10. 20 CFR 416.1142 - If you live in a public assistance household.

    Science.gov (United States)

    2010-04-01

    ... a public assistance household. (a) Definition. A public assistance household is one in which every... mandatory supplements); (3) The Refugee Act of 1980 (Those payments based on need); (4) The Disaster...

  11. Potential for comparative public opinion research in public administration

    NARCIS (Netherlands)

    G. Bouckaert (Geert); S.G.J. Van de Walle (Steven); J. K. Kampen (Jarl)

    2005-01-01

    textabstractThe public administration and public services have always taken a marginal place in the political scientists’ behavioural research. Public administration students on the other hand tend to focus on political and administrative elites and institutions, and largely ignored citizens in

  12. Performance Management Compared across Public Services

    DEFF Research Database (Denmark)

    Bjørnholt, Bente; Agger Nielsen, Jeppe; Lindholst, Christian

    on extent literature we expect performance management systems to be operationalized more tightly, freed from definitional conflicts and with more rigorous and quantitative measures in areas with low governance complexity (technical services) while performance management systems will appear with opposite...... service areas and draw lessons from these differences. On this backdrop this paper investigates theoretical assumptions on performance management systems through a cross-comparison of two public service areas (technical and social services) which differ in theoretically important dimensions. Drawing...... characteristics in areas with high governance complexity (social service). We find that the performance management systems unexpectedly converged in characteristics across the two service areas, and even appeared with more rigid monitoring and control functions in social services compared to newer developments...

  13. 32 CFR 203.12 - Technical assistance for public participation provider qualifications.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 2 2010-07-01 2010-07-01 false Technical assistance for public participation... THE SECRETARY OF DEFENSE (CONTINUED) MISCELLANEOUS TECHNICAL ASSISTANCE FOR PUBLIC PARTICIPATION (TAPP) IN DEFENSE ENVIRONMENTAL RESTORATION ACTIVITIES § 203.12 Technical assistance for public...

  14. Comparing public and private sector switchers

    DEFF Research Database (Denmark)

    Frederiksen, Anders; Hansen, Jesper Rosenberg; Bozeman, Barry

    are related to sector switching and the pattern of sector switch, public to private versus private to public. We propose a life stage model arguing that people's needs change in different life stages of their lives. We further suggest that this can help explain why they switch sector. We use unique Danish...... labor market data that include information on all employees in Denmark (both private and public sector). The data are for the period 1980 to 2006, and this longitudinal database includes abundant information about job changes, including sector switching. Our findings indicate mixed support....... Finally, we find that people with more education are likely to switch from private to public sector....

  15. Comparing public and private sector switchers

    DEFF Research Database (Denmark)

    Frederiksen, Anders; Hansen, Jesper Rosenberg; Bozeman, Barry

    are related to sector switching and the pattern of sector switch, public to private versus private to public. We propose a life stage model arguing that people's needs change in different life stages of their lives. We further suggest that this can help explain why they switch sector. We use unique Danish......Sector switching is a new rising research area. Little is known about the motives and behaviors of those switching sectors. Using Person-Environment (P-E) fit theory, we seek to determine whether familiar demographic characteristics, including age, gender, having children and length of education...... labor market data that include information on all employees in Denmark (both private and public sector). The data are for the period 1980 to 2006, and this longitudinal database includes abundant information about job changes, including sector switching. Our findings indicate mixed support...

  16. Assisted vaginal deliveries in mothers admitted as public or private patients in Western Australia.

    Directory of Open Access Journals (Sweden)

    Kristjana Einarsdóttir

    Full Text Available BACKGROUND: Mothers delivering as private patients in Australia have a high rate of assisted deliveries, which could lead to adverse infant outcomes in this group of patients. We investigated whether the risk of adverse infant outcomes after assisted deliveries was different for mothers admitted as public or private patients for delivery, when compared with unassisted deliveries. METHODS AND FINDINGS: We included 158,241 vaginal, singleton, term birth admissions in our study where the infant was live born and without birth defects. The study population was identified from statutory birth and hospital data collections held by the Western Australian (WA Department of Health. We estimated odds ratios and confidence intervals using logistic regression models adjusted for a range of maternal demographic, pregnancy and birth characteristics. Interaction was assessed by including interaction terms in the models. Outcomes included low Apgar scores at five minutes (< 7, neonatal resuscitation and special care admission. Mothers delivering as private patients had an increased risk of assisted vaginal delivery compared with public patients (adjusted OR 1.74, 95% CI  =  1.68-1.80. Compared with unassisted vaginal deliveries, assisted deliveries were associated with increased risk of Apgar scores at five minutes below 7 (OR 1.25, 1.08-1.45, neonatal resuscitation (OR  =  1.69, 1.42-2.00 and admission to special care nursery (OR  =  1.64, 1.53-1.76. The increased risk of neonatal resuscitation was higher for mothers admitted as private patients for delivery (OR  =  2.13 than public patients (OR  = 1 .55, p(interaction  =  0.03. CONCLUSIONS: Our results suggested that the high risk of neonatal resuscitation following assisted vaginal deliveries compared to unassisted is higher in private patients than public patients. Whether this phenomenon is due to the twofold higher rate of assisted vaginal deliveries in this group of patients or a

  17. 77 FR 37390 - Notice Inviting Informal Public Comment on Training and Technical Assistance and Disability...

    Science.gov (United States)

    2012-06-21

    ... Disability Inclusion Programming AGENCY: Corporation for National and Community Service. ACTION: Notice Inviting Informal Public Comment on Training and Technical Assistance and Disability Inclusion Programming... Inviting Informal Comment on Training and Technical Assistance and Disability Inclusion Programming...

  18. 76 FR 31356 - Notice of Proposed Information Collection for Public Comment; Technical Assistance Experience...

    Science.gov (United States)

    2011-05-31

    ... URBAN DEVELOPMENT Notice of Proposed Information Collection for Public Comment; Technical Assistance... proposed: The Technical Assistance Experience, Expertise, and Awards Received Matrices will allow the... capacity of applicants applying for technical assistance funding under the FY2011 McKinney-Vento Technical...

  19. Comparing Public Quality Ratings for Accredited and Nonaccredited Nursing Homes.

    Science.gov (United States)

    Williams, Scott C; Morton, David J; Braun, Barbara I; Longo, Beth Ann; Baker, David W

    2017-01-01

    Compare quality ratings of accredited and nonaccredited nursing homes using the publicly available Centers for Medicare and Medicaid Services (CMS) Nursing Home Compare data set. This cross-sectional study compared the performance of 711 Joint Commission-accredited (TJC-accredited) nursing homes (81 of which also had Post-Acute Care Certification) to 14,926 non-Joint Commission-accredited (non-TJC-accredited) facilities using the Nursing Home Compare data set (as downloaded on April 2015). Measures included the overall Five-Star Quality Rating and its 4 components (health inspection, quality measures, staffing, and RN staffing), the 18 Nursing Home Compare quality measures (5 short-stay measures, 13 long-stay measures), as well as inspection deficiencies, fines, and payment denials. t tests were used to assess differences in rates for TJC-accredited nursing homes versus non-TJC-accredited nursing homes for quality measures, ratings, and fine amounts. Analysis of variance models were used to determine differences in rates using Joint Commission accreditation status, nursing home size based on number of beds, and ownership type. An additional model with an interaction term using Joint Commission accreditation status and Joint Commission Post-Acute Care Certification status was used to determine differences in rates for Post-Acute Care Certified nursing homes. Binary variables (eg, deficiency type, fines, and payment denials) were evaluated using a logistic regression model with the same covariates. After controlling for the influences of facility size and ownership type, TJC-accredited nursing homes had significantly higher star ratings than non-TJC-accredited nursing homes on each of the star rating component subscales (P homes with Post-Acute Care Certification performed statistically better on the overall star rating, as well as 3 of the 4 subscales (P homes had statistically fewer deficiencies than non-TJC-accredited nursing homes (P homes accredited by The

  20. Comparative study of microscopic-assisted and endoscopic-assisted myringoplasty

    Directory of Open Access Journals (Sweden)

    Raghvendra Singh Gaur

    2016-01-01

    Full Text Available This study was conducted to determine the advantages and disadvantages of the endoscope as compared to microscope in myringoplasty surgery and to compare the results of both groups. The cases for this study were taken from the inpatient cases of the Department of Otorhinolaryngology, in tertiary care hospital for prospective study during the period of January 2012–August 2013. Thirty cases were taken for the study under each group. All patients in both groups were followed up for a minimum of 6 months. Final assessment of tympanic membrane and hearing was done at 6 months postoperation. Subjective and objective assessment of scar was done at 6 months postoperation. In our study, the success rate of endoscope-assisted myringoplasty was comparable to that of microscope-assisted myringoplasty. Regarding cosmosis endoscope produced superior results. The wide angle, telescopic, magnified view of the endoscope overcomes most of the disadvantages of the microscope. Loss of depth perception and one-handed technique are some of the disadvantages of the endoscope that can be easily overcome with practice.

  1. The safety of electrically assisted bicycles compared to classic bicycles.

    Science.gov (United States)

    Schepers, J P; Fishman, E; den Hertog, P; Wolt, K Klein; Schwab, A L

    2014-12-01

    Use of electrically assisted bicycles with a maximum speed of 25 km/h is rapidly increasing. This growth has been particularly rapid in the Netherlands, yet very little research has been conducted to assess the road safety implications. This case-control study compares the likelihood of crashes for which treatment at an emergency department is needed and injury consequences for electric bicycles to classic bicycles in the Netherlands among users of 16 years and older. Data were gathered through a survey of victims treated at emergency departments. Additionally, a survey of cyclists without any known crash experience, drawn from a panel of the Dutch population acted as a control sample. Logistic regression analysis is used to compare the risk of crashes with electric and classical bicycles requiring treatment at an emergency department. Among the victims treated at an emergency department we compared those being hospitalized to those being send home after the treatment at the emergency department to compare the injury consequences between electric and classical bicycle victims. The results suggest that, after controlling for age, gender and amount of bicycle use, electric bicycle users are more likely to be involved in a crash that requires treatment at an emergency department due to a crash. Crashes with electric bicycles are about equally severe as crashes with classic bicycles. We advise further research to develop policies to minimize the risk and maximize the health benefits for users of electric bicycles. Copyright © 2014 Elsevier Ltd. All rights reserved.

  2. Euthanasia and physician-assisted suicide policy in The Netherlands and Oregon: a comparative analysis.

    Science.gov (United States)

    Patel, Kant

    2004-01-01

    This article presents a comparative analysis of euthanasia and physician-assisted suicide policy in The Netherlands and the state of Oregon in the United States. The topics of euthanasia and physician-assisted suicide are discussed in the context of the historical setting of The Netherlands and the United States with special emphasis placed on public opinion, role of the courts and the legislative bodies, and opinions of physicians. Major similarities and differences in the laws of The Netherlands and Oregon are discussed. The article examines whether the passage of the law has led to a slide down the slippery slope in The Netherlands and Oregon as had been suggested by the opponents of the law. The article concludes that the empirical evidence does not support the contention of the opponents. However, the author argues that the potential for this happening is much greater in The Netherlands than in Oregon.

  3. Costs of medically assisted reproduction treatment at specialized fertility clinics in the Danish public health care system

    DEFF Research Database (Denmark)

    Christiansen, Terkel; Erb, Karin; Rizvanovic, Amra

    2014-01-01

    To examine the costs to the public health care system of couples in medically assisted reproduction.......To examine the costs to the public health care system of couples in medically assisted reproduction....

  4. Costs of medically assisted reproduction treatment at specialized fertility clinics in the Danish public health care system

    DEFF Research Database (Denmark)

    Christiansen, Terkel; Erb, Karin; Rizvanovic, Amra

    2014-01-01

    Objective. To examine the costs to the public health care system of couples in medically assisted reproduction. Design. Longitudinal cohort study of infertile couples initiating medically assisted reproduction treatment. Setting. Specialized public fertility clinics in Denmark. Sample. Seven hund...

  5. 75 FR 33421 - Supplemental Nutrition Assistance Program: Quality Control Provisions of Title IV of Public Law...

    Science.gov (United States)

    2010-06-11

    ... Program: Quality Control Provisions of Title IV of Public Law 107-171; Final Rule #0;#0;Federal Register... Assistance Program: Quality Control Provisions of Title IV of Public Law 107-171 AGENCY: Food and Nutrition... ``Food Stamp Program: Non-Discretionary Quality Control Provisions of Title IV of Public Law...

  6. Assisted Housing - Public Housing Authorities - National Geospatial Data Asset (NGDA)

    Data.gov (United States)

    Department of Housing and Urban Development — Public Housing was established to provide decent and safe rental housing for eligible low-income families, the elderly, and persons with disabilities. Public housing...

  7. Assisted Housing - Public Housing Developments - National Geospatial Data Asset (NGDA)

    Data.gov (United States)

    Department of Housing and Urban Development — The general location of an entire Public Housing Development. A distinct address is chosen to represent the general location of an entire Public Housing Development,...

  8. Comparative Job Performance Effectiveness of Teachers in Public ...

    African Journals Online (AJOL)

    Comparative Job Performance Effectiveness of Teachers in Public and Private ... management, students discipline and supervision of co-curricular activities. ... of Education should adequately fund the school system, equip the laboratories, ...

  9. NPL-PAD (National Priorities List Publication Assistance Database) for Region 7

    Data.gov (United States)

    U.S. Environmental Protection Agency — THIS DATA ASSET NO LONGER ACTIVE: This is metadata documentation for the National Priorities List (NPL) Publication Assistance Databsae (PAD), a Lotus Notes...

  10. East Valley Water District: Public Assistance Worksheets for Damage from 2010 Floods

    Science.gov (United States)

    East Valley Water District (EVWD) in San Bernardino, California had significant damage due to flooding in December 2010. There was a presidentially-declared disaster. EVWD applied to FEMA under the Public Assistance Grant Program.

  11. Post-9/11 Veterans Educational Assistance Improvements Act of 2010 (Public Law 111-377)

    Science.gov (United States)

    US Congress, 2011

    2011-01-01

    The Post-9/11 Veterans Educational Assistance Improvements Act of 2010 (Public Law 111-377) was put in place to amend title 38, United States Code, to improve educational assistance for veterans who served in the Armed Forces after September 11, 2001, and for other purposes. The table of contents for this Act is as follows: (1) Sec. 1. Short…

  12. Assisted Housing - Public Housing Buildings - National Geospatial Data Asset (NGDA)

    Data.gov (United States)

    Department of Housing and Urban Development — The approximate physical location of each individual Public Housing Building. If the building has more than one entrance or street address, the address of the...

  13. Comparing public and private hospital care service quality.

    Science.gov (United States)

    Camilleri, D; O'Callaghan, M

    1998-01-01

    The study applies the principles behind the SERVQUAL model and uses Donabedian's framework to compare and contrast Malta's public and private hospital care service quality. Through the identification of 16 service quality indicators and the use of a Likert-type scale, two questionnaires were developed. The first questionnaire measured patient pre-admission expectations for public and private hospital service quality (in respect of one another). It also determined the weighted importance given to the different service quality indicators. The second questionnaire measured patient perceptions of provided service quality. Results showed that private hospitals are expected to offer a higher quality service, particularly in the "hotel services", but it was the public sector that was exceeding its patients' expectations by the wider margin. A number of implications for public and private hospital management and policy makers were identified.

  14. Organizational climate: Comparing private and public hospitals within professional roles

    Directory of Open Access Journals (Sweden)

    Diana Rojas

    2014-11-01

    Full Text Available This study compares the organizational climate differences within professional roles in private and public hospitals. We focused on how physicians, administrative, healthcare and non-healthcare staff either in the public or in the private perceived their work environment and each organizational climate dimension. Data came from organizational-climate questionnaires administered in 2010 and 2012 to 19616 and 1276 health employees in public and private hospitals in the Tuscany Region respectively. We applied exploratory factoranalysis to verify the validity and internal consistency between items in the questionnaire and t-test, one-way analysis of variance to compare mean perceptions regarding to the dimensions across different groups of respondents. We measured four dimensions: “training opportunities”, “managerial tools”, “organization” and “management & leadership style” and overall job satisfaction. Hospital status in the professional roles was found significant in the staff's perceptions (p≤0.05.

  15. A comparative study of self-perceived public health competencies: practice teachers and qualifying SCPHNs.

    Science.gov (United States)

    Poulton, Brenda; Lyons, Agatha; O'Callaghan, Anne

    2008-09-01

    There is evidence to suggest that population-focused public health nursing is more rhetoric than reality. This quantitative study compares the self-perceived public health competence of qualifying student specialist community public health nurses (SCPHNs) (n = 35) with those of the practice teachers (PTs) facilitating their practice learning (n = 31). Findings suggest that PTs felt more competent than qualifying students on leadership and management for public health, working with communities, and communication skills. However, the qualifying students self-rated higher than the PTs on principles and practice of public health, suggesting that the PTs in this study felt less competent than their qualifying students in key public health skills, such as epidemiology, population health needs assessment, research and evidence-based decision-making. It is recommended that the triennial review of PTs should address not only educational skills but knowledge and skills in contemporary public health practice, a continuing professional development framework for SCPHNs should be developed and funded, providers should assist PTs in keeping up with contemporary public health, and the role of the PT should be recognised and given appropriate support and remuneration.

  16. Computer-Assisted Management of Instruction in Veterinary Public Health

    Science.gov (United States)

    Holt, Elsbeth; And Others

    1975-01-01

    Reviews a course in Food Hygiene and Public Health at the University of Illinois College of Veterinary Medicine in which students are sequenced through a series of computer-based lessons or autotutorial slide-tape lessons, the computer also being used to route, test, and keep records. Since grades indicated mastery of the subject, the course will…

  17. Comparative health technology assessment of robotic-assisted, direct manual laparoscopic and open surgery: a prospective study

    OpenAIRE

    Turchetti, Giuseppe; Pierotti, Francesca; Palla, Ilaria; Manetti, Stefania; Freschi, Cinzia; Ferrari, Vincenzo; Cuschieri, Alfred

    2016-01-01

    Background Despite many publications reporting on the increased hospital cost of robotic-assisted surgery (RAS) compared to direct manual laparoscopic surgery (DMLS) and open surgery (OS), the reported health economic studies lack details on clinical outcome, precluding valid health technology assessment (HTA). Methods The present prospective study reports total cost analysis on 699 patients undergoing general surgical, gynecological and thoracic operations between 2011 and 2014 in the Italia...

  18. e-Government – Assisting Reformed Public Administration in Romania

    Directory of Open Access Journals (Sweden)

    Andreea GATMAN

    2011-06-01

    Full Text Available The adoption of web-based technologies in order to deliver government services has become a global trend in public administration. e-Government also means that governments have to act as a private entity and compete for best delivered services towards citizens due to the societal challenges and shifting relations. But such transformation has significant implications, such as answering in a collaborative, intelligent manner to the needs and demands of the citizens, to the different categories of users including the elderly, women, men, youngsters, or disadvantaged groups. The construction and management of the virtual space becomes an essential element of modern public administration. The assumption is that Governments become more efficient in an electronic “version”. In order to evaluate their e-Government projects governments’ need to point towards the value added that technology is bringing in terms of impact. To conduct such an evaluation one needs to include also the effort put forth in such projects - in terms of financial, human resources, and policy. All three dimensions are equally important and complementary.

  19. 28 CFR 55.13 - Language used for oral assistance and publicity.

    Science.gov (United States)

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Language used for oral assistance and publicity. 55.13 Section 55.13 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) IMPLEMENTATION OF.... Some languages, for example, Chinese, have several dialects. Where a jurisdiction is obligated...

  20. 76 FR 47231 - Redelegation of Authority to the Deputy Assistant Secretaries for Public and Indian Housing

    Science.gov (United States)

    2011-08-04

    ... URBAN DEVELOPMENT Redelegation of Authority to the Deputy Assistant Secretaries for Public and Indian... redelegation of authority. SUMMARY: Section 7(d) of the Department of Housing and Urban Development Act, as amended, authorizes the Secretary to delegate functions, powers, and duties as the Secretary deems...

  1. 32 CFR Appendix A to Part 203 - Technical Assistance for Public Participation Request Form

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 2 2010-07-01 2010-07-01 false Technical Assistance for Public Participation Request Form A Appendix A to Part 203 National Defense Department of Defense (Continued) OFFICE OF THE... DEFENSE ENVIRONMENTAL RESTORATION ACTIVITIES Pt. 203, App. A Appendix A to Part 203—Technical...

  2. A Computer-Assisted Instruction in Teaching Abstract Statistics to Public Affairs Undergraduates

    Science.gov (United States)

    Ozturk, Ali Osman

    2012-01-01

    This article attempts to demonstrate the applicability of a computer-assisted instruction supported with simulated data in teaching abstract statistical concepts to political science and public affairs students in an introductory research methods course. The software is called the Elaboration Model Computer Exercise (EMCE) in that it takes a great…

  3. 75 FR 5808 - Publication of Model Notice for Employers to Use Regarding Eligibility for Premium Assistance...

    Science.gov (United States)

    2010-02-04

    ... Insurance Program (CHIP). The Department of Labor (Department) is required to provide the model notice to... Benefits Security Administration Publication of Model Notice for Employers to Use Regarding Eligibility for Premium Assistance Under Medicaid or the Children's Health Insurance Program, Notice AGENCY:...

  4. Low-Income Parental Profiles of Coping, Resource Adequacy, and Public Assistance Receipt: Links to Parenting

    Science.gov (United States)

    Maupin, Angela N.; Brophy-Herb, Holly E.; Schiffman, Rachel F.; Bocknek, Erika L.

    2010-01-01

    Variation in perceptions of resources and in coping strategies among low-income parents likely influences parenting. The purposes of this study were to identify differences in parental profiles, as indicated by receipt of public assistance, perceptions of adequacy of resources, and coping strategies, and to examine these profiles relative to…

  5. 38 CFR 3.714 - Improved pension elections-public assistance beneficiaries.

    Science.gov (United States)

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Improved pension elections-public assistance beneficiaries. 3.714 Section 3.714 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS ADJUDICATION Pension, Compensation, and Dependency and Indemnity Compensation...

  6. Federal Assistance to Public Black Colleges and Universities: Robin Hood Unleashed or Collusion on the Potomac.

    Science.gov (United States)

    Jones, Lewis L.

    Issues concerning federal assistance to public black colleges and universities are addressed. Attention is directed to the question of whether federal subsidies, given the role of state controlling agencies, automatically benefit black colleges in a meaningful, lasting manner. A second question is whether federal aid to black institutions, in its…

  7. 77 FR 53903 - Notice of Proposed Information Collection for Public Comment: OneCPD Technical Assistance and...

    Science.gov (United States)

    2012-09-04

    ... INFORMATION CONTACT: Julie Hovden, Director, Technical Assistance Division, Office of Technical Assistance and... responses. This Notice also lists the following information: Title of Proposal: OneCPD Technical Assistance... URBAN DEVELOPMENT Notice of Proposed Information Collection for Public Comment: OneCPD Technical...

  8. Assisted dying: the influence of public opinion in an increasingly diverse society.

    Science.gov (United States)

    Badcott, David

    2010-11-01

    Attitudes to questions of whether physician-assisted dying should be legalised in the UK, reflect one of the greatest challenges to moral stance in health care for both individuals and professional bodies, not least as indicated by public opinion. However, public opinion is a seductively deceptive notion, seemingly readily identifiable but in practice multifarious. At best, consensus regarding public opinion and assisted dying is illusory, sometimes transient and what is relevant in this matter is a comprehension of both majority (popular) opinion and vocal dissent, but which do not them selves have a simple relationship with Parliamentary attitudes and legislation. Arguably, an increasingly important consideration to take account of is the influence of increasing population diversity.

  9. 75 FR 55341 - Recovery Policy, RP 9523.6, Mutual Aid Agreements for Public Assistance and Fire Management...

    Science.gov (United States)

    2010-09-10

    ... SECURITY Federal Emergency Management Agency Recovery Policy, RP 9523.6, Mutual Aid Agreements for Public... comments on Recovery Policy, RP 9523.6, Mutual Aid Agreements for Public Assistance and Fire Management Assistance. This is an existing policy that is scheduled for review to ensure that Recovery...

  10. Certificateless Public Auditing with Privacy Preserving for Cloud-Assisted Wireless Body Area Networks

    Directory of Open Access Journals (Sweden)

    Baoyuan Kang

    2017-01-01

    Full Text Available With cloud computing being integrated with wireless body area networks, the digital ecosystem called cloud-assisted WBAN was proposed. In cloud-assisted medical systems, the integrity of the stored data is important. Recently, based on certificateless public key cryptography, He et al. proposed a certificateless public auditing scheme for cloud-assisted WBANs. But He et al.’s scheme is not a scheme with privacy preserving. After many checks on some of the same data blocks, the auditor can derive these data blocks. In this paper, we propose a certificateless public auditing scheme with privacy preserving for cloud-assisted WBANs. In the proof phase of the proposed scheme, the proof information is protected from being directly exposed to the auditor. So, the curious auditor could not derive the data blocks. We also prove that the proposed scheme is secure in the random oracle model under the assumption that the Diffie-Hellman problem is hard, and we give a comparison of the proposed scheme with He et al.’s scheme in terms of security and computation cost.

  11. Comparing public and private hospitals in China: evidence from Guangdong.

    Science.gov (United States)

    Eggleston, Karen; Lu, Mingshan; Li, Congdong; Wang, Jian; Yang, Zhe; Zhang, Jing; Quan, Hude

    2010-03-23

    The literature comparing private not-for-profit, for-profit, and government providers mostly relies on empirical evidence from high-income and established market economies. Studies from developing and transitional economies remain scarce, especially regarding patient case-mix and quality of care in public and private hospitals, even though countries such as China have expanded a mixed-ownership approach to service delivery. The purpose of this study is to compare the operations and performance of public and private hospitals in Guangdong Province, China, focusing on differences in patient case-mix and quality of care. We analyze survey data collected from 362 government-owned and private hospitals in Guangdong Province in 2005, combining mandatorily reported administrative data with a survey instrument designed for this study. We use univariate and multi-variate regression analyses to compare hospital characteristics and to identify factors associated with simple measures of structural quality and patient outcomes. Compared to private hospitals, government hospitals have a higher average value of total assets, more pieces of expensive medical equipment, more employees, and more physicians (controlling for hospital beds, urban location, insurance network, and university affiliation). Government and for-profit private hospitals do not statistically differ in total staffing, although for-profits have proportionally more support staff and fewer medical professionals. Mortality rates for non-government non-profit and for-profit hospitals do not statistically differ from those of government hospitals of similar size, accreditation level, and patient mix. In combination with other evidence on health service delivery in China, our results suggest that changes in ownership type alone are unlikely to dramatically improve or harm overall quality. System incentives need to be designed to reward desired hospital performance and protect vulnerable patients, regardless of

  12. Comparing public and private hospitals in China: Evidence from Guangdong

    Directory of Open Access Journals (Sweden)

    Yang Zhe

    2010-03-01

    Full Text Available Abstract Background The literature comparing private not-for-profit, for-profit, and government providers mostly relies on empirical evidence from high-income and established market economies. Studies from developing and transitional economies remain scarce, especially regarding patient case-mix and quality of care in public and private hospitals, even though countries such as China have expanded a mixed-ownership approach to service delivery. The purpose of this study is to compare the operations and performance of public and private hospitals in Guangdong Province, China, focusing on differences in patient case-mix and quality of care. Methods We analyze survey data collected from 362 government-owned and private hospitals in Guangdong Province in 2005, combining mandatorily reported administrative data with a survey instrument designed for this study. We use univariate and multi-variate regression analyses to compare hospital characteristics and to identify factors associated with simple measures of structural quality and patient outcomes. Results Compared to private hospitals, government hospitals have a higher average value of total assets, more pieces of expensive medical equipment, more employees, and more physicians (controlling for hospital beds, urban location, insurance network, and university affiliation. Government and for-profit private hospitals do not statistically differ in total staffing, although for-profits have proportionally more support staff and fewer medical professionals. Mortality rates for non-government non-profit and for-profit hospitals do not statistically differ from those of government hospitals of similar size, accreditation level, and patient mix. Conclusions In combination with other evidence on health service delivery in China, our results suggest that changes in ownership type alone are unlikely to dramatically improve or harm overall quality. System incentives need to be designed to reward desired hospital

  13. Comparative study on conventional, ultrasonication and microwave assisted extraction of γ-oryzanol from rice bran

    National Research Council Canada - National Science Library

    Kumar, Pramod; Yadav, Devbrat; Kumar, Pradyuman; Panesar, Paramjeet Singh; Bunkar, Durga Shankar; Mishra, Diwaker; Chopra, H K

    2016-01-01

    In present study, conventional, ultrasonic and microwave assisted extraction methods were compared with the aim of optimizing best fitting solvent and method, solvent concentration and digestion time for high yield of γ...

  14. Comparing Faculty and Student Perspectives of Graduate Teaching Assistants' Teaching

    Science.gov (United States)

    Rodriques, Romola A. Bernard; Bond-Robinson, Janet

    2006-02-01

    Assessments of teaching quality by undergraduates (UGs) and faculty are illustrated in this study of new graduate students training as TAs (GTAs). The GTAs' instructors (FAC) coached them while they taught labs, and coded teaching interactions on the valid and reliable ITAT instrument (Cronbach's a = 0.863). Interactions were documented by a remote audio-visual observational system. Audio-visual clips and ITAT feedback were used to foster GTAs' development in managing a chemical lab procedurally, and teaching chemical concepts. The UGs assessed their TA with the UGATA instrument (Cronbach's a = 0.953). Our research compared the FAC rating of GTAs to UGs' end-of-semester ratings. The UG and FAC ratings were similar on procedural management interactions, but not on concept teaching. The FAC saw significantly less quality in GTAs' interactions that linked concepts from lecture into lab and explained abstract concepts basic to the lab experiment. In fact, UG ratings failed to note significant differences between teaching of procedural knowledge and teaching of abstract concepts that were fundamental chemically to the lab experiment. While over 75% of GTAs executed management interactions well, only 30 40% of GTAs were actively attempting to teach concepts and to help UGs reason conceptually in chemistry.

  15. Comparing Academic Library Spending with Public Libraries, Public K-12 Schools, Higher Education Public Institutions, and Public Hospitals between 1998-2008

    Science.gov (United States)

    Regazzi, John J.

    2012-01-01

    This study compares the overall spending trends and patterns of growth of Academic Libraries with Public Libraries, K-12 schools, higher education institutions, and hospitals in the period of 1998 to 2008. Academic Libraries, while showing a growth of 13% over inflation for the period, far underperformed the growth of the other public institutions…

  16. Comparing Academic Library Spending with Public Libraries, Public K-12 Schools, Higher Education Public Institutions, and Public Hospitals between 1998-2008

    Science.gov (United States)

    Regazzi, John J.

    2012-01-01

    This study compares the overall spending trends and patterns of growth of Academic Libraries with Public Libraries, K-12 schools, higher education institutions, and hospitals in the period of 1998 to 2008. Academic Libraries, while showing a growth of 13% over inflation for the period, far underperformed the growth of the other public institutions…

  17. The design and implementation of a public policy approach differential service, repair assistance and integral Colombia

    OpenAIRE

    Camilo Alberto Madariaga Orozco; Patricia del Socorro Martínez Meza; Marco Alfredo Cervantes Mendoza

    2014-01-01

    Objective: To analyze the strategies used by victims of forced displacement in Colombia women and the strategies employed by the institutions to participate and / or promote participation in the design of public policy of the state of attention, assistance and reparations.Method: The sample was represented by 47 women that belong to organizations, victims and officials of institutions. The techniques used were: focus groups, surveys and interviews.Results: The results show that institutional ...

  18. Comparing public-health research priorities in Europe.

    Science.gov (United States)

    McCarthy, Mark; Harvey, Gabrielle; Conceição, Claudia; la Torre, Giuseppe; Gulis, Gabriel

    2009-07-14

    Despite improving trends, countries in Europe continue to face public-health challenges. This study investigated the priorities of stakeholders for research to meet these challenges. Public-health research includes population-level and health-system research, but not clinical or biomedical research. The study drew on data from three surveys undertaken through collaboration in SPHERE (Strengthening Public Health Research in Europe). There was participation of ministries in 18 of 28 (64% response) European countries, from 22 of 39 (56% response) member national associations of the European Public Health Association, and from 80 civil society health organisations (53% of members of the European Public Health Alliance) Public-health research fields included disease control, health promotion and health services. Ministries of health, rather than ministries of science or education, mostly took responsibility for public-health research: they reported varied but well-defined areas for research in relation to national health plans and programmes. National public health associations reported research priorities across most fields of public health, although with some European regional differences. Civil society health organisations prioritised health promotion research nationally, but also health services research internationally. There was less research reported on methods, such as modelling and economic analysis, wider determinants of health, and public-health interventions. Systematic collaboration between stakeholders across European countries would enhance knowledge and promote innovation to address contemporary public-health challenges.

  19. Comparing public-health research priorities in Europe

    Directory of Open Access Journals (Sweden)

    la Torre Giuseppe

    2009-07-01

    Full Text Available Abstract Background Despite improving trends, countries in Europe continue to face public-health challenges. This study investigated the priorities of stakeholders for research to meet these challenges. Methods Public-health research includes population-level and health-system research, but not clinical or biomedical research. The study drew on data from three surveys undertaken through collaboration in SPHERE (Strengthening Public Health Research in Europe. There was participation of ministries in 18 of 28 (64% response European countries, from 22 of 39 (56% response member national associations of the European Public Health Association, and from 80 civil society health organisations (53% of members of the European Public Health Alliance Results Public-health research fields included disease control, health promotion and health services. Ministries of health, rather than ministries of science or education, mostly took responsibility for public-health research: they reported varied but well-defined areas for research in relation to national health plans and programmes. National public health associations reported research priorities across most fields of public health, although with some European regional differences. Civil society health organisations prioritised health promotion research nationally, but also health services research internationally. There was less research reported on methods, such as modelling and economic analysis, wider determinants of health, and public-health interventions. Conclusion Systematic collaboration between stakeholders across European countries would enhance knowledge and promote innovation to address contemporary public-health challenges.

  20. Implementation of public policy on alcohol and other drugs in Brazilian municipalities: comparative studies.

    Science.gov (United States)

    Mota, Daniela Belchior; Ronzani, Telmo Mota

    2016-07-01

    One of the challenges with respect to public health and the abuse of alcohol and other drugs is to implement policies in support of greater co-ordination among various levels of government. In Brazil, policies are formulated by the Secretaria Nacional de Políticas sobre Drogas (SENAD - State Department for Policies on Drugs) and the Ministério da Saúde (MS - Ministry of Health). This study aims to compare implementation of policies adopted by SENAD and MS at the municipal level. Three municipalities were intentionally selected: Juiz de Fora having a larger network of treatment services for alcohol and drug users; Lima Duarte, a small municipality, which promotes the political participation of local actors (COMAD - Municipal Council on Alcohol and Drugs); and São João Nepomuceno, also a small municipality, chosen because it has neither public services specialised to assist alcohol and other drugs users, nor COMAD. Data collection was conducted through interviews with key informants (n = 19) and a review of key documents concerned with municipal policies. Data analysis was performed using content analysis. In Juiz de Fora, there are obstacles regarding the integration of the service network for alcohol and other drug users and also the articulation of local actors, who are predominant in the mental health sector. In Lima Duarte, while there is a link between local actors through COMAD, their actions within the local service network have not been effective. In São João Nepomuceno, there were no public actions in the area of alcohol and drugs, and consequently insufficient local debate. However, some voluntary, non-governmental work has been undertaken. There were weaknesses in the implementation of national-level policies by SENAD and the MS, due to the limited supply of available treatment, assistance and the lack of integration among local actors. © 2015 John Wiley & Sons Ltd.

  1. Use of a consultant to assist a dietetic association in its media and public relations efforts.

    Science.gov (United States)

    Visocan, B J; Lazin, B

    1989-04-01

    During 1987, the Philadelphia Dietetic Association (PDA) enlisted the aid of a public relations consultant to increase media contacts and thereby accomplish a threefold goal of (a) establishing the dietetic association and its registered dietitian members as the local nutrition experts; (b) distributing reliable, current nutrition information; and (c) marketing the PDA's DIAL-A-DIETITIAN service. Through the advice of the consultant, a media tipsheet, published monthly, was created. This publication, the Nutrition Informationist, effectively increased media contacts from two in 1986 to 19 in 1987 and resulted in a total of 8 hours of air time. Weight reduction, fad diets, and sports nutrition proved to be the most popular topics. Public service announcements (PSAs) concerning the DIAL-A-DIETITIAN program were developed by the consultant to assist the public in gaining access to local registered dietitians. Calls to that service increased 75% (from an average of 47.5 to 83.0 calls) the month following the distribution of PSAs to radio stations. The positive outcome of this collaborative effort shows that public relations consultants can be a useful resource for local dietetic associations, aiding them in their efforts to reach the media and the public and to improve their image.

  2. Studying values in public policy: comparing five approaches

    NARCIS (Netherlands)

    Steenhuisen, B.M.

    2010-01-01

    An aura of vagueness sticks to the term values when used in public policy research. This paper surveys five recent empirical approaches to integrate values more in our analysis of public policy. We discuss how these approaches tackle the dilemmas generally associated with studying values, offering a

  3. Comparing public and private sector employees' innovative behaviour

    DEFF Research Database (Denmark)

    Bysted, Rune; Hansen, Jesper Rosenberg

    2015-01-01

    Innovation is argued to be of key importance in the public sector. Little is known about possible sector differences in innovative behaviour. The stereotype in literature is that public employees are less innovative. We analyse whether sector is associated with innovative behaviour and the influe...

  4. Comparing Administrative Satisfaction in Public and Private Universities.

    Science.gov (United States)

    Volkwein, James Fredericks; Parmley, Kelli

    2000-01-01

    Examined levels of administrator satisfaction at public and private institutions, using national data on university characteristics, state characteristics, and administrative satisfaction. Found hypothesized differences in satisfaction between administrators at public/private institutions were related only to extrinsic rewards. In both sectors,…

  5. 78 FR 63974 - Student Assistance General Provisions-Subpart K-Cash Management; Extension of Public Comment...

    Science.gov (United States)

    2013-10-25

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF EDUCATION Student Assistance General Provisions--Subpart K--Cash Management; Extension of Public Comment Period..., ``Student Assistance General Provisions--Subpart K--Cash Management''. ED is extending the comment period...

  6. [Comparative research of traumatic injury of open hand-assisted laparoscopic anterior resection of the rectum].

    Science.gov (United States)

    Khitar'yan, A G; Glumov, E E; Veliev, K S

    2015-01-01

    The article made a comparative assessment of traumatic injury of open hand-assisted laparoscopic anterior resection of the rectum in lateral and spinal positions. The presented technique of hand-assisted laparoscopic colon and rectal surgery is simple. There are advantages in case of obesity presence (IMT more than 30 kg/m2), in significant shortening of the mesocolon and mesentery, high fixation of splenic flexure and intimate fixation of the spleen, in case of bad preparation of the bowels in partial intestinal obstruction or in case of emergency operation, big cancer size, expressed perifocal inflammation. A comparative analysis of dynamics of hormone stress content and metabolism (cortisol, adrenaline, thyrothrophic hormone) showed their expressed increase in blood during operation after traditional surgery. Less stressed reaction was noted after hand-assisted surgery, especially in overweight patients. An application of low invasive method allowed reduction of hemorrhage, pain syndrome, terms of patient's activation and restoration of intestinal motility after operation.

  7. Compliance of laser-assisted microvascular anastomosis: a comparative study with manual anastomosis (preliminary results)

    Science.gov (United States)

    Demaria, Roland G.; Lhote, Francois-Marie; Dauzat, Michel; Juan, Jean-Marie; Oliva-Lauraire, Marie-Claire; Durrleman, Nicolas; Delacretaz, Guy P.; Albat, Bernard; Frapier, Jean-Marc; Chaptal, Paul-Andre; Godlewski, Guilhem

    1999-01-01

    The compliance of microvascular anastomosis is an important predictive factor for long term patency of graft or vascular reconstruction. This experimental study compare the compliance of manual suture and laser assisted end to end microvascular anastomosis. In nine New-Zealand white rabbits we performed manual end-to-end suture anastomosis on the left femoral artery and laser assisted anastomosis on the right femoral artery, with a diode laser (wavelength 988 nm, power output 500 mW). Compliance was obtained by echotracking (CBI 8000 sonomicrometry system with 20 MHz implantable microprobe from Crystal-Biotech, USA) on the anastomosis site as well as upstream, and downstream from the anastomosis. Vessel compliance was lower on the manual suture side compared to the laser assisted anastomosis side, especially downstream from the anastomosis.

  8. Comparing the Law and Governance of Assisted Dying in Four European Nations

    NARCIS (Netherlands)

    McCann, Adam

    2015-01-01

    This article provides a comparative law and governance insight to assisted dying in England, France, Switzerland and the Netherlands, bringing together empirical studies of regulation and normative thinking about the role of the state. It follows the ‘new governance’ scholarly effort to challenge

  9. Comparing the Law and Governance of Assisted Dying in Four European Nations

    NARCIS (Netherlands)

    McCann, Adam

    2015-01-01

    This article provides a comparative law and governance insight to assisted dying in England, France, Switzerland and the Netherlands, bringing together empirical studies of regulation and normative thinking about the role of the state. It follows the ‘new governance’ scholarly effort to challenge th

  10. Renewable Electricity Benefits Quantification Methodology: A Request for Technical Assistance from the California Public Utilities Commission

    Energy Technology Data Exchange (ETDEWEB)

    Mosey, G.; Vimmerstedt, L.

    2009-07-01

    The California Public Utilities Commission (CPUC) requested assistance in identifying methodological alternatives for quantifying the benefits of renewable electricity. The context is the CPUC's analysis of a 33% renewable portfolio standard (RPS) in California--one element of California's Climate Change Scoping Plan. The information would be used to support development of an analytic plan to augment the cost analysis of this RPS (which recently was completed). NREL has responded to this request by developing a high-level survey of renewable electricity effects, quantification alternatives, and considerations for selection of analytic methods. This report addresses economic effects and health and environmental effects, and provides an overview of related analytic tools. Economic effects include jobs, earnings, gross state product, and electricity rate and fuel price hedging. Health and environmental effects include air quality and related public-health effects, solid and hazardous wastes, and effects on water resources.

  11. Governance Paradigms of Public Universities: An International Comparative Study

    Science.gov (United States)

    Christopher, Joe

    2012-01-01

    This study aims to develop a conceptual model of the wider influencing forces impacting the governance paradigms of public universities. It draws on the multi-theoretical governance concept and seeks to identify these forces through the lens of chief audit executives using a qualitative research approach. The interview data supported by published…

  12. Governance Paradigms of Public Universities: An International Comparative Study

    Science.gov (United States)

    Christopher, Joe

    2012-01-01

    This study aims to develop a conceptual model of the wider influencing forces impacting the governance paradigms of public universities. It draws on the multi-theoretical governance concept and seeks to identify these forces through the lens of chief audit executives using a qualitative research approach. The interview data supported by published…

  13. Comparative Effectiveness of Cancer Control and Survival after Robot-Assisted versus Open Radical Prostatectomy.

    Science.gov (United States)

    Hu, Jim C; O'Malley, Padraic; Chughtai, Bilal; Isaacs, Abby; Mao, Jialin; Wright, Jason D; Hershman, Dawn; Sedrakyan, Art

    2017-01-01

    Robot-assisted surgery has been rapidly adopted in the U.S. for prostate cancer. Its adoption has been driven by market forces and patient preference, and debate continues regarding whether it offers improved outcomes to justify the higher cost relative to open surgery. We examined the comparative effectiveness of robot-assisted vs open radical prostatectomy in cancer control and survival in a nationally representative population. This population based observational cohort study of patients with prostate cancer undergoing robot-assisted radical prostatectomy and open radical prostatectomy during 2003 to 2012 used data captured in the SEER (Surveillance, Epidemiology, and End Results)-Medicare linked database. Propensity score matching and time to event analysis were used to compare all cause mortality, prostate cancer specific mortality and use of additional treatment after surgery. A total of 6,430 robot-assisted radical prostatectomies and 9,161 open radical prostatectomies performed during 2003 to 2012 were identified. The use of robot-assisted radical prostatectomy increased from 13.6% in 2003 to 2004 to 72.6% in 2011 to 2012. After a median followup of 6.5 years (IQR 5.2-7.9) robot-assisted radical prostatectomy was associated with an equivalent risk of all cause mortality (HR 0.85, 0.72-1.01) and similar cancer specific mortality (HR 0.85, 0.50-1.43) vs open radical prostatectomy. Robot-assisted radical prostatectomy was also associated with less use of additional treatment (HR 0.78, 0.70-0.86). Robot-assisted radical prostatectomy has comparable intermediate cancer control as evidenced by less use of additional postoperative cancer therapies and equivalent cancer specific and overall survival. Longer term followup is needed to assess for differences in prostate cancer specific survival, which was similar during intermediate followup. Our findings have significant quality and cost implications, and provide reassurance regarding the adoption of more

  14. Public assistance, drug testing, and the law: the limits of population-based legal analysis.

    Science.gov (United States)

    Player, Candice T

    2014-01-01

    In Populations, Public Health and the Law, legal scholar Wendy Parmet urges courts to embrace population-based legal analysis, a public health inspired approach to legal reasoning. Parmet contends that population-based legal analysis offers a way to analyze legal issues--not unlike law and economics--as well as a set of values from which to critique contemporary legal discourse. Population-based analysis has been warmly embraced by the health law community as a bold new way of analyzing legal issues. Still, population-based analysis is not without its problems. At times, Parmet claims too much territory for the population perspective. Moreover, Parmet urges courts to recognize population health as an important norm in legal reasoning. What should we do when the insights of public health and conventional legal reasoning conflict? Still in its infancy, population-based analysis offers little in the way of answers to these questions. This Article applies population-based legal analysis to the constitutional problems that arise when states condition public assistance benefits on passing a drug test, thereby highlighting the strengths of the population perspective and exposing its weaknesses.

  15. Human capital gains associated with robotic assisted laparoscopic pyeloplasty in children compared to open pyeloplasty.

    Science.gov (United States)

    Behan, James W; Kim, Steve S; Dorey, Frederick; De Filippo, Roger E; Chang, Andy Y; Hardy, Brian E; Koh, Chester J

    2011-10-01

    Robotic assisted laparoscopic pyeloplasty is an emerging, minimally invasive alternative to open pyeloplasty in children for ureteropelvic junction obstruction. The procedure is associated with smaller incisions and shorter hospital stays. To our knowledge previous outcome analyses have not included human capital calculations, especially regarding loss of parental workdays. We compared perioperative factors in patients who underwent robotic assisted laparoscopic and open pyeloplasty at a single institution, especially in regard to human capital changes, in an institutional cost analysis. A total of 44 patients 2 years old or older from a single institution underwent robotic assisted (37) or open (7) pyeloplasty from 2008 to 2010. We retrospectively reviewed the charts to collect demographic and perioperative data. The human capital approach was used to calculate parental productivity losses. Patients who underwent robotic assisted laparoscopic pyeloplasty had a significantly shorter average hospital length of stay (1.6 vs 2.8 days, p human capital gains, eg decreased lost parental wages, and lower hospitalization expenses. Future comparative outcome analyses in children should include financial factors such as human capital loss, which can be especially important for families with young children. Copyright © 2011 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  16. Internet treatment for depression: a randomized controlled trial comparing clinician vs. technician assistance.

    Directory of Open Access Journals (Sweden)

    Nickolai Titov

    Full Text Available BACKGROUND: Internet-based cognitive behavioural therapy (iCBT for depression is effective when guided by a clinician, less so if unguided. QUESTION: Would guidance from a technician be as effective as guidance from a clinician? METHOD: Randomized controlled non-inferiority trial comparing three groups: Clinician-assisted vs. technician-assisted vs. delayed treatment. Community-based volunteers applied to the VirtualClinic (www.virtualclinic.org.au research program, and 141 participants with major depressive disorder were randomized. Participants in the clinician- and technician-assisted groups received access to an iCBT program for depression comprising 6 online lessons, weekly homework assignments, and weekly supportive contact over a treatment period of 8 weeks. Participants in the clinician-assisted group also received access to a moderated online discussion forum. The main outcome measures were the Beck Depression Inventory (BDI-II and the Patient Health QUESTIONnaire-9 Item (PHQ-9. Completion rates were high, and at post-treatment, both treatment groups reduced scores on the BDI-II (p<0.001 and PHQ-9 (p<0.001 compared to the delayed treatment group but did not differ from each other. Within group effect sizes on the BDI-II were 1.27 and 1.20 for the clinician- and technician-assisted groups respectively, and on the PHQ-9, were 1.54 and 1.60 respectively. At 4-month follow-up participants in the technician group had made further improvements and had significantly lower scores on the PHQ-9 than those in the clinician group. A total of approximately 60 minutes of clinician or technician time was required per participant during the 8-week treatment program. CONCLUSIONS: Both clinician- and technician-assisted treatment resulted in large effect sizes and clinically significant improvements comparable to those associated with face-to-face treatment, while a delayed treatment control group did not improve. These results provide support for large

  17. Good governance and public contracts. A comparative perspective on the balance between public and private law in Rwanda

    NARCIS (Netherlands)

    Zigirinshuti, F.

    2013-01-01

    The central focus of this study is an analysis of the law of public contracts in Rwanda with a view to placing it within the normative framework of legality supplied by the principles of good governance. From a comparative examination of the public contracts law in countries of divergence (Rwanda, F

  18. Public opinion towards supervised injection facilities and heroin-assisted treatment in Ontario, Canada.

    Science.gov (United States)

    Cruz, Michelle Firestone; Patra, Jayadeep; Fischer, Benedikt; Rehm, Jürgen; Kalousek, Kate

    2007-01-01

    In recent years, controversial interventions such as 'heroin-assisted treatment' (HAT) and 'supervised injection facilities' (SIFs) have been established in attempts to minimise the high morbidity and mortality consequences of illicit drug use. This paper examines public opinion towards HAT and SIF using data from the 2003 Centre for Addiction and Mental Health (CAMH) Monitor, a representative population survey conducted among adults residing in Ontario, Canada. Data relating specifically to SIFs and HAT were isolated from the main database (n=885); agreement scores were collapsed to create a scale and analysed using independent sample t-tests and ANOVAs. Results revealed that 60 percent (n=530) of the sample agreed that SIFs should be made available to injection drug users, while 40 percent (n=355) disagreed. When asked about the provision of HAT, a similar pattern emerged. Variables significantly associated with positive opinions toward SIFs and HAT were: income; higher education; the use of cocaine or cannabis within the last 12 months; being in favour of cannabis decriminalisation; support of needle exchange in prison; view of illicit drug users as ill people; and agreement that drug users are in need of public support. Given the current political climate and the tentative position of SIFs and HAT in Canada, understanding the public's opinion is crucial for the feasibility and long-term sustainability of these interventions.

  19. The design and implementation of a public policy approach differential service, repair assistance and integral Colombia

    Directory of Open Access Journals (Sweden)

    Camilo Alberto Madariaga Orozco

    2014-01-01

    Full Text Available Objective: To analyze the strategies used by victims of forced displacement in Colombia women and the strategies employed by the institutions to participate and / or promote participation in the design of public policy of the state of attention, assistance and reparations.Method: The sample was represented by 47 women that belong to organizations, victims and officials of institutions. The techniques used were: focus groups, surveys and interviews.Results: The results show that institutional logics hinder participation; women use the following strategies: the creation of organizations and make concrete proposals to gain the respect of the entities. However lack of training. One of the biggest impacts mentioned by women was sexual violence, little psychosocial support and implement actions to eliminate or remedy the situation.

  20. Heroin-assisted treatment as a response to the public health problem of opiate dependence.

    Science.gov (United States)

    Fischer, Benedikt; Rehm, Jürgen; Kirst, Maritt; Casas, Miguel; Hall, Wayne; Krausz, Michael; Metrebian, Nicky; Reggers, Jean; Uchtenhagen, Ambros; van den Brink, Wim; van Ree, Jan M

    2002-09-01

    Injection drug use (involving the injection of illicit opiates) poses serious public health problems in many countries. Research has indicated that injection drug users are at higher risk for morbidity in the form of HIV/AIDS and Hepatitis B and C, and drug-related mortality, as well as increased criminal activity. Methadone maintenance treatment is the most prominent form of pharmacotherapy treatment for illicit opiate dependence in several countries, and its application varies internationally with respect to treatment regulations and delivery modes. In order to effectively treat those patients who have previously been resistant to methadone maintenance treatment, several countries have been studying and/or considering heroin-assisted treatment as a complementary form of opiate pharmacotherapy treatment. This paper provides an overview of the prevalence of injection drug use and the opiate dependence problem internationally, the current opiate dependence treatment landscape in several countries, and the status of ongoing or planned heroin-assisted treatment trials in Australia, Canada and certain European countries.

  1. How NASA's Space Science Support Network Can Assist DPS Members in Their Public Engagement Efforts

    Science.gov (United States)

    Miner, E. D.; Lowes, L. L.

    2003-12-01

    In her Carl Sagan Medal lecture last year, Heidi Hammel talked of the dos and don'ts of education and public outreach efforts by DPS members. She pointed out a number of misconceptions about what does and does not constitute "good EPO" and encouraged members to consult with "the experts" if they would like to improve their EPO effectiveness and reach. She named the DPS Education and Public Outreach Officer, Larry Lebofsky, his Deputy, Lou Mayo, and the DPS Press Officer, Ellis Miner, who also co-directs NASA's Solar System Exploration EPO Forum with Leslie Lowes. NASA's Space Science Support Network has been in existence for about six years. It has been directed by DPS member Jeff Rosendhal and is now serving as a model for NASA's new Education Enterprise. Members of the Support Network are prepared to assist (and haves been assisting) space scientists throughout the US and abroad in deciding where to spend their EPO efforts most effectively. The service is provided free of cost and includes, among other services, the following: (1) helping to establish partnerships between educators and scientists, (2) helping to link scientists and professional EPO organizations, (3) helping to link scientists to national youth and community groups, (4) providing ready access to EPO electronic and hardcopy products, (5) providing advice and direction in the preparation of EPO proposals to NASA, (6) helping to maintain several national networks of EPO volunteers, (7) encouraging (at home institutions) the broadening of scientist EPO efforts, (8) maintaining self-help websites for scientists interested in EPO.

  2. Transitions in state public health law: comparative analysis of state public health law reform following the Turning Point Model State Public Health Act.

    Science.gov (United States)

    Meier, Benjamin Mason; Hodge, James G; Gebbie, Kristine M

    2009-03-01

    Given the public health importance of law modernization, we undertook a comparative analysis of policy efforts in 4 states (Alaska, South Carolina, Wisconsin, and Nebraska) that have considered public health law reform based on the Turning Point Model State Public Health Act. Through national legislative tracking and state case studies, we investigated how the Turning Point Act's model legal language has been considered for incorporation into state law and analyzed key facilitating and inhibiting factors for public health law reform. Our findings provide the practice community with a research base to facilitate further law reform and inform future scholarship on the role of law as a determinant of the public's health.

  3. Costs of medically assisted reproduction treatment at specialized fertility clinics in the Danish public health care system

    DEFF Research Database (Denmark)

    Christiansen, Terkel; Erb, Karin; Rizvanovic, Amra

    2014-01-01

    Objective. To examine the costs to the public health care system of couples in medically assisted reproduction. Design. Longitudinal cohort study of infertile couples initiating medically assisted reproduction treatment. Setting. Specialized public fertility clinics in Denmark. Sample. Seven...... were abstracted from medical records. Flow diagrams were drawn for different standard treatment cycles and direct costs at each stage in the flow charts were measured and valued by a bottomup procedure. Indirect costs were distributed to each treatment cycle on the basis of number of visits as basis...

  4. 77 FR 24667 - TANF Assistance and Electronic Benefit Transfer Transactions; Request for Public Comment

    Science.gov (United States)

    2012-04-25

    ... adequate access to their cash assistance, including policies that provide access to assistance with no fees or charges or current approaches to imposing fees or charges in connection with receipt of assistance... to ensuring access to cash assistance with minimal fees or charges, including opportunities to...

  5. The appeal to nature implicit in certain restrictions on public funding for assisted reproductive technology.

    Science.gov (United States)

    Carter, Drew; Braunack-Mayer, Annette

    2011-10-01

    Certain restrictions on public funding for assisted reproductive technology (ART) are articulated and defended by recourse to a distinction between medical infertility and social infertility. We propose that underlying the prioritization of medical infertility is a vision of medicine whose proper role is to restore but not to improve upon nature. We go on to mark moral responses that speak of investments many continue to make in nature as properly an object of reverence and gratitude and therein (sometimes) a source of moral guidance. We draw on the work of Ludwig Wittgenstein in arguing for the plausibility of an appeal to nature in opposition to the charge that it must contain a logical fallacy. We also invite consideration of the moral plausibility of some appeal to nature. Finally, we examine what follows in the case of ART. Should medicine respect as natural limits that should not be overcome: the need for a man and a woman in reproduction; menopause; and even declining fertility with age? We must first ask ourselves to what degree we should defer to nature in the conduct of medicine, at least in the particular if not the general case. This will involve also asking ourselves what we think is natural and in what instances and spirit might we defy nature. Divergent opinions and policies concerning who should receive ART treatment and public funding are more easily understood in view of the centrality, complexity and fundamental nature of these questions.

  6. Compendium of publicly available reports on procurement and financial assistance awards

    Energy Technology Data Exchange (ETDEWEB)

    1978-07-01

    The public has shown a particular interest in the Department of Energy's procurement, contracting, and financial assistance programs. Procurement systems reports involve extensive information on over 6,000 active prime contracts, grants, loan guarantees and agreements of several types, plus over 30,000 small purchase transactions. This Compendium eliminates some confusion and will serve the needs of most of the people who wonder what kind of procurement systems reports are available from the Department of Energy. This Compendium has three major sections. The Published Reports section includes computer-generated reports, which will be published annually with a cumulative monthly update. The annual reports will be published as of September 30, the end of the Federal Fiscal Year. Alongside each report is a summary of the report showing the data elements included in the report. When available, these reports can be obtained from your nearest Energy Extension Service office. A list of the Department of Energy's ten Energy Extension Service offices is included in this publication. The Unpublished Reports section is comprised of available, computer-generated reports with a summary of each report and a listing of data elements included in the report. Unpublished reports are reformats or subsets of information available in the published reports and are generated on a limited basis for repetitive Departmental needs. The Special Reports section contains formats or subsets of information on energy or energy-related projects. (MCW)

  7. Impact of Vice President Cheney on public interest in left ventricular assist devices and heart transplantation.

    Science.gov (United States)

    Pandey, Ambarish; Abdullah, Kazeen; Drazner, Mark H

    2014-05-01

    Although celebrity illnesses attract a significant amount of media attention in the United States, there are few studies that have looked at how celebrity health conditions impact the awareness of the illness in the general population. Recently, Vice President Cheney underwent left ventricular assist device (LVAD) implantation and subsequently a cardiac transplant. The aim of this study was to determine whether there was evidence of increased interest in these 2 procedures as assessed by social media. We determined the relative frequency of Google searches for LVAD and heart transplantation from 2004 to 2013 using Google trends. We also counted the number of YouTube videos and Twitter messages posted monthly concerning LVADs over a 7-year time frame. There was a significant spike in the Google search interest for LVAD and heart transplantation in the month when Vice President Cheney underwent the respective procedure. Similarly, there was a large increase in YouTube videos and Twitter messages concerning LVADs shortly after he was implanted. In total, these data support the concept that a public figure's illness can significantly influence the public's interest in that condition and its associated therapies.

  8. Freedom of Publication in Spanish America (an Essay on the Comparative History of Modern Public Opinion

    Directory of Open Access Journals (Sweden)

    Gilberto Loaiza Cano

    2016-07-01

    Full Text Available This essay attempts to demostrate differences and similitudes in the process of establishing freedom of publication in several locations of Spanish America. This analysis will concentrate on the decades between 1810 and 1830 and will mainly include the events occurred in New Spain, New Granada, Río de la Plata and Chile.

  9. Comparative kinematic and electromyographic assessment of clinician- and device-assisted sit-to-stand transfers in patients with stroke.

    Science.gov (United States)

    Burnfield, Judith M; McCrory, Bernadette; Shu, Yu; Buster, Thad W; Taylor, Adam P; Goldman, Amy J

    2013-10-01

    Workplace injuries from patient handling are prevalent. With the adoption of no-lift policies, sit-to-stand transfer devices have emerged as one tool to combat injuries. However, the therapeutic value associated with sit-to-stand transfers with the use of an assistive apparatus cannot be determined due to a lack of evidence-based data. The aim of this study was to compare clinician-assisted, device-assisted, and the combination of clinician- and device-assisted sit-to-stand transfers in individuals who recently had a stroke. This cross-sectional, controlled laboratory study used a repeated-measures design. The duration, joint kinematics, and muscle activity of 4 sit-to-stand transfer conditions were compared for 10 patients with stroke. Each patient performed 4 randomized sit-to-stand transfer conditions: clinician-assisted, device-assisted with no patient effort, device-assisted with the patient's best effort, and device- and clinician-assisted. Device-assisted transfers took nearly twice as long as clinician-assisted transfers. Hip and knee joint movement patterns were similar across all conditions. Forward trunk flexion was lacking and ankle motion was restrained during device-assisted transfers. Encouragement and guidance from the clinician during device-assisted transfers led to increased lower extremity muscle activation levels. One lifting device and one clinician were evaluated. Clinician effort could not be controlled. Lack of forward trunk flexion and restrained ankle movement during device-assisted transfers may dissuade clinicians from selecting this device for use as a dedicated rehabilitation tool. However, with clinician encouragement, muscle activation increased, which suggests that it is possible to safely practice transfers while challenging key leg muscles essential for standing. Future sit-to-stand devices should promote safety for the patient and clinician and encourage a movement pattern that more closely mimics normal sit

  10. A Comparative Study on New Media Marketing in Domestic and Foreign Public Libraries

    OpenAIRE

    Xu Yan

    2017-01-01

    Currently, new media has become the popular platform for brand marketing and services promoting of public libraries. Using the method of online survey, literature analysis and comparative analysis, this paper chooses 4 foreign public libraries and 4 domestic public libraries as the research samples and compares the differences in new media marketing between them from new media marketing tools, marketing content and marketing strategies, then makes some proposals and measures to perfect domest...

  11. Summary of Benefits under the Educational Assistance Test Program Section 901 of Public Law 96-342. Revised

    Science.gov (United States)

    US Department of Veterans Affairs, 2003

    2003-01-01

    Section 901 is an Educational Assistance Test Program created by the Department of Defense Authorization Act of 1981 (Public Law 96-342) to individuals who entered on active duty after September 30, 1980, and before October 1, 1981 (or before October 1, 1982, if entry was under a delayed enlistment contract signed between September 30, 1980, and…

  12. Teaching the Importance and Use of Web-Based Services to Assist Clients in Obtaining Public Benefits

    Science.gov (United States)

    Eamon, Mary Keegan; Wu, Chi-Fang; Moroney, Gabriela; Cundari, Melissa

    2013-01-01

    Research suggests that social work students and practitioners are not particularly sensitive to assessing clients' economic hardship, nor when needed to assist clients in accessing relevant resources such as public benefits. To enhance students' understanding of the importance of engaging in these activities, this article provides…

  13. 78 FR 34666 - Section 8 Housing Assistance Payments Program-Fiscal Year (FY) 2013 Inflation Factors for Public...

    Science.gov (United States)

    2013-06-10

    ... URBAN DEVELOPMENT Section 8 Housing Assistance Payments Program--Fiscal Year (FY) 2013 Inflation Factors... Voucher (HCV) Program of each PHA. For FY 2011 and FY 2010, renewal funding was based on annual adjustment.... Dennis, Director, Housing Voucher Programs, Office of Public Housing and Voucher Programs, Office...

  14. Public Assistance Receipt among Native-Born Children of Immigrants. Policy Brief. Welfare, Children & Families: A Three-City Study.

    Science.gov (United States)

    Cherlin, Andrew; Fomby, Paula; Angel, Ronald; Henrici, Jane

    The 1996 welfare reform law restricted immigrants' eligibility for public assistance, although many states have at least partially restored their eligibility. However, about three-fourths of the children of non-citizen immigrants were born in the United States and are therefore eligible for all government benefits. This brief examines whether…

  15. A Comparative Analysis of Public and Private Sector Graduate Programs in Public Policy

    Science.gov (United States)

    1989-12-01

    Wilson Approved by: 7" ’it: (’’ Nancq CXRobert Tesis Advisor ’R.ichard . ister, ecofd Reader David R. i * ’ rmanDepartment of Administra e enceqes ii...because doctorate degrees are the only postgraduate degrees awarded in public policy. The University of Indiana, also listed in Morgan’s article of top...Examples are "C" ( Doctorate ), "M" (Post Master’s Degree), "Q" (Master’s Degree), and "R" (Significant Experience). Examples of subspecialty codes are

  16. 77 FR 49004 - Notice of Proposed Information Collection for Public Comment; Rental Assistance Demonstration...

    Science.gov (United States)

    2012-08-15

    ...), Rental Assistance Payment (RAP) and Mod Rehab properties upon contract expiration or termination, to convert Tenant Protection Vouchers (TPVs) to Project Based Vouchers (PBVs). Participation in the... Supplement (Rent Supp), Rental Assistance Payment (RAP), and Mod Rehab properties, upon contract...

  17. A Comparative Study on New Media Marketing in Domestic and Foreign Public Libraries

    Directory of Open Access Journals (Sweden)

    Xu Yan

    2017-01-01

    Full Text Available Currently, new media has become the popular platform for brand marketing and services promoting of public libraries. Using the method of online survey, literature analysis and comparative analysis, this paper chooses 4 foreign public libraries and 4 domestic public libraries as the research samples and compares the differences in new media marketing between them from new media marketing tools, marketing content and marketing strategies, then makes some proposals and measures to perfect domestic public libraries’ new media marketing, so as to provide references to improve the libraries’ social awareness and benefits.

  18. Comparing the intraoperative complication rate of femtosecond laser-assisted cataract surgery to traditional phacoemulsification

    Institute of Scientific and Technical Information of China (English)

    Ming; Chen; Christian; Swinney; Mindy; Chen

    2015-01-01

    AIM: To compare the complication rate of femtosecond laser-assisted cataract surgery(FLACS) and traditional phacoemulsification for the first 18 mo of FLACS use at a private surgical center in Hawaii.METHODS: A retrospective chart review was conducted from January 2012 to June 2013. The first 273 consecutive eyes receiving FLACS and 553 eyes receiving traditional phacoemulsification were examined.All surgeries were performed at a single surgical center in Hawaii. The presence of intraoperative complications was used as the main outcome measure. Approval was obtained from the institutional review board of the University of Hawaii.RESULTS: The overall complication rate for FLACS was 1.8%, while that of the traditional procedure was5.8%(P <0.05). A majority of the surgeons(80%) had a lower complication rate while using FLACS.CONCLUSION: FLACS is comparable in safety, if not safer, than traditional cataract surgery when performed by qualified cataract surgeons on carefully selected patients.

  19. Comparing the intraoperative complication rate of femtosecond laser-assisted cataract surgery to traditional phacoemulsification

    Directory of Open Access Journals (Sweden)

    Ming Chen

    2015-02-01

    Full Text Available AIM: To compare the complication rate of femtosecond laser-assisted cataract surgery (FLACS and traditional phacoemulsification for the first 18mo of FLACS use at a private surgical center in Hawaii. METHODS: A retrospective chart review was conducted from January 2012 to June 2013. The first 273 consecutive eyes receiving FLACS and 553 eyes receiving traditional phacoemulsification were examined. All surgeries were performed at a single surgical center in Hawaii. The presence of intraoperative complications was used as the main outcome measure. Approval was obtained from the institutional review board of the University of Hawaii. RESULTS: The overall complication rate for FLACS was 1.8%, while that of the traditional procedure was 5.8% (PCONCLUSION: FLACS is comparable in safety, if not safer, than traditional cataract surgery when performed by qualified cataract surgeons on carefully selected patients.

  20. Value and Opportunity: Comparable Pay for Comparable Worth. Series on Public Issues No. 10.

    Science.gov (United States)

    Walker, Deborah

    In this booklet, one of a series intended to apply economic principles to major social and political issues, an argument is presented against comparable pay for comparable worth policies for women. Separate subsections present opposing viewpoints on this controversial issue as well as an examination of whether legislation has been a…

  1. Comparative performance analysis of M-IMU/EMG and voice user interfaces for assistive robots.

    Science.gov (United States)

    Laureiti, Clemente; Cordella, Francesca; di Luzio, Francesco Scotto; Saccucci, Stefano; Davalli, Angelo; Sacchetti, Rinaldo; Zollo, Loredana

    2017-07-01

    People with a high level of disability experience great difficulties to perform activities of daily living and resort to their residual motor functions in order to operate assistive devices. The commercially available interfaces used to control assistive manipulators are typically based on joysticks and can be used only by subjects with upper-limb residual mobilities. Many other solutions can be found in the literature, based on the use of multiple sensory systems for detecting the human motion intention and state. Some of them require a high cognitive workload for the user. Some others are more intuitive and easy to use but have not been widely investigated in terms of usability and user acceptance. The objective of this work is to propose an intuitive and robust user interface for assistive robots, not obtrusive for the user and easily adaptable for subjects with different levels of disability. The proposed user interface is based on the combination of M-IMU and EMG for the continuous control of an arm-hand robotic system by means of M-IMUs. The system has been experimentally validated and compared to a standard voice interface. Sixteen healthy subjects volunteered to participate in the study: 8 subjects used the combined M-IMU/EMG robot control, and 8 subjects used the voice control. The arm-hand robotic system made of the KUKA LWR 4+ and the IH2 Azzurra hand was controlled to accomplish the daily living task of drinking. Performance indices and evaluation scales were adopted to assess performance of the two interfaces.

  2. Cutting-edge technology for public health workforce training in comparative effectiveness research.

    Science.gov (United States)

    Salinas-Miranda, Abraham A; Nash, Michelle C; Salemi, Jason L; Mbah, Alfred K; Salihu, Hamisu M

    2013-06-01

    A critical mass of public health practitioners with expertise in analytic techniques and best practices in comparative effectiveness research is needed to fuel informed decisions and improve the quality of health care. The purpose of this case study is to describe the development and formative evaluation of a technology-enhanced comparative effectiveness research learning curriculum and to assess its potential utility to improve core comparative effectiveness research competencies among the public health workforce. Selected public health experts formed a multidisciplinary research collaborative and participated in the development and evaluation of a blended 15-week comprehensive e-comparative effectiveness research training program, which incorporated an array of health informatics technologies. Results indicate that research-based organizations can use a systematic, flexible, and rapid means of instructing their workforce using technology-enhanced authoring tools, learning management systems, survey research software, online communities of practice, and mobile communication for effective and creative comparative effectiveness research training of the public health workforce.

  3. Routine history as compared to audio computer-assisted self-interview for prenatal care history taking.

    Science.gov (United States)

    Mears, Molly; Coonrod, Dean V; Bay, R Curtis; Mills, Terry E; Watkins, Michelle C

    2005-09-01

    To compare endorsement rates obtained with audio computer-assisted self-interview versus routine prenatal history. A crosssectional study compared items captured with the routine history to those captured with a computer interview (computer screen displaying and computer audio reading questions, with responses entered by touch screen). The subjects were women (n=174) presenting to a public hospital clinic for prenatal care. The prevalence of positive responses using the computer interview was significantly greater (p history for induced abortion (16.8% versus 4.0%), lifetime smoking (12.8% versus 5.2%), intimate partner violence (10.0% versus 2.4%), ectopic pregnancy (5.2% versus 1.1%) and family history of mental retardation (6.7% versus 0.6%). Significant differences were not found for history of spontaneous abortion, hypertension, epilepsy, thyroid disease, smoking during pregnancy, gynecologic surgery, abnormal Pap test, neural tube defect or cystic fibrosis family history. However, in all cases, prevalence was equal or greater with the computer interview. Women were more likely to report sensitive and high-risk behavior, such as smoking history, intimate partner violence and elective abortion, with the computer interview. The computer interview displayed equal or increased patient reporting of positive responses and may therefore be an accurate method of obtaining an initial history.

  4. The Incidence of Public Spending on Healthcare: Comparative Evidence from Asia

    NARCIS (Netherlands)

    O.A. O'Donnell (Owen); E.K.A. van Doorslaer (Eddy); R.P. Rannan-Eliya (Ravi)

    2007-01-01

    textabstractThe article compares the incidence of public healthcare across 11 Asian countries and provinces, testing the dominance of healthcare concentration curves against an equal distribution and Lorenz curves and across countries. The analysis reveals that the distribution of public healthcare

  5. The Incidence of Public Spending on Healthcare: Comparative Evidence from Asia

    NARCIS (Netherlands)

    O.A. O'Donnell (Owen); E.K.A. van Doorslaer (Eddy); R.P. Rannan-Eliya (Ravi)

    2007-01-01

    textabstractThe article compares the incidence of public healthcare across 11 Asian countries and provinces, testing the dominance of healthcare concentration curves against an equal distribution and Lorenz curves and across countries. The analysis reveals that the distribution of public healthcare

  6. Public health human resources: a comparative analysis of policy documents in two Canadian provinces.

    Science.gov (United States)

    Regan, Sandra; MacDonald, Marjorie; Allan, Diane E; Martin, Cheryl; Peroff-Johnston, Nancy

    2014-02-24

    Amidst concerns regarding the capacity of the public health system to respond rapidly and appropriately to threats such as pandemics and terrorism, along with changing population health needs, governments have focused on strengthening public health systems. A key factor in a robust public health system is its workforce. As part of a nationally funded study of public health renewal in Canada, a policy analysis was conducted to compare public health human resources-relevant documents in two Canadian provinces, British Columbia (BC) and Ontario (ON), as they each implement public health renewal activities. A content analysis of policy and planning documents from government and public health-related organizations was conducted by a research team comprised of academics and government decision-makers. Documents published between 2003 and 2011 were accessed (BC = 27; ON = 20); documents were either publicly available or internal to government and excerpted with permission. Documentary texts were deductively coded using a coding template developed by the researchers based on key health human resources concepts derived from two national policy documents. Documents in both provinces highlighted the importance of public health human resources planning and policies; this was particularly evident in early post-SARS documents. Key thematic areas of public health human resources identified were: education, training, and competencies; capacity; supply; intersectoral collaboration; leadership; public health planning context; and priority populations. Policy documents in both provinces discussed the importance of an educated, competent public health workforce with the appropriate skills and competencies for the effective and efficient delivery of public health services. This policy analysis identified progressive work on public health human resources policy and planning with early documents providing an inventory of issues to be addressed and later documents providing

  7. Hearing Assistive Technology

    Science.gov (United States)

    ... for the Public / Hearing and Balance Hearing Assistive Technology Hearing Assistive Technology: FM Systems | Infrared Systems | Induction ... Assistive Technology Systems Solutions What are hearing assistive technology systems (HATS)? Hearing assistive technology systems (HATS) are ...

  8. A comparative evaluation of fluidized bed assisted drag finishing and centrifugal disk dry finishing

    Directory of Open Access Journals (Sweden)

    M. Barletta

    2014-06-01

    Full Text Available Drag finishing of brass (Cu-30 wt.% Zn rings using fluidized abrasives, which is a new finishing technology, is comparatively evaluated with centrifugal disk finishing. The comparison was performed by selecting the same abrasive granulates of two different sizes and operating the equipment for the same processing time or at their respective maximum speeds. The experimental analysis investigated the change in workpiece morphology, material removal during finishing and dimensional accuracy. The results showed that each of the types of equipment investigated in the study were capable of a high finishing performance with a relatively short processing time. However, fluidized bed assisted drag finishing was more effective than centrifugal disk finishing in both the achievable quality of the processed parts and reduced processing time. In contrast, centrifugal disk finishing was preferable whenever low erosion and stringent dimensional tolerances were demanded.

  9. Biomolecular papain thin films grown by matrix assisted and conventional pulsed laser deposition: A comparative study

    Science.gov (United States)

    György, E.; Pérez del Pino, A.; Sauthier, G.; Figueras, A.

    2009-12-01

    Biomolecular papain thin films were grown both by matrix assisted pulsed laser evaporation (MAPLE) and conventional pulsed laser deposition (PLD) techniques with the aid of an UV KrF∗ (λ =248 nm, τFWHM≅20 ns) excimer laser source. For the MAPLE experiments the targets submitted to laser radiation consisted on frozen composites obtained by dissolving the biomaterial powder in distilled water at 10 wt % concentration. Conventional pressed biomaterial powder targets were used in the PLD experiments. The surface morphology of the obtained thin films was studied by atomic force microscopy and their structure and composition were investigated by Fourier transform infrared spectroscopy. The possible physical mechanisms implied in the ablation processes of the two techniques, under comparable experimental conditions were identified. The results showed that the growth mode, surface morphology as well as structure of the deposited biomaterial thin films are determined both by the incident laser fluence value as well as target preparation procedure.

  10. Comparative trial of the WHO ASSIST-linked brief intervention and simple advice for substance abuse in primary care.

    Science.gov (United States)

    Assanangkornchai, Sawitri; Nima, Patimoh; McNeil, Edward B; Edwards, J Guy

    2015-12-01

    To help decrease the burden of substance-related problems, the World Health Organization developed the Alcohol, Smoking, Substance Involvement Screening Test (ASSIST) - a sensitive screening questionnaire to help identify misuse of alcohol and other substances - linked to Brief Intervention (BI). This paper compares the effectiveness of the ASSIST followed either by its linked BI or by simple advice (SA). The trial was conducted in southern Thailand. The ASSIST was used to screen patients attending primary care units and categorise them into 'low-risk', 'moderate-risk' and 'high-risk' groups. Patients at 'moderate-risk' were randomised to receive ASSIST-linked BI (n=120) or SA (n=116). The outcome measures were changes in the ASSIST-Specific Substance Involvement Scores (ASSIST-SSIS), ASSIST-Total Substance Involvement Scores (ASSIST-TSIS) and proportions of patients whose scores at three and six months had decreased from the 'moderate-risk' to 'low-risk' category. 147 patients (72 BI; 75 SA) completed the six-month trial. There were significant reductions in both ASSIST-SSIS and ASSIST-TSIS, with no significant difference between groups. The percentages of patients converted to the 'low-risk' category were 36.7% and 38.8% at month 3, and 53.3% and 53.4% at month 6, for the BI and SA groups, respectively. In conclusion, in primary care administering the ASSIST and telling patients their score, followed either by formal brief intervention or simple advice, are equally effective in decreasing substance use for up to six months.

  11. Comparable Measures of Accessibility to Public Transport Using the General Transit Feed Specification

    Directory of Open Access Journals (Sweden)

    Jinjoo Bok

    2016-03-01

    Full Text Available Public transport plays a critical role in the sustainability of urban settings. The mass mobility and quality of urban lives can be improved by establishing public transport networks that are accessible to pedestrians within a reasonable walking distance. Accessibility to public transport is characterized by the ease with which inhabitants can reach means of transportation such as buses or metros. By measuring the degree of accessibility to public transport networks using a common data format, a comparative study can be conducted between different cities or metropolitan areas with different public transit systems. The General Transit Feed Specification (GTFS by Google Developers allows this by offering a common format based on text files and sharing the data set voluntarily produced and contributed by the public transit agencies of many participating cities around the world. This paper suggests a method to assess and compare public transit accessibility in different urban areas using the GTFS feed and demographic data. To demonstrate the value of the new method, six examples of metropolitan areas and their public transit accessibility are presented and compared.

  12. 75 FR 24962 - Notice of Proposed Information Collection for Public Comment: Disaster Assistance Program...

    Science.gov (United States)

    2010-05-06

    .... ADDRESSES: Interest persons are invited to submit comments regarding this proposal. Comments should refer to... proposed use: To assist households displaced by Hurricane Katrina in 2005, the Disaster Housing Assistance... displaced families from September 1, 2007, through February 28, 2009. DHAP was implemented in phases,...

  13. "The Effects of Medical Factors on Transfer Deficits in Public Assistance in Japan: A Quantile Regression Analysis"

    OpenAIRE

    2011-01-01

    In countries where local governments are heavily involved in financing health care for the indigent, regional disparities in local revenues may adversely affect the access of the poor to medical care. It is thus important to examine how central governments provide funds for such local medical needs. In Japan, local governments finance all medical costs for the poor through their Public Assistance (PA) programs. Using the unique mechanism of the Japanese system of central grants, I construct a...

  14. A Public Health Nursing Model Assists Women Receiving Temporary Assistance for Needy Families Benefits to Identify a Usual Source of Primary Care.

    Science.gov (United States)

    Cook, Christa L; Hall, Allyson G; Garvan, Cynthia S; Kneipp, Shawn M

    2015-01-01

    Women enrolled in Florida's Temporary Assistance for Needy Families (TANF) program experience high rates of chronic health problems and often lack a usual source of care. Thus, in this study, we aimed to identify variables related to being in a usual source of care at time of study enrollment and determine whether a public health nursing case management intervention affected the obtainment of a usual source of care. To achieve these aims, we conducted a secondary analysis of a randomized controlled trial of a public health nursing case management intervention, which included women with chronic health conditions enrolled in TANF (n = 432). Results indicated 35% of the women did not identify a usual source of care at time of study enrollment, and the public health nursing intervention was effective in helping women obtain a usual source of care (OR = 2.5, 95% CI 1.004-6.491). Thus, a public health nursing case management intervention is an effective way to connect TANF participants to a usual source of care, which may lead to improved health outcomes in this vulnerable population of women.

  15. Burnout syndrome in nursing assistants of a public hospital in the state of São Paulo.

    Science.gov (United States)

    Ferreira, Naiza do Nascimento; de Lucca, Sergio Roberto

    2015-01-01

    The burnout syndrome is a psychosocial phenomenon that arises as a response to chronic interpersonal stressors present at work. There are many aspects that make nursing assistants vulnerable to chronic stress situations that may lead to burnout, highlighting the low degree of autonomy in the healthcare staff and spending more in direct contact with patients. To assess the prevalence of the burnout syndrome in nursing assistants in a public hospital, as well as its association with socio-demographic and professional variables. A socio-demographic and professional questionnaire and the Maslach Burnout Inventory (MBI-SS) were applied to 534 nursing assistants. The prevalence of burnout syndrome among nursing assistants was 5.9%. High emotional exhaustion was observed in 23.6%, 21.9% showed high depersonalization, and 29.9% low professional achievement. It was found statistically significant associations between emotional exhaustion, job sector and marital status; depersonalization, having children and health problems; low professional achievement and job sector and number of jobs. There was association between job satisfaction and the three dimensions. Professionals working in the health area must pay intense and extended attention to people who are dependent upon others. The intimate contact of the nursing assistants with hard-to-handle patients, as well as being afraid to make mistakes in healthcare are additional chronic stress factors and burnout syndrome cases related in this study.

  16. Determinants of Public Attitudes towards Euthanasia in Adults and Physician-Assisted Death in Neonates in Austria: A National Survey.

    Directory of Open Access Journals (Sweden)

    Erwin Stolz

    Full Text Available Euthanasia remains a controversial topic in both public discourses and legislation. Although some determinants of acceptance of euthanasia and physician-assisted death have been identified in previous studies, there is still a shortage of information whether different forms of euthanasia are supported by the same or different sub-populations and whether authoritarian personality dispositions are linked to attitudes towards euthanasia.A large, representative face-to-face survey was conducted in Austria in 2014 (n = 1,971. Respondents faced three scenarios of euthanasia and one of physician assisted death differing regarding the level of specificity, voluntariness and subject, requiring either approval or rejection: (1 abstract description of euthanasia, (2 abstract description of physician-assisted suicide, (3 the case of euthanasia of a terminally-ill 79-year old cancer patient, and (4 the case of non-voluntary, physician assisted death of a severely disabled or ill neonate. A number of potential determinants for rejection ordered in three categories (socio-demographic, personal experience, orientations including authoritarianism were tested via multiple logistic regression analyses.Rejection was highest in the case of the neonate (69% and lowest for the case of the older cancer patient (35%. A consistent negative impact of religiosity on the acceptance across all scenarios and differential effects for socio-economic status, area of residence, religious confession, liberalism, and authoritarianism were found. Individuals with a stronger authoritarian personality disposition were more likely to reject physician-assisted suicide for adults but at the same time also more likely to approve of physician-assisted death of a disabled neonate.Euthanasia in adults was supported by a partially different sub-population than assisted death of disabled neonates.

  17. Determinants of Public Attitudes towards Euthanasia in Adults and Physician-Assisted Death in Neonates in Austria: A National Survey.

    Science.gov (United States)

    Stolz, Erwin; Burkert, Nathalie; Großschädl, Franziska; Rásky, Éva; Stronegger, Willibald J; Freidl, Wolfgang

    2015-01-01

    Euthanasia remains a controversial topic in both public discourses and legislation. Although some determinants of acceptance of euthanasia and physician-assisted death have been identified in previous studies, there is still a shortage of information whether different forms of euthanasia are supported by the same or different sub-populations and whether authoritarian personality dispositions are linked to attitudes towards euthanasia. A large, representative face-to-face survey was conducted in Austria in 2014 (n = 1,971). Respondents faced three scenarios of euthanasia and one of physician assisted death differing regarding the level of specificity, voluntariness and subject, requiring either approval or rejection: (1) abstract description of euthanasia, (2) abstract description of physician-assisted suicide, (3) the case of euthanasia of a terminally-ill 79-year old cancer patient, and (4) the case of non-voluntary, physician assisted death of a severely disabled or ill neonate. A number of potential determinants for rejection ordered in three categories (socio-demographic, personal experience, orientations) including authoritarianism were tested via multiple logistic regression analyses. Rejection was highest in the case of the neonate (69%) and lowest for the case of the older cancer patient (35%). A consistent negative impact of religiosity on the acceptance across all scenarios and differential effects for socio-economic status, area of residence, religious confession, liberalism, and authoritarianism were found. Individuals with a stronger authoritarian personality disposition were more likely to reject physician-assisted suicide for adults but at the same time also more likely to approve of physician-assisted death of a disabled neonate. Euthanasia in adults was supported by a partially different sub-population than assisted death of disabled neonates.

  18. Risk profiles and outcomes of total laparoscopic hysterectomy compared with laparoscopically assisted vaginal hysterectomy.

    Science.gov (United States)

    Hanwright, Philip J; Mioton, Lauren M; Thomassee, May S; Bilimoria, Karl Y; Van Arsdale, John; Brill, Elizabeth; Kim, John Y S

    2013-04-01

    With the increasing rates of minimally invasive hysterectomy procedures serving as impetus, the aim of this study was to analyze the 30-day risk profiles associated with total laparoscopic hysterectomy and laparoscopically assisted vaginal hysterectomy (LAVH). The American College of Surgeons National Surgical Quality Improvement Program database was queried for patients who underwent a total laparoscopic hysterectomy or LAVH operation between 2006 and 2010. Patient demographics and 30-day complication rates were calculated. Multivariable regression analyses were used to study the effect of hysterectomy approach on outcomes. A total of 6,190 patients underwent laparoscopic hysterectomy, with 66.3% receiving LAVH and 33.7% receiving a total laparoscopic hysterectomy. The patient cohorts were well-matched. Although total laparoscopic hysterectomy procedures were significantly longer than LAVH operations (2.66 hours compared with 2.20 hours; Plaparoscopic hysterectomy populations (7.05% compared with 6.3% for overall morbidity; 1.3% compared with 1.7% for reoperation). Regression analyses revealed that surgical approach was not a significant predictor of overall postoperative morbidity or reoperation in minimally invasive hysterectomy patients. Additionally, obesity did not demonstrate a significant association with morbidity or reoperation rates; however, operative time was found to be a significant predictor of reoperation (odds ratio 1.23, 95% confidence interval 1.07-1.42). Laparoscopic hysterectomy is well-tolerated with total laparoscopic hysterectomy and LAVH, yielding comparable rates of postoperative morbidity and reoperation. On average, LAVH procedures were 28 minutes faster than total laparoscopic hysterectomy. Additionally, increasing body mass index was not associated with higher rates of morbidity. II.

  19. A comparative study of 2 computer-assisted methods of quantifying brightfield microscopy images.

    Science.gov (United States)

    Tse, George H; Marson, Lorna P

    2013-10-01

    Immunohistochemistry continues to be a powerful tool for the detection of antigens. There are several commercially available software packages that allow image analysis; however, these can be complex, require relatively high level of computer skills, and can be expensive. We compared 2 commonly available software packages, Adobe Photoshop CS6 and ImageJ, in their ability to quantify percentage positive area after picrosirius red (PSR) staining and 3,3'-diaminobenzidine (DAB) staining. On analysis of DAB-stained B cells in the mouse spleen, with a biotinylated primary rat anti-mouse-B220 antibody, there was no significant difference on converting images from brightfield microscopy to binary images to measure black and white pixels using ImageJ compared with measuring a range of brown pixels with Photoshop (Student t test, P=0.243, correlation r=0.985). When analyzing mouse kidney allografts stained with PSR, Photoshop achieved a greater interquartile range while maintaining a lower 10th percentile value compared with analysis with ImageJ. A lower 10% percentile reflects that Photoshop analysis is better at analyzing tissues with low levels of positive pixels; particularly relevant for control tissues or negative controls, whereas after ImageJ analysis the same images would result in spuriously high levels of positivity. Furthermore comparing the 2 methods by Bland-Altman plot revealed that these 2 methodologies did not agree when measuring images with a higher percentage of positive staining and correlation was poor (r=0.804). We conclude that for computer-assisted analysis of images of DAB-stained tissue there is no difference between using Photoshop or ImageJ. However, for analysis of color images where differentiation into a binary pattern is not easy, such as with PSR, Photoshop is superior at identifying higher levels of positivity while maintaining differentiation of low levels of positive staining.

  20. [Comparative study on objective-setting public health policy--historical background and path dependence].

    Science.gov (United States)

    Motohashi, Yutaka; Kaneko, Yosihiro

    2002-05-01

    The historical background and the path dependence of objective-setting public health policy are described in this review. The New Public Health movement appeared in the 1980s and was inspired by the Ottawa Charter on Health Promotion. This movement is based on the idea that public health is mostly promoted by creating a supportive environment for health as well as by individual efforts toward a healthy life style. The first objective-setting public health policy called Healthy People was proposed in USA, 1979, under the influence of The Lalonde Report published in Canada, 1974. Goals and targets were set in order to reduce the mortality of American people. This project led to Healthy People 2000 and Healthy People 2010. In the 1990s, objective-setting public health policies prevailed in Western countries, such as United Kingdom, Australia, New Zealand, and also in Japan. The objective-setting public health policy is the application of the management by objectives in the health policy domain. This policy is especially accepted in Anglo-Saxon countries where public sector reform was conducted on the basis of the New Public Management theory in the 1980s, which is when the WHO Regional Office for Europe started the Healthy Cities project that emphasized a network of project cities. The Health 21 in 1999 is another model of object-setting public health policy. A comparative study of four different objective-setting public health policies (USA, United Kingdom, WHO Regional Office for Europe, and Japan) was conducted regarding the goals and domains of the targets, methods of targeting, and evaluation of the project. The goals were almost identical in the four public health policies, while the domains of the targets were different. These differences were explained by the past experience of public health policy development in each country.

  1. Assistant Teachers in Head Start Classrooms: Comparing to and Working with Lead Teachers

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    Curby, Timothy W.; Boyer, Caroline; Edwards, Taylor; Chavez, Catharine

    2012-01-01

    Research Findings: The purpose of the present study is to examine the degree to which assistant and lead teachers work together in Head Start classrooms in 3 domains: emotional support, classroom organization, and instructional support. Pairs of lead and assistant teachers from 14 Head Start classrooms were simultaneously observed for 1 morning to…

  2. Comparing Outcomes for Los Angeles County's HUD-Assisted and Unassisted CalWORKS Leavers.

    Science.gov (United States)

    Verma, Nandita; Hendra, Richard

    The impact of supplemental assistance from the U.S. Department of Housing and Urban Development (HUD) on CalWORKs leavers was examined in a study of CalWORKs recipients in Los Angeles County, California, who stopped receiving welfare benefits in the third quarter of 1998. Two groups received federal housing assistance at the time of exit from…

  3. Arizona Archaeology Week: Promoting the Past to the Public. Archeological Assistance Program Technical Brief No. 2.

    Science.gov (United States)

    Hoffman, Teresa L.; Lerner, Shereen

    The federal archaeological community has identified a need for an organized and comprehensive public outreach effort at the national level that can provide a framework for regional and local public support for archaeological resources. This document presents one part of the program and provides guidance in developing public awareness. Arizona…

  4. Comparative Study on Educational Management in Public and Private Institutions in the Twin Cities of Pakistan

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    Rizwan Muhammad

    2016-12-01

    Full Text Available The aim of this research paper is to compare the quality of education delivered at the undergraduate level in the public and private institutions of the Twin Cities (Islamabad and Rawalpindi in Pakistan. Data is collected with the help of questionnaires from 246 students. The data was collected from three public and three private educational institutions of the Twin Cities, and the age of students ranged from 18 to 27 years. The research instrument used in this paper is the independent sample t-test to find the difference between the three private and three public educational institutions selected in Rawalpindi and Islamabad in terms of different variables that are very important in measuring the quality of education. For analysis, Levene’s test was adopted, which reflects the variations in educational quality with respect to academic staff availability in the twin cities. The differences in close supervision of students by academic staff between public and private sector educational institutions were also analysed, and the results reflected a difference between private and public educational institutions with respect to close supervision of students. The results also highlighted the factors that are involved in higher performance of students in private institutes as compared to that of students in public institutes. These factors can be implemented in the public sector to increase student performance.

  5. EFFICACY OF VACUUM ASSISTED CLOSURE DRESSINGS WHEN COMPARED TO MOIST WOUND DRESSINGS IN THE MANAGEMENT OF DIABETIC FOOT ULCERS : A PROSPECTIVE COMPARATIVE STUDY

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    Ballapalli Hari

    2015-10-01

    Full Text Available INTRODUCTION: F oot ulceration is mainly responsible for the morbidity of diabetes mellitus. They deprive the patient of quality working days and add to his financial burden. Several novel methods of wound healing came to vogue among which vacuum assisted dressing is becoming quite popular. Present study aim s to evaluate its efficacy when compared to regular moist wound dressings. OBJECTIVES: To study the effectiveness of vacuum assisted dressings in terms of Rate of wound healing. MATERIALS AND METHODS: we carried out a prospective study at Narayana medical college hospital on two groups (group A and group B of diabetic foot ulcer patients, whom we selected randomly after considering inclusion and exclusion criteria . Vacuum assisted dressings were done in group A patients and normal moist wound dressings in group B. At the start of the treatment and every week thereafter, size and depth of ulcers were recorded and results were compared at complete wound healing or at the end of 12 weeks of treatment whichever is earlier. S trict glycaemic control was maintaine d throughout the treatment period. RESULTS : significant healing was noticed in group A patients (vacuum assisted dressings group both in terms of ulcer size and depth. Wounds appeared more - healthy i.e. with less slough and more red granulation tissue in g roup A patients. CONCLUSION: vacuum assisted dressing is an efficacious method in the treatment of diabetic foot ulcers with significantly reduced hospital stay

  6. The immediate effects of robot-assistance on energy consumption and cardiorespiratory load during walking compared to walking without robot-assistance: a systematic review.

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    Lefeber, Nina; Swinnen, Eva; Kerckhofs, Eric

    2017-10-01

    The integration of sufficient cardiovascular stress into robot-assisted gait (RAG) training could combine the benefits of both RAG and aerobic training. The aim was to summarize literature data on the immediate effects of RAG compared to walking without robot-assistance on metabolic-, cardiorespiratory- and fatigue-related parameters. PubMed and Web of Science were searched for eligible articles till February 2016. Means, SDs and significance values were extracted. Effect sizes were calculated. Fourteen studies were included, concerning 155 participants (85 healthy subjects, 39 stroke and 31 spinal cord injury patients), 9 robots (2 end-effectors, 1 treadmill-based and 6 wearable exoskeletons), and 7 outcome parameters (mostly oxygen consumption and heart rate). Overall, metabolic and cardiorespiratory parameters were lower during RAG compared to walking without robot-assistance (moderate to large effect sizes). In healthy subjects, when no body-weight support (BWS) was provided, RAG with an end-effector device was more energy demanding than walking overground (p > .05, large effect sizes). Generally, results suggest that RAG is less energy-consuming and cardiorespiratory stressful than walking without robot-assistance, but results depend on factors such as robot type, walking speed, BWS and effort. Additional research is needed to draw firm conclusions. Implications for Rehabilitation Awareness of the energy consumption and cardiorespiratory load of robot-assisted gait (RAG) training is important in the rehabilitation of (neurological) patients with impaired cardiorespiratory fitness and patients who are at risk of cardiovascular diseases. On the other hand, the integration of sufficient cardiometabolic stress in RAG training could combine the effects of both RAG and aerobic training. Energy consumption and cardiorespiratory load during walking with robot-assistance seems to depend on factors such as robot type, walking speed, body-weight support or amount of

  7. Comparative kinetic analysis of silent and ultrasound-assisted catalytic wet peroxide oxidation of phenol.

    Science.gov (United States)

    Rokhina, Ekaterina V; Repo, Eveliina; Virkutyte, Jurate

    2010-03-01

    The kinetic study of silent and ultrasound-assisted catalytic wet peroxide oxidation of phenol in water was performed to qualitatively assess the effect of ultrasound on the process kinetics. Various kinetic parameters such as the apparent kinetic rate constants, the surface utilization coefficient and activation energy of phenol oxidation over RuI(3) catalyst were investigated. Comparative analysis revealed that the use of ultrasound irradiation reduced the energy barrier of the reaction but had no impact on the reaction pathway. The activation energy for the oxidation of phenol over RuI(3) catalyst in the presence of ultrasound was found to be 13kJmol(-1), which was four times smaller in comparison to the silent oxidation process (57kJmol(-1)). Finally, 'figures-of-merit' was utilized to assess different experimental strategies such as sonolysis alone, H(2)O(2)-enhanced sonolysis and sono-catalytic oxidation of phenol in order to estimate the electric energy consumption based on the kinetic rate constants of the oxidation process.

  8. Nutritional status in mexican elderlys: comparative study between groups with different social assistance

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    Ivan Armando Osuna-Padilla

    2015-04-01

    Full Text Available Introduction: The aim of this study were to determine the prevalence of undernutrition and obesity in older people with various types of social support from Sinaloa, México.Material and methods: Comparative, observational, prospective and cross-sectional study in 91 elderly. Determined body weight, height and anthropometric measurements. Applied the Mini Nutritional Assessment (MNA. Means and standard deviations are estimated. Chi-square2 and Kruskal-Wallis tests were used to analyzed data. Pearson correlation were utilized for evaluated the correlation between antropomethric indicators and MNA. The level of statistical significance was p<0.05.Results: 91 elderlies were evaluated: 35 users of a day House, 28 members of a cultural centre, and 28 residents of two nursing homes. There was a prevalence of malnutrition of 32.1% in the institutionalized, 14.3% on the day house, and 3.5% in independent adult. Obesity were diagnosed in 93.2% of people by Waist/Height Ratio. Good correlations were found between body mass index (BMI and calf circumference (CC with MNA (p<0.05.Conclusions: High prevalences of undernutrition were found in nursing homes and user of day homes, with major risks in womans and people major of 80 years. The implementation of nutritional interventions depending on the type of social assistance received is required.

  9. A comparative analysis of multi-level computer-assisted decision making systems for traumatic injuries

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    Huynh Toan

    2009-01-01

    Full Text Available Abstract Background This paper focuses on the creation of a predictive computer-assisted decision making system for traumatic injury using machine learning algorithms. Trauma experts must make several difficult decisions based on a large number of patient attributes, usually in a short period of time. The aim is to compare the existing machine learning methods available for medical informatics, and develop reliable, rule-based computer-assisted decision-making systems that provide recommendations for the course of treatment for new patients, based on previously seen cases in trauma databases. Datasets of traumatic brain injury (TBI patients are used to train and test the decision making algorithm. The work is also applicable to patients with traumatic pelvic injuries. Methods Decision-making rules are created by processing patterns discovered in the datasets, using machine learning techniques. More specifically, CART and C4.5 are used, as they provide grammatical expressions of knowledge extracted by applying logical operations to the available features. The resulting rule sets are tested against other machine learning methods, including AdaBoost and SVM. The rule creation algorithm is applied to multiple datasets, both with and without prior filtering to discover significant variables. This filtering is performed via logistic regression prior to the rule discovery process. Results For survival prediction using all variables, CART outperformed the other machine learning methods. When using only significant variables, neural networks performed best. A reliable rule-base was generated using combined C4.5/CART. The average predictive rule performance was 82% when using all variables, and approximately 84% when using significant variables only. The average performance of the combined C4.5 and CART system using significant variables was 89.7% in predicting the exact outcome (home or rehabilitation, and 93.1% in predicting the ICU length of stay for

  10. Comparative analysis of resection tools suited for transoral robot-assisted surgery.

    Science.gov (United States)

    Hoffmann, Thomas K; Schuler, Patrick J; Bankfalvi, Agnes; Greve, Jens; Heusgen, Lukas; Lang, Stephan; Mattheis, Stefan

    2014-05-01

    Introduction of transoral robot-assisted surgery (TORS) has a strong potential to facilitate surgical therapy of head and neck squamous cell cancer (HNSCC) by decreasing the indication for an external surgical approach. However, the availability of resection tools is limited and comparative studies in the context of TORS are not available. In the context of the newest da Vinci Si HD(®) robotic system, various dissection methods were compared in a surgical animal model using porcine tongue at three different sites representing mucosal, muscular and lymphatic tissue. Resection methods included (a) CO2 laser tube, (b) flexible fiber Tm:YAG laser, (c) monopolar blade, and (d) radio frequency (RF) needle. Specimens were formalin-fixed, paraffin-embedded, cut, and stained with haematoxylin-eosin. Dissected tissue was examined for the width of the incision as well as the individual coagulation zone of each tool at various tissue sites. In addition, instrument costs and performance were determined. The incisions made by the RF needle had the most favourable cutting width and also smaller coagulation defects, as opposed to other tools, granting the best preservation of tumour-adjacent structures and improved pathological assessment. Instrument performance was best evaluated for CO2 laser and RF needle, whereas financial expenses were lowest for RF needle and monopolar blade. Improvement and modification of resection tools for TORS become a relevant criterion in order to facilitate routine usage in the surgical therapy of HNSCC. A consequent decrease in surgical mortality and improved precision of surgical tumour resection could lead to a significant clinical growth potential of TORS.

  11. Publication rates from the All India Ophthalmic Conference 2010 compared to 2000: Are we improving?

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    R Kumaragurupari

    2016-01-01

    Full Text Available Purpose: To determine the publication rates of free papers and posters presented at the All India Ophthalmic Conference (AIOC 2010 in peer-reviewed journals up to December 2015 and compare this with publication rates from AIOC2000 published previously. Methods: A thorough literature search was conducted using PubMed, Google Scholar, and the general Google search engine by two independent investigators. The title of the paper, keywords and author names were used to “match” the AIOC free-paper with the published paper. In addition, the “purpose,” “methods,” and “outcome measures” between the two were studied to determine the “match.” Results: A total of 58 out of 394 free-papers (14.7% from AIOC2010 were published till December 2015 compared to 16.5% from AIOC2000. Out of these, 52 (90% were published in PubMed indexed journals. Maximum publications were seen in pediatric ophthalmology (50% followed by glaucoma (24.4% and cornea (23.8%. Fifteen out of 272 posters (5.5% were published; orbit/oculoplastics had the highest poster publications (13%. Excluding papers in nonindexed journals and those by authors with international affiliations, the publication rate was approximately 12%. Conclusion: The publication rate of free papers from AIOC2010 has marginally reduced compared to AIOC2000. Various causes for this such as lack of adequate training, motivation, and lack of incentives for research in the Indian scenario have been explored, and measures to improve this paradigm have been discussed. It will be prudent to repeat this exercise every decade to compare publication rates between periodic AIOC, stimulate young minds for quality research and educate policy makers toward the need for developing dedicated research departments across the country.

  12. Supporting assisted suicide. How do the public and physicians feel about aiding in death?

    Science.gov (United States)

    Bachman, J G; Brody, H; Alcser, K H; Lichtenstein, R L; Doukas, D J; Corning, A D

    1997-04-01

    In January 1997, the Michigan State Medical Society began a series of interdisciplinary forums to discuss guidelines and safeguards for physician-assisted suicide as part of its ongoing analysis of that vexing issue. The forums derive from the minority statement in the MSMS official position, from physicians who would approve of assisting suicide in a limited number of cases, but only upon the patient's voluntary request and as a last resort. Is it possible to develop guidelines which would succeed in limiting the practice of physician-assisted suicide to that small group of patients? Or, as opponents charge, would guidelines predictably fail to contain the practice and lead to the feared slippery slope?

  13. Comparative research of plasma-assisted milling and traditional milling in synthesizing AlN

    Science.gov (United States)

    Wang, Sen; Wang, Wenchun; Liu, Zhijie; Yang, Dezheng

    2017-06-01

    In this paper, traditional milling and discharge plasma-assisted milling are employed to synthesize aluminum nitride (AlN) powder at nanometer scale by milling the mixture of aluminum and lithium hydroxide monohydrate. AlN powders can be generated in traditional milling and plasma-assisted milling in an hour milling time. Differential thermal analysis curves show that the reaction temperature of the powders treated by plasma-assisted milling is lower than that of traditional milling. These results indicate that plasma-assisted milling has higher efficiency in the synthesis of AlN, getting smaller crystallite size and activating powder. Moreover, an optical emission spectrum is employed to demonstrate the active species in plasma. The different formation process of AlN in the two-milling process, and the promotion effects of plasma in the milling process are discussed.

  14. The Internet and Generalized Functions of the Public Sphere: Transformative Potentials From a Comparative Perspective

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    Adrian Rauchfleisch

    2016-04-01

    Full Text Available Almost since the advent of the Internet, there has been great interest in analyzing and understanding online communication from the perspective of public sphere theory. The question of whether the properties of the Internet and, specifically, social media actually contribute to the public sphere is the matter of ongoing and somewhat heated scientific debate. The aim of the article is twofold. First, we propose a hierarchical model of generalized functions of public sphere. On a theoretical level, we interweave different strands of thought on the public sphere, and the resulting model is more inclusive and less rigid than each of those strands on their own. We identify four generalized functions: identity building, agenda-setting, control and criticism, and deliberation. The Internet does not contribute equally to these functions and we evaluate the impact of the Internet on each of these functions as a diminishing marginal utility. Second, we empirically explore the plausibility of our model in a global comparative analysis with focus on the Internet. With the help of macro-level variables which indicate the structural preconditions for a public sphere, we identify the highest possible function of the public sphere for each country to which the Internet can potentially contribute. Based on this approach, future research can be contextualized: case-study-based research can plausibly articulate expectations regarding the impact of the Internet on the public sphere.

  15. Public Auditing with Privacy Protection in a Multi-User Model of Cloud-Assisted Body Sensor Networks.

    Science.gov (United States)

    Li, Song; Cui, Jie; Zhong, Hong; Liu, Lu

    2017-05-05

    Wireless Body Sensor Networks (WBSNs) are gaining importance in the era of the Internet of Things (IoT). The modern medical system is a particular area where the WBSN techniques are being increasingly adopted for various fundamental operations. Despite such increasing deployments of WBSNs, issues such as the infancy in the size, capabilities and limited data processing capacities of the sensor devices restrain their adoption in resource-demanding applications. Though providing computing and storage supplements from cloud servers can potentially enrich the capabilities of the WBSNs devices, data security is one of the prevailing issues that affects the reliability of cloud-assisted services. Sensitive applications such as modern medical systems demand assurance of the privacy of the users' medical records stored in distant cloud servers. Since it is economically impossible to set up private cloud servers for every client, auditing data security managed in the remote servers has necessarily become an integral requirement of WBSNs' applications relying on public cloud servers. To this end, this paper proposes a novel certificateless public auditing scheme with integrated privacy protection. The multi-user model in our scheme supports groups of users to store and share data, thus exhibiting the potential for WBSNs' deployments within community environments. Furthermore, our scheme enriches user experiences by offering public verifiability, forward security mechanisms and revocation of illegal group members. Experimental evaluations demonstrate the security effectiveness of our proposed scheme under the Random Oracle Model (ROM) by outperforming existing cloud-assisted WBSN models.

  16. Are public officials really less satisfied than private sector workers?A comparative study in Brazil

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    Renata Borges

    2013-12-01

    Full Text Available This research aims to compare the public and private sectors with regard to satisfaction at work. We conducted a survey with 670 professionals from both sectors in Brazil. The results of variance analysis confirm previous researches indicating that public officials are less satisfied with their work than private sector workers. However, this result does not repeat when we evaluate the satisfaction dimensions. For instance, public officials reported being more satisfied than private sector workers with regard to social environment and work stability. Unexpectedly, the results suggest that there is no difference between these sectors when we analyze the satisfaction with supervision. Therefore, this article is relevant for Brazilian managers, by offering an empirical research on the distinction between public and private. The article also discusses the theoretical implications, since Brazilian findings do not completely support the international literature.

  17. INNOVATIVE ERP APPLICATIONS IN THE PUBLIC SECTOR: A COMPARATIVE ANALYSIS OF NEW ZEALAND EXPERIENCE

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    A. Sknar

    2015-10-01

    Full Text Available Contemporary economic science is looking for ways of research actualisation to resolve the challenges under the world financial crisis. Besides existing challenges in private de-regulated sector, one of the efficient innovations can be found in broadening ERP applications in the Public Sector. This paper approaches to the ERP applications mainly from the economical rather than from technical perspective. Comparative analysis of New Zealand public sector is supported by relevant international practical experience (implementations, and by core fundamental analysis of economical nature of business processes used by public entities. The key advantage (based on a historical timeline comes from a full integration of financial scope and operational activities. Using the example of ERP (as one of the drivers of productivity and performance improvement, the paper is aiming to underline how to bring the best practice and technology (data management and logical architecture from the private sector into the public sphere.

  18. Comparing frailty measures in their ability to predict adverse outcome among older residents of assisted living

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    Hogan David B

    2012-09-01

    Full Text Available Abstract Background Few studies have directly compared the competing approaches to identifying frailty in more vulnerable older populations. We examined the ability of two versions of a frailty index (43 vs. 83 items, the Cardiovascular Health Study (CHS frailty criteria, and the CHESS scale to accurately predict the occurrence of three outcomes among Assisted Living (AL residents followed over one year. Methods The three frailty measures and the CHESS scale were derived from assessment items completed among 1,066 AL residents (aged 65+ participating in the Alberta Continuing Care Epidemiological Studies (ACCES. Adjusted risks of one-year mortality, hospitalization and long-term care placement were estimated for those categorized as frail or pre-frail compared with non-frail (or at high/intermediate vs. low risk on CHESS. The area under the ROC curve (AUC was calculated for select models to assess the predictive accuracy of the different frailty measures and CHESS scale in relation to the three outcomes examined. Results Frail subjects defined by the three approaches and those at high risk for decline on CHESS showed a statistically significant increased risk for death and long-term care placement compared with those categorized as either not frail or at low risk for decline. The risk estimates for hospitalization associated with the frailty measures and CHESS were generally weaker with one of the frailty indices (43 items showing no significant association. For death and long-term care placement, the addition of frailty (however derived or CHESS significantly improved on the AUC obtained with a model including only age, sex and co-morbidity, though the magnitude of improvement was sometimes small. The different frailty/risk models did not differ significantly from each other in predicting mortality or hospitalization; however, one of the frailty indices (83 items showed significantly better performance over the other measures in predicting long

  19. Comparative Shock-Tube Study of Autoignition and Plasma-Assisted Ignition of C2-Hydrocarbons

    Science.gov (United States)

    Kosarev, Ilya; Kindysheva, Svetlana; Plastinin, Eugeny; Aleksandrov, Nikolay; Starikovskiy, Andrey

    2015-09-01

    The dynamics of pulsed picosecond and nanosecond discharge development in liquid water, ethanol and hexane Using a shock tube with a discharge cell, ignition delay time was measured in a lean (φ = 0.5) C2H6:O2:Ar mixture and in lean (φ = 0.5) and stoichiometric C2H4:O2:Ar mixtures with a high-voltage nanosecond discharge and without it. The measured results were compared with the measurements made previously with the same setup for C2H6-, C2H5OH- and C2H2-containing mixtures. It was shown that the effect of plasma on ignition is almost the same for C2H6, C2H4 and C2H5OH. The reduction in time is smaller for C2H2, the fuel that is well ignited even without the discharge. Autoignition delay time was independent of the stoichiometric ratio for C2H6 and C2H4, whereas this time in stoichiometric C2H2- and C2H5OH-containing mixtures was noticeably shorter than that in the lean mixtures. Ignition after the discharge was not affected by a change in the stoichiometric ratio for C2H2 and C2H4, whereas the plasma-assisted ignition delay time for C2H6 and C2H5OH decreased as the equivalence ratio changed from 1 to 0.5. Ignition delay time was calculated in C2-hydrocarbon-containing mixtures under study by simulating separately discharge and ignition processes. Good agreement was obtained between new measurements and calculated ignition delay times.

  20. [Objective evaluation and comparison of the scientific publication from the departments of the Assistance publique-Hôpitaux de Paris: analysis of the SIGAPS score].

    Science.gov (United States)

    Lefèvre, J H; Faron, M; Drouin, S J; Glanard, A; Chartier-Kastler, E; Parc, Y; Rouprêt, M

    2013-06-01

    To analyze the results of the bibliometric system (SIGAPS score) of scientific publications in the Assistance publique-Hôpitaux de Paris (AP-HP) and to compare the scientific production among the various medical and surgical specialties of the academic hospitals of Paris. All the publications imported from Pubmed between 2006 and 2008 were included. The following data were taken into account and analysed: the hospital department of origin, the number of articles published, the number of full-time physicians, the SIGAPS score. Thirty-eight thousand, seven hundred and nine publications were included. The departments were consisted of 747 full-time practitioners 5719 (1895 Professors [33.1%], 2772 Assistant Professors [48.4%] and 1052 fellows [18.4%]). The average number of full-time practitioner by department was 7.7±6.7 (range 1-69). The average total number of articles published in a department was 51.8±49.4 (range 1-453). The average SIGAPS score was more important in medicine than in surgery (621.2±670.1 vs. 401±382.2; P=0.01) but not the average number of article per practitioner (8.1±8.3 vs. 6.6±6.2; P=0.0797). The mean number of publication by full-time practitioner was 7.9±7.8 (1-45), or an average of 2.7±2.6 for each full-time practitioner each year. Academic hospitals in Paris have a reasonably scientific output but with a mean of 2.7 articles per full-time practitioner per year. No major differences between medical and surgical disciplines were observed. Copyright © 2012 Société nationale française de médecine interne (SNFMI). Published by Elsevier SAS. All rights reserved.

  1. 75 FR 54898 - Notice of Proposed Information Collection for Public Comment: Restrictions on Assistance to...

    Science.gov (United States)

    2010-09-09

    ... hearing or speech impairments may access this number through TTY by calling the toll-free Federal..., telephone numbers are not toll-free.) FOR FURTHER INFORMATION CONTACT: Arlette Mussington, Office of Policy...-Dixon, Acting Deputy Assistant Secretary, Office of Policy, Program and Legislative Initiatives....

  2. School Superintendents' Perceptions of Schools Assisting Students in Obtaining Public Health Insurance

    Science.gov (United States)

    Rickard, Megan L.; Price, James H.; Telljohann, Susan K.; Dake, Joseph A.; Fink, Brian N.

    2011-01-01

    Background: Superintendents' perceptions regarding the effect of health insurance status on academics, the role schools should play in the process of obtaining health insurance, and the benefits/barriers to assisting students in enrolling in health insurance were surveyed. Superintendents' basic knowledge of health insurance, the link between…

  3. Pharmaceutical assistance in local public health services in Santa Catarina (Brazil: characteristics of its organization

    Directory of Open Access Journals (Sweden)

    Ana Paula Veber

    2011-03-01

    Full Text Available This study outlines the diagnosis stage of 201 Municipal Pharmaceutical Assistance Plans sent to the Directorate of Pharmaceutical Assistance of the State Secretariat for Health of Santa Catarina (DIAF-SES/SC between November 12, 2005 and July 6, 2006. Multiple Correspondence Analysis was used in conjunction with SPAD 3.5 software, followed by hypothesis testing. The variables "pharmacist presence" and "population" were those which most contributed to the formation of the three clusters of municipalities observed. The number of drugs contained in the Municipal Lists of Essential Drugs (REMUMEs ranged from 15 to 413. A total of 67 towns had between 101 and 200 drugs- a range considered ideal in this study according to the 2006 National List of Essential Drugs. No tendency toward correlation between number of drugs listed in the REMUMES and municipality population size was found. Results confirmed the known disparity in Pharmaceutical Assistance among municipalities of different sizes and highlighted the need for structuring the activities of Pharmaceutical Assistance in the municipalities studied. There is also a need for greater commitment from all management spheres so that activities of Pharmaceutical Assistance at a local level ensure access to quality drugs and services, while fostering rational use.Este estudo retrata a etapa de diagnóstico de 201 Planos Municipais de Assistência Farmacêutica enviados entre 12 de novembro de 2005 a 06 de julho de 2006 à Diretoria de Assistência Farmacêutica da Secretaria de Estado da Saúde de Santa Catarina (DIAF-SES/SC. Utilizou-se a Análise de Correspondência Múltipla, através do programa SPAD 3.5 e posteriormente realizou-se teste de hipótese. As variáveis "presença de farmacêutico" e "população" foram as que mais contribuíram para a formação dos três agrupamentos de municípios evidenciados. O número de medicamentos constantes das Relações Municipais de Medicamentos Essenciais

  4. Public and Private Provision of Higher Education in Malaysia: A Comparative Analysis

    Science.gov (United States)

    Wilkinson, Roy; Yussof, Ishak

    2005-01-01

    A sample of public universities and private colleges are compared in terms of their enrolments, costs, facilities and quality of provision. The purpose is to illuminate an important policy issue for Malaysia and to contribute to the general debate on the role of the private sector in the provision of higher education. The general findings are that…

  5. Public and Private Provision of Higher Education in Malaysia: A Comparative Analysis

    Science.gov (United States)

    Wilkinson, Roy; Yussof, Ishak

    2005-01-01

    A sample of public universities and private colleges are compared in terms of their enrolments, costs, facilities and quality of provision. The purpose is to illuminate an important policy issue for Malaysia and to contribute to the general debate on the role of the private sector in the provision of higher education. The general findings are that…

  6. Commentary on Andrew Coulson's "Comparing Public, Private, and Market Schools: The International Evidence"

    Science.gov (United States)

    Wolfram, Gary; Coulson, Andrew J.

    2009-01-01

    In this article, the authors comment on Andrew Coulson's "Comparing Public, Private, and Market Schools: The International Evidence." The authors believe that Coulson's paper is a very interesting review of the literature on the ability of market-produced education to outperform government-produced education. Coulson's response on this commentary…

  7. HRM Practices in Public and Private Universities of Pakistan: A Comparative Study

    Science.gov (United States)

    Iqbal, Muhammad Zafar; Arif, Muhammad Irfan; Abbas, Furrakh

    2011-01-01

    The purpose of this study was to compare the HRM practices of public and private universities in Punjab province of Pakistan. The data for the study was collected through a questionnaire comprising 30 items mainly related to job definition, training and development, compensation, team work, employee's participation and performance appraisal. The…

  8. Through the Looking Glass: Realizing the Benefits of an International and Comparative Perspective on Teaching Public Affairs.

    Science.gov (United States)

    Klingner, Donald E.; Washington, Charles W.

    2000-01-01

    Discusses reasons why public administrators in the United States; tend to have a parochial U.S.-centered view of the public affairs discipline and the associated negative effects such views have on U.S. public affairs. Proposes an agenda for strengthening the development of an international and comparative perspective in teaching public affairs…

  9. Comparing attitudes of the public and medical staff towards witnessed resuscitation in an Asian population.

    Science.gov (United States)

    Ong, Marcus Eng Hock; Chung, Wan Ling; Mei, Jeanette Sng Ee

    2007-04-01

    To compare the attitudes of the public attending at a local Emergency Department and the medical staff towards witnessed resuscitation. Over a 2-week period in April 2006, we conducted an interview survey on the relatives of patients attending at the Emergency Department of Singapore General Hospital (SGH) via a convenience sampling. We approached 156 people with a response rate of 93.5%. We compared the results with a similar study conducted on the medical staff in the Emergency Department in the same hospital. Should relatives be present during resuscitation? We found that 73.1% of the public supported witnessed resuscitation compared to only 10.6% of the medical staff (Padvantage for witnessed resuscitation cited by both groups was that relatives would then have assurance that everything possible had been done for the patient. While 68.8% of the public felt that being allowed into the resuscitation area would help in their grieving processes, only 35.6% of the medical staff shared the same point of view (P<0.001). Medical staff were less likely to agree that witnessed resuscitation would strengthen the bonds between themselves and the public (P<0.001). Medical staff were however, more inclined towards the opinion that relatives would have a traumatic experience in witnessing resuscitation of their loved ones (P<0.001) and that the presence of relatives would cause stress to the medical staff performing resuscitation (P<0.001). Locally, we find a discrepancy between healthcare workers and the public towards the concept of witnessed resuscitation. More research is needed on the attitudes of the Asian public and medical staff.

  10. Comparative Studies between Conventional and Microwave Assisted Extraction for Rice Bran Oil.

    Science.gov (United States)

    Shukla, Himanshu S; Pratap, Amit

    2017-09-01

    The present work deals with comparison of microwave assisted extraction to that of conventional solvent extraction for the extraction of rice bran oil (RBO); focusing on extraction yield and oil composition. Microwave assisted extraction act as a green process over other method and proved that it is effective method for extraction of oil. The investigation also focuses on the study of functional group and component present in oil. Natural antioxidant component; its activity was confirmed by DPPH assay. The oryzanol content was also determined by measuring the optical density of the sample at 315 nm in n-heptane using UV visible spectrophotometer.

  11. 78 FR 61227 - Public Assistance Cost Estimating Format for Large Projects

    Science.gov (United States)

    2013-10-03

    ... Planning and Review; Executive Order 13563, Improving Regulation and Regulatory Review B. The Paperwork... Grant Acceleration Program HMP Hazard Mitigation Planning HVAC Heating, Ventilation, and Air... construction data warehouse publications, such as RS Means, BNi Costbooks, Marshall & Swift, or Sweets...

  12. Development of a Selection Measure for Access to Public Employment Assistance Programs.

    Science.gov (United States)

    Peterson, Gary W.

    1986-01-01

    Provides a prototype measure of employability to be used as a tool in public employment programs. Considers political and ethical implications pertaining to the use of such a selection instrument for welfare recipients. (Author/ABB)

  13. Use of Comparative Case Study Methodology for US Public Health Policy Analysis: A Review.

    Science.gov (United States)

    Dinour, Lauren M; Kwan, Amy; Freudenberg, Nicholas

    There is growing recognition that policies influence population health, highlighting the need for evidence to inform future policy development and reform. This review describes how comparative case study methodology has been applied to public health policy research and discusses the methodology's potential to contribute to this evidence. English-language, peer-reviewed articles published between 1995 and 2012 were sought from 4 databases. Articles were included if they described comparative case studies addressing US public health policy. Two researchers independently assessed the 20 articles meeting review criteria. Case-related characteristics and research design tactics utilized to minimize threats to reliability and validity, such as the use of multiple sources of evidence and a case study protocol, were extracted from each article. Although comparative case study methodology has been used to analyze a range of public health policies at all stages and levels, articles reported an average use of only 3.65 (out of 10) research design tactics. By expanding the use of accepted research design tactics, public health policy researchers can contribute to expanding the evidence needed to advance health-promoting policies.

  14. Applicability of the World Commission on Dams' recommendations for public financial institutions: a case for Japanese yen loan assistance

    Science.gov (United States)

    Fujikura, Ryo; Nakayama, Mikiyasu; Mori, Katsuhiko

    2003-10-01

    The World Commission on Dams (WCD) published Dams and Development as its only and final report in November 2000. Identifying core values and strategic priorities, the report proposed internationally acceptable criteria and standards. Despite the fact that the WCD itself did not intend that the report be used as a blueprint, many non-governmental organizations strongly support the report and the criteria and guidelines recommended in the report, and demand that they be adopted in their current form by funding organizations. The WCD criteria and guidelines were found to have several methodological problems, and it appears impossible to apply the recommended criteria and guidelines as they stand. This study examines the applicability of the WCD criteria and guidelines for public financing institutes involved in overseas development assistance and proposes necessary measures to increase their applicability in order to realize core values and strategic priorities. The character of and relationships among key decision points, strategic priorities, criteria, and guidelines should be clarified. Then, this study examines the applicability of the WCD recommendations for Japanese public financial institutions, as Japan has nearly become the sole bilateral donor providing financial assistance (loans) for large dam construction projects. The public financial institution can only be mandated to check the legal status of the decisions made regarding Stages 1 and 2 which are the first two of the five successive stages from the planning to the operation of the dam project. Needs assessment and alternative selection are expected to be conducted at Stage 1 and 2 respectively. The Japan Bank for International Cooperation (JBIC), which deals with the Japanese concessional yen loan, and the Japan International Cooperation Agency (JICA), which is in charge of technical assistance, are featured in this study. As for the Japanese concessional yen loan assistance, there are other inherent

  15. The food poverty challenge: comparing food assistance across EU countries. A Transformative Social Innovation perspective

    NARCIS (Netherlands)

    Galli, F.; Hebinck, A.; Arcuri, S.; Brunori, G.; Carroll, B.; O'Connor, D.; Oostindië, H.A.

    2016-01-01

    Most people in EU are food secure, but there are socio economic groups that struggle with poverty and health, making them vulnerable to food insecurity and in recent years there has been an increase in people needing food assistance in Europe. As the literature portrays, the position of food

  16. Public Histories of Australian and British Women's Suffrage: Some Comparative Issues

    Directory of Open Access Journals (Sweden)

    Hilda Kean

    2007-08-01

    Full Text Available In this article I consider the ways in which activists in the British suffrage movement became the public historians of their own pasts. I analyse the different forms in which the history of suffrage feminism was created and the ways in which it both drew upon former traditions of the labour movement and conventions of public memorialisation. I consider the ways in which the Australian suffrage campaign has been memorialised and differences between this and the British position. I raise a number of questions about ways in which public historians might explore the creation of collective histories and the role of individuals within that process arising from this initial comparative analysis.

  17. Doctor knows best: physician endorsements, public opinion, and the politics of comparative effectiveness research.

    Science.gov (United States)

    Gerber, Alan S; Patashnik, Eric M; Doherty, David; Dowling, Conor M

    2014-02-01

    The Obama administration has made a major investment in comparative effectiveness research (CER) to learn what treatments work best for which patients. CER has the potential to reduce wasteful medical spending and improve patient outcomes, but the political sustainability of this initiative remains unclear because of concerns that it will threaten the doctor-patient relationship. An unresolved question is whether it is possible to boost public support for the use of CER as a cost-control strategy. We investigate one potential source of public support: Americans' trust in physicians as faithful agents of patient interests. We conducted two national surveys to explore the public's confidence in doctors compared to other groups. We find that doctors are viewed as harder workers, more trustworthy, and more caring than other professionals. Through survey experiments, we demonstrate that the support of doctors' groups for proposals to control costs and use CER have a greater influence on aggregate public opinion than do cues from political actors including congressional Democrats, Republicans, and a bipartisan commission. Our survey results suggest that the medical profession's stance will be an important factor in shaping the political viability of efforts to use CER as a tool for health care cost control.

  18. Public vs private administration of rural health insurance schemes: a comparative study in Zhejiang of China.

    Science.gov (United States)

    Zhou, Xiaoyuan; Mao, Zhengzhong; Rechel, Bernd; Liu, Chaojie; Jiang, Jialin; Zhang, Yinying

    2013-07-01

    Since 2003, China has experimented in some of the country's counties with the private administration of the New Cooperative Medical Scheme (NCMS), a publicly subsidized health insurance scheme for rural populations. Our study compared the effectiveness and efficiency of private vs public administration in four counties in one of China's most affluent provinces in the initial stage of the NCMS's implementation. The study was undertaken in Ningbo city of Zhejiang province. Out of 10 counties in Ningbo, two counties with private administration for the NCMS (Beilun and Ninghai) were compared with two others counties with public administration (Zhenhai and Fenghua), using the following indicators: (1) proportion of enrollees who were compensated for inpatient care; (2) average reimbursement-expense ratio per episode of inpatient care; (3) overall administration cost; (4) enrollee satisfaction. Data from 2004 to 2006 were collected from the local health authorities, hospitals and the contracted insurance companies, supplemented by a randomized household questionnaire survey covering 176 households and 479 household members. In our sample counties, private administration of the NCMS neither reduced transaction costs, nor improved the benefits of enrollees. Enrollees covered by the publicly administered NCMS were more likely to be satisfied with the insurance scheme than those covered by the privately administered NCMS. Experience in the selected counties suggests that private administration of the NCMS did not deliver the hoped-for results. We conclude that caution needs to be exercised in extending private administration of the NCMS.

  19. Legal assistance on the application of public procurement rules in the waste sector

    DEFF Research Database (Denmark)

    Andrecka, Marta

    2016-01-01

    The report presents the results of a study investigating the application of public procurement rules in the municipal waste sector across the European Union conducted by Ramboll Management Consulting for the European Commission (DG GROW). The study is part of a process launched by the European...... Commission to analyse the application of public procurement rules in different market sectors. The scope of the study was set by the definition of municipal [solid] waste as presented in the Waste Framework Directive.1 The geographical scope of data collection was focused on seven Member States: Germany...

  20. Using artifact methodology to compare learning assistants' and colleagues' classroom practices

    Science.gov (United States)

    Barr, Stephanie A.; Ross, Mike J.; Otero, Valerie

    2012-02-01

    The University of Colorado's LA-Test K-12 research team investigated the classroom practices of former Learning Assistants' who went on to become K-12 teachers. One of the tools used for this analysis of classroom practice was the Scoop Notebook, an instructional artifact package developed to assess teachers' use of reform-oriented practices. In this paper, the authors characterize differences in classroom practices between former Learning Assistants teaching at the secondary level and their colleagues through the collection and analysis of teaching artifacts. Analyses of these artifacts indicate significant differences between LA and non-LA groups. A description of the methodology and implications of using artifact packages to study classroom practice will be discussed, detailing the role of the LA experience in teacher preparation.

  1. Utilization of assistive devices for students with disabilities in the public schools

    Directory of Open Access Journals (Sweden)

    Carolina Bastos Plotegher

    2013-04-01

    Full Text Available Introduction: Assistive technology is an area of expanding knowledge in Brazil. Its use in school can help students with disabilities in performing important tasks to participate in different activities. Objectives: to report the experience of using assistive devices in the academic achievement of students with disabilities included in the regular school system of the municipality of Sao Carlos, state of Sao Paulo. Method: it was developed from an extension project conducted in 2010. Thirteen students with various types of disabilities participated in the project. The interventions were based on the School Function Assessment with the teachers to know the students’ difficulties. The students were also observed performing school tasks. Results: Forty-seven adaptations were made: thickeners, rings for zippers, slants, communication boards, non-slip mats, among others. Besides the adjustments, orientation regarding use of the devices was provided for teachers and persons responsible for the students. Conclusion: we believe that the project benefited the students, because it produced higher academic achievement and provided better school conditions for their school inclusion. For the undergraduate students of Occupational Therapy, the project enabled the dealing with real issues of inclusion and school interventions, thus approaching theory to practice.

  2. School Nurses' Perceptions and Practices of Assisting Students in Obtaining Public Health Insurance

    Science.gov (United States)

    Rickard, Megan L.; Hendershot, Candace; Khubchandani, Jagdish; Price, James H.; Thompson, Amy

    2010-01-01

    Background: From January through June 2009, 6.1 million children were uninsured in the United States. On average, students with health insurance are healthier and as a result are more likely to be academically successful. Some schools help students obtain health insurance with the help of school nurses. Methods: This study assessed public school…

  3. School Nurses' Perceptions and Practices of Assisting Students in Obtaining Public Health Insurance

    Science.gov (United States)

    Rickard, Megan L.; Hendershot, Candace; Khubchandani, Jagdish; Price, James H.; Thompson, Amy

    2010-01-01

    Background: From January through June 2009, 6.1 million children were uninsured in the United States. On average, students with health insurance are healthier and as a result are more likely to be academically successful. Some schools help students obtain health insurance with the help of school nurses. Methods: This study assessed public school…

  4. SCHIP Directors' Perception of Schools Assisting Students in Obtaining Public Health Insurance

    Science.gov (United States)

    Price, James H.; Rickard, Megan

    2009-01-01

    Background: Health insurance coverage increases access to health care. There has been an erosion of employer-based health insurance and a concomitant rise in children covered by public health insurance programs, yet more than 8 million children are still without health insurance coverage. Methods: This study was a national survey to assess the…

  5. 77 FR 71439 - Regulatory and Administrative Waivers Granted for Public and Indian Housing Programs To Assist...

    Science.gov (United States)

    2012-11-30

    ....S.C. 5305(a)(8)) authorizes the use of ICDBG grant funds for public services, including but not... services. Upon the granting of this waiver, ICDBG grantees may expend up to 100% of their ICDBG grant funds... Community Development Block Grants (ICDBG) Program Notice of Funding Availability (NOFA) (Grant Ceilings for...

  6. The endangered middle class? A comparative analysis of the role public redistribution plays

    OpenAIRE

    Dallinger, Ursula

    2011-01-01

    This article contributes to the debate on the decline of the middle class by engaging in a cross-national comparison of the role public income redistribution play for the relative income position of the middle, and its change over time. The analysis distinguishes between the development of the market as compared to disposable incomes, since different dynamics shape each. Moreover, the broad category of 'a middle class' is sub-divided into three groups. The analysis is based on a dataset, cove...

  7. A comparative study of institutional frameworks for local public service partnerships in Finland and Scotland

    OpenAIRE

    Karlsson, Paula Sonja; Valkama, Pekka; Asenova, Darinka

    2015-01-01

    This research presents a cross-national comparative review of the institutional arrangements for how local public service partnerships are regulated and governed in Finland and Scotland.Both legal and administrative differences of partnership policies are analysed in order to explain the nature of the incentives and obligations for local governments to collaborate with external partners. Institutional theory and conceptual partnership approaches are utilised in the analysis. The Scottish inst...

  8. Comparing Media Systems: the role of the public media in the digital age

    OpenAIRE

    Matos, C

    2009-01-01

    This paper is the continuation of my previous PhD research, Journalism and Political Democracy in Brazil, which was published by Lexington Books (March 2008), and was an investigation of the role of the mainstream media in Brazil and in Latin America in the re-democratization phase following the end of the dictatorship in the mid-80’s. Comparing Media Systems is a comparative research analysis which aims to be an initial examination of the state of the public media structures in Europe in con...

  9. Comparing media systems: re-evaluating the role of the public media in the digital age

    OpenAIRE

    2009-01-01

    This paper is the continuation of my previous PhD research, Journalism and Political Democracy in Brazil, which was published by Lexington Books (March 2008), and was an investigation of the role of the mainstream media in Brazil and in Latin America in the re-democratization phase following the end of the dictatorship in the mid-80’s. Comparing Media Systems is a comparative research analysis which aims to be an initial examination of the state of the public media structures in Europe in con...

  10. OPEN VERSUS ROBOTIC-ASSISTED PARTIAL NEPHRECTOMY: MULTICENTER COMPARATIVE STUDY OF SURGICAL RESULTS AND COMPLICATIONS (AGILE GROUP)

    OpenAIRE

    Minervini, A.; Vittori, G.; Antonelli, A.; Celia, A; Crivellaro, S.; Dente, D.; Di Santo, V.; B. Frea; Gacci, M; A. Gritti; L. Masieri; A. Morlacco; A. Porreca; B. Rocco; Parma, P.

    2012-01-01

    Aim of the study To compare surgical and perioperative outcomes of open partial ne- phrectomy (OPN) with those of robotic assisted partial nephrectomy (RAPN). Materials and methods This is 2-year multicentric study derived from a prospective da- tabase promoted by AGILE group, who included all patients treated awith OPN or RAPN for renal cell carcinoma between January 2010 and December 2011 at six Italian urologic centers. All clinical vari- ables, including tumor nephrometry (PADUA ...

  11. Use of models in large-area forest surveys: comparing model-assisted, model-based and hybrid estimation

    Directory of Open Access Journals (Sweden)

    Göran Ståhl

    2016-02-01

    Full Text Available This paper focuses on the use of models for increasing the precision of estimators in large-area forest surveys. It is motivated by the increasing availability of remotely sensed data, which facilitates the development of models predicting the variables of interest in forest surveys. We present, review and compare three different estimation frameworks where models play a core role: model-assisted, model-based, and hybrid estimation. The first two are well known, whereas the third has only recently been introduced in forest surveys. Hybrid inference mixes designbased and model-based inference, since it relies on a probability sample of auxiliary data and a model predicting the target variable from the auxiliary data..We review studies on large-area forest surveys based on model-assisted, modelbased, and hybrid estimation, and discuss advantages and disadvantages of the approaches. We conclude that no general recommendations can be made about whether model-assisted, model-based, or hybrid estimation should be preferred. The choice depends on the objective of the survey and the possibilities to acquire appropriate field and remotely sensed data. We also conclude that modelling approaches can only be successfully applied for estimating target variables such as growing stock volume or biomass, which are adequately related to commonly available remotely sensed data, and thus purely field based surveys remain important for several important forest parameters. Keywords: Design-based inference, Model-assisted estimation, Model-based inference, Hybrid inference, National forest inventory, Remote sensing, Sampling

  12. Comparative assessment of public opinion on the landscape quality of two biosphere reserves in Europe.

    Science.gov (United States)

    Sowińska-Świerkosz, Barbara; Chmielewski, Tadeusz J

    2014-09-01

    The European Landscape Convention (2000) obligates European Union countries to identify and implement landscape quality objectives (LQOs) understood as the specification of public expectations and preferences concerning the landscape of a given area, expressed by competent public authorities. The convention emphasizes the important role of local community representatives in this field. In Poland, the implementation of the LQO concept was first undertaken in two regions with radically different landscape characteristics: (1) the West Polesie Biosphere Reserve and (2) the selected protected areas of the Roztocze-Solska Forest, nominated to the rank of a biosphere reserve. The first stage of the presented study was the recognition of public opinion on the quality of key features of landscape, based on a questionnaire (n = 470). The primary objective of the study was to provide an answer to the following questions: (1) Whether similar social expectations regarding landscape quality exist in spite of radically different landscape characteristics of the regions investigated (landscape quality is understood as spatial arrangement, scenic beauty, and lack of environmental pollution); (2) which landscape features are considered to be most preservation worthy by the representatives of both local communities; and (3) What processes or development impacts pose the greatest threat to the landscape quality of both regions according to the public opinion? The conducted comparative assessment revealed that it is possible to define a set of features fundamental to the quality of both areas and that representatives of local communities pointed out the same threats to the natural and cultural values of both regions investigated.

  13. EIA BASED COMPARATIVE URBAN TRAFFIC NOISE ANALYSIS BETWEEN OPERATIONAL AND UNDER CONSTRUCTION PHASE PUBLIC TRANSPORT CORRIDOR

    Directory of Open Access Journals (Sweden)

    Rajeev Kumar Mishra

    2014-09-01

    Full Text Available Delhi has a population of 16.75 million and is increasing at a rapid rate. This increase in population has enhanced the need for public transport. In Delhi, this need for public transport is served mainly by buses, auto rickshaws, a rapid transit system, taxis and suburban railways. Delhi has one of the highest road densities in India. Buses are the most popular means of transport catering to about 60% of the total demand. In order to meet the transport demand in Delhi, the State and the Union government started the construction of a mass rapid transit system, including the Delhi Metro. By the application of various data and public response, the paper accentuates the qualitative discussion on impacts of mass rapid transit system (MRTS corridor on land use and social aspects of lives of residents and road users. It also proposes certain mitigating measures for that meticulous condition. The analysis and survey outcome explain about the exceeded level of noise level as compared to CPCB standards. The share of public transport in total noise pollution is smaller than private but still exceeds the standards. Such problem demands the design of noise barrier along the corridor to curb the noise pollution.

  14. Comparative Assessment of Public Opinion on the Landscape Quality of Two Biosphere Reserves in Europe

    Science.gov (United States)

    Sowińska-Świerkosz, Barbara; Chmielewski, Tadeusz J.

    2014-09-01

    The European Landscape Convention (2000) obligates European Union countries to identify and implement landscape quality objectives (LQOs) understood as the specification of public expectations and preferences concerning the landscape of a given area, expressed by competent public authorities. The convention emphasizes the important role of local community representatives in this field. In Poland, the implementation of the LQO concept was first undertaken in two regions with radically different landscape characteristics: (1) the West Polesie Biosphere Reserve and (2) the selected protected areas of the Roztocze-Solska Forest, nominated to the rank of a biosphere reserve. The first stage of the presented study was the recognition of public opinion on the quality of key features of landscape, based on a questionnaire ( n = 470). The primary objective of the study was to provide an answer to the following questions: (1) Whether similar social expectations regarding landscape quality exist in spite of radically different landscape characteristics of the regions investigated (landscape quality is understood as spatial arrangement, scenic beauty, and lack of environmental pollution); (2) which landscape features are considered to be most preservation worthy by the representatives of both local communities; and (3) What processes or development impacts pose the greatest threat to the landscape quality of both regions according to the public opinion? The conducted comparative assessment revealed that it is possible to define a set of features fundamental to the quality of both areas and that representatives of local communities pointed out the same threats to the natural and cultural values of both regions investigated.

  15. Public attitudes towards genetic testing revisited: comparing opinions between 2002 and 2010

    Science.gov (United States)

    Henneman, Lidewij; Vermeulen, Eric; van El, Carla G; Claassen, Liesbeth; Timmermans, Danielle R M; Cornel, Martina C

    2013-01-01

    Ten years after the Human Genome Project, medicine is still waiting for many of the promised benefits, and experts have tempered their high expectations. Public opinion on genetic testing has generally been favourable but is this still the case? The aim of this study is to compare public experiences, beliefs and expectations concerning genetic testing over the years (2002 vs 2010). A cross-sectional questionnaire survey was conducted using the Dutch Health Care Consumer Panel in 2002 and 2010. Responses to questions in identical wording were compared. In 2002 and 2010, 817 (63%) and 978 (70%) members responded, respectively. Awareness and reported use of genetic tests remained stable over time. In 2010, more respondents expected genetic testing to become more widely applied, believed that knowledge about the genetic background of disease helps people live longer, and that testing should be promoted more intensively. In 2010, they were also more interested in their own genetic make-up. On the one hand, the concern that a dichotomy would emerge between people with ‘good genes' and ‘bad genes' was higher. On the other hand, respondents thought that insurance companies would be less likely to demand a genetic test in order to calculate health insurance premiums. In conclusion, the results suggest that in 8 years, expectations of benefits and potential use of genetic testing have been raised among the public, resulting in more positive opinions. Worries on inequity remain, although worries about premium differentiation by insurance companies have decreased. PMID:23249955

  16. Comparative tensile strength study of the adhesion improvement of PTFE by UV photon assisted surface processing

    Science.gov (United States)

    Hopp, B.; Geretovszky, Zs.; Bertóti, I.; Boyd, I. W.

    2002-01-01

    Poly(tetrafluoroethylene) (PTFE) is notable for its non-adhesive and non-reactive properties. A number of technologies can potentially benefit from the application of PTFE, but these characteristics restrict the ability to structuring its surface. In this paper, we present results on two ultraviolet photon assisted treatments of PTFE. The originally poor adhesion was significantly improved by both 172 nm excimer lamp and 193 nm excimer laser assisted surface treatments. While Xe2∗ lamp irradiation, applied in a modest vacuum environment, was sufficient by itself to improve adhesion, the ArF laser process was only effective when the irradiated interface was in contact with 1,2-diaminoethane photoreagent. It was found that the tensile strength of an epoxy resin glued interface created on treated surfaces depended strongly on the applied number of laser pulses and lamp irradiation time. Laser treatment caused fast tensile strength increase during the first 50-500 pulses, while after this it saturates slowly at about 5.5 MPa in the 500-2500 pulse domain. The excimer lamp irradiation resulted in a maximum tensile strength of approximately 10 MPa after 2 min irradiation time which reduced to about 65% of the peak value at longer times.

  17. Five-year comparative study on conventional and laser-assisted therapy of periimplantitis and periodontitis

    Science.gov (United States)

    Bach, Georg; Neckel, Claus P.

    2000-03-01

    Numerous groups have recommended the use of the diode laser to decontaminate infected root and implant surfaces. The aim of this study was to show the outcome after laser assisted and conventional therapy of periimplantitis and periodontitis administering approved treatment protocols. Between 1994 and 1999 a total of 50 patients with periimplantitis (20) and periodontitis (30) were treated in two groups each. Clinical, microbiological and radiographic evaluation was performed before and 6, 12, 24, 36, 48 and 60 months after treatment. In addition to the conventional treatment protocol, flap surgery, the tooth or implant surface was decontaminated with a 810 nm diode laser using 1 Watt output for 20 sec (CW mode). All accessible surfaces were decontaminated at the follow up dates. In the periimplantitis group recurrence of the marker bacteria was higher and faster over time for the conventionally operated patients. Also the clinical and radiographic reevaluation showed significantly better results. The laser group of the periodontitis patients also showed significantly better outcome in terms of clinical evaluation, microbiological counts, radiographic evaluation and tooth loss. In comparison to other long term studies our results for the conventional therapy were adequate, the laser assisted therapy brought up significantly better and reproducible results.

  18. Corruption, public integrity, and globalization in South-Eastern European states. A comparative analysis

    Directory of Open Access Journals (Sweden)

    Andrew I.E. EWOH

    2013-01-01

    Full Text Available The last three decades have witnessed a proliferation of studies on the globalization of corruption or convergence of anticorruption strategies. These studies have been motivated by scholarly concerns from various administrative, economic, and political fields. In view of these interdisciplinary concerns, the purpose of this article is to provide a comparative analysis of corruption phenomena and the demand for public integrity because these developments pertain to the discourse on globalization issues in some South-Eastern European nations within the last decade. The article concludes that the differences observed in these countries are due to their level of maturation in the democratic processes, their stages in the European Union integration process, and the geopolitical condition of each nation, and offers a palatable public policy prescription for achieving a lasting impact in the region.

  19. Placing the public library – a comparative analysis of political perceptions

    DEFF Research Database (Denmark)

    Evjen, Sunniva

    2012-01-01

    to discern how local politicians view the role of the public library, and how do they want to develop it in their local context, using concepts from institutional theory in the analysis. The research questions include issues concerning norms politicians connect with public libraries compared with those...... and document analysis of local and national policy documents. One important premise for this study has been to find cases where there are on-going developments; in the shape of main library construction. The findings show that politicians have extensive knowledge about the norms and values found...... with citizens’ democratic rights and the country’s democratic practice. Legitimizing the local projects is done using a slightly different argumentation: These are connected to city development and a desire to make visible the city’s knowledge and culture profile. The perceptions expressed through this study...

  20. A comparative study of pedicle screw fixation in dorsolumbar spine by freehand versus image-assisted technique: A cadaveric study

    Directory of Open Access Journals (Sweden)

    Archit Agarwal

    2016-01-01

    Full Text Available Background: New and expensive technology such as three-dimensional computer assisted surgery is being used for pedicle screw fixation in dorsolumbar spine. Their availability, expenses and amount of radiation exposure are issues in a developing country. On the contrary, freehand technique of pedicle screw placement utilizes anatomic landmarks and tactile palpation without fluoroscopy or navigation to place pedicle screws. The purpose of this study was to analyze and compare the accuracy of freehand and image-assisted technique to place pedicle screws in the dorsolumbar spine of cadavers by an experienced surgeon and a resident. Evaluation was done using dissection of pedicle and computed tomography (CT imaging. Materials and Methods: Ten cadaveric dorsolumbar spines were exposed by a posterior approach. Titanium pedicle screws were inserted from D5 to L5 vertebrae by freehand and image-assisted technique on either side by an experienced surgeon and a resident. CT was obtained. A blinded radiologist reviewed the imaging. The spines were then dissected to do a macroscopic examination. Screws, having evidence of cortical perforation of more than 2 mm on CT, were considered to be a significant breach. Results: A total of 260 pedicle screws were placed. The surgeon and the resident placed 130 screws each. Out of 130 screws, both of them placed 65 screws each by freehand and image- assisted technique each. The resident had a rate of 7.69% significant medial and 10.76% significant lateral breach with freehand technique while with image-assisted had a rate of 3.07% significant medial and 9.23% significant lateral breach. The expert surgeon had a rate of 6.15% significant medial and 1.53% significant lateral breach with freehand technique while with image-assisted had a rate of 3.07% significant medial and 6.15% significant lateral breach on CT evaluation. Conclusion: Freehand technique is as good as the image-assisted technique. Under appropriate

  1. Passengers Preference and Satisfaction of Public Transport in Malaysia, Part II: A Comparative Analysis of Komuter and LRT Network

    OpenAIRE

    Rozmi Ismail; Mohammad Hesam Hafezi; Rahim Mohd Nor

    2013-01-01

    This study presents a comparative analysis of passengers preference and satisfaction of two kinds of public transportation in Malaysia, namely, train commuter (KTM) and Light Rail Transit (LRT). One of the important issues regarding public transport is the passenger satisfaction. The main objective of this research is to describe traveler’s satisfaction and preference towards public transport with service quality attributes. Parameters in passenger preference and satisfaction on public transp...

  2. Professionalism in Public Relations Pedagogy: A Comparative Analysis of Public Relations Curricula among the United States, the United Kingdom, and South Korea

    Science.gov (United States)

    Chung, Wonjun; Choi, Jinbong

    2012-01-01

    Based on a concept of professionalism, this study analyzed and compared current public relations curricula of higher education among the United States, the United Kingdom, and South Korea. In terms of three educational orientations, results indicated that public relations education in the United States is the most balanced among theoretical,…

  3. Professionalism in Public Relations Pedagogy: A Comparative Analysis of Public Relations Curricula among the United States, the United Kingdom, and South Korea

    Science.gov (United States)

    Chung, Wonjun; Choi, Jinbong

    2012-01-01

    Based on a concept of professionalism, this study analyzed and compared current public relations curricula of higher education among the United States, the United Kingdom, and South Korea. In terms of three educational orientations, results indicated that public relations education in the United States is the most balanced among theoretical,…

  4. Comparing the Effect of Animal-Rearing Education in Japan with Conventional Animal-Assisted Education

    Directory of Open Access Journals (Sweden)

    Yuka Nakajima

    2017-06-01

    Full Text Available An increasing number of teachers are introducing animals into their class so that pupils foster cognitive, physiological, and social skills through their interaction with animals. Along with such an educational style termed animal-assisted education (AAE, Japanese formal education has also utilized animals for education. Japanese animal-rearing education is unique regarding the following two points: (1 it takes the form of “education through assisting animals” rather than “animals assisting education” and (2 animal rearing is embedded in formal education. While conventional AAE expects the benefit from the social support of animals, Japanese animal-rearing education expects benefit from nurturing and caring for animals. The present study aims to identify effective methods for using animals for education by highlighting the benefits of Japanese animal-rearing education. An overview of Japanese animal-rearing education is followed by a critical review of empirical studies of conventional AAE and Japanese animal-rearing education. Despite the differences in the educational styles, it was found that both systems commonly help children adapt to school. Additionally, conventional AAE were effective in enhancing cognitive and athletic ability of students and foster social skills, while Japanese animal-rearing education enhanced academic knowledge and skills and cultivated sympathy for animals and other people. Furthermore, it was demonstrated that the experience of raising animals affects children’s development for a long time even after children stop raising animals. In order to determine the effect of animal presence at school, however, more empirical studies with various viewpoints are necessary for both styles of education. Concerning Japanese animal-rearing education, the effects of the differences such as the amount of exposure to animals, developmental stage or character of individual children, the types of animals need to be

  5. GENDER BIAS IN THE PUBLIC RELATIONS INDUSTRY IN MALAYSIA: COMPARING PUBLIC RELATIONS PRACTITIONERS’ JOB FUNCTIONS, INCOMES, AND CAREER PROSPECTS

    Directory of Open Access Journals (Sweden)

    Yesuselvi Manickam

    2016-12-01

    Full Text Available Today, there is an increase in women working outside their home to sustain themselves economically and socially, but the working experiences can be problematic for women when gender discrimination exists in the workplace. In the early 1960s, women were entering the public relations industry at a rate faster than their male counterparts, but gender bias was a sore issue in the industry. Numerous studies have been conducted on gender bias, and the findings indicate that female public relations practitioners receive unequal treatment in their organisation. For that reason, this study investigated whether gender bias exists in the public relations industry in Klang Valley, Malaysia, and if so, what the impact was on the practitioners’ work performance. The study used an in-depth interview with five public relations practitioners from public relations agencies and corporate companies. Feminist Standpoint Theory served as a framework for this study. Results revealed that in Malaysia, gender bias is not prevalent because of cultural diversity and company policies. The priorities of these public relations agencies and organisations favor employee’s performance and competence over gender. The results also indicated that public relations practitioners are treated fairly in areas of career prospects, job functions, and remuneration.

  6. Audio computer-assisted self interview compared to traditional interview in an HIV-related behavioral survey in Vietnam.

    Science.gov (United States)

    Le, Linh Cu; Vu, Lan T H

    2012-10-01

    Globally, population surveys on HIV/AIDS and other sensitive topics have been using audio computer-assisted self interview for many years. This interview technique, however, is still new to Vietnam and little is known about its application and impact in general population surveys. One plausible hypothesis is that residents of Vietnam interviewed using this technique may provide a higher response rate and be more willing to reveal their true behaviors than if interviewed with traditional methods. This study aims to compare audio computer-assisted self interview with traditional face-to-face personal interview and self-administered interview with regard to rates of refusal and affirmative responses to questions on sensitive topics related to HIV/AIDS. In June 2010, a randomized study was conducted in three cities (Ha Noi, Da Nan and Can Tho), using a sample of 4049 residents aged 15 to 49 years. Respondents were randomly assigned to one of three interviewing methods: audio computer-assisted self interview, personal face-to-face interview, and self-administered paper interview. Instead of providing answers directly to interviewer questions as with traditional methods, audio computer-assisted self-interview respondents read the questions displayed on a laptop screen, while listening to the questions through audio headphones, then entered responses using a laptop keyboard. A MySQL database was used for data management and SPSS statistical package version 18 used for data analysis with bivariate and multivariate statistical techniques. Rates of high risk behaviors and mean values of continuous variables were compared for the three data collection methods. Audio computer-assisted self interview showed advantages over comparison techniques, achieving lower refusal rates and reporting higher prevalence of some sensitive and risk behaviors (perhaps indication of more truthful answers). Premarital sex was reported by 20.4% in the audio computer-assisted self-interview survey

  7. FINDING THE DISCOUNT RATE FOR A PRIVATE FIRM USING PUBLIC COMPARABLES

    OpenAIRE

    Lynda S. Livingston

    2014-01-01

    Determining the cost of equity is one of the most difficult problems in corporate finance. In this paper, we present a simple estimation example using an internet start-up company. We use public firm comparables for beta, making adjustments for leverage using Harris and Pringle’s (1985) assumptions, rather than Hamada’s (1972). While we consider adjustments for size, unsystematic risk, and illiquidity, we argue that significant adjustments to a Capital Asset Pricing Model approach using p...

  8. Comparative politics in central and eastern europe: Mapping publications over the past 20 years

    DEFF Research Database (Denmark)

    Schneider, Carsten Q; Bochsler, Daniel; Chiru, Mihail

    2012-01-01

    This article offers a new empirical perspective on the state of Comparative Politics (CP) in Central and Eastern Europe (CEE). We present findings on the authors, methods, and epistemology of CP publications in the most relevant journals from eleven countries in the region. The major finding...... is that CP is rather marginal in CEE Political Science. Furthermore, CP articles predominantly focus on the authors' country of origin, use off-the-shelf data, apply mostly qualitative data analysis techniques, and rarely take a historical perspective. © 2013 European Consortium for Political Research....

  9. Social donation and university development: a comparative analysis between China's and America's endowment for public education

    Institute of Scientific and Technical Information of China (English)

    Luo Gong-li; Yang Xuan-liang; Li Huai-zu

    2006-01-01

    Social donation is a means for individuals,government organizations,and non-government organizations (NGOs) to provide public products and services for society.Seeking social donation is vital in the improvement of the university.This paper probes into the relationship between social donation and university development by comparing social donation levels and practices in China with those in the U.S.The main reasons why social donations in Chinese universities are relatively low are as follows:(1) independent NGOs have not been formed;(2) the system and mechanism of social donation are not perfect,and (3) many restricting factors of social culture still exist in China.

  10. Comparing public service motivation within various Europe countries: do institutional environments make a difference ? Paper

    NARCIS (Netherlands)

    Vandenabeele, W.V.; Steijn, B.; Egger-Peitler, I; Hammerschmid, G; Meyer, R.; Camilleri, E; Cerase, F; Leisink, P.L.M.; Ritz, A; Hondeghem, A

    2009-01-01

    The motivation of public servants in general (Behn 1995), and public service motivation (PSM) in particular (Perry and Hondeghem 2008b), have always been important issues in public administration and public management research. In recent years, research on public service motivation has made signific

  11. Public and Institutional Markets for ESCO Services: ComparingPrograms, Practices and Prformance

    Energy Technology Data Exchange (ETDEWEB)

    Hopper, Nicole; Goldman, Charles; McWilliams, Jennifer; Birr,Dave; Stoughton McMordie, Kate

    2005-03-01

    Throughout the U.S. energy services company (ESCO) industry's history, public and institutional sector customers have provided the greatest opportunities for ESCOs to develop projects. Generally speaking, these facilities are large, possess aging infrastructure, and have limited capital budgets for improvements. The convergence of these factors with strong enabling policy support makes performance contracting an attractive and viable option for these customers. Yet despite these shared characteristics and drivers, there is surprising variety of experience among public/institutional customers and projects. This collaborative study examines the public/institutional markets in detail by comparing the overarching models and project performance in the federal government and the ''MUSH'' markets municipal agencies (state/local government), universities/colleges, K-12 schools,and hospitals that have traditionally played host to much of the ESCO industry's activity. Results are drawn from a database of 1634 completed projects held in partnership by the National Association of Energy Services Companies and Lawrence Berkeley National Laboratory (the NAESCO/LBNL database), including 129 federal Super Energy Savings Performance Contracts (ESPC) provided by the Federal Energy Management Program (FEMP) (Strajnic and Nealon 2003). Project data results are supplemented by interviews with ESCOs.

  12. The Public Stigma of Problem Gambling: Its Nature and Relative Intensity Compared to Other Health Conditions.

    Science.gov (United States)

    Hing, Nerilee; Russell, Alex M T; Gainsbury, Sally M; Nuske, Elaine

    2016-09-01

    Problem gambling attracts considerable public stigma, with deleterious effects on mental health and use of healthcare services amongst those affected. However, no research has examined the extent of stigma towards problem gambling within the general population. This study aimed to examine the stigma-related dimensions of problem gambling as perceived by the general public compared to other health conditions, and determine whether the publicly perceived dimensions of problem gambling predict its stigmatisation. A sample of 2000 Australian adults was surveyed, weighted to be representative of the state population by gender, age and location. Based on vignettes, the online survey measured perceived origin, peril, concealability, course and disruptiveness of problem gambling and four other health conditions, and desired social distance from each. Problem gambling was perceived as caused mainly by stressful life circumstances, and highly disruptive, recoverable and noticeable, but not particularly perilous. Respondents stigmatised problem gambling more than sub-clinical distress and recreational gambling, but less than alcohol use disorder and schizophrenia. Predictors of stronger stigma towards problem gambling were perceptions it is caused by bad character, is perilous, non-recoverable, disruptive and noticeable, but not due to stressful life circumstances, genetic/inherited problem, or chemical imbalance in the brain. This new foundational knowledge can advance understanding and reduction of problem gambling stigma through countering inaccurate perceptions that problem gambling is caused by bad character, that people with gambling problems are likely to be violent to other people, and that people cannot recover from problem gambling.

  13. 76 FR 35231 - Notice of Proposed Information Collection for Public Comment; McKinney-Vento Technical Assistance...

    Science.gov (United States)

    2011-06-16

    ...Kinney-Vento Technical Assistance Narrative, Matrices, and Reporting Requirements. Description of the need for the information proposed: McKinney- Vento Technical Assistance (MV-TA) Narrative, Matrices... assistance funding under the FY2011 McKinney-Vento Technical Assistance Notice of Funding Availability (NOFA...

  14. GENDER BIAS IN THE PUBLIC RELATIONS INDUSTRY IN MALAYSIA: COMPARING PUBLIC RELATIONS PRACTITIONERS’ JOB FUNCTIONS, INCOMES, AND CAREER PROSPECTS

    OpenAIRE

    Yesuselvi Manickam; Tan Soon Chin; Suffian Hadi Ayub

    2016-01-01

    Today, there is an increase in women working outside their home to sustain themselves economically and socially, but the working experiences can be problematic for women when gender discrimination exists in the workplace. In the early 1960s, women were entering the public relations industry at a rate faster than their male counterparts, but gender bias was a sore issue in the industry. Numerous studies have been conducted on gender bias, and the findings indicate that female public relations ...

  15. The Use of Television Format Adaptation in Denmark: Public Service Broadcasters Compared to Commercial Broadcasters

    DEFF Research Database (Denmark)

    Jensen, Pia Majbritt

    The use of television formats, developed in one market and sold internationally for local adaptation, has become a widespread practice in international television (Oren & Shahaf 2012). In what could be termed a case of ‘creative destruction’ (Schumpeter 1942), the format trade’s acceleration has...... brought about major changes in both production and scheduling. This paper evaluates the impact that format adaptation has had in Denmark on public service broadcasters (PSBs) compared to commercial broadcasters. To illustrate transnational differences, references are made to Germany and Australia. First......, a quantitative analysis of PSB and commercial schedules in Denmark is presented to establish the extent to which PSBs have employed formats between 2000 and 2012, and how this compares with commercial broadcasters. Secondly, a qualitative analysis looks into genre and the nature of the individual formats...

  16. Treatment success in cancer: industry compared to publicly sponsored randomized controlled trials.

    Directory of Open Access Journals (Sweden)

    Benjamin Djulbegovic

    Full Text Available OBJECTIVE: To assess if commercially sponsored trials are associated with higher success rates than publicly-sponsored trials. STUDY DESIGN AND SETTINGS: We undertook a systematic review of all consecutive, published and unpublished phase III cancer randomized controlled trials (RCTs conducted by GlaxoSmithKline (GSK and the NCIC Clinical Trials Group (CTG. We included all phase III cancer RCTs assessing treatment superiority from 1980 to 2010. Three metrics were assessed to determine treatment successes: (1 the proportion of statistically significant trials favouring the experimental treatment, (2 the proportion of the trials in which new treatments were considered superior according to the investigators, and (3 quantitative synthesis of data for primary outcomes as defined in each trial. RESULTS: GSK conducted 40 cancer RCTs accruing 19,889 patients and CTG conducted 77 trials enrolling 33,260 patients. 42% (99%CI 24 to 60 of the results were statistically significant favouring experimental treatments in GSK compared to 25% (99%CI 13 to 37 in the CTG cohort (RR = 1.68; p = 0.04. Investigators concluded that new treatments were superior to standard treatments in 80% of GSK compared to 44% of CTG trials (RR = 1.81; p<0.001. Meta-analysis of the primary outcome indicated larger effects in GSK trials (odds ratio = 0.61 [99%CI 0.47-0.78] compared to 0.86 [0.74-1.00]; p = 0.003. However, testing for the effect of treatment over time indicated that treatment success has become comparable in the last decade. CONCLUSIONS: While overall industry sponsorship is associated with higher success rates than publicly-sponsored trials, the difference seems to have disappeared over time.

  17. International difference in public service motivation: Comparing regions across the world

    NARCIS (Netherlands)

    W. Vandenabeele; S.G.J. Van de Walle (Steven)

    2008-01-01

    textabstractMotivation in Public Management: The Call of Public Service joins a long-standing debate about what drives the behavior of government employees and others who are engaged in the public's business. For many centuries, public service was considered a noble calling and, more recently, a pro

  18. A Comparative Analysis of Internal Communication and Public Relations Audits. State of the Art.

    Science.gov (United States)

    Dozier, David M.; Hellweg, Susan A.

    A review of current literature regarding the state of the art in the conduct of internal communication and public relations audits by public relations practitioners reveals that these two related measurement activities are of considerable importance to the practice of public relations. Public relations audits are concerned with exploratory…

  19. International difference in public service motivation: Comparing regions across the world

    NARCIS (Netherlands)

    W. Vandenabeele; S.G.J. Van de Walle (Steven)

    2008-01-01

    textabstractMotivation in Public Management: The Call of Public Service joins a long-standing debate about what drives the behavior of government employees and others who are engaged in the public's business. For many centuries, public service was considered a noble calling and, more recently, a

  20. Who Shall Pay for the Public Good? Comparative Trends in the Funding Crisis of Public Higher Education

    Science.gov (United States)

    Lebeau, Yann; Stumpf, Rolf; Brown, Roger; Lucchesi, Martha Abrahao Saad; Kwiek, Marek

    2012-01-01

    The aftermath of the international financial crisis of 2008/2009 and current economic downturn in the world economy has unsurprisingly put publicly-funded higher education (HE) systems under immense pressure in most parts of the world. Added to measures of the past 20 years, aiming at introducing cost effective management approaches imported from…

  1. International difference in public service motivation: Comparing regions across the world

    OpenAIRE

    Vandenabeele, W.; Van de Walle, Steven

    2008-01-01

    textabstractMotivation in Public Management: The Call of Public Service joins a long-standing debate about what drives the behavior of government employees and others who are engaged in the public's business. For many centuries, public service was considered a noble calling and, more recently, a profession. During the latter part of the 20th century, however, many scholars called into question both the reality and desirability of a public service ethic. This book draws upon a substantial and ...

  2. A COMPARATIVE STUDY OF INDIGENOUS MODEL-ASSISTED INNOVATIVE AND CONVENTIONAL SURGICAL TEACHING IN A TERTIARY HEALTHCARE CENTRE

    Directory of Open Access Journals (Sweden)

    Sudhir Kumar Jain

    2016-09-01

    Full Text Available BACKGROUND Surgical teaching and learning needs lots of practical exposure and hands on training. It often becomes difficult to demonstrate practically hundreds of medical student’s steps of surgical examination, various surgical minor or major procedures on living patients. Three-dimensional demonstration of theoretical topics helps in easy understanding of the subject. On many occasions, theory classes using lectures and slide projection techniques become cumbersome and monotonous for both teachers and students leading to failure to achieve fruitful results. Computer and 3D simulator-assisted teaching may help in some cases, but yet to become available in many developing countries. Without proper practical knowledge when a surgical action is attempted on a living patient, there is always a chance of error. Keeping all these facts in view and the limited teaching resources available, over hundred self-made inexpensive teaching models are developed out of scrap materials and are used to teach medical students in medical colleges of Assam and the results compared with conventional teaching. MATERIALS AND METHODS In this study, the efficacy and effectiveness of the model-assisted teaching is compared with that of conventional teaching over a span of two years. RESULTS Some of the shortcomings of conventional teaching can be overcome by model-assisted teaching in terms of overall student attendance in the classes and the acceptance and understanding of the topic concerned. CONCLUSION These models help in filling the voids in surgical learning and can be used as an effective adjunct to conventional surgical teaching.

  3. A comparative study between xerographic, computer-assisted overlay generation and animated-superimposition methods in bite mark analyses.

    Science.gov (United States)

    Tai, Meng Wei; Chong, Zhen Feng; Asif, Muhammad Khan; Rahmat, Rabiah A; Nambiar, Phrabhakaran

    2016-09-01

    This study was to compare the suitability and precision of xerographic and computer-assisted methods for bite mark investigations. Eleven subjects were asked to bite on their forearm and the bite marks were photographically recorded. Alginate impressions of the subjects' dentition were taken and their casts were made using dental stone. The overlays generated by xerographic method were obtained by photocopying the subjects' casts and the incisal edge outlines were then transferred on a transparent sheet. The bite mark images were imported into Adobe Photoshop® software and printed to life-size. The bite mark analyses using xerographically generated overlays were done by comparing an overlay to the corresponding printed bite mark images manually. In computer-assisted method, the subjects' casts were scanned into Adobe Photoshop®. The bite mark analyses using computer-assisted overlay generation were done by matching an overlay and the corresponding bite mark images digitally using Adobe Photoshop®. Another comparison method was superimposing the cast images with corresponding bite mark images employing the Adobe Photoshop® CS6 and GIF-Animator©. A score with a range of 0-3 was given during analysis to each precision-determining criterion and the score was increased with better matching. The Kruskal Wallis H test showed significant difference between the three sets of data (H=18.761, poverlay generation and lastly the xerographic method. The superior precision contributed by digital method is discernible despite the human skin being a poor recording medium of bite marks. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  4. Assisted Living Facilities, Licensed Health Care Facilities - assisted living facility type identified in attributes, Published in 2007, Iowa Dept. of Public Health.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, was produced all or in part from Published Reports/Deeds information as of 2007. It is described as 'Licensed Health Care...

  5. Changes in clinical and hotel expenditures following publication of the nursing home compare report card.

    Science.gov (United States)

    Mukamel, Dana B; Spector, William D; Zinn, Jacqueline; Weimer, David L; Ahn, Richard

    2010-10-01

    Nursing Home Compare first published clinical quality measures at the end of 2002. It is a quality report card that for the first time offers consumers easily accessible information about the clinical quality of nursing homes. It led to changes in consumers' demand, increasing the relative importance of clinical versus hotel aspects of quality in their search and choice of a nursing home. To examine the hypothesis that nursing homes responding to these changes in demand shifted the balance of resources from hotel to clinical activities. The study included 10,022 free-standing nursing homes nationwide during 2001 to 2006. RESEARCH DESIGN AND DATA: A retrospective multivariate statistical analysis of trends in the ratio of clinical to hotel expenditures, using Medicare cost reports, Minimum Data Set and Online Survey, Certification and Reporting data, controlling for changes in residents' acuity and facility fixed effects. Inference is based on robust standard errors. The ratio of clinical to hotel expenditures averaged 1.78. It increased significantly (P hotel expenditures following publication of the report card suggests that nursing homes responded as expected to the changes in the elasticity of demand with respect to clinical quality brought about by the public reporting of clinical quality measures. The response was stronger among nursing homes facing stronger incentives.

  6. Comparing Teaching Styles and Personality Types of EFL Instructors in the Public and Private Sectors

    Directory of Open Access Journals (Sweden)

    Diaz Larenas Claudio H.

    2011-04-01

    Full Text Available

    This is an exploratory non-experimental research study whose main objective is to compare the teaching styles of a group of thirty teachers of English working in either public or private secondary education in Chile. In order to collect the required data, two instruments were administered to the participants: a teaching style inventory and a personality type index proposed by Grasha. Results indicate that public sector participants show a facilitator teaching style and an extrovert personality type, whereas private sector participants reveal a more authoritative teaching style and an introverted type of personality.

    Este estudio exploratorio de naturaleza no-experimental tiene como objetivo principal comparar los estilos de enseñanza de un grupo de treinta profesores de inglés que trabajan en el nivel de enseñanza secundario del sistema educativo estatal o privado, en Chile. Para la recolección de datos se utilizaron el inventario de estilos de enseñanza y el índice de tipo de personalidad de Grasha. Los resultados indican que los participantes del nivel de enseñanza estatal presentan un estilo de enseñanza de naturaleza facilitadora y un tipo de personalidad extrovertido, mientras que los participantes del nivel de enseñanza privado revelan un estilo de enseñanza más autoritario y una personalidad más introvertida.

  7. Comparative genomic fingerprinting of Campylobacter: application in routine public health surveillance and epidemiological investigations.

    Science.gov (United States)

    Schleihauf, E; Mutschall, S; Billard, B; Taboada, E N; Haldane, D

    2017-01-01

    A subtyping methodology for Campylobacter, Comparative Genomic Fingerprinting (CGF40), has been described recently. The objective of this study was to assess the utility of CGF40 as a tool to enhance routine public health surveillance of campylobacteriosis. Isolates of Campylobacter from across the province were requested and sent for CGF40 subtyping. Epidemiological data from cases reported to public health officials in Nova Scotia, Canada, from January 2012 to March 2015 were linked with blinded CGF40 subtyping results. CGF40 was epidemiologically valid; subtyping discerned known epidemiologically related isolates and augmented case-finding. Predominant sources and locations of subtype detection from the national reference database showed some study subtypes were rare and even novel to the database, while others were more commonly identified over multiple years and with exposures locally and internationally. A case-case study design was applied to examine risk factors for the most common CGF40 subtypes detected. Differences in the epidemiology of different CGF40 subtypes were observed. Statistically significant associations were noted for specific subtypes with rural residence, local exposure, contact with a pet dog or cat, contact with chickens, and drinking unpasteurized milk. With prospective use, CGF40 could potentially identify unrecognized outbreaks and contribute to epidemiological investigations of case clusters.

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

    Science.gov (United States)

    Hoggard, Amy

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

  9. Wage Inequity: Within-Market Comparative Analysis of Salary for Public Health Nurses and Hospital Nurses.

    Science.gov (United States)

    Issel, L Michele; Lurie, Christine Fitzpatrick; Bekemeier, Betty

    2016-01-01

    The labor market perspective focuses on supply and demand for registered nurses (RNs) as employees. This perspective contrasts with beliefs in the public health sector that RNs working in local health departments (LHD) as public health nurses (PHNs) accept lower wages because of factors other than market demand. This study sought to describe the extent to which hourly wages of RNs working in LHDs are competitive with hospital RN wages within the same county market. A repeated measures survey design was used in collecting 2010 and 2014 data. The unit of analysis was the county, as an RN labor market for LHDs and hospitals. Survey questions captured factors common in human resources benefits and wage packages, such as differential pay, hourly rate pay based on years of experience, components of benefit packages (eg, sick and vacation leave), and reimbursement for education. Within each county, the LHD and all hospitals constituted a "market," yielding a potential 12 markets in our study sample. Human resources representatives from each of the 12 LHDs and from all hospitals within those 12 counties were invited to participate. We conducted comparisons with survey data using t test of mean differences on mean RN wages across years of experience. On average, LHDs paid significantly less than hospitals in their markets, at all levels of RN experience, and this gap increased with RN experience in the sample markets. Salary compression was evident in 2010 and worsened for PHNs in 2014, when compared with hospital RNs. In 2014, 100% of the sample LHDs offered reimbursements for continuing education for PHNs compared with 89% of hospitals providing this benefit. This study contributes to our understanding of the human resources challenges faced by LHDs and provides evidence elucidating resources issues that need to be addressed in order to improve recruitment and retention of PHNs.

  10. 24 CFR 5.615 - Public housing program and Section 8 tenant-based assistance program: How welfare benefit...

    Science.gov (United States)

    2010-04-01

    ... 8 tenant-based assistance program: How welfare benefit reduction affects family income. 5.615... assistance program: How welfare benefit reduction affects family income. (a) Applicability. This section... purposes of this section: Covered families. Families who receive welfare assistance or other...

  11. The Public Role of Perm Province in Assisting the Sick and Wounded Soldiers During the First World War

    Directory of Open Access Journals (Sweden)

    Kaydysheva Natalya

    2014-11-01

    Full Text Available On the example of Perm province the public activity on helping the sick and wounded soldiers during the World War I is analyzed. On the basis of wide scope of sources, the author investigates the participants, the scales and the forms of social help. The accent is made on the sources of financing organizations which carried out this activity. It is shown that all population layers in Perm province took part in rendering help to sick and wounded soldiers. The society often took the initiative in providing the charity events created by authorized structures that revealed the civil activity. The civil charity initiative gets further development during the war in mining plants. The state was interested and contributed to the civil independent actions, and it was caused by the wartime conditions. The author also determines the peculiarities of the assistance to sick and wounded soldiers in Perm province. All-Russian State Union became the body through which this help got better organized official registration during the war. It attracted major human resources and accumulated considerable monetary and clothing donations to the benefit of sick and wounded soldiers, thus providing the state with the possibility to control and coordinate this activity in the province.

  12. A Comparative Analysis of Social Media Usage and Academic Performance in Public and Private Senior High Schools

    Science.gov (United States)

    Mingle, Jeffrey; Adams, Musah; Adjei, E. A.

    2016-01-01

    The study comparatively analyzed social media usage and academic performance in public and private senior high schools. The issue of social media and academic performance has been a very debatable topic with regard to its effect. This study further explores the relation between private and public schools in relation to social media use and…

  13. Private and Public Sector Enterprise Resource Planning System Post-Implementation Practices: A Comparative Mixed Method Investigation

    Science.gov (United States)

    Bachman, Charles A.

    2010-01-01

    While private sector organizations have implemented enterprise resource planning (ERP) systems since the mid 1990s, ERP implementations within the public sector lagged by several years. This research conducted a mixed method, comparative assessment of post "go-live" ERP implementations between public and private sector organization. Based on a…

  14. Private and Public Sector Enterprise Resource Planning System Post-Implementation Practices: A Comparative Mixed Method Investigation

    Science.gov (United States)

    Bachman, Charles A.

    2010-01-01

    While private sector organizations have implemented enterprise resource planning (ERP) systems since the mid 1990s, ERP implementations within the public sector lagged by several years. This research conducted a mixed method, comparative assessment of post "go-live" ERP implementations between public and private sector organization. Based on a…

  15. Dual-task motor performance with a tongue-operated assistive technology compared with hand operations

    Directory of Open Access Journals (Sweden)

    Johnson Ashley N

    2012-01-01

    Full Text Available Abstract Background To provide an alternative motor modality for control, navigation, and communication in individuals suffering from impairment or disability in hand functions, a Tongue Drive System (TDS has been developed that allows for real time tracking of tongue motion in an unobtrusive, wireless, and wearable device that utilizes the magnetic field generated by a miniature disk shaped magnetic tracer attached to the tip of the tongue. The purpose of the study was to compare the influence of a concurrent motor or cognitive task on various aspects of simple movement control between hand and tongue using the TDS technology. Methods Thirteen young able-bodied adults performed rapid and slow goal-directed movements of hand and tongue (with TDS with and without a concurrent motor (hand or tongue or cognitive (arithmetic and memory task. Changes in reaction time, completion time, speed, correctness, accuracy, variability of displacement, and variability of time due to the addition of a concurrent task were compared between hand and tongue. Results The influence of an additional concurrent task on motor performance was similar between the hand and tongue for slow movement in controlling their displacement. In rapid movement with a concurrent motor task, most aspects of motor performance were degraded in hand, while tongue speed during rapid continuous task was maintained. With a concurrent cognitive task, most aspects of motor performance were degraded in tongue, while hand accuracy during the rapid discrete task and hand speed during the rapid continuous task were maintained. Conclusion Rapid goal-directed hand and tongue movements were more consistently susceptible to interference from concurrent motor and cognitive tasks, respectively, compared with the other movement.

  16. An evaluation of resource utilisation of single stage porcine acellular dermal matrix assisted breast reconstruction: A comparative study.

    Science.gov (United States)

    Kilchenmann, Ashley J R; Lardi, Alessia M; Ho-Asjoe, Mark; Junge, Klaus; Farhadi, Jian

    2014-12-01

    To evaluate resource utilization of single stage porcine acellular dermal matrix (ADM) assisted breast reconstruction compared with tissue expander (TE), latissimus dorsi flap and implant (LD/I) and latissimus dorsi flap and TE (LD/TE) reconstructive techniques. Clinical data was collected for length of stay, operative time, additional hospitalisations and operative procedures, and outpatient appointments for 101 patients undergoing unilateral implant based breast reconstruction. Resources utilised by ADM (Strattice Reconstructive Tissue Matrix™) patients were analysed and compared to the resource usage of traditional techniques. 25 patients undergoing single stage ADM (ADM/I) were compared with 27 having TE, 32 having LD/I and 17 having LD/TE reconstructions. Follow up was 24 months. Compared to TE, ADM/I had similar length of stay and operative time, lower rate and number of additional procedures, fewer, shorter re-admissions (p reconstructions in both complication-free and complicated settings over a 24-month period, despite requiring aesthetic revision in 60.9% of patients. Compared to LD/I, resource utilisation was commensurate in complication-free and complicated settings. Copyright © 2014 Elsevier Ltd. All rights reserved.

  17. Robot-assisted gastrectomy for early gastric cancer: is it beneficial in viscerally obese patients compared to laparoscopic gastrectomy?

    Science.gov (United States)

    Park, Ji Yeon; Ryu, Keun Won; Reim, Daniel; Eom, Bang Wool; Yoon, Hong Man; Rho, Ji Yoon; Choi, Il Ju; Kim, Young-Woo

    2015-07-01

    The adoption of robotic systems for gastric cancer surgery has been proven feasible and safe; however, a benefit over the laparoscopic approach has not yet been well-documented. We aimed to investigate the surgical outcomes of robotic versus laparoscopic gastrectomy for gastric cancer, according to the extent of surgery and patients' obesity status. Between January 2009 and July 2011, 770 patients were enrolled in this retrospective analysis. All had stage IA/IB gastric cancer preoperatively and underwent either laparoscopic (n = 622) or robotic (n = 148) gastrectomy. Patients were classified into obese and non-obese groups on the basis of visceral fat area (VFA). The extent of surgery was defined by whether patients underwent distal or total gastrectomy. The surgical outcomes following distal gastrectomy were similar between the robotic and laparoscopic groups regardless of the obesity status. After total gastrectomy, the number of total and N2-area lymph nodes were significantly higher in the robotic group than in the laparoscopic group in non-obese patients with VFA obese population. Robotic group developed less severe complications after total gastrectomy compared to laparoscopic group in non-obese patients (p = 0.036). Robotic assistance did not improve surgical outcomes over the laparoscopic approach in obese patients undergoing distal gastrectomy. However, non-obese patients with low VFA may benefit from robotic assistance during total gastrectomy in terms of radical D2 lymphadenectomy with fewer serious complications.

  18. Comparative analysis of public service advertising regulation in Russian Federation and European countries

    Directory of Open Access Journals (Sweden)

    Nureeva Maria, R.

    2015-03-01

    Full Text Available In modern world public service advertising is a direct reflection of social values, humanistic relationships between people, level of cultural development of the society. The aim of PSA is to form social challenges in the society’s mind, to lead to reforms in social sphere. Underestimation and inattentiveness towards social problems could lead to loss of moral values, destruction of culture and forming the basis for aggravation in relation between different levels of society. The tasks of the research are the following: to analyze the legislative base of public service advertising, to determine their strengths and weaknesses; to find out typical problems arising while PSA realization in Russia and Europe; to determine the main obstacles, preventing from creation of efficient and qualitative PSA and to find out and provide the measures of creating an efficient and qualitative public service advertising. In the first part of the paper we compare PSA regulation, sort out PSA legislative and practical issues in Russia and Europe. In the second part we consider the process of efficient PSA realization. For this purpose there were investigated the main obstacles on the way of realization of PSA strategy in Russia and Europe, possibilities of application of marketing mix approach. Though the level of social activity has increased in Russia especially in recent years, PSA market is only in the process of formation – there are huge potentials for investigations, initiatives and improvements. We could conclude that modern PSA legal base of Russian Federation restrains the development of PSA in our country and puts obstacles in the way of PSA participants: government, non-commercial organizations and businesses. In comparison with EU our country fails behind European countries both in the level of legislative regulation and practical experience. The most important difference between PSA practice in Russia and in Europe is that in Europe there is clear

  19. Value predispositions as perceptual filters: Comparing of public attitudes toward nanotechnology in the United States and Singapore.

    Science.gov (United States)

    Liang, Xuan; Ho, Shirley S; Brossard, Dominique; Xenos, Michael A; Scheufele, Dietram A; Anderson, Ashley A; Hao, Xiaoming; He, Xiaoyu

    2015-07-01

    This study compares public attitudes toward nanotechnology in the United States and Singapore, using large-scale survey data in both countries. Results indicate that Singaporeans tend to be more knowledgeable about and familiar with nanotechnology than the U.S. public. Singaporeans tend to perceive greater benefits and fewer potential risks of nanotechnology, and to indicate greater support for government funding for nanotechnology than the U.S. public. Between the two countries, perceived familiarity with nanotechnology and the benefits and risks of the emerging technology tend to be interpreted differently through the lens of value predispositions (religiosity and deference to scientific authority) and therefore they indirectly affect public support. Specifically, the U.S. public tends to use religiosity to interpret benefits and Singaporeans are inclined to use religiosity to think about risks. Deference to scientific authority also moderates the impact of perceived familiarity with nanotechnology on funding support for the technology among the U.S. public.

  20. Comparing the efficacy of biofeedback and balloon-assisted training in the treatment of dyssynergic defecation

    Science.gov (United States)

    Pourmomeny, Abbs Ali; Emami, Mohammad Hassan; Amooshahi, Mahboobeh; Adibi, Peyman

    2011-01-01

    BACKGROUND: Dyssynergic defecation does not respond appropriately to routine treatments for constipation. Recently, research has shown that biofeedback therapy is useful in anorectal dyssynergia. OBJECTIVE: To compare two treatment modalities for patients experiencing dyssynergic defecation. METHODS: Sixty-five subjects with dyssynergic defecation were recruited and randomly allocated to one of two treatment groups: balloon defecation training and biofeedback therapy. In the first group, a balloon was inserted into the rectum and inflated by water injection so that the patient experienced the sensation of a full rectum and, thus, the need to defecate. The patient was subsequently asked to reject the balloon. In the biofeedback group, the pen electrode of an electromyographic biofeedback device was inserted into the rectum, with the patient subsequently being asked to increase abdominal pressure and relax the rectal muscles accordingly. RESULTS: The findings showed a reduction in constipation in both groups. The ability to reject the balloon (volume and time) was significantly better in postintervention measurements; however, better results were found in the biofeedback arm of the study. Patient satisfaction after treatment reached 52% with balloon training and 79% in the biofeedback group. Reports of incomplete evacuation and the need for digit use during defecation remained constant after treatment in balloon-trained patients. CONCLUSION: Biofeedback training appeared to be superior to balloon defecation training and resulted in measurable changes in subjective and objective variables of dyssynergia. PMID:21321680

  1. Development of Public Participation in Regulatory Planning in China:A Comparative Study Based on National Regulations

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    The regulatory plan is the most important technical basis for Chinese building permission, which makes the regulatory planning undoubtedly a key planning level in China’s urban planning system. The paper is intended to analyze and compare the original and upgraded formulation procedures of regulatory plans based on the relevant national laws and regulations, in order to provide a clear image of the development of public participation in China’s regulatory planning. Firstly, a comparative model has been developed with the definition of four-level public participation capabilities. Secondly, the original and upgraded formulation procedures of regulatory plans have been summarized to form the theoretical basis of the research. Finally, through the application of the comparative model, comparative studies on three public participation stages in regulatory planning, including the initial public participation, formal public participation, and supervision, have been implemented. The research output shows that at the national level, the legal status of public participation in China’s regulatory planning has been greatly improved, and the legally binding process of public participation has been fundamentally established.

  2. Donor Complications Following Laparoscopic Compared to Hand-Assisted Living Donor Nephrectomy: An Analysis of the Literature

    Directory of Open Access Journals (Sweden)

    Whitney R. Halgrimson

    2010-01-01

    Full Text Available There are two approaches to laparoscopic donor nephrectomy: standard laparoscopic donor nephrectomy (LDN and hand-assisted laparoscopic donor nephrectomy (HALDN. In this study we report the operative statistics and donor complications associated with LDN and HALDN from large-center peer-reviewed publications. Methods. We conducted PubMed and Ovid searches to identify LDN and HALDN outcome studies that were published after 2004. Results. There were 37 peer-reviewed studies, each with more than 150 patients. Cumulatively, over 9000 patients were included in this study. LDN donors experienced a higher rate of intraoperative complications than HALDN donors (5.2% versus. 2.0%, <.001. Investigators did not report a significant difference in the rate of major postoperative complications between the two groups (LDN 0.5% versus HALDN 0.7%, =.111. However, conversion to open procedures from vascular injury was reported more frequently in LDN procedures (0.8% versus 0.4%, =.047. Conclusion. At present there is no evidence to support the use of one laparoscopic approach in preference to the other. There are trends in the data suggesting that intraoperative injuries are more common in LDN while minor postoperative complications are more common in HALDN.

  3. The economics of comparative effectiveness studies: societal and private perspectives and their implications for prioritizing public investments in comparative effectiveness research.

    Science.gov (United States)

    Meltzer, David; Basu, Anirban; Conti, Rena

    2010-01-01

    Comparative effectiveness research (CER) can provide valuable information for patients, providers and payers. These stakeholders differ in their incentives to invest in CER. To maximize benefits from public investments in CER, it is important to understand the value of CER from the perspectives of these stakeholders and how that affects their incentives to invest in CER. This article provides a conceptual framework for valuing CER, and illustrates the potential benefits of such studies from a number of perspectives using several case studies. We examine cases in which CER provides value by identifying when one treatment is consistently better than others, when different treatments are preferred for different subgroups, and when differences are small enough that decisions can be made based on price. We illustrate these findings using value-of-information techniques to assess the value of research, and by examining changes in pharmaceutical prices following publication of a comparative effectiveness study. Our results suggest that CER may have high societal value but limited private return to providers or payers. This suggests the importance of public efforts to promote the production of CER. We also conclude that value-of-information tools may help inform policy decisions about how much public funds to invest in CER and how to prioritize the use of available public funds for CER, in particular targeting public CER spending to areas where private incentives are low relative to social benefits.

  4. Public Service Television in a Multi-Platform Environment: A Comparative Study in Finland and Israel

    Directory of Open Access Journals (Sweden)

    Oranit Klein Shagrir

    2014-12-01

    Full Text Available Cultural and economic transformations have encouraged television companies to turn their attention to multi-platform practices so as to increase their compatibility with the changing media environment. While digital media provide public service broadcasting (PSB institutions with new opportunities for meeting their public commitments and maintaining their relevance in national media systems, PSB is also faced with additional challenges. One of these is the tension between public service values on the one hand and digital technologies and practices on the other. In this article we discuss how Finnish and Israeli PSB managers and producers perceive the opportunities and challenges of multi-platform production. In both countries public service broadcasting is striving for public legitimacy and relevance in a changing technological environment. However, the two countries currently find themselves at quite different stages: Israel has a struggling public service agency, while Finland boasts a strong broadcasting company.

  5. A Comparative Study of Initial Public Offerings in Hong Kong, Singapore and Malaysia

    Directory of Open Access Journals (Sweden)

    Ho Horace

    2016-06-01

    Full Text Available This paper presents the findings of a comparative study on the performance of the initial public offerings (IPOs of shares listed on the Hong Kong Stock Exchange (HKX, Singapore Exchange (SGX and Bursa Malaysia (MYX. One indicator of the success of an IPO is its subscription rate, which can be used as a proxy for the level of investor confidence in the stock being offered. This paper examines the relationship between the performance of an IPO and its subscription rate, and the corporate factors that may affect an investor’s decision to subscribe to an IPO. A previous study conducted in Hong Kong (Ho, 2013 did not find support for the effect of the four corporate factors, namely size, managerial ownership prior to the IPO, industry differences and company age, on the subscription decision. However, managerial ownership prior to the IPO was found to be highly correlated with good performance, which could be attributed to a low agency cost in situations where managerial ownership is substantial. Further evidence from Singapore and Malaysia can help to shed light on the importance of agency cost in the pricing of IPOs.

  6. [A comparative study on Koii (public doctor) system and its effect on public health in colonial Taiwan and Korea].

    Science.gov (United States)

    Moon, Myungki

    2014-08-01

    Koii(Public Doctor) System introduced into Taiwan in 1896 for the purpose of filling up medical vacuum of rural area and therefore spreading modern medical system all over Taiwan, was transplanted in 1913 into Colonial Korea for the same purpose. In terms of system itself Koii system in both areas were almost the same, but quite different in practices. First, Koiis in Taiwan was forced to write concrete medical report every month on the medical situation in the area under jurisdiction, whereas to those in Korea writing monthly report was not so compulsory. This difference resulted in some gaps in the quality of medical statistics of the two areas. Second, Unlike their counterparts in Korea, Koiis in Taiwan organized their own associations both locally and nationally and it helped to build up their own networks and share informations on medical situation including informations on infectious diseases. Third, Koiis in Taiwan formed more harmonious relationship between Taiwanese Police than their counterparts in Korea, which helped them to execute various medical activities in more comfortable environment. Taiwanese People went to medical institutions a lot more frequently than Korean People, and this difference was basically derived from the quite different density of Koii assignment in both areas. Korean People had to spend more time and money to utilize modern medical institutions than Taiwanese People did. The different density of Koii assignment also affected the results of prevention and eradication of infectious diseases; in Taiwan plague and small-pox has been successfully controled, whereas Chosun Government general was not so successful in controling infectious diseases including small-pox. Small-pox infected in Korea was about 6 times to Taiwan, and the number of death by small-pox was 9 times to Taiwan. One of the keys to this difference is the different role of Koiis. In Korea, Koiis could do little thing about infectious diseases mainly because of

  7. Technology-assisted stroke rehabilitation in Mexico: a pilot randomized trial comparing traditional therapy to circuit training in a Robot/technology-assisted therapy gym.

    Science.gov (United States)

    Bustamante Valles, Karla; Montes, Sandra; Madrigal, Maria de Jesus; Burciaga, Adan; Martínez, María Elena; Johnson, Michelle J

    2016-09-15

    Stroke rehabilitation in low- and middle-income countries, such as Mexico, is often hampered by lack of clinical resources and funding. To provide a cost-effective solution for comprehensive post-stroke rehabilitation that can alleviate the need for one-on-one physical or occupational therapy, in lower and upper extremities, we proposed and implemented a technology-assisted rehabilitation gymnasium in Chihuahua, Mexico. The Gymnasium for Robotic Rehabilitation (Robot Gym) consisted of low- and high-tech systems for upper and lower limb rehabilitation. Our hypothesis is that the Robot Gym can provide a cost- and labor-efficient alternative for post-stroke rehabilitation, while being more or as effective as traditional physical and occupational therapy approaches. A typical group of stroke patients was randomly allocated to an intervention (n = 10) or a control group (n = 10). The intervention group received rehabilitation using the devices in the Robot Gym, whereas the control group (n = 10) received time-matched standard care. All of the study subjects were subjected to 24 two-hour therapy sessions over a period of 6 to 8 weeks. Several clinical assessments tests for upper and lower extremities were used to evaluate motor function pre- and post-intervention. A cost analysis was done to compare the cost effectiveness for both therapies. No significant differences were observed when comparing the results of the pre-intervention Mini-mental, Brunnstrom Test, and Geriatric Depression Scale Test, showing that both groups were functionally similar prior to the intervention. Although, both training groups were functionally equivalent, they had a significant age difference. The results of all of the upper extremity tests showed an improvement in function in both groups with no statistically significant differences between the groups. The Fugl-Meyer and the 10 Meters Walk lower extremity tests showed greater improvement in the intervention group compared to the

  8. A Review of the Public Contests Evaluations Promoted by Brazilian Federal Universities for the Post of Executive Assistant in the Perspective of Competencies Management

    Directory of Open Access Journals (Sweden)

    Fernanda Geremias Leal

    2014-12-01

    Full Text Available This article presents an analysis of the evaluations of public contests promoted by Brazilian Federal Universities (IFES, during the period of 2010-2014, to fill the post of executive assistant. The goal was to understand whether the tests applied have covered contents related to in the job description, profession regulation law, guidelines and the curriculums of Executive Assistant undergraduate programs, in order to verify if the tests were able to select professionals with competencies to meet the needs of these institutions. The data, obtained from a predominantly quantitative analysis, demonstrated that the IFES have not considered the curriculums of the executive assistant undergraduate programs significantly while elaborating the contests nor have prepared questions directly related to the job description. We concluded that, in general, the contests covered by the research did not measured the knowledge required for the proper performance of these professionals, as well as they did not use instruments that allowed to assess their abilities and behaviors.

  9. The Ethical Appeals and Values of Public Assistance Advertisement%公益救助广告的伦理诉求及其价值

    Institute of Scientific and Technical Information of China (English)

    宫立明; 刘雨姝

    2012-01-01

    Public assistance ads aim at propagating humanitarian aid and ethical concern towards vulnerable groups in the public relief activities. Chinag public assistance ads focus on highlighting the public assistance to help the poor, to respect the old and care for the young, and the pursuit of fairness , justice and moral fights, playing a huge role in public aid development and the building of a harmonious society. Safeguarding the moral fights of vulnerable groups, guiding the public to the practice of moral obligation, achieving the unity of humanitarian aid and ethical concern, promoting the happiness and overall development of human being, promoting social harmony and progress have become its unique ethical values.%公益救助广告旨在宣传公益救助活动中对弱势群体应采取的人道救助与伦理关怀。我国公益救助广告集中凸现了扶贫济困、尊老爱幼、公平正义、道德权利等伦理诉求,在公益救助事业发展及和谐社会的建设中发挥着巨大的作用。维护弱势群体的道德权利、引导社会公众实践道德义务、实现人道救助与伦理关怀的统一、促进入的幸福和全面发展、推动社会和谐与进步已成为其独有的伦理价值。

  10. Self-reported use of Supplemental Nutrition Assistance Program benefits to purchase soda in a public health center population: Los Angeles County, California, 2012.

    Science.gov (United States)

    Barragan, Noel; Gase, Lauren; Butler, Rebecca; Smith, Lisa; Simon, Paul; Kuo, Tony

    2015-01-01

    To better inform local program planning for the Supplemental Nutrition Assistance Program (SNAP), the Los Angeles County Department of Public Health used self-reported data from a public health center population to examine the prevalence of benefits used to purchase soda. We performed statistical analyses, including multivariable regression modeling, using data from a local health and nutrition examination survey. The survey response rate was 69% (n=1,503). More than one-third of survey participants reported receiving, or living in a household where someone receives, nutrition assistance benefits. When asked, 33% (n=170) reported using these benefits to purchase soda "sometimes" and 18% (n=91) reported "often" or "always," suggesting that the use of program benefits to purchase soda was not uncommon in this subpopulation. These findings have meaningful policy and planning implications, as they contribute to ongoing dialogue about strategies for optimizing nutrition among SNAP recipients.

  11. Pupil Control Ideology and Behavior as Predictors of Environmental Robustness: Public and Private Schools Compared.

    Science.gov (United States)

    Lunenburg, Fred C.

    1991-01-01

    Questionnaires examined differences between public and private schools regarding teachers' pupil control ideology and behavior. Teachers and students completed three survey instruments. Only pupil control ideology differed significantly between public and private schools. Pupil control behavior was the best predictor of environmental robustness.…

  12. One Law with Two Outcomes: Comparing the Implementation of CIPA in Public Libraries and Schools

    Directory of Open Access Journals (Sweden)

    Paul T. Jaeger

    2009-03-01

    Full Text Available Though the Children’s Internet Protection Act (CIPA established requirements for both public libraries and public schools to adopt filters on all of their computers when they receive certain federal funding, it has not attracted a great amount of research into the effects on libraries and schools and the users of these social institutions. This paper explores the implications of CIPA in terms of its effects on public libraries and public schools, individually and in tandem. Drawing from both library and education research, the paper examines the legal background and basis of CIPA, the current state of Internet access and levels of filtering in public libraries and public schools, the perceived value of CIPA, the perceived consequences of CIPA, the differences in levels of implementation of CIPA in public libraries and public schools, and the reasons for those dramatic differences. After an analysis of these issues within the greater policy context, the paper suggests research questions to help provide more data about the challenges and questions revealed in this analysis.

  13. Comprehensive Sexuality Education: A Historical and Comparative Analysis of Public Opinion

    Science.gov (United States)

    Herrman, Judith W.; Solano, Paul; Stotz, Lauren; McDuffie, Mary Joan

    2013-01-01

    This research clarifies the public support of comprehensive sexuality education (CSE) in terms of acceptance, content, timing, and effectiveness as it may inform practice in the United States. The historical context of public opinion, as well as a summary of the efficacy of abstinence only education (AOE) versus CSE in the scientific literature,…

  14. Comparing Efficiency of Public Universities among European Countries: Different Incentives Lead to Different Performances

    Science.gov (United States)

    Agasisti, Tommaso; Haelermans, Carla

    2016-01-01

    This paper analyses the relationship between the public funding systems of higher education in Italy and the Netherlands and their universities' performances. Empirically, an efficiency analysis on 13 Dutch and 58 Italian public universities is conducted. The findings show that the relative efficiency of Italian and Dutch universities is strongly…

  15. Fate of abstracts presented at a National Turkish Orthopedics and Traumatology Congress: publication rates and consistency of abstracts compared with their subsequent full-text publications.

    Science.gov (United States)

    Yalçınkaya, Merter; Bagatur, Erdem

    2013-01-01

    The aim of this study was to evaluate the publication rates of full-text articles after presentation of abstracts at a Turkish National Orthopaedics and Traumatology Congress, determine the time lag from the congress date to publication of full-text articles and assess the consistency between abstracts and the subsequent publications. All abstracts from the scientific program of the 20th Turkish National Orthopaedics and Traumatology Congress (2007) were identified and computerized PubMed searches were conducted to determine whether an abstract had been followed by publication of a full-text article and key features were compared to evaluate their consistency. The time lag to publication and the impact factors of the journals where the articles were published were noted. Of the 770 abstracts (264 oral, 506 poster presentations), 227 (29.5%) were followed by a full-text and 116 (44%) of the 264 oral and 111 (22%) of the 506 poster presentations were published. The mean time to publication was 14.9±16.075 (range: 33 to 55) months. Thirty-three (14.5%) were published prior to the presentation at the congress. The likelihood of publication decreased after the third year (26 of 227, 11.5%). A total of 182 (80.2%) articles showed inconsistencies with the abstract; 74 (32.6%) minor, 14 (6.2%) major, and 94 (41.4%) minor and major inconsistencies. The mean impact factor of the journals was 1.152±0.858. The vast majority of abstracts presented at this congress were not followed by publication of a full-text article. Additionally, frequent inconsistencies between the final published article and the original abstract indicated the inadequacy of quality of reporting in abstracts.

  16. 77 FR 24215 - Section 8 Housing Assistance Payments Program-Fiscal Year (FY) 2012 Inflation Factors for Public...

    Science.gov (United States)

    2012-04-23

    ... URBAN DEVELOPMENT Section 8 Housing Assistance Payments Program--Fiscal Year (FY) 2012 Inflation Factors...'' to adjust FY 2012 renewal funding for the tenant-based rental assistance voucher program or housing choice voucher (HCV) program of each PHA. For FY 2011 and FY 2010, renewal funding was based on...

  17. Bystander Intervention Prior to The Arrival of Emergency Medical Services: Comparing Assistance across Types of Medical Emergencies.

    Science.gov (United States)

    Faul, Mark; Aikman, Shelley N; Sasser, Scott M

    2016-01-01

    To determine the situational circumstances associated with bystander interventions to render aid during a medical emergency. This study examined 16.2 million Emergency Medical Service (EMS) events contained within the National Emergency Medical Services Information System. The records of patients following a 9-1-1 call for emergency medical assistance were analyzed using logistic regression to determine what factors influenced bystander interventions. The dependent variable of the model was whether or not a bystander intervened. EMS providers recorded bystander assistance 11% of the time. The logistic regression model correctly predicted bystander intervention occurrence 71.4% of the time. Bystanders were more likely to intervene when the patient was male (aOR = 1.12, 95% CI = 1.12-1.3) and if the patient was older (progressive aOR = 1.10, 1.46 age group 20-29 through age group 60-99). Bystanders were less likely to intervene in rural areas compared to urban areas (aOR = 0.58, 95% CI = 0.58-0.59). The highest likelihood of bystander intervention occurred in a residential institution (aOR = 1.86, 95% CI = 1.85-1.86) and the lowest occurred on a street or a highway (aOR = 0.96, 95% CI = 0.95-0.96). Using death as a reference group, bystanders were most likely to intervene when the patient had cardiac distress/chest pain (aOR = 11.38, 95% CI = 10.93-11.86), followed by allergic reaction (aOR = 7.63, 95% CI = 7.30-7.99), smoke inhalation (aOR = 6.65, 95% CI = 5.98-7.39), and respiration arrest/distress (aOR = 6.43, 95% CI = 6.17-6.70). A traumatic injury was the most commonly recorded known event, and it was also associated with a relatively high level of bystander intervention (aOR = 5.81, 95% CI = 5.58-6.05). The type of injury/illness that prompted the lowest likelihood of bystander assistance was Sexual Assault/Rape (aOR = 1.57, 95% CI = 1.32-1.84) followed by behavioral/psychiatric disorder (aOR = 1.64, 95% CI = 1.57-1.71). Bystander intervention varies greatly on

  18. Approach to the research and the situation of Public Relations in Europe. Comparative study between German and Spanish cases

    Directory of Open Access Journals (Sweden)

    Dra. María Isabel Míguez González

    2007-01-01

    Full Text Available With the aim of bring near to the spanish academic field the european approaches of Public Relations, this article makes a compared revision of the situation of this subject and profession in Germany and Spain. This revision shows important resemblances on the use of the term “public relations”, the confusion of this subject with other communicative activities, the professional development and the problems of the field in both countries. However, it also shows that Germany has more tradition on public relations research than Spain and, therefore, it has a more extensive corpus of theories about this subject. For this reason, since important resemblances exist in other aspects, german research on public relations could be interesting for the spanish academic field both to explain the situation of public relations in Spain and to motivate theoretical development in our country.

  19. Passengers Preference and Satisfaction of Public Transport in Malaysia, Part II: A Comparative Analysis of Komuter and LRT Network

    Directory of Open Access Journals (Sweden)

    Rozmi Ismail

    2013-07-01

    Full Text Available This study presents a comparative analysis of passengers preference and satisfaction of two kinds of public transportation in Malaysia, namely, train commuter (KTM and Light Rail Transit (LRT. One of the important issues regarding public transport is the passenger satisfaction. The main objective of this research is to describe traveler’s satisfaction and preference towards public transport with service quality attributes. Parameters in passenger preference and satisfaction on public transportation network are facilities, comfortness and quality of services. A survey was conducted public transportation network in Kuala Lumpur, Malaysia through a self questionnaire. They were 312 respondents voluntarily participated in this study. Result showed that passenger’s preference and satisfaction in the LRT services are better than Komuter. The application of this study suggested Komuter service need to improve their quality of service to attract more passengers.

  20. Comparing the Math Anxiety of Secondary School Female Students in Groups (Science and Mathematical Physics) Public Schools

    Science.gov (United States)

    Vakili, Khatoon; Pourrazavy, Zinat alsadat

    2017-01-01

    The aim of this study is comparing math anxiety of secondary school female students in groups (Science and Mathematical Physics) Public Schools, district 2, city of Sari. The purpose of the research is applied research, it is a development branch, and in terms of the nature and method, it is a causal-comparative research. The statistical…

  1. Comparative repeatability of guide-pin axis positioning in computer-assisted and manual femoral head resurfacing arthroplasty.

    Science.gov (United States)

    Hodgson, A; Helmy, N; Masri, B A; Greidanus, N V; Inkpen, K B; Duncan, C P; Garbuz, D S; Anglin, C

    2007-10-01

    The orientation of the femoral component in hip resurfacing arthroplasty affects the likelihood of loosening and fracture. Computer-assisted surgery has been shown to improve significantly the surgeon's ability to achieve a desired position and orientation; nevertheless, both bias and variability in positioning remain and can potentially be improved. The authors recently developed a computer-assisted surgical (CAS) technique to guide the placement of the pin used in femoral head resurfacing arthroplasty and showed that it produced significantly less variation than a typical manual technique in varus/valgus placement relative to a preoperatively determined surgical plan while taking a comparable amount of time. In the present study, the repeatability of both the CAS and manual techniques is evaluated in order to estimate the relative contributions to overall variability of surgical technique (CAS versus manual), surgeon experience (novice versus experienced), and other sources of variability (e.g. across specimens and across surgeons). This will enable further improvements in the accuracy of CAS techniques. Three residents/fellows new to femoral head resurfacing and three experienced hip arthroplasty surgeons performed 20-30 repetitions of each of the CAS and manual techniques on at least one of four cadaveric femur specimens. The CAS system had markedly better repeatability (1.2 degrees) in varus/valgus placement relative to the manual technique (2.8 degrees), slightly worse repeatability in version (4.4 degrees versus 3.2 degrees), markedly better repeatability in mid-neck placement (0.7 mm versus 2.5 mm), no significant dependence on surgeon skill level (in contrast to the manual technique), and took significantly less time (50 s versus 123 s). Proposed improvements to the version measurement process showed potential for reducing the standard deviation by almost two thirds. This study supports the use of CAS for femoral head resurfacing as it is quicker than the

  2. [Comparative analysis of the non-profit, for-profit and public hospital providers: American experiences].

    Science.gov (United States)

    Mogyorósy, Zsolt

    2004-07-04

    The new legislation allowed hospitals and other health care facilities to be converted into for-profit status. The detailed regulatory framework is under development in Hungary. This article reviews the literature of studies comparing hospital financial performance and the quality of care before and after conversion from public or non-profit status to for-profit. Studies were identified through electronic search of Medline (Pubmed), EconLit, Cochrane Library, Economic Evaluation Database (EED), az Health Technology Assessment (HTA) databases, library files and reference lists. The literature search was extended to the Internet, World Bank, International Labor Office (ILO), Organization for Economic Cooperation and Development (OECD), and WHO websites as well as government, academic institutions and large insurance companies web pages for unpublished online information. Time series and before-after studies and systematic literature reviews were included. The conversion from non-profit to for-profit status improved the profitability of the hospitals. However the quality of care (measures in mortality, frequency of side effects, complications) might suffer in the first couple years of the conversion. The conversion may increase the total health care expenditures per capita. Trustful relationship between patients and physicians may also be threatened. The generalisability of the American experiences into the Hungarian single payer system may be limited. From societal point of view, for-profit providers could provide socially beneficial care in areas where it is possible to define, monitor and evaluate the nature and quality characteristics of the services, as well as market competition can be ensured. However most of the healthcare services are too complex to fall into this category.

  3. CORRELATION ANALYSIS BETWEEN THE PUBLIC DEBT AND THE BUDGET DEFICIT AND GDP IN ROMANIA COMPARED TO SWEDEN

    OpenAIRE

    2014-01-01

    The modality in which the state manages the public debt has always represented and will continue to represent a subject of real importance, and the discussions regarding the level of budget deficit, the indebtedness degree and its implications on the social wellness are representing a big actuality at national level as also at European Union level. In this paper is presented a comparative analysis between Romania and Sweden in what regards the dependence between public debt and budget deficit...

  4. Pressure ulcer knowledge of registered nurses, assistant nurses and student nurses: a descriptive, comparative multicentre study in Sweden.

    Science.gov (United States)

    Gunningberg, Lena; Mårtensson, Gunilla; Mamhidir, Anna-Greta; Florin, Jan; Muntlin Athlin, Åsa; Bååth, Carina

    2015-08-01

    The aim of this study was to describe and compare the knowledge of registered nurses (RNs), assistant nurses (ANs) and student nurses (SNs) about preventing pressure ulcers (PUs). PU prevention behaviours in the clinical practice of RNs and ANs were also explored. A descriptive, comparative multicentre study was performed. Hospital wards and universities from four Swedish county councils participated. In total, 415 participants (RN, AN and SN) completed the Pressure Ulcer Knowledge Assessment Tool. The mean knowledge score for the sample was 58·9%. The highest scores were found in the themes 'nutrition' (83·1%) and 'risk assessment' (75·7%). The lowest scores were found in the themes 'reduction in the amount of pressure and shear' (47·5%) and 'classification and observation' (55·5%). RNs and SNs had higher scores than ANs on 'aetiology and causes'. SNs had higher scores than RNs and ANs on 'nutrition'. It has been concluded that there is a knowledge deficit in PU prevention among nursing staff in Sweden. A major educational campaign needs to be undertaken both in hospital settings and in nursing education.

  5. Effect of obesity on laparoscopy-assisted distal gastrectomy compared with open distal gastrectomy for gastric cancer.

    Science.gov (United States)

    Makino, Hirochika; Kunisaki, Chikara; Izumisawa, Yusuke; Tokuhisa, Motohiko; Oshima, Takashi; Nagano, Yasuhiko; Fujii, Shoichi; Kimura, Jun; Takagawa, Ryo; Kosaka, Takashi; Ono, Hidetaka A; Akiyama, Hirotoshi; Endo, Itaru

    2010-08-01

    This study compared surgical outcomes between patients undergoing laparoscopy-assisted distal gastrectomy (LADG) and those undergoing open distal gastrectomy (ODG) from the viewpoint of obesity. Between June 2002 and May 2008, 146 patients with preoperatively diagnosed early gastric cancer who underwent LADG (n = 90) or ODG (n = 56) were enrolled in this study and compared in terms of clinicopathological findings and operative outcome. The visceral fat area (VFA) and subcutaneous fat area (SFA) were assessed as identifiers of obesity using FatScan software. The relationship between obesity and operative outcomes after LADG and ODG was evaluated. There were no significant correlations between intraoperative blood loss (IBL) and any obesity-related factors, or between operation time (OT) and any obesity-related factors in the LADG group. There was a significant correlation between IBL and BMI (r = 0.486, P = 0.0001), IBL and VFA (r = 0.456, P = 0.0003), IBL and SFA (r = 0.311, P = 0.0193), OT and BMI (r = 0.406, P = 0.0017), OT and VFA (r = 0.314, P = 0.0178), and between OT and SFA (r = 0.382, P = 0.0034) in the ODG group. LADG may be a useful operative manipulation that is not influenced by obesity, whereas ODG may be influenced by obesity even after reaching the surgical plateau. (c) 2010 Wiley-Liss, Inc.

  6. Endothelial cell loss and refractive predictability in femtosecond laser-assisted cataract surgery compared with conventional cataract surgery

    DEFF Research Database (Denmark)

    Krarup, Therese; Holm, Lars Morten; la Cour, Morten

    2014-01-01

    preoperatively, 1-3 days postoperatively and 3 months postoperatively. RESULTS: Three days postoperatively, mean ECL was 249 cells/mm(2) (SD ± 744) (9.1%) by FLACS and 235 cells/mm(2) (SD ± 681) (8.2%) by CPS (p = 0.87). Three months postoperatively, mean ECL was 274 cells/mm(2) (SD ± 358) (11.4%) by FLACS......PURPOSE: To investigate the amount of endothelial cell loss (ECL) and refractive predictability by femtosecond laser-assisted cataract surgery (FLACS) compared to conventional phacoemulsification cataract surgery (CPS). METHODS: Forty-seven patients had one eye operated by FLACS...... compared with 333 cells/mm(2) (SD ± 422) (13.9%) by CPS, (p = 0.30) 3 months postoperatively, hexagonality was decreased by 1.8% (SD ± 30) by FLACS and by 1.4% (SD ± 13) by CPS, (p = 0.84). The mean absolute difference from the attempted refraction was 0.37 dioptres (D) (SD ± 0.33) by FLACS and 0.41 D (SD...

  7. Comparative Analysis on the Public Treasury Management Accounting in Romania - Present and Future -

    OpenAIRE

    Maria MORARU; Denisa ABRUDAN

    2010-01-01

    This paper work is making a comparison between current accounting system and cash and accrual accounting system type of the Public Treasury highlighting the main disadvantages and advantages of the application of accrual accounting.

  8. A Comparative Analysis of the Greek and Romanian Public Finances: 2000-2008

    OpenAIRE

    2010-01-01

    In this paper we analyze the situation of the Public Finances for Greece and Romania for the 2000-2008 period, attempting to identify the fundamental factors that lead to the poor situation of the two countries in the current period. Currently, Greece and Romania are facing difficult financial situations, confronted with record levels of public debt and deficits, being forced to close urgent financial agreements with the European Commission and IMF to avoid financial collapse. In the study we...

  9. A Comparative Study on the Effectiveness of the Computer Assisted Method and the Interactionist Approach to Teaching Geometry Shapes to Young Children

    Science.gov (United States)

    Zaranis, Nicholas; Synodi, Evanthia

    2017-01-01

    The purpose of this study is to compare and evaluate the effectiveness of computer assisted teaching of geometry shapes and an interactionist approach to teaching geometry in kindergarten versus other more traditional teaching methods. Our research compares the improvement of the children's geometrical competence using two teaching approaches. The…

  10. A Comparative Study of Da Vinci Robot System with Video-assisted Thoracoscopy in the Surgical Treatment of Mediastinal Lesions

    Directory of Open Access Journals (Sweden)

    Renquan DING

    2014-07-01

    Full Text Available Background and objective In recent years, Da Vinci robot system applied in the treatment of intrathoracic surgery mediastinal diseases become more mature. The aim of this study is to summarize the clinical data about mediastinal lesions of General Hospital of Shenyang Military Region in the past 4 years, then to analyze the treatment effect and promising applications of da Vinci robot system in the surgical treatment of mediastinal lesions. Methods 203 cases of mediastinal lesions were collected from General Hospital of Shenyang Military Region between 2010 and 2013. These patients were divided into two groups da Vinci and video-assisted thoracoscopic surgery (VATS according to the selection of the treatments. The time in surgery, intraoperative blood loss, postoperative drainage amount within three days after surgery, the period of bearing drainage tubes, hospital stays and hospitalization expense were then compared. Results All patients were successfully operated, the postoperative recovery is good and there is no perioperative death. The different of the time in surgery between two groups is Robots group 82 (20-320 min and thoracoscopic group 89 (35-360 min (P>0.05. The intraoperative blood loss between two groups is robot group 10 (1-100 mL and thoracoscopic group 50 (3-1,500 mL. The postoperative drainage amount within three days after surgery between two groups is robot group 215 (0-2,220 mL and thoracoscopic group 350 (50-1,810 mL. The period of bearing drainage tubes after surgery between two groups is robot group 3 (0-10 d and thoracoscopic group: 5 (1-18 d. The difference of hospital stays between two groups is robot group 7 (2-15 d and thoracoscopic group 9 (2-50 d. The hospitalization expense between two groups is robot group (18,983.6±4,461.2 RMB and thoracoscopic group (9,351.9±2,076.3 RMB (All P<0.001. Conclusion The da Vinci robot system is safe and efficient in the treatment of mediastinal lesions compared with video-assisted

  11. Disinvestment policy and the public funding of assisted reproductive technologies: outcomes of deliberative engagements with three key stakeholder groups.

    Science.gov (United States)

    Hodgetts, Katherine; Hiller, Janet E; Street, Jackie M; Carter, Drew; Braunack-Mayer, Annette J; Watt, Amber M; Moss, John R; Elshaug, Adam G

    2014-05-05

    Measures to improve the quality and sustainability of healthcare practice and provision have become a policy concern. In addition, the involvement of stakeholders in health policy decision-making has been advocated, as complex questions arise around the structure of funding arrangements in a context of limited resources. Using a case study of assisted reproductive technologies (ART), deliberative engagements with a range of stakeholder groups were held on the topic of how best to structure the distribution of Australian public funding in this domain. Deliberative engagements were carried out with groups of ART consumers, clinicians and community members. The forums were informed by a systematic review of ART treatment safety and effectiveness (focusing, in particular, on maternal age and number of treatment cycles), as well as by international policy comparisons, and ethical and cost analyses. Forum discussions were transcribed and subject to thematic analysis. Each forum demonstrated stakeholders' capacity to understand concepts of choice under resource scarcity and disinvestment, and to countenance options for ART funding not always aligned with their interests. Deliberations in each engagement identified concerns around 'equity' and 'patient responsibility', culminating in a broad preference for (potential) ART subsidy restrictions to be based upon individual factors rather than maternal age or number of treatment cycles. Community participants were open to restrictions based upon measures of body mass index (BMI) and smoking status, while consumers and clinicians saw support to improve these factors as part of an ART treatment program, as distinct from a funding criterion. All groups advocated continued patient co-payments, with measures in place to provide treatment access to those unable to pay (namely, equity of access). Deliberations yielded qualitative, socially-negotiated evidence required to inform ethical, accountable policy decisions in the specific

  12. 42 CFR 21.42 - Examinations; junior assistant, assistant, or senior assistant grade.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Examinations; junior assistant, assistant, or senior assistant grade. 21.42 Section 21.42 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES PERSONNEL COMMISSIONED OFFICERS Appointment § 21.42 Examinations; junior assistant...

  13. Computer-assisted versus traditional freehand technique in fibular free flap mandibular reconstruction: a morphological comparative study.

    Science.gov (United States)

    De Maesschalck, Thibault; Courvoisier, Delphine S; Scolozzi, Paolo

    2017-01-01

    The purpose of the study was to compare the accuracy of computer-assisted surgery (CAS) and the traditional freehand technique for fibular free flap mandibular reconstruction as well as to evaluate the accuracy of the CAS planning. The medical records of 18 patients who underwent mandibular reconstruction with fibular free flap were reviewed. The CAS group (n = 7) benefited from virtual surgical planning and custom patient-specific plates and surgical cutting guides. The Control group (n = 11) was treated by conventional surgery. Morphometric comparison was done by calculating the differences in specific linear and angular parameters on pre- and postoperative CT-scans for both groups by using ProPlan CMF(®) software. Symmetry was also assessed by calculating the ratio of the affected versus the nonaffected side. In the CAS group, planned and postoperative CT-scans were compared to evaluate accuracy. The morphometric comparison showed no statistically significant differences between the groups except for the axial angle on the nonaffected side (mean difference 1.0° in the CAS group versus 2.9° in the Control group; p = 0.03). Ratios of the affected side over the nonaffected side showed no differences between the two groups. In the CAS group, the accuracy assessment showed a mean distance deviation of 2.3 mm for mandibular osteotomies and 1.9 mm for fibular osteotomies. Our results indicated that CAS and the conventional freehand techniques were comparable in their ability to provide a satisfactory morphological fibular free flap mandibular reconstruction. Moreover, the accuracy of the CAS technique was within the range reported in the literature.

  14. Assisted Living Facilities, Published in 2009, 1:600 (1in=50ft) scale, DCH, Division of Public Health.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, published at 1:600 (1in=50ft) scale, was produced all or in part from Other information as of 2009. Data by this publisher...

  15. A comparative study of congenital toxoplasmosis between public and private hospitals from Uberlândia, MG, Brazil

    Directory of Open Access Journals (Sweden)

    Segundo Gesmar Rodrigues Silva

    2004-01-01

    Full Text Available The main purpose of the present study was to examine if there is difference in terms of incidence rates of congenital toxoplasmosis among populations assisted in public and private hospitals from Uberlândia, state of Minas Gerais, Brazil. A total of 805 serum samples from cord blood were collected, being 500 from public hospital and 305 from private hospital, and all patients answered a questionnaire about pregnancy and newborns. An indirect enzyme linked immunosorbent assay (ELISA was performed to detect IgG antibodies to Toxoplasma gondii and the positive samples were retested to verify the presence of specific IgM and IgA antibodies in a capture ELISA. We found significant differences among data from both hospitals with respect to maternal age, origin city, gestational age, number of visits to physicians during pregnancy, type of delivery, and birth weight. Seroprevalence of IgG antibodies against T. gondii for patients from public and private hospitals was 57.6% and 41.9% respectively, and this difference was statistically significant (P < 0.0001. In addition, the frequency of congenital toxoplasmosis measured by the presence of IgM and/or IgA antibodies toward T. gondii was exclusively located in samples from public hospital (0.8%, and no positive sample was seen in private hospital (0%. Considering that almost all babies suffering from congenital toxoplasmosis, if undiagnosed and untreated, will develop visual or neurological impairments by adulthood, the results presented herein emphasized the importance to accomplish screening programs for toxoplasmosis during pregnancy, particularly in the public hospitals, due to the expressive rate of congenital disease showed in the patients attended at these centers.

  16. An empirical analysis of the public's attitudes toward advertising hospital services: a comparative cross-sectional study.

    Science.gov (United States)

    Moser, H Ronald; Freeman, Gordon L

    2014-01-01

    This study investigates current opinions about hospital advertising and compares them to the attitudes expressed 25 years ago. It replicates a survey done in 1985, using the same questionnaire and population to compare responses longitudinally. The study indicates some changes in the public's opinions of hospital advertising. Although the image of hospitals remains positive, most of the 2010 respondents' opinions were rather mixed regarding whether it is proper for hospitals to advertise. The study also confirmed that the quality of service and reputation of hospitals remain more important to the public than price.

  17. Robot-assisted laparoscopic versus open partial nephrectomy in patients with chronic kidney disease: A propensity score-matched comparative analysis of surgical outcomes.

    Science.gov (United States)

    Takagi, Toshio; Kondo, Tsunenori; Tachibana, Hidekazu; Iizuka, Junpei; Omae, Kenji; Kobayashi, Hirohito; Yoshida, Kazuhiko; Tanabe, Kazunari

    2017-07-01

    To compare surgical outcomes between robot-assisted laparoscopic partial nephrectomy and open partial nephrectomy in patients with chronic kidney disease. Of 550 patients who underwent partial nephrectomy between 2012 and 2015, 163 patients with T1-2 renal tumors who had an estimated glomerular filtration rate between 30 and 60 mL/min/1.73 m(2) , and underwent robot-assisted laparoscopic partial nephrectomy or open partial nephrectomy were retrospectively analyzed. To minimize selection bias between the two surgical methods, patient variables were adjusted by 1:1 propensity score matching. The present study included 75 patients undergoing robot-assisted laparoscopic partial nephrectomy and 88 undergoing open partial nephrectomy. After propensity score matching, 40 patients were included in each operative group. The mean preoperative estimated glomerular filtration rate was 49 mL/min/1.73 m(2) . The mean ischemia time was 21 min in robot-assisted laparoscopic partial nephrectomy (warm ischemia) and 35 min in open partial nephrectomy (cold ischemia). Preservation of the estimated glomerular filtration rate 3-6 months postoperatively was not significantly different between robot-assisted laparoscopic partial nephrectomy and open partial nephrectomy (92% vs 91%, P = 0.9348). Estimated blood loss was significantly lower in the robot-assisted laparoscopic partial nephrectomy group than in the open partial nephrectomy group (104 vs 185 mL, P = 0.0025). The postoperative length of hospital stay was shorter in the robot-assisted laparoscopic partial nephrectomy group than in the open partial nephrectomy group (P robot-assisted laparoscopic partial nephrectomy and open partial nephrectomy provide similar outcomes in terms of functional preservation and perioperative complications among patients with chronic kidney disease. However, a lower estimated blood loss and shorter postoperative length of hospital stay can be obtained with robot-assisted laparoscopic partial

  18. Education and training among Italian postgraduate medical schools in public health: a comparative analysis.

    Science.gov (United States)

    Garavelli, E; Marcantoni, C; Costantino, C; Tedesco, D; Burrai, V; Giraldi, G; D'Andrea, E

    2014-01-01

    The postgraduate medical Schools in Public Health (locally known as School of Hygiene and Preventive Medicine) should ensure adequate scientific and technical knowledge and professional skills in preventive medicine, health promotion and healthcare planning as provided by Ministerial Decree 285/2005. The Italian Committee of Medical Residents in Hygiene, Preventive Medicine and Public Health of the Italian Society of Hygiene, Public Health and Preventive Medicine - S.It.I. (Consulta Nazionale dei medici in formazione specialistica S.It.I.) has always been engaged in monitoring activities on public health teaching, guaranteeing the homogeneity of educational proposals among all national Schools in Public Health. The purpose of this study is to provide a 'snapshot' of public health education and training in Italy and to identify the improvement actions needed for implementing an innovative and homogeneous public health training. A cross-sectional study was carried out over a period of three months (March to May 2013). A self-administered questionnaire was e-mailed to local Committee's delegates of all 32 postgraduate medical Schools in Public Health in Italy. The questionnaire was structured in four sections: general information, University education and training, extra-University training, interdisciplinary activities. The majority of local Committee's delegates have agreed to be enrolled in the survey. A total of 28 questionnaires were returned (88% response rate). The number of residents in each Italian School in Public Health ranged from 7 to 31. The distribution of professors in relation to residents is not similar for each University Schools. The ratio professors/residents spanning from 0.2 to 2. About teaching, only 4 University Schools offered all courses requested by Ministerial Decree 285/2005. Most of them offered at least 75% of the requested courses, but there were Schools in which the courses were less than 50%. The vast majority of schools held more

  19. Comparing dental and pharmacy students′ perceptions on public health and preventive health care course

    Directory of Open Access Journals (Sweden)

    Aliye Mandiracioglu

    2012-01-01

    Full Text Available Objectives : A Public health course has an important role in the undergraduate education of pharmacy and dentistry in terms of emphasizing preventive care. The purpose of this study is to evaluate the views of pharmacy and dentistry students on a public health course and preventive health care. Methods: 173 students enrolled at Ege University, Faculties of Pharmacy and Dentistry completed a SWOT (Strengths, Weaknesses, Opportunities, and Threats analysis and replied to 18 Likert type question to determine their perceptions on a public health course and preventive health care. The comments of the students were reviewed and categorized into key themes. Results: SWOT analysis and the results of quantitative Likert type questions supported each other. According to the quantitative results, there was no significant difference between the scores of students from both schools in terms of their statements about the public health course and preventive care. Both groups of students mentioned the contribution of the public health course to their professions in the future. They also appreciated the importance of preventive care in the health services.

  20. Identifying public health policymakers' sources of information: comparing survey and network analyses.

    Science.gov (United States)

    Oliver, Kathryn A; de Vocht, Frank; Money, Annemarie; Everett, Martin

    2017-05-01

    Research suggests that policymakers often use personal contacts to find information and advice. However, the main sources of information for public health policymakers are not known. This study aims to describe policymakers' sources of information. A questionnaire survey of public health policymakers across Greater Manchester (GM) was carried out (response rate 48%). All policy actors above Director level involved in public health policy (finding, analyzing or producing information, producing or implementing policy) in GM were included in the sampling frame. Respondents were provided with a list of sources of information and asked which they used (categorical data) and to name specific individuals who acted as sources of information (network data). Data were analyzed using frequencies and network analysis. The most frequently chosen sources of information from the categorical data were NICE, government websites and Directors of Public Health. However, the network data showed that the main sources of information in the network were actually mid-level managers in the NHS, who had no direct expertise in public health. Academics and researchers did not feature in the network. Both survey and network analyses provide useful insights into how policymakers access information. Network analysis offers practical and theoretical contributions to the evidence-based policy debate. Identifying individuals who act as key users and producers of evidence allows academics to target actors likely to use and disseminate their work.

  1. Comparing Dental and Pharmacy Students’ Perceptions on Public Health and Preventive Health Care Course

    Science.gov (United States)

    Mandiracioglu, Aliye; Dogan, Fethi

    2012-01-01

    Objectives: A Public health course has an important role in the undergraduate education of pharmacy and dentistry in terms of emphasizing preventive care. The purpose of this study is to evaluate the views of pharmacy and dentistry students on a public health course and preventive health care. Methods: 173 students enrolled at Ege University, Faculties of Pharmacy and Dentistry completed a SWOT (Strengths, Weaknesses, Opportunities, and Threats) analysis and replied to 18 Likert type question to determine their perceptions on a public health course and preventive health care. The comments of the students were reviewed and categorized into key themes. Results: SWOT analysis and the results of quantitative Likert type questions supported each other. According to the quantitative results, there was no significant difference between the scores of students from both schools in terms of their statements about the public health course and preventive care. Both groups of students mentioned the contribution of the public health course to their professions in the future. They also appreciated the importance of preventive care in the health services. PMID:22347604

  2. Placing the public library – a comparative analysis of political perceptions

    DEFF Research Database (Denmark)

    Evjen, Sunniva

    2012-01-01

    This thesis explores politicians’ perceptions of the public library and public library development. While many call for a redefined vision for public libraries, eye-catching libraries are built in major cities around the world. What library visions are expressed through such projects? I attempt...... and document analysis of local and national policy documents. One important premise for this study has been to find cases where there are on-going developments; in the shape of main library construction. The findings show that politicians have extensive knowledge about the norms and values found...... with citizens’ democratic rights and the country’s democratic practice. Legitimizing the local projects is done using a slightly different argumentation: These are connected to city development and a desire to make visible the city’s knowledge and culture profile. The perceptions expressed through this study...

  3. A Comparative Study of Workplace Bullying Among Public and Private Employees in Europe.

    Science.gov (United States)

    Ariza-Montes, Antonio; Leal-Rodríguez, Antonio L; Leal-Millán, Antonio G

    2015-06-01

    Workplace bullying emerges from a set of individual, organizational, and contextual factors. The purpose of this article is hence to identify the influence of these factors among public and private employees. The study is carried out as a statistical-empirical cross-sectional study. The database used was obtained from the 5th European Working Conditions Survey 2010. The results reveal a common core with respect to the factors that determine workplace bullying. Despite this common base that integrates both models, the distinctive features of the harassed employee within the public sector deal with age, full-time work, the greater nighttime associated with certain public service professions, and a lower level of motivation. The present work summarizes a set of implications and proposes that, under normal conditions, workplace bullying could be reduced if job demands are limited and job resources are increased.

  4. Sovereign wealth funds – public investment vehicles, foreign policy element. Comparative evolution in the international context

    Directory of Open Access Journals (Sweden)

    Doina Drăniceanu

    2014-09-01

    Full Text Available Sovereign funds are an important actor occurring on international financial markets in the last decade, being, in fact, state controlled international investments. Generally, they are financed from foreign currency reserves of the emergent countries they are constituted in, being managed apart of the official reserves and used for external expansion; they are likely to be detrimental to certain strategic interests. As public financial vehicles, they own, endorse or manage public funds of some emergent countries, freely invested by them in a great number of assets, being seen as a foreign policy element.

  5. 浙江省公立医院慈善医疗救助现状与政策建议%Current Situation and Countermeasures of Charitable Medical Assistance in Public Hospitals in Zhejiang Province

    Institute of Scientific and Technical Information of China (English)

    郭美亮; 厉芬芬; 郑思思; 梁雲洁; 陈浩; 曾春燕

    2016-01-01

    In the context that medical and health system reform is furthering, the voice that hospitals should return to public welfare nature and embody medical humanism is growing. The investment of public hospital in charity work is also increasing. To learn the current situation of charitable medical assistance work in some public hospitals in Zhejiang and promote it to a better development, the research group has investigated Health and Family Planning Commission of Zhejiang Province and more than ten large public hospitals in Hangzhou, Wenzhou, Taizhou and some other cities. On the basis of a number of interviews records and fully understanding of the process, funding sources and rescue objects of the current public hospital charity medical assistance, main problems of current charitable medical assistance system were discussed and analyzed. Existing difficulties in the process of public hospital charitable medical assistance were summarized, such as there are many chores in assistance work and the assistance coverage is small. Several targeted suggestions were put forward from the perspective of government and public hospitals including strengthening policy guidance, refining laws and regulations, establishing a charity department and improving the management system of charity fund.

  6. Influence of public alcohol and tobacco use on general practitioners' advice: an international comparative study.

    NARCIS (Netherlands)

    Pas, L.; Boerma, W.; Spreeuwenberg, P.; Saunders, J.B.; Zee, J. van der

    2002-01-01

    Background: Efficacy of advice for substance use is proven in general practice. Studies show high variability of perfomance. Especially intercountry variability has rarely been taken into account. Aim: To study the influence of public tobacco and alcohol use and health service characteristics on the

  7. Comparing Perceptions of Campus Crime Severity among Community College and Public Four-Year University Students

    Science.gov (United States)

    Lundstrom, Loren M.

    2010-01-01

    In recent years violent crimes on several university campuses have been highlighted by mass media, drawing national attention to the issue of campus crime. Not all college campuses, however, experience the same level of crime. While community colleges serve roughly half of all undergraduates in the U.S., statistically these public institutions…

  8. Impact of Accreditation on Public and Private Universities: A Comparative Study

    Science.gov (United States)

    Dattey, Kwame; Westerheijden, Don F.; Hofman, Wiecher H. Adriaan

    2014-01-01

    Based on two cycles of assessments for accreditation, this study assesses the differential impacts of accreditation on public and private universities in Ghana. Analysis of the evaluator reports indicates no statistically significant difference--improvement or deterioration--between the two cycles of evaluations for both types of institutions. A…

  9. Comparative Research: An Approach to Teaching Research Methods in Political Science and Public Administration

    Science.gov (United States)

    Engbers, Trent A

    2016-01-01

    The teaching of research methods has been at the core of public administration education for almost 30 years. But since 1990, this journal has published only two articles on the teaching of research methods. Given the increasing emphasis on data driven decision-making, greater insight is needed into the best practices for teaching public…

  10. Organisational Culture: An Exploratory Study Comparing Faculties' Perspectives within Public and Private Universities in Malaysia

    Science.gov (United States)

    Ramachandran, Sharimllah Devi; Chong, Siong Choy; Ismail, Hishamuddin

    2011-01-01

    Purpose: The main objective of this paper to study the organisational culture (OC) in private and public higher education institutions (HEIs) from the perspective of faculty members in order to provide empirical insights on the differences and consequently pave an avenue for cross-learning. Design/methodology/approach: Data were collected from 594…

  11. Evaluation of Large-Scale Public-Sector Reforms: A Comparative Analysis

    Science.gov (United States)

    Breidahl, Karen N.; Gjelstrup, Gunnar; Hansen, Hanne Foss; Hansen, Morten Balle

    2017-01-01

    Research on the evaluation of large-scale public-sector reforms is rare. This article sets out to fill that gap in the evaluation literature and argues that it is of vital importance since the impact of such reforms is considerable and they change the context in which evaluations of other and more delimited policy areas take place. In our…

  12. A Comparative Assessment of Public Opinion toward Immigrants and Immigration Policies.

    Science.gov (United States)

    Simon, Rita J.; Lynch, James P.

    1999-01-01

    Studied public attitudes toward immigration in seven countries (Australia, Canada, France, Germany, Great Britain, Japan, and the United States) for 1970 through 1995 as part of a larger, ongoing study. Countries with major differences in statutes, policies, and practices related to immigration nevertheless share many attitudes and beliefs about…

  13. Comparing the Financial Literacy of Public School, Christian School, and Homeschooled Students

    Science.gov (United States)

    Wright, Tricia

    2016-01-01

    The 2008 recession underscored public concern that financial illiteracy has costs that are not limited to the individual who makes poor financial decisions. Considering that college students with limited financial experience are making legally binding decisions, this study explored the personal finance literacy and behavior of Christian college…

  14. Using copyright to promote access to public sector information: a comparative survey

    NARCIS (Netherlands)

    Jasserand, C.; Hugenholtz, P.B.

    2012-01-01

    This study, which is part of a three-part report on Using Copyright to Enhance Access to Information and Creative Content, examines the role that copyright plays in facilitating access to and reuse of public sector information. It briefly describes the laws, national policies and government practice

  15. Online Disclosure of University Social Responsibility: A Comparative Study of Public and Private US Universities

    Science.gov (United States)

    Garde Sánchez, Raquel; Rodríguez Bolívar, Manuel Pedro; López-Hernández, Antonio M.

    2013-01-01

    Public and private universities tasked with incorporating principles of social responsibility (SR) into their activities face the multiple challenges of addressing expectations of diverse stakeholders, establishing mechanisms for dialogue, and achieving greater information transparency. This article has two goals: first, to analyze whether SR has…

  16. Comparative Analysis of Public and Private Educational Institutions: A Case Study of District Vehari-Pakistan

    Science.gov (United States)

    Awan, Abdul Ghafoor; Zia, Asma

    2015-01-01

    Education is necessary for the personality grooming of individual. There are different types of institutions available like private and public institutions, technical institutions, and madrasas (religious institutions). These institutes are having the triangle of three main pillars; consisted of Teachers, Students, and Curriculum. There are two…

  17. Comparative Research: An Approach to Teaching Research Methods in Political Science and Public Administration

    Science.gov (United States)

    Engbers, Trent A

    2016-01-01

    The teaching of research methods has been at the core of public administration education for almost 30 years. But since 1990, this journal has published only two articles on the teaching of research methods. Given the increasing emphasis on data driven decision-making, greater insight is needed into the best practices for teaching public…

  18. Organisational Culture: An Exploratory Study Comparing Faculties' Perspectives within Public and Private Universities in Malaysia

    Science.gov (United States)

    Ramachandran, Sharimllah Devi; Chong, Siong Choy; Ismail, Hishamuddin

    2011-01-01

    Purpose: The main objective of this paper to study the organisational culture (OC) in private and public higher education institutions (HEIs) from the perspective of faculty members in order to provide empirical insights on the differences and consequently pave an avenue for cross-learning. Design/methodology/approach: Data were collected from 594…

  19. Illiberal or Simply Unorthodox? Public Administration Education in Hungary: A Comparative Perspective

    Science.gov (United States)

    Hajnal, Gyorgy

    2016-01-01

    Over the past decades, Public Administration (PA) education programmes in Europe shifted their focus from a predominantly law-oriented approach to a more multidisciplinary, social science and managerial one. This paper deals with the tenacity of traditional, law-oriented PA education programmes that can be found in a limited, but not…

  20. Is There Evidence of Cream Skimming among Nursing Homes following the Publication of the Nursing Home Compare Report Card?

    Science.gov (United States)

    Mukamel, Dana B.; Ladd, Heather; Weimer, David L.; Spector, William D.; Zinn, Jacqueline S.

    2009-01-01

    Purpose: A national quality report card for nursing homes, Nursing Home Compare, has been published since 2002. It has been shown to have some, albeit limited, positive impact on quality of care. The objective of this study was to test empirically the hypothesis that nursing homes have responded to the publication of the report by adopting cream…

  1. A Comparative Assessment of Computer Literacy of Private and Public Secondary School Students in Lagos State, Nigeria

    Science.gov (United States)

    Osunwusi, Adeyinka Olumuyiwa; Abifarin, Michael Segun

    2013-01-01

    The aim of this study was to conduct a comparative assessment of computer literacy of private and public secondary school students. Although the definition of computer literacy varies widely, this study treated computer literacy in terms of access to, and use of, computers and the internet, basic knowledge and skills required to use computers and…

  2. Costs of Public Pharmaceutical Services in Rio de Janeiro Compared to Farmácia Popular Program.

    Science.gov (United States)

    Silva, Rondineli Mendes da; Caetano, Rosângela

    2016-12-22

    To analyze the costs of public pharmaceutical services compared to Farmácia Popular Program (Popular Pharmacy Program). Comparison between prices paid by Aqui Tem Farmácia Popular Program (Farmácia Popular is available here) with the full costs of medicine provision by the Municipal Health Department of Rio de Janeiro. The comparison comprised 25 medicines supplied by both the municipal pharmaceutical service and Aqui Tem Farmácia Popular Program. Calculating the cost per pharmaceutical unit of each medicine included expenditure by Municipal Health Department of Rio de Janeiro with procurement (price), logistics, and local dispensation. The reference price of medicines paid by Aqui Tem Farmácia Popular was taken from the Brazilian Ministry of Health standard in force in 2012. Comparisons included full reference price; reference price minus 10.0% copayment by users; and maximum reference paid by the Ministry of Health (minus copayment and taxes). Simulations were carried out of the differences between the costs of Municipal Health Department of Rio de Janeiro with the common medicines and those potentially incurred based on the reference price of Aqui Tem Farmácia Popular. The Municipal Health Department of Rio de Janeiro spent R$28,526,526.57 with 25 medicines of the common list in 2012; 58.7% accounted for direct procurement costs. The estimated costs of the Health Department were generally lower than the reference prices of the Aqui Tem Farmácia Popular Program for 20 medicines, regardless of reference prices. The potential costs incurred by Health Department if expenditure of its consumption pattern were based on the reference prices of Aqui Tem Farmácia Popular would be R$124,170,777.76, considering the best scenario of payment by the Brazilian Ministry of Health (90.0% of the reference price, minus taxes). The difference in costs between public provision by Municipal Health Department of Rio de Janeiro and Farmácia Popular Program indicates that some

  3. Relational differences in interpersonal communication during third sector and public sector work: a comparative study

    DEFF Research Database (Denmark)

    Frederiksen, Dennis Jim

    ). There are however aspects of communication which cannot be explained as a direct result of contextual conditions, but rather primarily exist on an interpersonal level, and could contribute with new insights into volunteer work (M. Koschmann, 2010). The aim is to develop what Koschmann calls “uniquely communicative...... they are not interested in (Scheibel, 2014). The debate seems to boil down to a concern, that people doing volunteer work in the third sector, would loose their motivation to volunteer, if their work was like working in the public sector. As a contribution to this debate, this paper will examine the role interpersonal...... organisational communication can play in understanding how working in the third sector can differ from working in the public sector. This is based on Ryan & Deci who argue that the way people relate to other people and consequently communicate with them, plays a key role in their motivation for conducting...

  4. Gezi Movement and the Networked Public Sphere: A Comparative Analysis in Global Context

    OpenAIRE

    Pantelis Vatikiotis; Zafer F. Yörük

    2016-01-01

    The article draws on Gezi protests that took place in Turkey during the summer of 2013, inquiring the extent to which they were part of a global cycle of contention that has shocked the world the last 5 years. In this regard, concepts and constructs of social movement, new media, networking, and public sphere provide analytical tools to probe into the area. Issues that are addressed and critically discussed include the evaluation of the contemporary protest movements in terms of the global di...

  5. Comparative analysis of conflict dynamics within private and public sector organizations / Werner Havenga

    OpenAIRE

    Havenga, Werner

    2004-01-01

    In South Africa, private and public sector organizations have been experiencing conflict at an increasing rate during the past few decades and especially the last ten years. The prominence and high level with which conflict is regarded in this new democracy has made the study of this phenomenon more relevant. Especially within business organizations, between individuals, groups, and at management level, the influence of transformation and affirmative action has steadily affe...

  6. Exploring the publications in three major orthodontic journals: a comparative analysis of two 5-year periods.

    Science.gov (United States)

    Baumgartner, Stefan; Pandis, Nikolaos; Eliades, Theodore

    2014-05-01

    To analyze the types of articles and authorship characteristics of three orthodontic journals--American Journal of Orthodontics and Dentofacial Orthopedics (AJODO), The Angle Orthodontist (AO), and European Journal of Orthodontics (EJO)--published between 2008 and 2012 and to assess the differences in content within this period and an earlier period of 1998 to 2002. Each journal's content was accessed through the web edition. From each article, the following parameters were recorded: article type, number of authors, number of affiliations, source of article (referring to the first author's affiliation), and geographic origin. Descriptive statistics were performed and selected parameters were analyzed with the Pearson chi-square or Fisher exact test for independence at the .05 level of significance. Review of differences between the two periods showed that the number of publications was almost double. The percentages of multi-authored articles increased. Fewer studies derived from the United States/Canada and European Union countries. Increases for articles from non-European Union countries, Asia, and other countries were found. Characteristics of the second period showed that the EJO and AO published more research articles, whereas the AJODO regularly published case reports and other articles. Approximately 75% of all studies derived from orthodontic departments. The publications from 1998-2002 and 2008-2012 were significantly different both in terms of numbers and characteristics. Within 2008-2012 there were notable differences between the three journals concerning the type and origin of the publications.

  7. Comparative Study on Presentation of Statement of Financial Position in the Public Sector

    Directory of Open Access Journals (Sweden)

    Carmen Crețu

    2011-06-01

    Full Text Available Although it is more than a decade since the elaboration of the first public accountingstandards, countries are still reluctant to adopt them, preferring rather an adaptation of nationallegislation with the provisions IPSASs. Concerns about the necessity and usefulness of the applicationof International Public Sector Accounting Standards are due to economic influences, cultural, social,which made their mark on philosophy, doctrine and national accounting policies. Although financialstatements may appear similar from country to country, there are differences that can be caused by avariety of social, economic and legal factors, and that some countries when setting the nationalrequirements have considered the needs of different users of financial statements. These factors haveled to the use of different definitions of the structures of financial statements, such as assets,liabilities, equity, revenues and expenses. Scope and disclosures in the financial statements were alsoaffected. Therefore, this paper intends to emphasize similarities, but especially the differencesbetween the two frames of reference - national norms to international standards - regarding Statementof financial position on a public institution.

  8. Comparative analysis of public's perception of economic feasibility and reality for selected energy sources in Korea

    Energy Technology Data Exchange (ETDEWEB)

    Roh, Seungkook; Jeong, Ik; Lee, Kibog [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of); Kim, Dongwook [KAIST, Daejeon (Korea, Republic of); Kim, Hyunjin [Korea Nuclear Energy Agency, Seoul (Korea, Republic of)

    2016-10-15

    Controversy on nuclear energy has persisted ever since, but nuclear energy has maintained around 30% of electricity generation in Korea. This is because Korean wants to secure energy security and diversity of energy sources, but the most rational driver behind nuclear energy is the economic feasibility. Looking at the actual prices of electricity traded in the Korean Power Exchange, the price of electricity generated by nuclear energy is 39.1 Korean won per kWh, which is lower than that of other sources: 58.9 (bituminous coal), 221.8 (oil), 158.6 (gas), 170.9 (hydropower), 162.8 (wind) and 463.1 (photovoltaic). However only experts, regulators and people from electricity generation industry are aware of this fact and the public does not seem to be perceiving this correctly. This research, therefore, will compare the economic feasibility of energy sources and how it is perceived by the public in general. This research was able to identify the large gap between public's perception on and reality of economic feasibility of energy sources. There are two possible reasons for the gap. Firstly, the electricity price paid by the public is agnostic of energy sources. Therefore, it is difficult for the public to be aware that the electricity from nuclear energy is benefiting them and hence the public would be indifferent to the real economic feasibility. Secondly, public's awareness of nuclear reactor decommissioning and spent fuel processing along with easier access to relevant information the media would have played a role. In fact, number of press and media has questioned the economic feasibility of nuclear energy. However, the price of electricity generated by nuclear energy includes costs for future activities such as decommissioning, radioactive waste disposal and spent fuel disposal. The public seems to be not aware of such fact and therefore favoring the media. Such analysis leads to two major policy implications. Most importantly, the government should

  9. Personal Publications Lists Serve as a Reliable Calibration Parameter to Compare Coverage in Academic Citation Databases with Scientific Social Media

    Directory of Open Access Journals (Sweden)

    Emma Hughes

    2017-03-01

    Full Text Available A Review of: Hilbert, F., Barth, J., Gremm, J., Gros, D., Haiter, J., Henkel, M., Reinhardt, W., & Stock, W.G. (2015. Coverage of academic citation databases compared with coverage of scientific social media: personal publication lists as calibration parameters. Online Information Review 39(2: 255-264. http://dx.doi.org/10.1108/OIR-07-2014-0159 Objective – The purpose of this study was to explore coverage rates of information science publications in academic citation databases and scientific social media using a new method of personal publication lists as a calibration parameter. The research questions were: How many publications are covered in different databases, which has the best coverage, and what institutions are represented and how does the language of the publication play a role? Design – Bibliometric analysis. Setting – Academic citation databases (Web of Science, Scopus, Google Scholar and scientific social media (Mendeley, CiteULike, Bibsonomy. Subjects – 1,017 library and information science publications produced by 76 information scientists at 5 German-speaking universities in Germany and Austria. Methods – Only documents which were published between 1 January 2003 and 31 December 2012 were included. In that time the 76 information scientists had produced 1,017 documents. The information scientists confirmed that their publication lists were complete and these served as the calibration parameter for the study. The citations from the publication lists were searched in three academic databases: Google Scholar, Web of Science (WoS, and Scopus; as well as three social media citation sites: Mendeley, CiteULike, and BibSonomy and the results were compared. The publications were searched for by author name and words from the title. Main results – None of the databases investigated had 100% coverage. In the academic databases, Google Scholar had the highest amount of coverage with an average of 63%, Scopus an average of 31%, and

  10. The Acceptability of In-vehicle Intelligent Speed Assistance (ISA) Systems: from Trial Support to Public Support

    NARCIS (Netherlands)

    Vlassenroot, S.H.M.

    2011-01-01

    Speed management is a set of measures to limit negative effects of speed in a transport system. One of the solutions to solve speeding is making the road transport system more intelligent by implementing intelligent speed assistance (ISA). This thesis provides more insight in the factors that can de

  11. Efficient Vocational Skills Training for People with Cognitive Disabilities: An Exploratory Study Comparing Computer-Assisted Instruction to One-on-One Tutoring

    Science.gov (United States)

    Larson, James R., Jr.; Juszczak, Andrew; Engel, Kathryn

    2016-01-01

    Background: This study compared the effectiveness of computer-assisted instruction to that of one-on-one tutoring for teaching people with mild and moderate cognitive disabilities when both training methods are designed to take account of the specific mental deficits most commonly found in cognitive disability populations. Method: Fifteen…

  12. Comparing Teacher-Directed and Computer-Assisted Constant Time Delay for Teaching Functional Sight Words to Students with Moderate Intellectual Disability

    Science.gov (United States)

    Coleman, Mari Beth; Hurley, Kevin J.; Cihak, David F.

    2012-01-01

    The purpose of this study was to compare the effectiveness and efficiency of teacher-directed and computer-assisted constant time delay strategies for teaching three students with moderate intellectual disability to read functional sight words. Target words were those found in recipes and were taught via teacher-delivered constant time delay or…

  13. A comparative study of erectile function and use of erectile aids in high-risk prostate cancer patients after robot-assisted laparoscopic prostatectomy

    DEFF Research Database (Denmark)

    Østby-Deglum, Marie; Brennhovd, B.; Axcrona, K.

    2015-01-01

    Objective. Erectile function with and without use of erectile aids was compared in high-, intermediate- and low-risk prostate cancer patients at a mean of 3 years after robot-assisted laparoscopic prostatectomy (RALP). Materials and methods. A sample of 982 men who underwent RALP at Oslo University...

  14. A Comparative Study to Evaluate the Effectiveness of Computer Assisted Instruction (CAI) versus Class Room Lecture (RL) for Computer Science at ICS Level

    Science.gov (United States)

    Kausar, Tayyaba; Choudhry, Bushra Naoreen; Gujjar, Aijaz Ahmed

    2008-01-01

    This study was aimed to evaluate the effectiveness of CAI vs. classroom lecture for computer science at ICS level. The objectives were to compare the learning effects of two groups with class room lecture and computer assisted instruction studying the same curriculum and the effects of CAI and CRL in terms of cognitive development. Hypothesis of…

  15. A cognitive approach to social assistance instruments: how public assistance recipients represent and interpret the anti-poverty progra m Familias en Acción

    Directory of Open Access Journals (Sweden)

    Valeria Ayola Betancourt

    2016-06-01

    Full Text Available This article considers the contribution of the cognitive framework of public policy and the instrument approach to understanding poverty regulation in Colombia through its instruments. We analyze the relationship between the ideological frame of the Familias en Acción program and the recipient’s construction of representations, meanings and interpretations about it. It describes the manner in which the beneficiaries are interpreting the State intervention, but it also describes some social effects arising from the implementation of the programs, taking into account the local scope. For this we use qualitative research techniques and stand out the semi-structured interview as method. Our fieldwork, is based on a comparison between Cartagena city and the San Jacinto’s rural zone.

  16. Comparative analysis of speed's impact on muscle demands during partial body weight support motor-assisted elliptical training.

    Science.gov (United States)

    Burnfield, Judith M; Irons, Sonya L; Buster, Thad W; Taylor, Adam P; Hildner, Gretchen A; Shu, Yu

    2014-01-01

    Individuals with walking limitations often experience challenges engaging in functionally relevant exercise. An adapted elliptical trainer (motor to assist pedal movement, integrated body weight harness, ramps/stairs, and grab rails) has been developed to help individuals with physical disabilities and chronic conditions regain/retain walking capacity and fitness. However, limited published studies are available to guide therapeutic interventions. This repeated measures study examined the influence of motor-assisted elliptical training speed on lower extremity muscle demands at four body weight support (BWS) levels commonly used therapeutically for walking. Electromyography (EMG) and pedal trajectory data were recorded as ten individuals without known disability used the motor-assisted elliptical trainer at three speeds [20,40, 60 revolutions per minute (RPM)] during each BWS level (0%, 20%, 40%, 60%). Overall, the EMG activity (peak, mean, duration) in key stabilizer muscles (i.e., gluteus medius, gluteus maximus, vastus lateralis, medial gastrocnemius and soleus) recorded at 60 RPM exceeded those at 40 RPM, which were higher than values at 20 RPM in all but three situations (gluteus medius mean at 0% BWS, vastus lateralis mean at 20% BWS, soleus duration at 40% BWS); however, these differences did not always achieve statistical significance. Slower motor-assisted speeds can be used to accommodate weakness of gluteus medius, gluteus maximus, vastus lateralis, medial gastrocnemius and soleus. As strength improves, training at faster motor-assisted speeds may provide a means to progressively challenge key lower extremity stabilizers. Copyright © 2013 Elsevier B.V. All rights reserved.

  17. Free Access to Public Information: Enforcement, Appeals and Judicial Review. A Comparative Perspective from Cee Countries

    Directory of Open Access Journals (Sweden)

    Bianca V. COBÂRZAN

    2008-10-01

    Full Text Available FOIAs were adopted in Central and EasternEurope rather late after the regime changes. Afteradopting the laws, however, there are still manypowerful forces that are working against extensiveaccess to information – they can be static - opaqueadministrative practices, general inaptitudeor the lack of sufficient human and materialresources – or active – agents that resist opennessdue to private interests, or agents that useinstitutional scenarios to prevent public scrutinyover corruption and incompetence. The paperapproaches the jurisdictions from Hungary, Poland,Czech Republic and Romania, emphasizing thetopic of enforcement mechanisms provided by theFOIAs. It is a follow up of an article published twoyears ago in the same journal.

  18. Gezi Movement and the Networked Public Sphere: A Comparative Analysis in Global Context

    Directory of Open Access Journals (Sweden)

    Pantelis Vatikiotis

    2016-08-01

    Full Text Available The article draws on Gezi protests that took place in Turkey during the summer of 2013, inquiring the extent to which they were part of a global cycle of contention that has shocked the world the last 5 years. In this regard, concepts and constructs of social movement, new media, networking, and public sphere provide analytical tools to probe into the area. Issues that are addressed and critically discussed include the evaluation of the contemporary protest movements in terms of the global diffusion of neoliberal capitalism, the intersection of social media and collective action, and the critical reflection on the interplay between physical and mediated facets of action.

  19. Do Digital Public Services Matter? A Comparative Study of the Czech Republic and the Republic of Kazakhstan

    Directory of Open Access Journals (Sweden)

    M. Ulman

    2016-06-01

    Full Text Available Provision of quality public services has been in great concern of many governments for longer period of time. An interesting fact could be observed that, as to the demand and supply of digital public services, some developed European countries could lag behind some upper-middle-income countries. The paper explores differences in digital public services provision (supply side and use (demand side between the Czech Republic and Kazakhstan. A document analysis was done and a comparative study based on secondary data was elaborated. We can confirm that even a country from outside of the EU (Kazakhstan can provide a better organized supply of digital services than an EU member state (Czech Republic at least on the national level. According to the Digital Economy and Society Index (DESI benchmarking, there are also significant discrepancies among national, regional and local services in the EU. The same phenomenon is also reported from transitional countries like Kazakhstan.

  20. CORRELATION ANALYSIS BETWEEN THE PUBLIC DEBT AND THE BUDGET DEFICIT AND GDP IN ROMANIA COMPARED TO HOLLAND

    Directory of Open Access Journals (Sweden)

    ANA-PETRINA PĂUN

    2015-10-01

    Full Text Available The modality in which the state manages the public debt has always represented and will continue to represent a subject of real importance, and the discussions regarding the level of budget deficit, the indebtedness degree and its implications on the social wellness are representing an major actuality at national level and also at European Union level. In this paper it is presented a comparative analysis between Romania and Holland in what regards the dependence between public debt and budget deficit and its GDP, as also the real public debt’s variation in time series for Romania and Holland, in tandem with the variation in time of ARX model, highlighting the residuum.

  1. CORRELATION ANALYSIS BETWEEN THE PUBLIC DEBT AND THE BUDGET DEFICIT AND GDP IN ROMANIA COMPARED TO SWEDEN

    Directory of Open Access Journals (Sweden)

    ANA-PETRINA PĂUN

    2014-12-01

    Full Text Available The modality in which the state manages the public debt has always represented and will continue to represent a subject of real importance, and the discussions regarding the level of budget deficit, the indebtedness degree and its implications on the social wellness are representing a big actuality at national level as also at European Union level. In this paper is presented a comparative analysis between Romania and Sweden in what regards the dependence between public debt and budget deficit and its GDP, as also the real public debt’s variation in time series for Romania and Sweden, in tandem with the variation in time of ARX model, highlighting the residuum.

  2. 24 CFR Appendix to Part 971 - Methodology of Comparing Cost of Public Housing With Cost of Tenant-Based Assistance

    Science.gov (United States)

    2010-04-01

    ... occupied unit basis. The costs shall be expressed in current dollar terms for the period for which the most... the current per-unit operating cost of the development, then the plan should detail how the... operating costs are lower than current operating costs, the current per-unit operating costs of...

  3. Comparative performance of private and public healthcare systems in low- and middle-income countries: a systematic review.

    Directory of Open Access Journals (Sweden)

    Sanjay Basu

    Full Text Available INTRODUCTION: Private sector healthcare delivery in low- and middle-income countries is sometimes argued to be more efficient, accountable, and sustainable than public sector delivery. Conversely, the public sector is often regarded as providing more equitable and evidence-based care. We performed a systematic review of research studies investigating the performance of private and public sector delivery in low- and middle-income countries. METHODS AND FINDINGS: Peer-reviewed studies including case studies, meta-analyses, reviews, and case-control analyses, as well as reports published by non-governmental organizations and international agencies, were systematically collected through large database searches, filtered through methodological inclusion criteria, and organized into six World Health Organization health system themes: accessibility and responsiveness; quality; outcomes; accountability, transparency, and regulation; fairness and equity; and efficiency. Of 1,178 potentially relevant unique citations, data were obtained from 102 articles describing studies conducted in low- and middle-income countries. Comparative cohort and cross-sectional studies suggested that providers in the private sector more frequently violated medical standards of practice and had poorer patient outcomes, but had greater reported timeliness and hospitality to patients. Reported efficiency tended to be lower in the private than in the public sector, resulting in part from perverse incentives for unnecessary testing and treatment. Public sector services experienced more limited availability of equipment, medications, and trained healthcare workers. When the definition of "private sector" included unlicensed and uncertified providers such as drug shop owners, most patients appeared to access care in the private sector; however, when unlicensed healthcare providers were excluded from the analysis, the majority of people accessed public sector care. "Competitive

  4. Comparative performance of private and public healthcare systems in low- and middle-income countries: a systematic review.

    Science.gov (United States)

    Basu, Sanjay; Andrews, Jason; Kishore, Sandeep; Panjabi, Rajesh; Stuckler, David

    2012-01-01

    Private sector healthcare delivery in low- and middle-income countries is sometimes argued to be more efficient, accountable, and sustainable than public sector delivery. Conversely, the public sector is often regarded as providing more equitable and evidence-based care. We performed a systematic review of research studies investigating the performance of private and public sector delivery in low- and middle-income countries. Peer-reviewed studies including case studies, meta-analyses, reviews, and case-control analyses, as well as reports published by non-governmental organizations and international agencies, were systematically collected through large database searches, filtered through methodological inclusion criteria, and organized into six World Health Organization health system themes: accessibility and responsiveness; quality; outcomes; accountability, transparency, and regulation; fairness and equity; and efficiency. Of 1,178 potentially relevant unique citations, data were obtained from 102 articles describing studies conducted in low- and middle-income countries. Comparative cohort and cross-sectional studies suggested that providers in the private sector more frequently violated medical standards of practice and had poorer patient outcomes, but had greater reported timeliness and hospitality to patients. Reported efficiency tended to be lower in the private than in the public sector, resulting in part from perverse incentives for unnecessary testing and treatment. Public sector services experienced more limited availability of equipment, medications, and trained healthcare workers. When the definition of "private sector" included unlicensed and uncertified providers such as drug shop owners, most patients appeared to access care in the private sector; however, when unlicensed healthcare providers were excluded from the analysis, the majority of people accessed public sector care. "Competitive dynamics" for funding appeared between the two sectors, such

  5. Verification of a computational cardiovascular system model comparing the hemodynamics of a continuous flow to a synchronous valveless pulsatile flow left ventricular assist device.

    Science.gov (United States)

    Gohean, Jeffrey R; George, Mitchell J; Pate, Thomas D; Kurusz, Mark; Longoria, Raul G; Smalling, Richard W

    2013-01-01

    The purpose of this investigation is to use a computational model to compare a synchronized valveless pulsatile left ventricular assist device with continuous flow left ventricular assist devices at the same level of device flow, and to verify the model with in vivo porcine data. A dynamic system model of the human cardiovascular system was developed to simulate the support of a healthy or failing native heart from a continuous flow left ventricular assist device or a synchronous pulsatile valveless dual-piston positive displacement pump. These results were compared with measurements made during in vivo porcine experiments. Results from the simulation model and from the in vivo counterpart show that the pulsatile pump provides higher cardiac output, left ventricular unloading, cardiac pulsatility, and aortic valve flow as compared with the continuous flow model at the same level of support. The dynamic system model developed for this investigation can effectively simulate human cardiovascular support by a synchronous pulsatile or continuous flow ventricular assist device.

  6. Comparative analysis of morbidity rate in adolescents studied in different types of public educational institutions

    Directory of Open Access Journals (Sweden)

    Nizom Ermatov

    2011-03-01

    Full Text Available Common morbidity rate of adolescents aged from 15 to 18 years has been simultaneously estimated based on their appeals data to the polyclinics. These adolescents studied in public elementary schools and lyceums at medical high educational institutions of Tashkent city. Incidence was in 1.2-1.8 times higher among lyceum students than schoolchildren, while the structure of diseases was similar. The more important factors of morbidity in elementary schools and lyceums include iodine-deficiency, nonspecific respiratory diseases, iron-deficient anemia, gastritis, skin and subcutaneous tissue illnesses. These disease characteristics of in elementary schools and lyceums should be considered when organizing recreational activities, in particular, during improving physical education and optimization of learning environment.

  7. Engaging with Comparative Risk Appraisals: Public Views on Policy Priorities for Environmental Risk Governance.

    Science.gov (United States)

    Rocks, Sophie A; Schubert, Iljana; Soane, Emma; Black, Edgar; Muckle, Rachel; Petts, Judith; Prpich, George; Pollard, Simon J

    2017-03-17

    Communicating the rationale for allocating resources to manage policy priorities and their risks is challenging. Here, we demonstrate that environmental risks have diverse attributes and locales in their effects that may drive disproportionate responses among citizens. When 2,065 survey participants deployed summary information and their own understanding to assess 12 policy-level environmental risks singularly, their assessment differed from a prior expert assessment. However, participants provided rankings similar to those of experts when these same 12 risks were considered as a group, allowing comparison between the different risks. Following this, when individuals were shown the prior expert assessment of this portfolio, they expressed a moderate level of confidence with the combined expert analysis. These are important findings for the comprehension of policy risks that may be subject to augmentation by climate change, their representation alongside other threats within national risk assessments, and interpretations of agency for public risk management by citizens and others.

  8. Public Key Infrastructure (PKI) And Virtual Private Network (VPN) Compared Using An Utility Function And The Analytic Hierarchy Process (AHP)

    OpenAIRE

    Wagner, Edward Dishman

    2002-01-01

    This paper compares two technologies, Public Key Infrastructure (PKI) and Virtual Private Network (VPN). PKI and VPN are two approaches currently in use to resolve the problem of securing data in computer networks. Making this comparison difficult is the lack of available data. Additionally, an organization will make their decision based on circumstances unique to their information security needs. Therefore, this paper will illustrate a method using a utility function and the Analytic Hie...

  9. The Misdirection of Public Policy: Comparing and Combining Standardised Effect Sizes

    Science.gov (United States)

    Simpson, Adrian

    2017-01-01

    Increased attention on "what works" in education has led to an emphasis on developing policy from evidence based on comparing and combining a particular statistical summary of intervention studies: the standardised effect size. It is assumed that this statistical summary provides an estimate of the educational impact of interventions and…

  10. A comparative study of worker and general public risks from nuclear facility operation using MACCS2

    Energy Technology Data Exchange (ETDEWEB)

    East, J.M.; O`Kula, K.R.

    1994-10-01

    Over the last five years, the US Department of Energy (DOE) has attempted to establish quantitative risk indices as minimum acceptance criteria for assurance of safe operation of its nuclear facilities. The risk indices serve as aiming points or targets to include consideration of all aspects of operation including normal conditions as well as abnormal, design basis events, and beyond-design basis events. Although initial focus of the application of these safety targets had been on DOE`s reactors, more recent assessments have also considered non-reactor facilities including those encompassing storage and nuclear processing activities. Regardless of the facility`s primary function, accident progression, event tree/fault tree logic models, and probabilistic (dose) consequence assessment model must be implemented to yield a fully integrated analysis of facility operation. The primary tool for probabilistic consequence assessment in the US is the MELCOR Accident Consequence Code System (MACCS). In this study, two version of MACCS are applied to representative source terms developed in the safety analysis associated with a waste processing facility at the Westinghouse Savannah River Company`s (WSRC`s) Savannah River Site (SRS). The MACCS versions are used to estimate population dose and subsequent health effects to workers and the general public from the SRS referenced facility operation. When combined with the frequency of occurrence evaluation, the margin of compliance with the safety targets may be quantified.

  11. The Comparative Efficiency of Public and Private Power Plants in Pakistan’s Electricity Industry

    OpenAIRE

    Amir Jahan Khan

    2014-01-01

    This study estimates a cost function for fossil fuel-based electricity generating plants operating in Pakistan during 2006–11. It employs a six-year panel dataset for 31 plants to estimate the cost function parameters. In the absence of any current evidence on comparative cost performance, the study’s attempt to document the economic efficiency of power plants in a large electricity sector is an important contribution to the literature. We find that on average, private nonutility plants (IPPs...

  12. A comparative study of worker and general public risks from nuclear facility operation using MACCS2

    Energy Technology Data Exchange (ETDEWEB)

    East, J.M.; O`Kula, K.R. [Westinghouse Savannah River Co., Aiken, SC (United States)

    1995-12-31

    Over the last five years, the US Department of Energy (DOE) has attempted to establish quantitative risk indices as minimum acceptance criteria for assurance of safe operation of its nuclear facilities. The risk indices serve as aiming points or targets to include consideration of all aspects of operation including normal conditions as well as abnormal, design basis events, and beyond-design basis events. Although initial focus of the application of these safety targets had been on DOE`s reactors, more recent assessments have also considered non-reactor facilities including those encompassing storage and nuclear processing activities. Regardless of the facility`s primary function, accident progression, event tree/fault tree logic models, and probabilistic (dose) consequence assessment model must be implemented to yield a fully integrated analysis of facility operation. The primary tool for probabilistic consequence assessment in the U.S. is the MELCOR Accident Consequence Code System (MACCS). In this study, two version of MACCS are applied to representative source terms developed in the safety analysis associated with a waste processing facility at the Westinghouse Savannah River Company`s (WSRC`s) Savannah River Site (SRS). The MACCS versions are used to estimate population dose and subsequent health effects to workers and the general public from the SRS referenced facility operation. When combined with the frequency of occurrence evaluation, the margin of compliance with the safety targets may be quantified. Additionally, numerical evaluation of the safety targets with the two code versions will serve as an indicator of the impact of the enhancements made to MACCS relative to earlier baseline software.

  13. Coste de las técnicas de reproducción asistida en un hospital público Cost of assisted reproduction technology in a public hospital

    Directory of Open Access Journals (Sweden)

    José Luis Navarro Espigares

    2006-10-01

    Full Text Available Objetivos: La mayoría de trabajos sobre costes de las técnicas de reproducción asistida (TRA identifican el coste directo del procedimiento, sin considerar elementos como los costes estructurales o intermedios, de gran importancia. El objetivo de este trabajo es calcular el coste por proceso de las TRA realizadas en un hospital público en 2003 y compararlo con los resultados de 1998 en el mismo centro. Métodos: El estudio se realiza en la Unidad de Reproducción Humana (URH del Hospital Universitario Virgen de las Nieves de Granada en 1998 y 2003. Partiendo de los costes totales de dicha unidad, y mediante una metodología de distribución de costes basada en la estructura de costes, calculamos el coste por proceso de las TRA realizadas en este centro, considerando los costes completos. Resultados: Entre 1998 y 2003, la actividad y los costes de la URH analizada evolucionan de forma distinta. El análisis de la actividad muestra la consolidación de técnicas, como la microinyección espermática (ICSI y la desaparición de otras (ciclo sin reproducción asistida e inseminación artificial conyugal intracervical. En todos los procesos, los costes unitarios por ciclo y por embarazo disminuyen en el período analizado. Conclusiones: Se han producido importantes cambios en la estructura de costes de las TRA de la URH-HUVN entre 1998-2003. Mientras algunos procesos desaparecen, otros se consolidan con una elevada actividad. Los avances técnicos y las innovaciones organizativas, junto con un «efecto aprendizaje», han alterado la estructura de costes de las TRA.Objectives: Most studies on the costs of assisted reproductive technologies (ART identify the total cost of the procedure with the direct cost, without considering important items such as overhead or intermediate costs. The objective of this study was to determine the cost per ART procedure in a public hospital in 2003 and to compare the results with those in the same hospital in 1998

  14. Comparing methadone and buprenorphine maintenance with methadone-assisted withdrawal for the treatment of opioid dependence during pregnancy: maternal and neonatal outcomes

    Directory of Open Access Journals (Sweden)

    Lund IO

    2012-02-01

    Full Text Available Ingunn O Lund1, Heather Fitzsimons2, Michelle Tuten2, Margaret S Chisolm2, Kevin E O’Grady3, Hendrée E Jones2,41SERAF-Norwegian Centre for Addiction Research, University of Oslo, Oslo, Norway; 2Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD; 3Department of Psychology, University of Maryland, College Park, MD; 4Substance Abuse Treatment Evaluations and Interventions Research Program, RTI International, Research Triangle Park, NC, USAAbstract: Pregnancy can motivate opioid-dependent women to seek substance abuse treatment. Research has demonstrated that although prenatal exposure to buprenorphine results in less severe neonatal abstinence syndrome (NAS relative to prenatal methadone exposure, the maternal and other neonatal outcomes are similar for the two medications. Maternal and neonatal outcomes for opioid-dependent pregnant women receiving these medications have not been systematically compared with methadone-assisted withdrawal. The present study provides an initial assessment of the relative efficacy of both methadone and buprenorphine maintenance versus methadone-assisted withdrawal in terms of neonatal and maternal delivery outcomes. Data were derived from (1 the MOTHER (Maternal Opioid Treatment: Human Experimental Research study at the Johns Hopkins University Bayview Medical Center (JHBMC, or (2 retrospective records review of women who underwent methadone-assisted withdrawal at the JHBMC during the time period in which participants were enrolled in the MOTHER study. Compared with the methadone maintenance group, the methadone-assisted withdrawal group had a significantly lower mean NAS peak score (Means = 13.7 vs 7.0; P = 0.002, required a significantly lower mean amount of morphine to treat NAS (Means = 82.8 vs 0.2; P < 0.001, had significantly fewer days medicated for NAS (Means = 31.5 vs 3.9; P < 0.001, and remained in the hospital for a significantly fewer number of

  15. Enhancing Saarc Disaster Management: A Comparative Study With Asean Coordinating Centre For Humanitarian Assistance On Disaster Management

    Science.gov (United States)

    2016-03-01

    Disaster Management Organizations Ferris highlights that regional organizations are more suitable for mobilization as they will share culture , customs...greater political, security, economic and socio cultural ” co-operation, serves the formation and operationalization of regional disaster management ... Malaysia Air Force Base in Subang, Malaysia on Dec 07, 2012, with assistance from the Japan-ASEAN Integration Fund (JAIF) to manage the logistics

  16. Comparative analysis of classifiers for developing an adaptive computer-assisted EEG analysis system for diagnosing epilepsy.

    Science.gov (United States)

    Ahmad, Malik Anas; Ayaz, Yasar; Jamil, Mohsin; Omer Gillani, Syed; Rasheed, Muhammad Babar; Imran, Muhammad; Khan, Nadeem Ahmed; Majeed, Waqas; Javaid, Nadeem

    2015-01-01

    Computer-assisted analysis of electroencephalogram (EEG) has a tremendous potential to assist clinicians during the diagnosis of epilepsy. These systems are trained to classify the EEG based on the ground truth provided by the neurologists. So, there should be a mechanism in these systems, using which a system's incorrect markings can be mentioned and the system should improve its classification by learning from them. We have developed a simple mechanism for neurologists to improve classification rate while encountering any false classification. This system is based on taking discrete wavelet transform (DWT) of the signals epochs which are then reduced using principal component analysis, and then they are fed into a classifier. After discussing our approach, we have shown the classification performance of three types of classifiers: support vector machine (SVM), quadratic discriminant analysis, and artificial neural network. We found SVM to be the best working classifier. Our work exhibits the importance and viability of a self-improving and user adapting computer-assisted EEG analysis system for diagnosing epilepsy which processes each channel exclusive to each other, along with the performance comparison of different machine learning techniques in the suggested system.

  17. Comparative study of PEM fuel cell models for integration in propulsion systems of urban public transport

    Energy Technology Data Exchange (ETDEWEB)

    Garcia, P.; Fernandez, L.M.; Garcia, C.A. [Department of Electrical Engineering, University of Cadiz, EPS Algeciras, Avda. Ramon Puyol, s/n. 11202 Algeciras (Cadiz) (Spain); Jurado, F. [Department of Electrical Engineering, University of Jaen, EPS Linares, C/ Alfonso X, n 28. 23700 Linares (Jaen) (Spain)

    2010-12-15

    Steady state and dynamic simulations are performed in order to compare the models. Considering the external response of FC system integrated in the tramway hybrid system, both reduced models show similar results with an important reduction of computation time with respect to the complete model. However, the reduced model 1 shows better results than the reduced model 2 when representing the internal behaviour of FC system, so that this model is considered the most appropriate for propulsion system applications. (Copyright copyright 2010 WILEY-VCH Verlag GmbH and Co. KGaA, Weinheim)

  18. Trends in confidence in public institutions: A comparative analysis of the Baltic countries

    Directory of Open Access Journals (Sweden)

    Gudžinskas Liutauras

    2017-06-01

    Full Text Available The paper focuses on the variation of institutional confidence in the Baltic countries. Within of framework of qualitative comparative framework, it employs a historical approach to detect causes of divergence of trust in rule of law institutions between Estonia vis-à-vis other two Baltic states. While it observes a range of variables that could affect the differences, it emphasises the role of political leadership during critical junctures, which might explain both why Estonia forged ahead at the outset of the post-communist transformation and most recent positive developments in the Baltic countries since the financial crisis in 2008–2010.

  19. Comparative study of scientific publications in orthopedics journals originating from USA, Japan and China (2000-2012).

    Science.gov (United States)

    Lao, Li-Feng; Daubs, Michael David; Phan, Kevin H; Wang, Jeffrey C

    2013-11-01

    To compare orthopedics publications from USA, Japan and China. Scientific papers belong to ''Orthopedics'' category of Science Citation Index Expanded subject categories were retrieved from the "PubMed'' and ''Web of Knowledge'' online databases. In the field of orthopedics, the annual number increased significantly from 2000 to 2012 in the three countries (porthopedics field and ranked 1st; Japan contributed 5.9% and ranked 4th; China contributed 5.2% and ranked 5th. Publications from USA had the highest accumulated IFs and the highest total citations of articles (USA > Japan > China, porthopedics journals (USA (14355) > Japan (1702) > China (487), porthopedics journals, it still lags far behind USA and Japan in the field of orthopedics in terms of quantity and quality.

  20. Public reaction to direct-to-consumer online genetic tests: Comparing attitudes, trust and intentions across commercial and conventional providers.

    Science.gov (United States)

    Critchley, Christine; Nicol, Dianne; Otlowski, Margaret; Chalmers, Don

    2015-08-01

    The success of personalised medicine depends upon the public's embracing genetic tests. Tests that claim to predict an individual's future health can now be accessed via online companies outside of conventional health regulations. This research assessed the extent to which the public embrace direct-to-consumer (DTC) genetic tests relative to those obtained by a conventional medical practitioner (MP). It also examined the reasons for differences across providers using a randomised experimental telephone survey of 1000 Australians. Results suggest that people were significantly less likely to approve of, and order a DTC genetic test administered by a company compared to a MP because they were less trusting of companies' being able to protect their privacy and provide them with access to genetic expertise and counselling. Markets for DTC genetic tests provided by companies would therefore significantly increase if trust in privacy protection and access to expertise are enhanced through regulation.

  1. How common is "common knowledge" about child witnesses among legal professionals? Comparing interviewers, public defenders, and forensic psychologists with laypeople.

    Science.gov (United States)

    Buck, Julie A; Warren, Amye R; Bruck, Maggie; Kuehnle, Kathryn

    2014-01-01

    The present study evaluates the knowledge of jury-eligible college students (n = 192), investigative interviewers (n = 44), forensic psychologists (n = 39), and public defenders (n = 137) in regard to the research on interviewing children. These groups' knowledge was compared with the scientific research on the impact of interview techniques and practices on the accuracy of child witnesses. Jury-eligible students were the least knowledgeable, but their accuracy varied widely across items. Both interviewers and public defenders performed better than jury-eligible students, but they lacked substantial knowledge about the research on interviewing children on certain topics (e.g., using anatomically detailed dolls); forensic psychologists were the most knowledgeable. These findings suggest that professionals in the legal system need substantial professional development regarding the research on interviewing strategies with child witnesses. They also highlight the need for experts to provide case-relevant information to juries who lack basic information about the validity and reliability of children's reports.

  2. Caries risk assessment in young adults using Public Dental Service guidelines and the Cariogram-a comparative study

    DEFF Research Database (Denmark)

    Hänsel Petersson, Gunnel; Ericson, Ewa; Isberg, Per-Erik

    2012-01-01

    Abstract Objectives. To investigate the caries risk profiles in young adults and to compare the risk classification using the Public Dental Service (PDS) guidelines with a risk assessment program, the Cariogram. Materials and methods. All 19-year-old patients registered at eight public dental...... classification was predominantly based on past caries and/or present caries activity. The majority was classified as 'some risk', while 16.7% were assessed as being of 'high' or 'very high risk'. The corresponding value for the two highest risk groups in the Cariogram model was 17.4%. The agreement between...... clinics were invited to participate (n = 1699). The study group who completed the baseline examination consisted of 1295 subjects representing 10% of all 19 year-olds attending dental care at the PDS in Skåne, Sweden. A risk classification of each patient was made by the patient's regular team according...

  3. Chronic disease prevention policy in British Columbia and Ontario in light of public health renewal: a comparative policy analysis.

    Science.gov (United States)

    Kothari, Anita; Gore, Dana; MacDonald, Marjorie; Bursey, Gayle; Allan, Diane; Scarr, Jennifer

    2013-10-08

    Public health strategies that focus on legislative and policy change involving chronic disease risk factors such as unhealthy diet and physical inactivity have the potential to prevent chronic diseases and improve quality of life as a whole. However, many public health policies introduced as part of public health reform have not yet been analyzed, such as in British Columbia and Ontario. The purpose of this paper is to present the results of a descriptive, comparative analysis of public health policies related to the Healthy Living Core Program in British Columbia and Chronic Disease Prevention Standard in Ontario that are intended to prevent a range of chronic diseases by promoting healthy eating and physical activity, among other things. Policy documents were found through Internet search engines and Ministry websites, at the guidance of policy experts. These included government documents as well as documents from non-governmental organizations that were implementing policies and programs at a provincial level. Documents (n = 31) were then analysed using thematic content analysis to classify, describe and compare policies in a systematic fashion, using the software NVivo. Three main categories emerged from the analysis of documents: 1) goals for chronic disease prevention in British Columbia and Ontario, 2) components of chronic disease prevention policies, and 3) expected outputs of chronic disease prevention interventions. Although there were many similarities between the two provinces, they differed somewhat in terms of their approach to issues such as evidence, equity, and policy components. Some expected outputs were adoption of healthy behaviours, use of information, healthy environments and increased public awareness. The two provincial policies present different approaches to support the implementation of related programs. Differences may be related to contextual factors such as program delivery structures and different philosophical approaches underlying

  4. Characteristics of farms benefiting from support for the modernization and meeting standards compared to other forms of EU assistance

    Directory of Open Access Journals (Sweden)

    Arkadiusz Sadowski,

    2012-01-01

    Full Text Available The aim of the article was to determine the specificity of farms benefiting from various forms of support under the second pillar of the EU Common Agricultural Policy. This study established, that investments meeting UE standards were carried out mainly in smaller farms with intense production and a big role of livestock production. Modernization was performed with large farms, a relatively small labour resources. Entities that did not have adequate production potential, or used it inefficiently, benefited from other forms of EU assistance.

  5. A Comparative Study of Single-Port Laparoscopic Surgery Versus Robotic-Assisted Laparoscopic Surgery for Rectal Cancer

    DEFF Research Database (Denmark)

    Levic, Katarina; Donatsky, Anders Meller; Bulut, Orhan

    2015-01-01

    INTRODUCTION: Conventional laparoscopic surgery is the treatment of choice for many abdominal procedures. To further reduce surgical trauma, new minimal invasive procedures such as single-port laparoscopic surgery (SPLS) and robotic assisted laparoscopic surgery (RALS) have emerged. The aim...... in either of the groups. There was no difference in median follow-up time between groups (P = .58). CONCLUSION: Both SPLS and RALS may have a role in rectal surgery. The short-term oncological outcomes were similar, although RALS harvested more lymph nodes than the SPLS procedure. However, SPLS seems...

  6. Quality of private and public ambulatory health care in low and middle income countries: systematic review of comparative studies.

    Directory of Open Access Journals (Sweden)

    Sima Berendes

    2011-04-01

    Full Text Available BACKGROUND: In developing countries, the private sector provides a substantial proportion of primary health care to low income groups for communicable and non-communicable diseases. These providers are therefore central to improving health outcomes. We need to know how their services compare to those of the public sector to inform policy options. METHODS AND FINDINGS: We summarised reliable research comparing the quality of formal private versus public ambulatory health care in low and middle income countries. We selected studies against inclusion criteria following a comprehensive search, yielding 80 studies. We compared quality under standard categories, converted values to a linear 100% scale, calculated differences between providers within studies, and summarised median values of the differences across studies. As the results for for-profit and not-for-profit providers were similar, we combined them. Overall, median values indicated that many services, irrespective of whether public or private, scored low on infrastructure, clinical competence, and practice. Overall, the private sector performed better in relation to drug supply, responsiveness, and effort. No difference between provider groups was detected for patient satisfaction or competence. Synthesis of qualitative components indicates the private sector is more client centred. CONCLUSIONS: Although data are limited, quality in both provider groups seems poor, with the private sector performing better in drug availability and aspects of delivery of care, including responsiveness and effort, and possibly being more client orientated. Strategies seeking to influence quality in both groups are needed to improve care delivery and outcomes for the poor, including managing the increasing burden of non-communicable diseases.

  7. Interpersonal conflict – handling styles used in public and private sector organisations: A comparative study

    Directory of Open Access Journals (Sweden)

    Werner Havenga

    2006-01-01

    Full Text Available The objective of this study was to determine and compare by means of an empirical study whether there exists a significant difference in the handling of interpersonal conflict between two totally different organisations. The study made use of the Rahim Organisational Conflict Inventory – ROC-II instrument to determine the extent of usage of five conflict handling styles by employees of an agricultural company and a local authority. Results indicated that a significant difference exists in usage of the various handling styles between respondents and their superiors as well as respondents and their peers. The obliging style and integrating styles were used the most and the dominating style was used the least in both organisations. Significant differences were also recorded with regard to sex, age and qualifications and the usage of different conflict handling styles. These results have definite implications for managing conflict in organisations. Opsomming Die doelwit van hierdie studie was om d.m.v ’n empiriese studie vas te stel en te vergelyk of daar ’n betekenisvolle verskil is in die hantering van interpersoonlike konflik tussen twee verskillende organisasies. Die studie het gebruik gemaak van die Rahim Organizational Conflict Inventory – ROC II instrument om vas te stel watter mate die vyf konflikhantering-style binne ’n landboumaatskappy en ’n plaaslike owerheid, gebruik word. Resultate het gewys dat daar ’n betekenisvolle verskil is in hanteringstyle tussen respondente en hul hoofde sowel as respondente en hul gelykes. Die toegewende- en integrerende styl was die meeste gebruik en die dominerende styl die minste in beide organisasies. Betekenisvolle verskille is ook aangeteken met betrekking tot geslag, ouderdom en kwalifikasies en die gebruik van die verskillende konflikhantering-style. Hierdie resultate hou noemenswaardige implikasies in vir die bestuur van konflik in organisasies.

  8. A comparative study of clinical effect on the Da Vinci surgical robot-assisted and laparoscopic-assisted distal subtotal gastrectomy for gastric cancer

    Institute of Scientific and Technical Information of China (English)

    2015-01-01

    Objective:To evaluate the feasibility, safety and the clinical outcomes of the robotic distal gastrectomy for gastric cancer.Methods: We retrospectively analyzed the clinical and follow-up data of 113 cases underwent robotic distal gastrectomy from March 2010 to July 2013.Results:Compared with laparoscopic group, the robotic group had less intraoperative blood loss, more lymph nodes dissection (P<0.05). hTere was no signiifcant difference in the incidence of postoperative complications and neutrophil-lymphocyte ratio between the two groups. hTe follow-up data showed that the 1-, 2- and 3-year survival rates were 91.7%, 77.4% and 72.9% in robotic group while they were 91.2%, 76.2% and 70.4% in laparoscopic group ,and the difference was not significant. Conclusion:Robotic distal gastrectomy for gastric cancer is safe and effective, and it has less harm to the patients, with less intraoperative blood loss, more lymph nodes dissection and quicker postoperative recover than laparoscopic surgery, so it is worthy of popularization and application.

  9. A comparative study of internal laser-assisted and conventional liposuction: a look at the influence of drugs and major surgery on laboratory postoperative values

    Directory of Open Access Journals (Sweden)

    Przylipiak AF

    2013-10-01

    Full Text Available Andrzej Feliks Przylipiak,1 Elżbieta Galicka,1 Magdalena Donejko,1 Marek Niczyporuk,1 Jerzy Przylipiak21Department of Aesthetic Medicine, Faculty of Pharmacy, Medical University of Bialystok, Bialystok, Poland; 2Medical Office, Bialystok, PolandBackground: Liposuction is a type of aesthetic surgery that has been performed on humans for decades. There is not much literature addressing the subject matter of pre- and post-surgery blood parameters, although this information is rather interesting. Documentation on patients who received laser-assisted liposuction treatment is particularly scarce. Until now, there has been no literature showing values of platelets, lymphocytes, and neutrophils after liposuction.Purpose: The aim of the work is to analyze and interpret values of platelets, lymphocytes and neutrophils in patient blood before and after liposuction, a surgery in which an extraordinarily large amount of potent drugs are used. Moreover, the aim is to compare values changes in patients of conventional and laser-assisted liposuction.Material and methods: We evaluated standard blood samples in patients prior to and after liposuction. This paper covers the number of platelets, lymphocytes, and neutrophils. A total of 54 patients were examined. Moreover, we compared the change in postoperative values in laser-assisted liposuction patients with the change of values in conventional liposuction patients. A paired two-sided Student's t-test was used for statistical evaluation. P < 0.005 was acknowledged to be statistically significant.Results: Values of platelets were raised both in conventional and in laser-assisted liposuction patients, but this difference was statistically non-significant and levels of platelets were still normal and within the range of blood levels in healthy patients. Values of neutrophils rose by up to 79.49% ± 7.74% standard deviation (SD and values of lymphocytes dropped by up to 12.68% ± 5.61% SD. The before

  10. Comparative study of scientific publications in urology and nephrology journals originating from USA, China and Japan (2001-2010).

    Science.gov (United States)

    Li, Juan; Gao, Xian Hua; Bian, Qi; Guo, Zhi Yong; Mei, Xiao Bin; Yu, Guang; Wu, Hao; Lai, Xue Li; Chen, Wei

    2012-01-01

    In the past decade, scientific research has developed rapidly in China, but the growth seems to vary widely between different disciplines. In this study, we aimed to compare the quantity and quality of publications in urology and nephrology journals from USA, China and Japan. Journals listed in the "Urology and Nephrology" category of Science Citation Index Expanded subject categories were included. Scientific papers in these journals written by researchers from USA, Japan and China were retrieved from the "PubMed" and "Web of Knowledge" online databases. The annual number of total scientific articles increased significantly from 2001 to 2010 in China, and has ranked second in the world since 2006. In the field of urology and nephrology, the annual number increased significantly from 2001 to 2010 in USA and China; but not in Japan. The share of articles increased significantly over time in China, decreased significantly in Japan, and remained unchanged in USA. In 2010, USA contributed 32.17% of the total world output in urology and nephrology field and ranked 1(st); Japan contributed 5.19% and ranked 5(th); China contributed 3.83% and ranked 9(th). Publications from USA had the highest accumulated IFs and the highest total citations of articles (USA>Japan>China, pJapan(6704)>China(2233), pJapan>China, pscientific publication in urology and nephrology journals in the past decade, it still lags far behind USA and Japan in the field of urology and nephrology in terms of quantity and quality.

  11. Racial Discipline Disproportionality in Montessori and Traditional Public Schools: A Comparative Study Using the Relative Rate Index

    Directory of Open Access Journals (Sweden)

    Katie E. Brown

    2015-11-01

    Full Text Available Research from the past 40 years indicates that African American students are subjected to exclusionary discipline, including suspension and expulsion, at rates two to three times higher than their White peers (Children’s Defense Fund, 1975; Skiba, Michael, Nardo, & Peterson, 2002. Although this phenomenon has been studied extensively in traditional public schools, rates of racially disproportionate discipline in public Montessori schools have not been examined. The purpose of this study is to examine racial discipline disproportionality in Montessori public elementary schools as compared to traditional elementary schools. The Relative Rate Index (RRI is used as a measure of racially disproportionate use of out-of-school suspensions (Tobin & Vincent, 2011. Suspension data from the Office of Civil Rights Data Collection was used to generate RRIs for Montessori and traditional elementary schools in a large urban district in the Southeast. While statistically significant levels of racial discipline disproportionality are found in both the Montessori and traditional schools, the effect is substantially less pronounced in Montessori settings. These findings suggest that Montessori schools are not immune to racially disproportionate discipline and should work to incorporate more culturally responsive classroom management techniques. Conversely, the lower levels of racially disproportionate discipline in the Montessori schools suggests that further study of discipline in Montessori environments may provide lessons for traditional schools to promote equitable discipline.

  12. Technology whitespaces India should focus: a comparative anti-cancer patent rational analysis of Indian and international public funded universities.

    Science.gov (United States)

    Dara, Ajay; Sangamwar, Abhay T

    2015-01-01

    The article reported an in-depth comparative technology analysis of 1708 Anti-cancer patents from top 20 international universities and leading 10 Indian public funded organization and research institutes. The study segregated pioneer universities vs. technologies used in the field of Anticancer research at a level of drug discovery, development, diagnosis and treatment, which are illustrated in the form of novel substantive patent landscape maps. The reported competitive intelligent maps identified genetics, composition and synthetic compounds as dominating technologies; followed by natural extracts, combination and drug delivery systems as upcoming technologies. The least number of patents were reported by surgical apparatus, targeted therapy and animal models. In addition, the study analysed the key technologies followed by Indian universities in comparison to the international universities, to identify the overlooked technologies by the Indian public funded institutes. In an ever changing competitive world, it is essential for every university to have their own research plan and thrust areas; but at the same time, it is equally important for any organisation to have an idea of their competitor's research plan as well. So, the article suggested Indian institutes to focus on the latest emerging Anti-cancer technology trends, which are in practice by the international universities. Concurrently, this study may be a landmark indication for Indian public funded universities and institutes, calling for a U-turn from their traditional approaches.

  13. Cross-Sectional Relationships Between Household Food Insecurity and Child BMI, Feeding Behaviors, and Public Assistance Utilization Among Head Start Children From Predominantly Hispanic and American Indian Communities in the CHILE Study.

    Science.gov (United States)

    Trappmann, Jessica L; Jimenez, Elizabeth Yakes; Keane, Patricia C; Cohen, Deborah A; Davis, Sally M

    Associations between food insecurity and overweight/obesity, feeding behaviors, and public food assistance utilization have been explored to a greater extent among adults and adolescents than among young children. This cross-sectional study examines a subset of pre-intervention implementation data (n = 347) among families participating in the Child Health Initiative for Lifelong Eating and Exercise (CHILE) study conducted in rural New Mexico among predominantly Hispanic and American Indian Head Start centers. No significant relationships emerged between food insecurity and child overweight/obesity, certain feeding behaviors, or public food assistance utilization. Additional research is necessary to understand relationships between food insecurity and child overweight/obesity status, use of public assistance benefits, and certain feeding behaviors among rural preschool-aged children in predominantly Hispanic and American Indian communities.

  14. Enhancing SAARC disaster management: a comparative study with ASEAN coordinating centre for humanitarian assistance on disaster management

    OpenAIRE

    Lamichhane, Sharad

    2016-01-01

    Approved for public release; distribution is unlimited The devastating earthquakes that ravaged Nepal in the spring of 2015 demonstrated the risk of disaster that affects all of South Asia. They also demonstrated the real limits to a regional disaster management and response. According to The Kathmandu Post, almost 4175 troops from 18 countries were deployed for rescue and relief operations. All South Asian Association for Regional Cooperation (SAARC) member states except Afghanistan and M...

  15. 全面深化公安改革背景下加强警辅队伍建设和整合的探索--以上海市公安局嘉定分局为例%Discussion on the Building and Potency of Public-Security Managerial Assistants--Take for Example of Jiading Branch of Shanghai Public Security Bureau

    Institute of Scientific and Technical Information of China (English)

    姚方盛

    2015-01-01

    As the capable helper, the public-security managerial assistant has given great assistance to the public security organ in the public-security managerial process. At present, the public-security managerial assistants have become the new emerging forces to safeguard the public order. In the new situation, the public security organ should play a big role in the public order management and make the best possible use of public-security managerial assistants.%警辅队伍是指由《人民警察法》等法律法规规定的,政府认可并出资保障,由公安机关直接领导、管理的安全防范组织或在公安机关协助处理外部警务活动的组织。目前,警辅队伍已成为维护社会治安不可或缺的力量。在新的形势下,我们要进一步发挥警辅队伍的工作效能,激发其潜在活力,实现警力的无增长改善。

  16. Help-seeking preferences in the area of mild cognitive impairment: comparing family physicians and the lay public

    Directory of Open Access Journals (Sweden)

    Werner P

    2014-04-01

    Full Text Available Perla Werner,1 Jeremia Heinik,2 Shmuel Giveon,3 Dikla Segel-Karpas,1 Eliezer Kitai41Center for the Research and Study of Aging, University of Haifa, Haifa, Israel; 2Margoletz Psychogeriatric Center, Ichilov Hospital, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel; 3Clalit Health Services, Tel Aviv, Israel; 4Department of Family Medicine, Leumit Health Services, Sackler School of Medicine, Tel Aviv University, Tel Aviv, IsraelBackground: Mild cognitive impairment (MCI or mild neurocognitive disorder is a well-established clinical entity included in current diagnostic guidelines for Alzheimer's disease and in major psychiatric classifications. In all, a loosely defined concern obtained from conceptually different sources (the individual, a knowledgeable informant, or a clinician regarding a decline in cognition and change in functioning constitutes a sine qua non for initiating diagnostics and providing therapy and support. This concern in practice may translate into complex proactive help-seeking behavior. A better understanding of help-seeking preferences is required in order to promote early detection and management.Objectives: To compare help-seeking preferences of family physicians and the lay public in the area of MCI.Methods: A structured questionnaire was used to collect data from 197 family physicians (self-administered and 517 persons aged 45 and over from the lay public (face to face. Information regarding familiarity with MCI and help-seeking preferences was assessed.Results: The vast majority in both samples reported that family physician, spouse, and children are the most highly recommended sources of help-seeking. In regard to professional sources of help-seeking, a higher percentage of the physicians than the lay public sample consistently recommended seeking help from nurses and social workers and psychiatrists, but a higher percentage of the lay public recommended turning to a neurologist for help

  17. Can pharmacy assistants play a greater role in public health programs in community pharmacies? Lessons from a chlamydia screening study in Canberra, Australia.

    Science.gov (United States)

    Deeks, Louise S; Cooper, Gabrielle M; Currie, Marian J; Martin, Sarah J; Parker, Rhian M; Del Rosario, Rendry; Hocking, Jane S; Bowden, Francis J

    2014-01-01

    Little is known about the engagement of pharmacy assistants (PA) in public health service provision. To explore the experiences of PA participating in a study to determine whether a cash reward, offered to consumers and pharmacy businesses, increased participation in community pharmacy-based chlamydia screening. PA experience of the study education and training package, participant recruitment and conducting screening (providing information about chlamydia, specimen collection and handling urine samples) were evaluated using knowledge assessment, a questionnaire and focus groups. Twenty PA participated in the study: 15 (75%) completed all education and training components, 20 (100%) completed the questionnaire and 10 (50%) attended a focus group. PA rated all education and training components as effective (mean visual analog scale scores >8.5). Most PA (13/18, 72.2%) did not support/were unsure about continuing the program, citing the 25% repeat testing rate (presumed to relate to the cash reward) and privacy/confidentiality issues as reasons. Qualitative analysis suggested that minimizing repeat testing, improved workload management and recognition of, and remuneration for, education and training would make this model more acceptable to PA. Findings from this study support the assertion that PA can play a significant role in public health initiatives. Copyright © 2014 Elsevier Inc. All rights reserved.

  18. Scaling-up a public health innovation: a comparative study of post-abortion care in Bolivia and Mexico.

    Science.gov (United States)

    Billings, Deborah L; Crane, Barbara B; Benson, Janie; Solo, Julie; Fetters, Tamara

    2007-06-01

    Post-abortion care (PAC), an innovation for treating women with complications of unsafe abortion, has been introduced in public health systems around the world since the 1994 International Conference on Population and Development (ICPD). This article analyzes the process of scaling-up two of the three key elements of the original PAC model: providing prompt clinical treatment to women with abortion complications and offering post-abortion contraceptive counseling and methods in Bolivia and Mexico. The conceptual framework developed from this comparative analysis includes the environmental context for PAC scale-up; the major influences on start-up, expansion, and institutionalization of PAC; and the health, financial, and social impacts of institutionalization. Start-up in both Bolivia and Mexico was facilitated by innovative leaders or catalyzers who were committed to introducing PAC services into public health care settings, collaboration between international organizations and public health institutions, and financial resources. Important processes for successful PAC expansion included strengthening political commitment to PAC services through research, advocacy, and partnerships; improving health system capacity through training, supervision, and development of service guidelines; and facilitating health system access to essential technologies. Institutionalization of PAC has been more successful in Bolivia than Mexico, as measured by a series of proposed indicators. The positive health and financial impacts of PAC institutionalization have been partially measured in Bolivia and Mexico. Other hypotheses--that scaling-up PAC will significantly reduce maternal mortality and morbidity, decrease abortion-related stigma, and prepare the way for efforts to reform restrictive abortion laws and policies--have yet to be tested.

  19. New Public Management, Public Service Bargains and the challenges of interdepartmental coordination: a comparative analysis of top civil servants in state administration

    DEFF Research Database (Denmark)

    Hansen, Morten Balle; Steen, Trui; de Jong, Marsha

    2013-01-01

    In this article we are interested in how the coordinating role of top civil servants is related to the argument that country-level differences in the adoption of New Public Management significantly alter the Public Service Bargains of top civil servants and consequently their capacity to accompli...

  20. Additional value of computer assisted semen analysis (CASA) compared to conventional motility assessments in pig artificial insemination.

    Science.gov (United States)

    Broekhuijse, M L W J; Soštarić, E; Feitsma, H; Gadella, B M

    2011-11-01

    In order to obtain a more standardised semen motility evaluation, Varkens KI Nederland has introduced a computer assisted semen analysis (CASA) system in all their pig AI laboratories. The repeatability of CASA was enhanced by standardising for: 1) an optimal sample temperature (39 °C); 2) an optimal dilution factor; 3) optimal mixing of semen and dilution buffer by using mechanical mixing; 4) the slide chamber depth, and together with the previous points; 5) the optimal training of technicians working with the CASA system; and 6) the use of a standard operating procedure (SOP). Once laboratory technicians were trained in using this SOP, they achieved a coefficient of variation of CASA. CASA results are preferable as accurate continuous motility dates are generated rather than discrimination motility percentage increments of 10% motility as with motility estimation by laboratory technicians. The higher variability of sperm motility found with CASA and the continuous motility values allow better analysis of the relationship between semen motility characteristics and fertilising capacity. The benefits of standardised CASA for AI is discussed both with respect to estimate the correct dilution factor of the ejaculate for the production of artificial insemination (AI) doses (critical for reducing the number of sperm per AI doses) and thus to get more reliable fertility data from these AI doses in return. Copyright © 2011 Elsevier Inc. All rights reserved.

  1. Targeted comparative proteomics by liquid chromatography/matrix-assisted laser desorption/ionization triple-quadrupole mass spectrometry.

    Science.gov (United States)

    Melanson, Jeremy E; Chisholm, Kenneth A; Pinto, Devanand M

    2006-01-01

    Here we report the first application of a matrix-assisted laser desorption/ionization (MALDI) triple-quadrupole mass spectrometer for targeted proteomics. Employing an amine-specific isotopic labelling approach, the technique was validated using five randomly selected bovine serum albumin peptides differentially labelled at known ratios. An indirect benefit of the isotopic labelling technique is a significant enhancement of the a1 ion in tandem mass (MS/MS) spectra of all peptides studied. Therefore, the a1 ion was selected as the fragment ion for multiple reaction monitoring (MRM) in all cases, eliminating tedious method development and optimization. Accurate quantification was achieved with an average relative standard deviation (RSD) of 5% (n = 5) and a detection limit of 14 amol. The technique was then applied to validate an important virulence biomarker of the fungal pathogen Candida albicans, which was not accurately quantified using global proteomics experiment employing two-dimensional liquid chromatography/electrospray ionization tandem mass spectrometry (2D-LC/ESI)-MS/MS. Using LC/MALDI-MRM analysis of five tryptic peptides, the protein PHR1 was found to be upregulated in the hyphal (pathogenic) form of C. albicans by a factor of 7.7 +/- 0.8.

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

    Science.gov (United States)

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

    2016-11-02

    In this study, radio frequency electromagnetic field exposure levels were measured on the main streets in the city center of Diyarbakır, Turkey. Measured electric field levels were plotted on satellite imagery of Diyarbakır and were compared with exposure guidelines published by the International Commission on Non-Ionizing Radiation Protection (ICNIRP). Exposure measurements were performed in dense urban, urban and suburban areas each day for 7 consecutive days. The measurement system consisted of high precision and portable spectrum analyzer, three-axis electric field antenna, connection cable and a laptop which was used to record the measurement samples as a data logger. The highest exposure levels were detected for two places, which are called Diclekent and Batıkent. It was observed that the highest instantaneous electric field strength value for Batıkent was 7.18 V/m and for Diclekent was 5.81 V/m. It was statistically determined that the main contributor band to the total exposure levels was Universal Mobile Telecommunications System band. Finally, it was concluded that all measured exposure levels were lower than the reference levels recommended by ICNIRP for general public health.Journal of Exposure Science and Environmental Epidemiology advance online publication, 2 November 2016; doi:10.1038/jes.2016.64.

  3. A comparative study of Cu(II)-assisted vs Cu(II)-free chalcogenation on benzyl and 2°/3°-cycloalkyl moieties

    Indian Academy of Sciences (India)

    Santosh K Sahoo

    2015-12-01

    A relative synthetic strategy toward intermolecular oxidative C−Chalcogen bond formation of alkanes has been illustrated using both Cu(II) assisted Cu(II) free conditions. This led to construction of a comparative study of hydrocarbon benzylic and 2°/3°-cycloalkyl moieties bond sulfenylation and selenation protocol by the chalcogen sources, particularly sulfur and selenium, respectively. In addition, this protocol disclosed the auspicious formation of sp3C−S coupling products over leading the sp3C−N coupling products by using 2-mercaptobenzothiazole (MBT) substrates.

  4. Comparative analysis between academic and patent publications based on Fenton Technologies among China, Brazil, and the rest of the world.

    Science.gov (United States)

    de Luna, Airton José; Santos, Douglas Alves

    2017-03-01

    Worldwide, year by year, Fenton's Technologies have been highlighted in both academic and patent scopes, in part due to their proven efficiency as environment-friendly technologies destined to the abatement of organic pollutants, and also by their growing interest to produce industrial applications. Thus, aiming to understand the effective dynamic between two worlds, academy vs patents, the present study performs a comparative analysis about publications on Fenton-based Technologies (FbT). Therefore, in this work, technological foresight techniques were adopted focusing on patent and non-patent databases, employing for this, the Web of Science (WoS) database as a prospecting tool. The main results for the last decade point out to a strong increment of the Fenton's Technologies, as much in R&D as in patent applications in the world. Chinese Universities and firms command the scenario. There is an expressive gap between the academic and patent issues.

  5. Comparative Study of Three Commonly Used Methods for Hospital Efficiency Analysis in Beijing Tertiary Public Hospitals, China

    Institute of Scientific and Technical Information of China (English)

    Guo-Chao Xu; Jian Zheng; Zi-Jun Zhou; Chuan-Kun Zhou; Yang Zhao

    2015-01-01

    Background: Tertiary hospitals serve as the medical service center within the region and play an important role in the medical and health service system.They are also the key targets of public hospital reform in the new era in China.Through the reform of health system, the public hospital efficiency has changed remarkably.Therefore, this study aimed to provide some advice for efficiency assessment of public hospitals in China by comparing and analyzing the consistency of results obtained by three commonly used methods for examining hospital efficiency, that is, ratio analysis (RA), stochastic frontier analysis (SFA), and data envelopment analysis (DEA).Methods: The theoretical basis, operational processes, and the application status ofRA, SFA, and DEA were learned through literature analysis.Then, the empirical analysis was conducted based on measured data from 51 tertiary public hospitals in Beijing from 2009 to 2011.Results: The average values of hospital efficiency calculated by SFA with index screening and principal component analysis (PCA) results and those calculated by DEA with index screening results were relatively stable.The efficiency of specialized hospitals was higher than that of general hospitals and that of traditional Chinese medicine hospitals.The results obtained by SFA with index screening results and the results obtained by SFA with PCA results showed a relatively high correlation (r-value in 2009, 2010, and 2011 were 0.869, 0.753, and 0.842, respectively, P < 0.01).The correlation between results obtained by DEA with index screening results and PCA results and results obtained by other methods showed statistical significance, but the correlation between results obtained by DEA with index screening results and PCA results was lower than that between results obtained by SFA with index screening results and PCA results.Conclusions: RA is not suitable for multi-index evaluation of hospital efficiency.In the given conditions, SFA is a stable

  6. Towards a Critical Pedagogy of Comparative Public Diplomacy: Pseudo-Education, Fear-Mongering and Insecurities in Canadian-American Foreign Policy

    Science.gov (United States)

    Nelles, Wayne

    2008-01-01

    Little research has examined public diplomacy as a comparative education issue, particularly regarding social-psychological, economic and political fears or personal and national insecurities. This paper discusses American public diplomacy as a mostly Cold War strategy adapted to post-9/11 national security interests, fears and desires. It further…

  7. Institutional delivery in public and private sectors in South Asia: A comparative analysis of prospective data from four demographic surveillance sites

    NARCIS (Netherlands)

    S. Das (Sushmita); G. Alcock (Glyn); K. Azad (Kishwar); A. Kuddus (Abdul); A. Manandhar; B. Shrestha (Bhim); N. Nair (Nirmala); S. Rath (Santosh); N.S. More (Neena Shah); N. Saville (Naomi); A.J. Houweling (Tanja); D. Osrin (David)

    2016-01-01

    markdownabstract__Background:__ Maternity care in South Asia is available in both public and private sectors. Using data from demographic surveillance sites in Bangladesh, Nepal and rural and urban India, we aimed to compare institutional delivery rates and public-private share. __Methods:__ We us

  8. Towards a Critical Pedagogy of Comparative Public Diplomacy: Pseudo-Education, Fear-Mongering and Insecurities in Canadian-American Foreign Policy

    Science.gov (United States)

    Nelles, Wayne

    2008-01-01

    Little research has examined public diplomacy as a comparative education issue, particularly regarding social-psychological, economic and political fears or personal and national insecurities. This paper discusses American public diplomacy as a mostly Cold War strategy adapted to post-9/11 national security interests, fears and desires. It further…

  9. A Comparative Study of the Influence of Head Teachers Management Styles on Pupils Performance in KCPE in Public and Private Primary Schools in Nakuru Municipality, Kenya

    Science.gov (United States)

    Shibo, Margaret Nekesa

    2016-01-01

    The purpose of this study was to compare the influence of management styles of head teacher's on pupils' performance in private and public primary schools in Nakuru municipality at Kenya Certificate of Primary Education level. The population comprised of teachers and head teachers in public primary schools. The study adopted the ex post facto…

  10. Demandas judiciais e assistência terapêutica no Sistema Único de Saúde Judicial demands and therapeutic assistance in the Brazilian Public Health System

    Directory of Open Access Journals (Sweden)

    Fabiola Sulpino Vieira

    2009-01-01

    Full Text Available OBJETIVO: Analisar a cobertura qualitativa das políticas terapêuticas no Sistema Único de Saúde (SUS, no âmbito federal, para doenças referidas em ações judiciais. MÉTODOS: Realizou-se pesquisa exploratória com base em uma amostra de doenças referidas em ações judiciais impetradas contra a Secretaria Municipal da Saúde de São Paulo em 2005. Efetuou-se uma busca das normas que estabelecem políticas terapêuticas nas páginas eletrônicas do Ministério da Saúde e sobre os recursos terapêuticos recomendados (medicamentos e procedimentos cirúrgicos na base de dados Diseasedex, integrante do sistema Micromedex. Elaborou-se quadro-resumo, analisando-se para cada doença a cobertura por política terapêutica federal vigente, em função da inclusão de medicamentos ou procedimentos recomendados nesta política como primeira linha de tratamento. RESULTADOS: O atendimento terapêutico está contemplado para a maioria das doenças (n = 26, seja por meio de política da atenção básica, seja por meio de política para doenças raras e/ou de alto custo, o que representa 96% das doenças da amostra estudada (n = 27. Observou-se que das 27 doenças, três delas estão contempladas por política terapêutica limitada, ou seja, a política não oferece as abordagens de primeira escolha em sua totalidade, o que corresponde a 11% da amostra. A única doença que não está contemplada por política terapêutica é o transtorno do déficit de atenção e hiperatividade. CONCLUSÃO: Existem limitações em termos de cobertura qualitativa para o tratamento de algumas doenças da amostra estudada, em âmbito federal, o que compromete a integralidade da assistência terapêutica e da atenção à saúde em alguns casos.OBJECTIVE: To analyze the qualitative coverage of therapeutic policies at federal level in the Brazilian Public Health System (SUS for diseases that were the subject of lawsuits. METHODS: An exploratory research was performed

  11. Factors associated with cesarean delivery during labor in primiparous women assisted in the Brazilian Public Health System: data from a National Survey

    Directory of Open Access Journals (Sweden)

    Marcos Augusto Bastos Dias

    2016-10-01

    Full Text Available Abstract Background The rate of cesarean delivery (CD in Brazil has increased over the past 40 years. The CD rate in public services is three times above the World Health Organization recommended values. Among strategies to reduce CD, the most important is reduction of primary cesarean. This study aimed to describe factors associated with CD during labor in primiparous women with a single cephalic pregnancy assisted in the Brazilian Public Health System (SUS. Methods This study is part of the Birth in Brazil survey, a national hospital-based study of 23,894 postpartum women and their newborns. The rate of CD in primiparous women was estimated. Univariate and multivariable logistic regression was performed to analyze factors associated with CD during labor in primiparous women with a single cephalic pregnancy, including estimation of crude and adjusted odds ratios and their respective 95 % confidence intervals. Results The analyzed data are related to the 2814 eligible primiparous women who had vaginal birth or CD during labor in SUS hospitals. In adjusted analyses, residing in the Southeast region was associated with lower CD during labor. Occurrence of clinical and obstetric conditions potentially related to obstetric emergencies before delivery, early admission with < 4 cm of dilatation, a decision late in pregnancy for CD, and the use of analgesia were associated with a greater risk for CD. Favorable advice for vaginal birth during antenatal care, induction of labor, and the use of any good practices during labor were protective factors for CD. The type of professional who attended birth was not significant in the final analyses, but bivariate analysis showed a higher use of good practices and a smaller proportion of epidural analgesia in women cared for by at least one nurse midwife. Conclusions The CD rate in primiparous women in SUS in Brazil is extremely high and can compromise the health of these women and their newborns

  12. Cost-Benefit Performance of Robotic Surgery Compared with Video-Assisted Thoracoscopic Surgery under the Japanese National Health Insurance System.

    Science.gov (United States)

    Kajiwara, Naohiro; Patrick Barron, James; Kato, Yasufumi; Kakihana, Masatoshi; Ohira, Tatsuo; Kawate, Norihiko; Ikeda, Norihiko

    2015-01-01

    Medical economics have significant impact on the entire country. The explosion in surgical techniques has been accompanied by questions regarding actual improvements in outcome and cost-effectiveness, such as the da Vinci(®) Surgical System (dVS) compared with conventional video-assisted thoracic surgery (VATS). To establish a medical fee system for robot-assisted thoracic surgery (RATS), which is a system not yet firmly established in Japan. This study examines the cost benefit performance (CBP) based on medical fees compared with VATS and RATS under the Japanese National Health Insurance System (JNHIS) introduced in 2012. The projected (but as yet undecided) price in the JNHIS would be insufficient if institutions have less than even 200 dVS cases per year. Only institutions which perform more than 300 dVS operations per year would obtain a positive CBP with the projected JNHIS reimbursement. Thus, under the present conditions, it is necessary to perform at least 300 dVS operations per year in each institution with a dVS system to avoid financial deficit with current robotic surgical management. This may hopefully encourage a downward price revision of the dVS equipment by the manufacture which would result in a decrease in the cost per procedure.

  13. 弱势群体公法保护视野下的社会帮扶问题%Social Assistance to the Vulnerable Group from the Perspective of the Protection of Public Law

    Institute of Scientific and Technical Information of China (English)

    张腾龙

    2015-01-01

    弱势群体保护问题是当今社会,尤其是公法学界所面临的严峻课题。为了有效应对这一问题,应采用比较研究、实证研究、文献研究的方法,在继续完善传统公法意义上的相关保障性制度的基础上,积极构建弱势群体的社会帮扶制度。弱势群体的社会帮扶制度一方面以服务行政理论为理论依据,要求弱势群体保护由当下的“政治负责”向“社会负责”过渡;另一方面,社会帮扶制度又以公共服务理论为理论支撑,要求政府由高权强制型向怀柔服务型转变。在实践中,弱势群体的社会帮扶制度应遵循政府与社会“两条腿走路”的基本逻辑,而该制度的构建应秉承若干基本思路:破除观念束缚,培育和构建公民社会;丰富社会主体形式,弥补行政保障不足;完善其他社会帮扶途径。%The problem of protecting the vulnerable groups is a tough issue facing the current society ,and the field of public law in particular .To tackle this problem ,vigorous efforts should be made to develop social assistance system for the vulnerable through comparative studies ,empirical studies and literature researches on the basis of further im-proving relevant protection system .With the administrative theory of service as theoretical framework on the one hand,the social assistance system for the vulnerable requires the transition of the protection system from "political responsibility"to"social responsibility";on the other hand ,supported by public service theory ,the social assistance system demands the government to change from political hegemony to service-oriented mollification.In practice,the social assistance system for the vulnerable should"walk on two legs", namely the government and the society .The pursuit of such system ought to discard conventional ideas ,foster civil society ,diversify social subjects ,strengthen administrative guarantee ,and explore other

  14. Public health and economic impact of seasonal influenza vaccination with quadrivalent influenza vaccines compared to trivalent influenza vaccines in Europe

    Science.gov (United States)

    Uhart, Mathieu; Bricout, Hélène; Clay, Emilie; Largeron, Nathalie

    2016-01-01

    ABSTRACT Influenza B strains represent on average 23% of all circulating strains in Europe and when there is a vaccine mismatch on B strains, additional influenza-related hospitalizations and deaths as well as substantial additional costs are observed. The objective was to estimate the public health and economic impact of seasonal influenza vaccination with quadrivalent influenza vaccines (QIV) compared to trivalent influenza vaccines (TIV) in Europe (EU). Based on data from 5 EU countries (France, Germany, Italy, Spain and UK) during 10 influenza seasons from 2002 to 2013, epidemiological and associated economic outcomes were estimated for each season for the actual scenario where the TIV was used, and for a hypothetical scenario where QIV could have been used instead. By using QIV, this study estimated that for the 5 EU countries, an additional 1.03 million (327.9/100,000 inhabitants) influenza cases, 453,000 (143.9/100,000) general practitioners consultations, 672,000 (213.1/100,000) workdays lost, 24,000 (7.7/100,000) hospitalizations and 10,000 (3.1/100,000) deaths could have been avoided compared to the use of TIV over the 10-seasons-period. This study estimates that QIV can be of economic value since from a societal perspective 15 million Euros would have been saved on general practitioners consultations (14 million Euros from third-party payer perspective), 77 million on hospitalizations (74 million Euros from third-party payer perspective) and 150 million Euros on workdays lost, across the 5 EU countries. In conclusion, the present study estimates that, compared to TIV, QIV may result in a substantial decrease in epidemiological burden and in influenza-related costs. PMID:27166916

  15. Transparency in Public Administration: Free Access to Public Information. A Topical Comparative Analysis of Several Jurisdictions from Central and Eastern Europe

    Directory of Open Access Journals (Sweden)

    DRAGOȘ Dacian C.

    2006-06-01

    Full Text Available Many expected freedom of information laws to be among the first priorities of the new governments of countries in transition after the 1989 changes, but instead there was little public pressure to adopt general sunshine laws relating to all categories of information. After adopting the laws, however, there are still many powerful forces that are working against extensive access to information – they can be static - opaque administrative practices, general inaptitude or the lack of sufficient human and material resources - or active – agents that resist openness due to private interests, or agents that use institutional scenarios to prevent public scrutiny over corruption and incompetence. The paper approaches the jurisdictions from Hungary, Poland, Czech Republic and Romania, emphasising aspects like: different models in regulating freedom of information regimes, obstacles in the implementation of the law, public bodies that should apply the law, timeframes, etc.

  16. 医疗卫生援疆模式解读与对比分析%Comparative Study on the Health Care Assistance Program in Xinjiang

    Institute of Scientific and Technical Information of China (English)

    王晓霞; 王晓婷; 梁敏; 姚华

    2016-01-01

    As an important part of the comprehensive support by 19 provinces and cities for Xinjiang, the medical and health care assistance, with spark mode, a-b-c mode, teamwork mode, bridge mode as the representatives of implementation mode, has injected an unprecedented positive power for the development of medical and health care in Xinjiang. This paper analyzes and compares different medical and health care assistance mode to provide reference for the government administrative departments in adjustment of policies, coordinated planning and promoting demonstration assistance mode of scale in the future.%医疗卫生援疆作为全国19省市全面对口支援新疆的重要组成部分,在实施模式上以星火式、A-B-C式、团队式、桥梁式为代表,为新疆医疗卫生事业的发展注入了前所未有的积极动力。本文对不同的医疗卫生援疆模式进行梳理、解读,并予以对比分析,为政府行政部门在今后的医疗卫生援疆工作中及时调整政策、统筹规划和系统推广规模性、示范性的援疆模式提供借鉴和参考。

  17. Characteristics of positive surgical margins in robotic-assisted radical prostatectomy, open retropubic radical prostatectomy, and laparoscopic radical prostatectomy: a comparative histopathologic study from a single academic center.

    Science.gov (United States)

    Albadine, Roula; Hyndman, Matthew E; Chaux, Alcides; Jeong, J Y; Saab, Shahrazad; Tavora, Fabio; Epstein, Jonathan I; Gonzalgo, Mark L; Pavlovich, Christian P; Netto, George J

    2012-02-01

    Studies detailing differences in positive surgical margin among open retropubic radical prostatectomy, laparoscopic radical prostatectomy, and robotic-assisted laparoscopic radical prostatectomy are lacking. A retrospective review of all prostatectomies with positive surgical margin performed at our center in 2007 disclosed 99 cases, 6 (5%) of which were reinterpreted cases as having negative margins. Ninety-three cases were, therefore, included, corresponding to 37 retropubic radical prostatectomies, 19 laparoscopic radical prostatectomies, and 37 robotic-assisted laparoscopic radical prostatectomies. The relationship of positive surgical margin characteristics to clinicopathologic parameters and biochemical recurrence was assessed. The most commonly found positive surgical margin site was the apex/distal third in all groups (62% retropubic prostatectomies, 79% laparoscopic prostatectomies, 60% robotic-assisted prostatectomies). Total linear length of positive surgical margin sites was significantly correlated with preoperative prostate-specific antigen, preoperative prostate-specific antigen density, pT stage, and tumor volume (P ≤ .001). We found no significant differences among the 3 groups with respect to total linear length, number of foci, laterality, or location of positive surgical margin. The rate of biochemical recurrence was also comparable in the 3 groups. On univariate analyses, biochemical recurrence was significantly associated with preoperative prostate-specific antigen values, preoperative prostate-specific antigen density, Gleason score, number of positive surgical margins, and total linear length of positive surgical margin (P ≤ .02). Only preoperative prostate-specific antigen density and number of positive surgical margin foci were statistically significant (P ≤ .03) independent predictors of biochemical recurrence. We found no significant difference in positive surgical margin characteristics or biochemical recurrence among the 3

  18. Radical nephrectomy performed by open, laparoscopy with or without hand-assistance or robotic methods by the same surgeon produces comparable perioperative results

    Directory of Open Access Journals (Sweden)

    Tanya Nazemi

    2006-02-01

    Full Text Available PURPOSE: Radical nephrectomy can be performed using open or laparoscopic (with or without hand assistance methods, and most recently using the da Vinci Surgical Robotic System. We evaluated the perioperative outcomes using a contemporary cohort of patients undergoing radical nephrectomy by one of the above 4 methods performed by the same surgeon. MATERIALS AND METHODS: The relevant clinical information on 57 consecutive patients undergoing radical nephrectomy from September 2000 until July 2004 by a single surgeon was entered in a Microsoft Access DatabaseTM and queried. Following appropriate statistical analysis, p values < 0.05 were considered significant. RESULTS: Of 57 patients, the open, robotic, laparoscopy with or without hand assistance radical nephrectomy were performed in 18, 6, 21, and 12 patients, respectively. The age, sex, body mass index (BMI, incidence of malignancy, specimen and tumor size, tumor stage, Fuhrman grade, hospital stay, change in postoperative creatinine, drop in hemoglobin, and perioperative complications were not significantly different between the methods. While the estimated median blood loss, postoperative narcotic use for pain control, and hospital stay were significantly higher in the open surgery method (p < 0.05, the median operative time was significantly shorter compared to the robotic method (p = 0.02. Operating room costs were significantly higher in the robotic and laparoscopic groups; however, there was no significant difference in total hospital costs between the 4 groups. CONCLUSIONS: The study demonstrates that radical nephrectomy can be safely performed either by open, robotic, or laparoscopic with or without hand assistance methods without significant difference in perioperative complication rates. A larger cohort and longer follow up are needed to validate our findings and establish oncological outcomes.

  19. Traduction assistée par ordinateur et corpus comparables : contributions à la traduction compositionnelle

    OpenAIRE

    Delpech, Estelle

    2013-01-01

    Financement : projet ANR Metricc (subvention ANR-08-CORD-013), ANRT (CIFRE n° 2010/270), société Lingua et Machina; Our work deals with the extraction of bilingual lexicons from comparable corpora with an application to specialized translation. We started by evaluating classical methods based on the distributional hypothesis (the more two terms appear in similar contexts, the more likely they are translations of each other) in a user-oriented fashion. This evaluation raised the fact that tran...

  20. Religious Symbols in Public Functions: Unveiling State Neutrality. A Comparative Analysis of Dutch, English and French Justifications for Limiting the Freedom of Public Officials to Display Religious Symbols

    NARCIS (Netherlands)

    van Ooijen, H.

    2012-01-01

    Religious symbols are loaded with meaning, not only for those who display them. They have generated controversy in many circles, be they religious or secular, public or private, and within or outside academia. Debate has taken place throughout Europe and beyond, at times leading to limitations or

  1. Religious Symbols in Public Functions: Unveiling State Neutrality. A Comparative Analysis of Dutch, English and French Justifications for Limiting the Freedom of Public Officials to Display Religious Symbols

    NARCIS (Netherlands)

    van Ooijen, H.

    2012-01-01

    Religious symbols are loaded with meaning, not only for those who display them. They have generated controversy in many circles, be they religious or secular, public or private, and within or outside academia. Debate has taken place throughout Europe and beyond, at times leading to limitations or ba

  2. Evaluation of pharmaceutical assistance in public primary care in Brasília, Brazil Avaliação da assistência farmacêutica na atenção primária no Distrito Federal

    Directory of Open Access Journals (Sweden)

    Janeth de Oliveira Silva Naves

    2005-04-01

    Full Text Available OBJECTIVE: Pharmaceutical assistance is essential in health care and a right of citizens according to Brazilian law and drug policies. The study purpose was to evaluate aspects of pharmaceutical assistance in public primary health care. METHODS: A cross-sectional study using WHO drug indicators was carried out in Brasília in 2001. From a random sample of 15 out of 62 centers thirty exiting patients per center were interviewed. RESULTS: Only 18.7% of the patients fully understood the prescription, 56.3% could read it, 61.2% of the prescribed drugs were actually dispensed, and mean duration of pharmaceutical dispensing was 53.2 seconds. Each visit lasted on average 9.4 minutes. Of prescribed and non-dispensed drugs, 85.3% and 60.6% were on the local essential drug list (EDL respectively. On average 83.2% of 40 essential drugs were in stock, and only two centers had a pharmacist in charge of the pharmacy. The mean number of drugs per prescription was 2.3, 85.3% of prescribed drugs were on the EDL, 73.2% were prescribed using the generic denomination, 26.4% included antibiotics and 7.5% were injectables. The most prescribed groups were: cardiovascular drugs (26.8%, anti-infective drugs (13.1%, analgesics (8.9%, anti-asthmatic drugs (5.8%, anti-diabetic drugs (5.3%, psychoactive drugs (3.7%, and combination drugs (2.7%. CONCLUSIONS: Essential drugs were only moderately available almost 30 years after the first Brazilian EDL was formulated. While physician use of essential drugs and generic names was fairly high, efficiency was impaired by the poor quality of pharmaceutical care, resulting in very low patient understanding and insufficient guarantee of supply, particularly for chronic diseases.OBJETIVO: O acesso a medicamentos e seus serviços é indispensável às ações de saúde e um direito do cidadão segundo a política de medicamentos e a legislação brasileira. O objetivo do estudo foi avaliar aspectos da assistência farmacêutica na aten

  3. Comparative studies on detergent-assisted apocytochrome b6 reconstitution into liposomal bilayers monitored by Zetasizer instruments.

    Directory of Open Access Journals (Sweden)

    Michał A Surma

    Full Text Available The present paper is a systematic, comparative study on the reconstitution of an apocytochrome b6 purified from a heterologous system using a detergent-free method and reconstitution into liposomes performed using three different detergents: SDS, Triton X-100 and DM, and two methods of detergent removal by dialysis and using Bio-Beads. The product size, its distribution and zeta potential, and other parameters were monitored throughout the process. We found that zeta potential of proteoliposomes is correlated with reconstitution efficiency and, as such, can serve as a quick and convenient quality control for reconstitution experiments. We also advocate using detergent-free protein purification methods as they allow for an unfettered choice of detergent for reconstitution, which is the most crucial factor influencing the final product parameters.

  4. Fluoroscopy-assisted vs fluoroless endoscopic ultrasound-guided transmural drainage of pancreatic fluid collections: A comparative study.

    Science.gov (United States)

    Consiglieri, Claudia F; Gornals, Joan B; Busquets, Juli; Peláez, Nuria; Secanella, Lluis; De-La-Hera, Meritxell; Sanzol, Resurrección; Fabregat, Joan; Castellote, José

    2017-09-04

    The need for fluoroscopy guidance in patients undergoing endoscopic ultrasound-guided transmural drainage (EUS-TMD) of peripancreatic fluid collections (PFCs) remains unclear. The aim of this study was to compare general outcomes of EUS-TMD of PFCs under fluoroscopy (F) vs fluoroless (FL). This is a comparative study with a retrospective analysis of a prospective and consecutive inclusion database at a tertiary centre, from 2009 to 2015. All patients were symptomatic pseudocyst (PSC) and walled-off pancreatic necrosis (WON). Two groups were assigned depending on availability of fluoroscopy. The groups were heterogeneous in terms of their demographic characteristics, PFCs and procedure. The main outcome measures included technical and clinical success, incidences, adverse events (AEs), and follow-up. Fifty EUS-TMD of PFCs from 86 EUS-guided drainages were included during the study period. Group F included 26 procedures, PSC 69.2%, WON 30.8%, metal stents 61.5% (46.1% lumen-apposing stent) and plastic stents 38.5%. Group FL included 24 procedures, PSC 37.5%, WON 62.5%, and metal stents 95.8% (lumen-apposing stents). Technical success was 100% in both groups, and clinical success was similar (F 88.5%, FL 87.5%). Technical incidences and intra-procedure AEs were only described in group F (7.6% and 11.5%, respectively) and none in group FL. Procedure time was less in group FL (8min, p=0.0341). Fluoroless in the EUS-TMD of PFCs does not involve more technical incidences or intra-procedure AEs. Technical and clinical success was similar in the two groups. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

  5. Comparative bioremediation of heavy metals and petroleum hydrocarbons co-contaminated soil by natural attenuation, phytoremediation, bioaugmentation and bioaugmentation-assisted phytoremediation.

    Science.gov (United States)

    Agnello, A C; Bagard, M; van Hullebusch, E D; Esposito, G; Huguenot, D

    2016-09-01

    Biological remediation technologies are an environmentally friendly approach for the treatment of polluted soils. This study evaluated through a pot experiment four bioremediation strategies: a) natural attenuation, b) phytoremediation with alfalfa (Medicago sativa L.), c) bioaugmentation with Pseudomonas aeruginosa and d) bioaugmentation-assisted phytoremediation, for the treatment of a co-contaminated soil presenting moderate levels of heavy metals (Cu, Pb and Zn at 87, 100 and 110mgkg(-1) DW, respectively) and petroleum hydrocarbons (3800mgkg(-1) DW). As demonstrated by plant biomass and selected physiological parameters alfalfa plants were able to tolerate and grow in the co-contaminated soil, especially when soil was inoculated with P. aeruginosa, which promoted plant growth (56% and 105% increase for shoots and roots, respectively) and appeared to alleviate plant stress. The content of heavy metals in alfalfa plants was limited and followed the order: Zn>Cu>Pb. Heavy metals were mainly concentrated in plant roots and were poorly translocated, favouring their stabilization in the root zone. Bioaugmentation of planted soil with P. aeruginosa generally led to a decrease of plant metal concentration and translocation. The highest degree of total petroleum hydrocarbon removal was obtained for bioaugmentation-assisted phytoremediation treatment (68%), followed by bioaugmentation (59%), phytoremediation (47%) and natural attenuation (37%). The results of this study demonstrated that the combined use of plant and bacteria was the most advantageous option for the treatment of the present co-contaminated soil, as compared to natural attenuation, bioaugmentation or phytoremediation applied alone.

  6. Histological underestimation of a 9-gauge stereotactic vacuum-assisted breast biopsy system compared with surgical excision at a tertiary hospital in South Africa

    Directory of Open Access Journals (Sweden)

    Michael Pieters

    2016-03-01

    Full Text Available Background: Breast cancer is a major cause of morbidity and mortality worldwide. Certain lesions encountered on mammography require histological assessment of biopsy samples to identify benign versus malignant disease. Stereotactic vacuum-assisted breast biopsy (SVAB is a useful technique, especially for non-palpable microcalcific lesions, and was introduced at our institution in 2011.Objectives: To determine whether the histological underestimation from 9-gauge SVABs performed at our institution is within acceptable limits.Method: In this cross-sectional study, 9-gauge stereotactic biopsy histology results and breast imaging and reporting data system (BI-RADS findings of 158 lesions (from 153 patients were analysed and the histological findings compared with surgical excision histology results (54 lesions to determine histological underestimation (upgrade rates.Results: One out of eight cases of ductal carcinoma in situ (DCIS was underestimated, yielding a DCIS underestimation rate of 12.5%.Conclusion: The DCIS underestimation obtained from the present study in our institution was on a par with other authors’ findings and was therefore within acceptable limits. Atypical ductal hyperplasia underestimation could not be reliably obtained with the small study population.Keywords: Stereotactic vacuum assisted breast biopsy; histological underestimation; histological upgrade

  7. [Prevalence and factors associated with intimate partner abuse in female users of public health services in Mexico: a comparative analyses].

    Science.gov (United States)

    Ávila-Burgos, Leticia; Valdez-Santiagob, Rosario; Barroso-Quiab, Abigail; Híjar, Martha; Rojas, Rosalba; Del Río-Zolezzi, Aurora

    2014-01-01

    To analyze the evolution of the prevalence in intimate partner violence during the years 2003 and 2006 in Mexico, identifying factors associated with its severity, comparing our results with findings from 2003. Data from the Encuesta Nacional de Violencia contra las Mujeres (ENVIM 2006) was used; it has urban-rural national representation of female users of Mexican public health services. A total of 22,318 women above 14 years of age were interviewed. A multinomial logistic regression model was adjusted. The dependent variable was the Index of Intimate Partner Abuse. Intimate partner abuse increased 17% in comparison to the year 2003. Women's personal history of childhood abuse (ORA= 5.12, 95% CI4.15-6.30) and rape (ORA = 3.5, 95% CI = 2.66-4.62) were the most important women's factors that were found associated with severe violence. Male partner's daily alcohol consumption increased eleven fold the possibility of severe violence; higher disagreement with traditional female gender roles and higher education of both partners were protective factors. Factors associated with violence and their severities were consistent with findings reported in 2003. Intimate partner violence is a highly prevalent social problem which requires comprehensive strategies supporting empowerment of women through higher education, early detection and care of those battered, as well as structured interventions to prevent violence in future generations.

  8. Comparative analysis of oxidation methods of reaction-sintered silicon carbide for optimization of oxidation-assisted polishing.

    Science.gov (United States)

    Shen, Xinmin; Dai, Yifan; Deng, Hui; Guan, Chaoliang; Yamamura, Kazuya

    2013-11-04

    Combination of the oxidation of reaction-sintered silicon carbide (RS-SiC) and the polishing of the oxide is an effective way of machining RS-SiC. In this study, anodic oxidation, thermal oxidation, and plasma oxidation were respectively conducted to obtain oxides on RS-SiC surfaces. By performing scanning electron microscopy/energy dispersive X-ray spectroscopy (SEM-EDX) analysis and scanning white light interferometry (SWLI) measurement, the oxidation behavior of these oxidation methods was compared. Through ceria slurry polishing, the polishing properties of the oxides were evaluated. Analysis of the oxygen element on polished surfaces by SEM-EDX was conducted to evaluate the remaining oxide. By analyzing the three oxidation methods with corresponding polishing process on the basis of schematic diagrams, suitable application conditions for these methods were clarified. Anodic oxidation with simultaneous polishing is suitable for the rapid figuring of RS-SiC with a high material removal rate; polishing of a thermally oxidized surface is suitable for machining RS-SiC mirrors with complex shapes; combination of plasma oxidation and polishing is suitable for the fine finishing of RS-SiC with excellent surface roughness. These oxidation methods are expected to improve the machining of RS-SiC substrates and promote the application of RS-SiC products in the fields of optics, molds, and ceramics.

  9. A comparative study of the synthesis of CdO nanoplatelets by an albumen-assisted isothermal evaporation method

    Energy Technology Data Exchange (ETDEWEB)

    Prakash, T., E-mail: prakash_nano@rediffmail.com [Department of Physics, Tamilnadu College of Engineering, Karumathampatti, Coimbatore 641 659, Tamil Nadu (India); Neri, G. [Department of Electronic Engineering, Chemistry and Industrial Engineering, University of Messina, 98166 Messina (Italy); Ranjith Kumar, E. [Sri Ramakrishna Mission Vidyalaya Swami Shivananda Higher Secondary School, Coimbatore 641 020, Tamil Nadu (India)

    2015-03-05

    Highlights: • CdO nanoplatelets prepared by the presence of albumen as a bio-template agent. • Albumen strongly aided the formation of the pure cadmium phase. • This way to synthesize CdO nanoplatelets very promising for optical application. - Abstract: In this paper, the synthesis of CdO nanoplatelets by the isothermal evaporation method in the presence of egg white (albumen) as a bio-template agent is reported for the first time. The morphological and microstructural characteristics of products obtained after drying at 130 °C and annealing at 300 °C have been investigated by Fourier transform infrared (FT-IR) spectroscopy, Thermogravimetric analysis (TGA), X-ray diffraction (XRD), SEM (Scanning Electron Microscopy), Transmission Electron Microscopy (TEM), Energy Dispersive Spectroscopy (EDS), and compared with corresponding samples obtained in the absence of template. The characterization techniques evidenced remarkable differences between the two sample typologies. Specifically, crystalline CdO in the cubic phase was obtained only in the presence of albumen. The samples were further analyzed by electrical conductivity measurement, ultraviolet spectral studies (UV) and photoluminescence (PL) to ascertain their possible use for optical and electrical applications.

  10. Assistance Focus: Africa (Brochure)

    Energy Technology Data Exchange (ETDEWEB)

    2014-12-01

    The Clean Energy Solutions Center Ask an Expert service connects governments seeking policy information and advice with one of more than 30 global policy experts who can provide reliable and unbiased quick-response advice and information. The service is available at no cost to government agency representatives from any country and the technical institutes assisting them. This publication presents summaries of assistance provided to African governments, including the benefits of that assistance.

  11. Computer-Assisted, Self-Interviewing (CASI Compared to Face-to-Face Interviewing (FTFI with Open-Ended, Non-Sensitive Questions

    Directory of Open Access Journals (Sweden)

    John Fairweather PhD

    2012-07-01

    Full Text Available This article reports results from research on cultural models, and assesses the effects of computers on data quality by comparing open-ended questions asked in two formats—face-to-face interviewing (FTFI and computer-assisted, self-interviewing (CASI. We expected that for our non-sensitive topic, FTFI would generate fuller and richer accounts because the interviewer could facilitate the interview process. Although the interviewer indeed facilitated these interviews, which resulted in more words in less time, the number of underlying themes found within the texts for each interview mode was the same, thus resulting in the same models of national culture and innovation being built for each mode. Our results, although based on an imperfect research design, suggest that CASI can be beneficial when using open-ended questions because CASI is easy to administer, capable of reaching more efficiently a large sample, and able to avoid the need to transcribe the recorded responses.

  12. Comparative study of matrix-assisted laser desorption/ionization and gas chromatography for quantitative determination of cocoa butter and cocoa butter equivalent triacylglycerol composition.

    Science.gov (United States)

    Guyon, F; Absalon, Ch; Eloy, A; Salagoity, M H; Esclapez, M; Medina, B

    2003-01-01

    The triacylglycerol (TAG) composition study of cocoa butter (CB) and cocoa butter equivalents (CBEs) has been performed by gas chromatography (GC) and matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOFMS). These two techniques provided comparable results. The advantage of the MALDI technique was the detection of each compound comprising the triacylglycerol classes (Cn). Moreover, comparison of the data obtained by these two techniques indicated that TAG relative percentages could be obtained quantitatively with the MALDI technique. These techniques have been applied for the composition determination of CB + CBE mixtures. Encouraging results showed that it is possible to quantify an admixture containing as little as 4% of CBE.

  13. A comparative study of school based violence and strategies for control in public and private secondary schools in Osun State.

    Science.gov (United States)

    Omisore, A G; Omisore, B; Adelekan, B; Afolabi, O T; Olajide, F O; Arije, O O; Agunbiade, O I

    2012-01-01

    Violence is universal; it occurs in schools (both public and private). The study aim was to assess the rates of violence as well as existing violence prevention strategies in public and private schools in Osun state. A cross sectional study was conducted among 800 secondary school students (599 in public and 201 in private schools) selected by multistage sampling technique using quantitative and qualitative methods of data collection. The mean age for all the respondents was 14.26 years +/- 2.001 Males make up about 51% of the respondents in both public and private schools. Respondents from public schools assaulted other students and staff with a weapon more than their colleagues in private schools (24.7% and 9.7% against 12.9% and 6.5% respectively). The commonest violence 'prevention' strategy in both schools was punishment for violent acts (>90%). Respondents in public schools perpetrated and experienced virtually all forms of school-related violence more than those in private, schools. There were mild differences in existing violence prevention strategies in both schools. School connectedness seems to be a major factor in the differential rates of violence between both groups of schools.

  14. Accuracy and feasibility of frameless stereotactic and robot-assisted CT-based puncture in interventional radiology. A comparative phantom study

    Energy Technology Data Exchange (ETDEWEB)

    Stoffner, R.; Widmann, G.; Bale, R. [Radiologie, Medizinische Univ. Innsbruck (Austria); Augschoell, C. [Chirurgie, LKH Salzburg (Austria); Boehler, D. [LKH Salzburg (Austria)

    2009-09-15

    Purpose: To compare the accuracy of frameless stereotactic and robot-assisted puncture in vitro based on computed tomography (CT) imaging with a slice thickness of 1, 3, and 5 mm. Materials and Methods: 300 punctures were carried out with help of the Atlas aiming device guided by the optical navigation system Stealth Station TREONplus and 150 punctures were guided by the robotic assistance system Innomotion. Conically shaped rods were punctured with Kirschner wires. The accuracy was evaluated on the basis of control CTs by measuring the Euclidean distance between the wire tip and target and the normal distance between the target and wire. Results: With the Stealth Station a mean Euclidean distance of 1.94{+-}0.912, 2.2{+-}1.136, and 2.74{+-}1.166 mm at a slice thickness of 1, 3 and 5 mm, respectively, was reached. The mean normal distance was 1.64{+-}0.919, 1.84{+-}1.189, and 2.48{+-}1.196 mm, respectively. The Innomotion system resulted in a mean Euclidean distance of 1.69{+-}0.772, 1.91{+-}0.673, and 2.30{+-}0.881 mm, respectively, while the mean normal distance was (1.42{+-}0.78), 1.60{+-}0.733, and 1.98{+-}1.002 mm, respectively. A statistical significance between accuracies with both systems with 1 mm and 3 mm slices could not be detected (p > 0.05). At a slice thickness of 5 mm, the robot was significantly more accurate, but not as accurate as when using thinner slices (p < 0.05). The procedure time is longer for the Innomotion system ({proportional_to}30 vs. {proportional_to}18 min), and the practicability is higher with the Stealth Station. (orig.)

  15. Cross-Sectional Relationships Between Household Food Insecurity and Child BMI, Feeding Behaviors, and Public Assistance Utilization Among Head Start Children From Predominantly Hispanic and American Indian Communities in the CHILE Study

    OpenAIRE

    Trappmann, Jessica L.; Jimenez, Elizabeth Yakes; Keane, Patricia C.; Deborah A. Cohen; Davis, Sally M

    2015-01-01

    Associations between food insecurity and overweight/obesity, feeding behaviors, and public food assistance utilization have been explored to a greater extent among adults and adolescents than among young children. This cross-sectional study examines a subset of pre-intervention implementation data (n = 347) among families participating in the Child Health Initiative for Lifelong Eating and Exercise (CHILE) study conducted in rural New Mexico among predominantly Hispanic and American Indian He...

  16. Cost-effectiveness analysis comparing continuation of assisted reproductive technology with conversion to intrauterine insemination in patients with low follicle numbers.

    Science.gov (United States)

    Yu, Bo; Mumford, Sunni; Royster, G Donald; Segars, James; Armstrong, Alicia Y

    2014-08-01

    To compare the cost effectiveness of proceeding with oocyte retrieval vs. converting to intrauterine insemination (IUI) in patients with ≤4 mature follicles during assisted reproductive technology (ART) cycles. Probabilistic decision analysis. The cost effectiveness of completing ART cycles in poor responders was compared to that for converting the cycles to IUI. Not applicable. Not applicable. Cost-effectiveness analysis. Cost effectiveness, which was defined as the average direct medical costs per ongoing pregnancy. In patients with 1-3 mature follicles, completing ART was more cost effective if the cost of a single ART cycle was between $10,000 and $25,000. For patients with 4 mature follicles, if an ART cycle costcost effective to continue with oocyte retrieval than to convert to IUI. In patients with ≤4 mature follicles following ovarian stimulation in ART cycles, it was on average more cost effective to proceed with oocyte retrieval rather than convert to IUI. However, important factors, such as age, prior ART failures, other fertility factors, and medications used in each individual case need to be considered before this analysis model can be adapted by individual practices. Copyright © 2014 American Society for Reproductive Medicine. All rights reserved.

  17. Body hair counts during hair length reduction procedures: a comparative study between Computer Assisted Image Analysis after Manual Processing (CAIAMP) and Trichoscan(™).

    Science.gov (United States)

    Van Neste, D J J

    2015-08-01

    To compare two measurement methods for body hair. Calibration of computer assisted image analysis after manual processing (CAIAMP) showed variation hair and skin' were taken before hair dye, after hair dye or after hair length reduction without hair extraction or destruction. Data in the same targets were compared with Trichoscan(™) quoted for 'unambiguous evaluation of the hair growth after shaving'. CAIAMP detected a total of 337 hair and showed no statistically significant differences with the three procedures confirming 'good natural contrast between hair and skin' and that reduction methods did not affect hair counts. While CAIAMP found a mean number of 19 thick hair (≥30 μm) before dye, 18 after dye and 20 after hair reduction, Trichoscan(™) found in the same sites respectively 44, 73 and 61. Trichoscan(™) generated counts differed statistically significantly from CAIAMP-data. Automated analyses were considered un-specifically influenced by hair medulla and natural or artificial skin background. Quality control including all steps of human intervention and measurement technology are mandatory for body hair measurements during experimental or clinical trials on body hair grooming, shaving or removal. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  18. Public health workforce taxonomy.

    Science.gov (United States)

    Boulton, Matthew L; Beck, Angela J; Coronado, Fátima; Merrill, Jacqueline A; Friedman, Charles P; Stamas, George D; Tyus, Nadra; Sellers, Katie; Moore, Jean; Tilson, Hugh H; Leep, Carolyn J

    2014-11-01

    Thoroughly characterizing and continuously monitoring the public health workforce is necessary for ensuring capacity to deliver public health services. A prerequisite for this is to develop a standardized methodology for classifying public health workers, permitting valid comparisons across agencies and over time, which does not exist for the public health workforce. An expert working group, all of whom are authors on this paper, was convened during 2012-2014 to develop a public health workforce taxonomy. The purpose of the taxonomy is to facilitate the systematic characterization of all public health workers while delineating a set of minimum data elements to be used in workforce surveys. The taxonomy will improve the comparability across surveys, assist with estimating duplicate counting of workers, provide a framework for describing the size and composition of the workforce, and address other challenges to workforce enumeration. The taxonomy consists of 12 axes, with each axis describing a key characteristic of public health workers. Within each axis are multiple categories, and sometimes subcategories, that further define that worker characteristic. The workforce taxonomy axes are occupation, workplace setting, employer, education, licensure, certification, job tasks, program area, public health specialization area, funding source, condition of employment, and demographics. The taxonomy is not intended to serve as a replacement for occupational classifications but rather is a tool for systematically categorizing worker characteristics. The taxonomy will continue to evolve as organizations implement it and recommend ways to improve this tool for more accurate workforce data collection.

  19. Comparing insertion characteristics on nasogastric tube placement by using GlideScopeTM visualization vs. MacIntosh laryngoscope assistance in anaesthetized and intubated patients

    Directory of Open Access Journals (Sweden)

    Wan Hafsah Wan Ibadullah

    Full Text Available Abstract Background and objective: This was a prospective, randomized clinical study to compare the success rate of nasogastric tube insertion by using GlideScopeTM visualization versus direct MacIntosh laryngoscope assistance in anesthetized and intubated patients. Methods: Ninety-six ASA I or II patients, aged 18-70 years were recruited and randomized into two groups using either technique. The time taken from insertion of the nasogastric tube from the nostril until the calculated length of tube had been inserted was recorded. The success rate of nasogastric tube insertion was evaluated in terms of successful insertion in the first attempt. Complications associated with the insertion techniques were recorded. Results: The results showed success rates of 74.5% in the GlideScopeTM Group as compared to 58.3% in the MacIntosh Group (p = 0.10. For the failed attempts, the nasogastric tube was successfully inserted in all cases using rescue techniques. The duration taken in the first attempt for both techniques was not statistically significant; Group A was 17.2 ± 9.3 s as compared to Group B, with a duration of 18.9 ± 13.0 s (p = 0.57. A total of 33 patients developed complications during insertion of the nasogastric tube, 39.4% in Group A and 60.6% in Group B (p = 0.15. The most common complications, which occurred, were coiling, followed by bleeding and kinking. Conclusion: This study showed that using the GlideScopeTM to facilitate nasogastric tube insertion was comparable to the use of the MacIntosh laryngoscope in terms of successful rate of insertion and complications.

  20. Comparing insertion characteristics on nasogastric tube placement by using GlideScope™ visualization vs. MacIntosh laryngoscope assistance in anaesthetized and intubated patients.

    Science.gov (United States)

    Wan Ibadullah, Wan Hafsah; Yahya, Nurlia; Ghazali, Siti Salmah; Kamaruzaman, Esa; Yong, Liu Chian; Dan, Adnan; Md Zain, Jaafar

    2016-01-01

    This was a prospective, randomized clinical study to compare the success rate of nasogastric tube insertion by using GlideScope™ visualization versus direct MacIntosh laryngoscope assistance in anesthetized and intubated patients. Ninety-six ASA I or II patients, aged 18-70 years were recruited and randomized into two groups using either technique. The time taken from insertion of the nasogastric tube from the nostril until the calculated length of tube had been inserted was recorded. The success rate of nasogastric tube insertion was evaluated in terms of successful insertion in the first attempt. Complications associated with the insertion techniques were recorded. The results showed success rates of 74.5% in the GlideScope™ Group as compared to 58.3% in the MacIntosh Group (p=0.10). For the failed attempts, the nasogastric tube was successfully inserted in all cases using rescue techniques. The duration taken in the first attempt for both techniques was not statistically significant; Group A was 17.2±9.3s as compared to Group B, with a duration of 18.9±13.0s (p=0.57). A total of 33 patients developed complications during insertion of the nasogastric tube, 39.4% in Group A and 60.6% in Group B (p=0.15). The most common complications, which occurred, were coiling, followed by bleeding and kinking. This study showed that using the GlideScope™ to facilitate nasogastric tube insertion was comparable to the use of the MacIntosh laryngoscope in terms of successful rate of insertion and complications. Copyright © 2015 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. All rights reserved.

  1. Comparing perceived public stigma and personal stigma of mental health treatment seeking in a young adult sample.

    Science.gov (United States)

    Pedersen, Eric R; Paves, Andrew P

    2014-09-30

    Perceived public stigma regarding seeking mental health treatment can be a barrier to accessing services for young adults. While factors associating with personal stigma regarding how one would view and treat others have been identified, the discrepancies between perceived and personal stigma have received less research attention. We designed the current study to expand on previous research and examine the discrepancies between perceived public stigma and personal stigma among a sample of 386 primarily White and Asian college students. Participants completed surveys of mental health symptoms, treatment experience and attitudes, perceived public, and personal stigma. Overall, participants generally reported greater perceived public stigma than personal stigma; an effect that was particularly evident for women and those with mental health symptoms. The majority of participants disagreed with items assessing personal stigma. Negative attitudes toward treatment and anxiety symptoms associated with perceived public stigma, while male gender, Asian ethnicity, and negative attitudes toward treatment associated with personal stigma. Findings have implications for interventions and marketing programs to help change perceptions about mental health stigma to encourage utilization of services for those young people who could benefit from care. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  2. INPO Assistance Activities: Human Resources

    Energy Technology Data Exchange (ETDEWEB)

    Wheelock, J.T.

    1999-11-14

    The Institute of Nuclear Power Operations (INPO) has a number of ongoing activities designed to provide assistance to our members in the human resources area. These include the Educational Assistance Program and the ongoing facilitation of information exchange through Nuclear Network and INPO publications. INPO will continue to seek ways to assist its member utilities.

  3. Atendimento de puérperas pela fisioterapia em uma maternidade pública humanizada Postpartum women assisted by physical therapy at a humanized public maternity house

    Directory of Open Access Journals (Sweden)

    Mariana Tirolli Rett

    2008-12-01

    Full Text Available O objetivo foi descrever o perfil de puérperas atendidas pela fisioterapia em uma maternidade pública de Betim, MG, e o atendimento a elas prestado, visando contribuir para a assistência fisioterapêutica obstétrica. Foi feito um levantamento de 215 fichas de avaliação fisioterapêutica de puérperas, contendo dados demográficos e clínicos, além dos registros específicos da fisioterapia. A maioria da puérperas era jovem, do lar, casadas, multíparas e de Betim. Quanto à avaliação das mamas, a maioria apresentou mamas simétricas, secretantes, mamilos protrusos, tendo sido observados poucos traumas mamilares ou dificuldade na amamentação; 62,3% das puérperas apresentavam diafragma normocinético, 85,1% som timpânico à percussão abdominal, involução uterina dentro da normalidade, 87,9% contração do assoalho pélvico presente, 30,3% edema em membros inferiores; a diástase dos músculos reto-abdominais foi de 2±1 e 1±1 dedos supra e infra-umbilical, respectivamente. As condutas adotadas foram: exercícios respiratórios diafragmáticos, abdominais isométricos, contração do assoalho pélvico; exercícios circulatórios de membros inferiores, manobras de eliminação de flatos, deambulação e orientação. O perfil das puérperas atendidas correspondeu ao esperado, encontrando-se elas em estado de recuperação puerperal. A conduta proposta pela fisioterapia foi realizada pela grande maioria das puérperas.The aim was to describe the profile of postpartum women attended to at the physical therapy service in a public maternity house in Betim, MG, as well as the treatment they received. The study drew on a total of 215 medical charts of postpartum women, contaning personal, clinic and physical therapy data. Most women were young, married, housewives, multiparous, and from Betim. As to breast evaluation, most women had simetric and secretive breast, protruded nipples, few nipple traumas or breast-feeding difficulty having

  4. A Comparative Analysis of Promotional Tools & Techniques Adopted For Retail Banking In Public Sector and Private Sector Banks

    OpenAIRE

    Mittal, Swati; Pachauri, K K

    2013-01-01

    There has been a lot of restructuring and reshaping of the role of the banks in the past decade as India too has groomed itself for a more visible presence on the global platform. Stiff competition between the public sector banks and foreign players has led to public sector banks gaining a dominant while the foreign banks have had to adjust to the domestic banking scene to a great extent. In todays competitive and volatile environment all marketers including banks communicate with their targe...

  5. 77 FR 1946 - Agency Information Collection Activities: Submission for OMB Review; Comment Request, Public...

    Science.gov (United States)

    2012-01-12

    ... Review; Comment Request, Public Assistance Customer Satisfaction Survey AGENCY: Federal Emergency... Title: Public Assistance Customer Satisfaction Survey. Type of information collection: Revision of a... T, Public Assistance Customer Satisfaction Survey (Telephone); FEMA Form 519-0-1 INT, Public...

  6. Regulation and comparative discretion of publicly and privately owned water companies in The Netherlands, England and Wales

    NARCIS (Netherlands)

    M.A.C. Schouten (Marco); M.P. van Dijk (Meine Pieter)

    2010-01-01

    textabstractAny water company is subject to regulation, either through bylaws, national or supra-national regulations. In this contribution we assess how these regulatory regimes affect the discretion of privately owned companies in England and Wales and publicly owned water companies in the

  7. SERVICE QUALITY PERCEPTIONS AND PATIENTS' SATISFACTION: A COMPARATIVE CASE STUDY OF A PUBLIC AND A PRIVATE SECTOR HOSPITAL IN PAKISTAN

    OpenAIRE

    Kanwal Nasim; Saquib Yusaf Janjua

    2014-01-01

    Management of hospitals should take initiatives to improve the overall service quality of patient care. Regular feed-back from patients should be taken and rules should be made considering the expectations and requirements of patients. This study attempts to examine the satisfaction of patients from service quality they received from hospitals. Moreover, satisfaction is measured in both public and private hospital.

  8. Public Expenditure on Education and Economic Growth in the USA in the Nineteenth and Twentieth Centuries in Comparative Perspective

    Science.gov (United States)

    Carpentier, Vincent

    2006-01-01

    Earlier studies of France, Germany and the UK suggest that a common framework exists to explain the relationship between public expenditure on education and economic growth in the nineteenth and twentieth centuries. This article shows that while a similar relationship exists in the USA, US policies were particularly committed to the educational…

  9. Teacher Pupil-Control Ideology and Behavior as Predictors of Classroom Environment: Public and Catholic Schools Compared. Draft.

    Science.gov (United States)

    Lunenburg, Fred C.

    This study examined differences between public and Catholic schools concerning teachers' pupil control ideology, teachers' pupil control behavior, and students' perceptions of their classroom environments. The concepts of humanistic and custodial pupil control ideologies were used to contrast types of individual orientations and the types of…

  10. Promoting Social Equity, Diversity, and Inclusion through Accreditation: Comparing National and International Standards for Public Affairs Programs in Latin America

    Science.gov (United States)

    Rubaii, Nadia

    2016-01-01

    Purpose: This purpose of this study is to examine the extent to which accreditation of public affairs programs can be a tool to advance social equity, diversity, and inclusion. The paper is presented in the context of the widespread acceptance of the importance of addressing social inequalities in Latin America and the critical role that public…

  11. Segmentation of anatomical structures in chest radiographs using supervised methods: a comparative study on a public database

    DEFF Research Database (Denmark)

    van Ginneken, Bram; Stegmann, Mikkel Bille; Loog, Marco

    2006-01-01

    classification method that employs a multi-scale filter bank of Gaussian derivatives and a k-nearest-neighbors classifier. The methods have been tested on a publicly available database of 247 chest radiographs, in which all objects have been manually segmented by two human observers. A parameter optimization...

  12. Computer-aided detection of pulmonary nodules: a comparative study using the public LIDC/IDRI database

    NARCIS (Netherlands)

    Jacobs, C.; Rikxoort, E.M. van; Murphy, K.; Prokop, M.; Schaefer-Prokop, C.M.; Ginneken, B. van

    2016-01-01

    To benchmark the performance of state-of-the-art computer-aided detection (CAD) of pulmonary nodules using the largest publicly available annotated CT database (LIDC/IDRI), and to show that CAD finds lesions not identified by the LIDC's four-fold double reading process.The LIDC/IDRI database

  13. Regulation and comparative discretion of publicly and privately owned water companies in The Netherlands, England and Wales

    NARCIS (Netherlands)

    M.A.C. Schouten (Marco); M.P. van Dijk (Meine Pieter)

    2010-01-01

    textabstractAny water company is subject to regulation, either through bylaws, national or supra-national regulations. In this contribution we assess how these regulatory regimes affect the discretion of privately owned companies in England and Wales and publicly owned water companies in the Netherl

  14. How Should We Estimate the Performance Effect of Management? Comparing Impacts of Public Managers’ and Frontline Employees’ Perceptions of Management

    NARCIS (Netherlands)

    Favero, Nathan; Andersen, Simon Calmar; Meier, Kenneth J.; O'Toole, Laurence J.; Winter, Soren C.

    2016-01-01

    Many areas of public management research are dominated by a top-focused perspective in which emphasis is placed on the notion that managers themselves are usually the best sources of information about managerial behavior. Outside of the leadership literature, managers are also the typical survey res

  15. Comparing Public and Private Institutions That Have and Have Not Implemented Enterprise Resource Planning (ERP) Systems: A Resource Dependence Perspective

    Science.gov (United States)

    Sendhil, Geetha R.

    2012-01-01

    The purpose of this national study was to utilize quantitative methods to examine institutional characteristics, financial resource variables, personnel variables, and customer variables of public and private institutions that have and have not implemented enterprise resource planning (ERP) systems, from a resource dependence perspective.…

  16. Comparative Analysis of the Development of Multicultural Library Services in the Spanish Public Library Network (2007-2010)

    Science.gov (United States)

    Garcia Lopez, Fatima; Caridad Sebastian, Mercedes; Morales Garcia, Ana Maria

    2012-01-01

    Introduction: The percentage of foreign-born residents in Spain has multiplied almost fourfold over the last decade. Immigration has changed our society, both from a demographic and economic perspective, and from a cultural and political prospective. The Spanish public library network, a democratic institution that provides services, initially, of…

  17. A PILOT STUDY COMPARING THE BLOCK SYSTEM AND THE INTERMITTENT SYSTEM OF SCHEDULING SPEECH CORRECTION CASES IN THE PUBLIC SCHOOLS.

    Science.gov (United States)

    WEAVER, JOHN B.; WOLLERSHEIM, JANET P.

    TO DETERMINE THE MOST EFFICIENT USES OF THE PUBLIC SCHOOL SPEECH CORRECTIONIST'S SKILLS AND TIME, A STUDY WAS UNDERTAKEN TO INVESTIGATE THE EFFECTIVENESS OF THE INTERMITTENT SYSTEM AND THE BLOCK SYSTEM OF SCHEDULING SPEECH CASES. WITH THE INTERMITTENT SYSTEM THE CORRECTIONIST IS ASSIGNED TO A NUMBER OF SCHOOLS AND GENERALLY SEES CHILDREN TWICE A…

  18. Comparing Public and Private Institutions That Have and Have Not Implemented Enterprise Resource Planning (ERP) Systems: A Resource Dependence Perspective

    Science.gov (United States)

    Sendhil, Geetha R.

    2012-01-01

    The purpose of this national study was to utilize quantitative methods to examine institutional characteristics, financial resource variables, personnel variables, and customer variables of public and private institutions that have and have not implemented enterprise resource planning (ERP) systems, from a resource dependence perspective.…

  19. Water Distribution in the Public Interest and the Human Right to Water: Swiss, South African and International Law Compared

    Directory of Open Access Journals (Sweden)

    Vanessa Rüegger

    2014-06-01

    Full Text Available The legal norms governing the distribution of water are integral to how access to water is determined. This paper analyses the idea that water should be used in the interest of the public from a legal point of view. Taking Swiss and South African law as examples it examines what the notion of 'public interest' actually means. A close look at the notion of 'water distribution in the public interest' reveals important insights: water distribution in the public interest balances a variety of different economic, ecological and social interests. In this process the human right to water is attributed the role as protective shield. Hence its effective implementation is crucial in order to safeguard water for basic human needs. After analysing how Swiss and South African water regimes are currently structured and the role of the public interest clause therein, the paper examines whether the human right to water as conceived in Swiss, South African and international law effectively ensures protection of domestic water users. The paper concludes that this is the case under some, but not all circumstances. Especially the interests of those users whose access to water is not yet sufficient do not always receive adequate legal protection by the respective legal orders. The paper concludes by stressing the necessity to evolve the concept of the human right to water to reach comprehensive protection of basic human needs. Consciousness of the social risks associated with using the human right to water as general placeholder for basic human needs despite its shortcomings will hopefully encourage efforts to establish substantive legal protection.

  20. Assisted Living Facilities, Licensed Health Care Facilities - long term care facility type identified in attributes, Published in 2007, Iowa Dept. of Public Health.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Assisted Living Facilities dataset, was produced all or in part from Published Reports/Deeds information as of 2007. It is described as 'Licensed Health Care...

  1. World shares of publications of the USA, EU-27, and China compared and predicted using the new web of science interface versus scopus

    NARCIS (Netherlands)

    Leydesdorff, L.

    2012-01-01

    The new interface of the Web of Science (Thomson Reuters) enables users to retrieve sets larger than 100,000 documents in a single search. This makes it possible to compare publication trends for China, the USA, EU-27, and smaller countries with the data in the Scopus (Elsevier) database. China no l

  2. Open For Business? An Historical, Comparative Study of Public Access to Information about Two Controversial Coastal Developments in North-East Scotland

    Science.gov (United States)

    Baxter, Graeme

    2014-01-01

    Introduction: This paper compares public access to information about two controversial coastal developments in North-east Scotland: the construction of a gas terminal by the British Gas Council and Total in the 1970s, and the current development of "the world's greatest golf course" by the tycoon Donald Trump. Method: Data has been…

  3. Students Achievements in English at Jordanian Private and Public Schools and Parents Attitudes Towards Teaching Their Children at Private Ones: A Comparative Study

    Science.gov (United States)

    Al-Natour, Amal; Hijazi, Dima

    2012-01-01

    This study aimed at comparing private and public schools in terms of students' achievement in English Language and parents' attitudes towards teaching their children in private schools. To achieve the aim of the study the researchers conducted a test to measure students' achievements in English language and they also distributed a questionnaire…

  4. World shares of publications of the USA, EU-27, and China compared and predicted using the new web of science interface versus scopus

    NARCIS (Netherlands)

    Leydesdorff, L.

    2012-01-01

    The new interface of the Web of Science (Thomson Reuters) enables users to retrieve sets larger than 100,000 documents in a single search. This makes it possible to compare publication trends for China, the USA, EU-27, and smaller countries with the data in the Scopus (Elsevier) database. China no

  5. World shares of publications of the USA, EU-27, and China compared and predicted using the new web of science interface versus scopus

    NARCIS (Netherlands)

    Leydesdorff, L.

    2012-01-01

    The new interface of the Web of Science (Thomson Reuters) enables users to retrieve sets larger than 100,000 documents in a single search. This makes it possible to compare publication trends for China, the USA, EU-27, and smaller countries with the data in the Scopus (Elsevier) database. China no l

  6. Market Reactions to Publicly Announced Privacy and Security Breaches Suffered by Companies Listed on the United States Stock Exchanges: A Comparative Empirical Investigation

    Science.gov (United States)

    Coronado, Adolfo S.

    2012-01-01

    Using a sample of security and privacy breaches the present research examines the comparative announcement impact between the two types of events. The first part of the dissertation analyzes the impact of publicly announced security and privacy breaches on abnormal stock returns, the change in firm risk, and abnormal trading volume are measured.…

  7. A Comparative Study of a Kodaly-Based Developmental Music Program and a Traditional Public School Music Program at the Kindergarten Level.

    Science.gov (United States)

    Beatty, Rodger James

    A 9-month longitudinal study of two kindergarten classes compared two types of music instruction: a Kodaly-based developmental music program and a traditional public school music program. The class taught through the Kodaly method received instruction that emphasized the development of rhythmic and melodic perception through visual, aural, and…

  8. Community Engagement Compared With Technical Assistance to Disseminate Depression Care Among Low-Income, Minority Women: A Randomized Controlled Effectiveness Study.

    Science.gov (United States)

    Ngo, Victoria K; Sherbourne, Cathy; Chung, Bowen; Tang, Lingqi; Wright, Aziza L; Whittington, Yolanda; Wells, Kenneth; Miranda, Jeanne

    2016-10-01

    To compare the effectiveness of a (CEP) versus a technical assistance approach (Resources for Services, or RS) to disseminate depression care for low-income ethnic minority women. We conducted secondary analyses of intervention effects for largely low-income, minority women subsample (n = 595; 45.1% Latino and 45.4% African American) in a matched, clustered, randomized control trial conducted in 2 low-resource communities in Los Angeles, California, between 2010 and 2012. Outcomes assessed included mental health, socioeconomic factors, and service use at 6- and 12-month follow-up. Although we found no intervention difference for depressive symptoms, there were statistically significant effects for mental health quality of life, resiliency, homelessness risk, and financial difficulties at 6 months, as well as missed work days, self-efficacy, and care barriers at 12 months favoring CEP relative to RS. CEP increased use of outpatient substance abuse services and faith-based depression visits at 6 months. Engaging health care and social community programs may offer modest improvements on key functional and socioeconomic outcomes, reduce care barriers, and increase engagement in alternative depression services for low-income, predominantly ethnic minority women.

  9. MR-guided breast biopsy at 3T: diagnostic yield of large core needle biopsy compared with vacuum-assisted biopsy

    Energy Technology Data Exchange (ETDEWEB)

    Meeuwis, Carla [Radboud University Nijmegen Medical Centre, Department of Radiology, Nijmegen (Netherlands); Rijnstate Hospital, Alysis Zorggroep, Department of Radiology, Arnhem (Netherlands); Veltman, Jeroen [ZGT Almelo, Department of Radiology, Almelo (Netherlands); Hall, Hester N. van [Rijnstate Hospital, Alysis Zorggroep, Department of Radiology, Arnhem (Netherlands); Mus, Roel D.M.; Barentsz, Jelle O.; Mann, Ritse M. [Radboud University Nijmegen Medical Centre, Department of Radiology, Nijmegen (Netherlands); Boetes, Carla [Radboud University Nijmegen Medical Centre, Department of Radiology, Nijmegen (Netherlands); Maastricht University Medical Center, Department of Radiology, Maastricht (Netherlands)

    2012-02-15

    The purpose of this study was to evaluate two MR-guided biopsy techniques at 3 T, large core needle breast biopsy (LCNB) and vacuum-assisted breast biopsy (VAB) and to compare the diagnostic yield and rate of complications to determine the optimal biopsy technique at 3 T. 55 LCNB and 64 VAB were consecutively performed. Benign biopsy results were verified by retrospective correlation of histology, with pre-interventional, post-interventional MRI studies and follow-up and were classified as representative or non-representative. Time to follow-up was up to 2 years for the considered non-representative benign lesions. Statistical analysis was performed using the Chi-squared test. LCNB was technically successful in 100% of patients (55/55) and VAB in 98% of patients (63/64). Histopathological analysis resulted in 45 (82%) benign, 3 (5%) high-risk and 7 (13%) malignant lesions for LCNB and 43 (67%) benign, 3 (5%) high-risk and 18 (28%) malignant lesions. Distribution was significantly different (p < 0.001), favouring VAB over LCNB. Because of the substantially higher diagnostic yield and certainty of a benign diagnosis, VAB is the optimal biopsy technique at 3 T. LCNB should be considered when VAB is not feasible. (orig.)

  10. Comparative analysis of global gene expression profiles between diabetic rat wounds treated with vacuum-assisted closure therapy, moist wound healing or gauze under suction.

    Science.gov (United States)

    Derrick, Kathleen L; Norbury, Kenneth; Kieswetter, Kris; Skaf, Jihad; McNulty, Amy K

    2008-12-01

    How differential gene expression affects wound healing is not well understood. In this study, Zucker diabetic fatty (fa/fa) male inbred rats were used to investigate gene expression during wound healing in an impaired wound-healing model. Whole genome microarray surveys were used to gain insight into the biological pathways and healing processes in acute excisional wounds treated with vacuum-assisted closure (V.A.C.). Therapy, moist wound healing (MWH) or gauze under suction (GUS). Global gene expression analyses after 2 days of healing indicated major differences with respect to both number of genes showing fold changes and pathway regulation between the three different wound treatments. Statistical analysis of expression profiles indicated that 5072 genes showed a >1.6-fold change with V.A.C. Therapy compared with 3601 genes with MWH and 3952 genes with GUS. Pathways and related genes associated with the early phases of wound healing diverged between treatment groups. For example, pathways involving angiogenesis, cytoskeletal regulation and inflammation were associated with elevated gene expression following V.A.C. Therapy. This study is the first to assess wound healing by whole genome interrogation in a diabetic rat model treated with different healing modalities.

  11. DPT Student Perceptions of the Physical Therapist Assistant's Role: Effect of Collaborative Case-Based Learning Compared to Traditional Content Delivery and Clinical Experience.

    Science.gov (United States)

    Colgrove, Yvonne M; VanHoose, Lisa D

    2017-01-01

    Doctor of physical therapy (DPT) student learning about role delineation of physical therapist assistants (PTAs) is essential to ethical and legal practice. Survey assessment of three DPT student cohorts compared collaborative interprofessional case-based learning with PTA students to traditional curriculum delivery strategies. Control cohorts were assessed one time. The intervention group was assessed pre-intervention, immediately post-intervention, and after completing a full-time clinical experience. The case-based learning covered 46% of survey content, allowing for the assessment of content-specific material and potential learning through collaboration. Following the educational intervention, the intervention group improved significantly in areas inside and outside the case-based study content, outscoring both control groups on 25-34% of the survey items. Following the clinical experience, the intervention group declined answer accuracy for patient evaluation and treatment implementation, suggesting unlearning. Improvement in the administrative section was observed after the clinical experience. Perceptions of the tasks within the PTA role were diminished while tasks outside the scope of practice appeared clarified following the clinical experience. While case-based collaborative intraprofessional learning proves effective in student learning about the PTA role, changes following the clinical experience raise questions about the influence of the clinical environment on learning and the practical application of recently learned knowledge.

  12. Comparing inactivation protocols of Yersinia organisms for identification with matrix-assisted laser desorption/ionization time-of-flight mass spectrometry.

    Science.gov (United States)

    Couderc, Carine; Nappez, Claude; Drancourt, Michel

    2012-03-30

    It is recommended that harmful Biosafety Level 3 (BSL-3) bacteria be inactivated prior to identification by mass spectrometry, yet optimal effects of inactivation protocol have not been defined. Here, we compare trifluoroacetic acid inactivation (protocol A) with ethanol inactivation (protocol B) of Yersinia organisms prior to identification by matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF-MS). The total number of peaks detected was 10.5 ± 1.7 for protocol A and 15.7 ± 4.2 for protocol B (ρ Yersinia isolates was 9.7 ± 3.1 for protocol A and 18.1 ± 4.6 for protocol B (ρ Yersinia spp., including 20 strains of Y. pestis, the identification score was 1.79 ± 0.2 for protocol A and 1.97 ± 0.19 for protocol B (ρ = 0.0024). Our observations indicate that for the identification of Yersinia organisms, ethanol inactivation yielded MALDI-TOF-MS spectra of significantly higher quality than spectra derived from trifluoroacetic acid inactivation. Combined with previously published data, our results permit the updating of protocols for inactivating BSL-3 bacteria. Copyright © 2012 John Wiley & Sons, Ltd.

  13. Comparative genome analysis of a thermotolerant Escherichia coli obtained by Genome Replication Engineering Assisted Continuous Evolution (GREACE) and its parent strain provides new understanding of microbial heat tolerance.

    Science.gov (United States)

    Luan, Guodong; Bao, Guanhui; Lin, Zhao; Li, Yang; Chen, Zugen; Li, Yin; Cai, Zhen

    2015-12-25

    Heat tolerance of microbes is of great importance for efficient biorefinery and bioconversion. However, engineering and understanding of microbial heat tolerance are difficult and insufficient because it is a complex physiological trait which probably correlates with all gene functions, genetic regulations, and cellular metabolisms and activities. In this work, a novel strain engineering approach named Genome Replication Engineering Assisted Continuous Evolution (GREACE) was employed to improve the heat tolerance of Escherichia coli. When the E. coli strain carrying a mutator was cultivated under gradually increasing temperature, genome-wide mutations were continuously generated during genome replication and the mutated strains with improved thermotolerance were autonomously selected. A thermotolerant strain HR50 capable of growing at 50°C on LB agar plate was obtained within two months, demonstrating the efficiency of GREACE in improving such a complex physiological trait. To understand the improved heat tolerance, genomes of HR50 and its wildtype strain DH5α were sequenced. Evenly distributed 361 mutations covering all mutation types were found in HR50. Closed material transportations, loose genome conformation, and possibly altered cell wall structure and transcription pattern were the main differences of HR50 compared with DH5α, which were speculated to be responsible for the improved heat tolerance. This work not only expanding our understanding of microbial heat tolerance, but also emphasizing that the in vivo continuous genome mutagenesis method, GREACE, is efficient in improving microbial complex physiological trait.

  14. Understanding perspectives on major system change: A comparative case study of public engagement and the implementation of urgent and emergency care system reconfiguration.

    Science.gov (United States)

    Foley, Conor; Droog, Elsa; Healy, Orla; McHugh, Sheena; Buckley, Claire; Browne, John Patrick

    2017-07-01

    Major changes have been made to how emergency care services are configured in several regions in the Republic of Ireland. This study investigated the hypothesis that engagement activities undertaken prior to these changes influenced stakeholder perspectives on the proposed changes and impacted on the success of implementation. A comparative case-study approach was used to explore the changes in three regions. These regions were chosen for the case study as the nature of the proposals to reconfigure care provision were broadly similar but implementation outcomes varied considerably. Documentary analysis of reconfiguration planning reports was used to identify planned public engagement activities. Semi-structured interviews with 74 purposively-sampled stakeholders explored their perspectives on reconfiguration, engagement activities and public responses to reconfiguration. Framework analysis was used, integrating inductive and deductive approaches. Approaches to public engagement and success of implementation differed considerably across the three cases. Regions that presented the public with the reconfiguration plan alone reported greater public opposition and difficulty in implementing changes. Engagement activities that included a range of stakeholders and continued throughout the reconfiguration process appeared to largely address public concerns, contributing to smoother implementation. The presentation of reconfiguration reports alone is not enough to convince communities of the case for change. Genuine, ongoing and inclusive engagement offers the best opportunity to address community concerns about reconfiguration. Copyright © 2017 The Author(s). Published by Elsevier B.V. All rights reserved.

  15. Dental Assistants

    Science.gov (United States)

    ... Z INDEX | OOH SITE MAP | EN ESPAÑOL Healthcare > Dental Assistants PRINTER-FRIENDLY EN ESPAÑOL Summary What They ... of workers and occupations. What They Do -> What Dental Assistants Do About this section Assistants prepare and ...

  16. Surgical Assisting

    Science.gov (United States)

    ... Insert and remove Foley urinary bladder catheter Place pneumatic tourniquet Confirm procedure with surgeon Drape patient within ... Technology and Surgical Assisting (NBSTSA) offers the CertifiedSurgical First Assistant (CSFA) credential, and the National Surgical Assistant ...

  17. SERVICE QUALITY PERCEPTIONS AND PATIENTS' SATISFACTION: A COMPARATIVE CASE STUDY OF A PUBLIC AND A PRIVATE SECTOR HOSPITAL IN PAKISTAN

    Directory of Open Access Journals (Sweden)

    Kanwal Nasim

    2014-09-01

    Full Text Available Management of hospitals should take initiatives to improve the overall service quality of patient care. Regular feed-back from patients should be taken and rules should be made considering the expectations and requirements of patients. This study attempts to examine the satisfaction of patients from service quality they received from hospitals. Moreover, satisfaction is measured in both public and private hospital.

  18. Molecular beam epitaxy of GaAs nanowires and their sustainability for optoelectronic applications. Comparing Au- and self-assisted growth methods

    Energy Technology Data Exchange (ETDEWEB)

    Breuer, Steffen

    2011-09-28

    In this work the synthesis of GaAs nanowires by molecular beam epitaxy (MBE) using the vapour-liquid-solid (VLS) mechanism is investigated. A comparison between Au- and self-assisted VLS growth is at the centre of this thesis. While the Au-assisted method is established as a versatile tool for nanowire growth, the recently developed self-assisted variation results from the exchange of Au by Ga droplets and thus eliminates any possibility of Au incorporation. By both methods, we achieve nanowires with epitaxial alignment to the Si(111) substrates. Caused by differences during nanowire nucleation, a parasitic planar layer grows between the nanowires by the Au-assisted method, but can be avoided by the self-assisted method. Au-assisted nanowires grow predominantly in the metastable wurtzite crystal structure, while their self-assisted counterparts have the zincblende structure. All GaAs nanowires are fully relaxed and the strain arising from the lattice mismatch between GaAs and Si of 4.1 % is accommodated by misfit dislocations at the interface. Self-assisted GaAs nanowires are generally found to have vertical and non-polar side facets, while tilted and polar nanofacets were described for Au-assisted GaAs nanowires. We employ VLS nucleation theory to understand the effect of the droplet material on the lateral facets. Optoelectronic applications require long minority carrier lifetimes at room temperature. We fabricate GaAs/(Al,Ga)As core-shell nanowires and analyse them by transient photoluminescence (PL) spectroscopy. The results are 2.5 ns for the self-assisted nanowires as well as 9 ps for the Au-assisted nanowires. By temperature-dependent PL measurements we find a characteristic activation energy of 77 meV that is present only in the Au-assisted nanowires. We conclude that most likely Au is incorporated from the droplets into the GaAs nanowires and acts as a deep, non-radiative recombination centre.

  19. Patient-Reported Health-Related Quality of Life Is a Predictor of Outcomes in Ambulatory Heart Failure Patients Treated With Left Ventricular Assist Device Compared With Medical Management: Results From the ROADMAP Study (Risk Assessment and Comparative Effectiveness of Left Ventricular Assist Device and Medical Management).

    Science.gov (United States)

    Stehlik, Josef; Estep, Jerry D; Selzman, Craig H; Rogers, Joseph G; Spertus, John A; Shah, Keyur B; Chuang, Joyce; Farrar, David J; Starling, Randall C

    2017-06-01

    The prospective observational ROADMAP study (Risk Assessment and Comparative Effectiveness of Left Ventricular Assist Device and Medical Management) demonstrated that ambulatory advanced heart failure patients selected for left ventricular assist device (LVAD) were more likely to be alive at 1 year on original therapy with ≥75-m improvement in 6-minute walk distance compared with patients assigned to optimal medical management. Whether baseline health-related quality of life (hrQoL) resulted in a heterogeneity of this treatment benefit is unknown. Patient-reported hrQoL was assessed with EuroQol questionnaire and visual analogue scale (VAS). We aimed to identify predictors of event-free survival and survival with acceptable hrQoL (VAS≥60). LVAD patients had significant improvement in 3 of 5 EuroQol dimensions (Pmanagement. Among patients with baseline VASmanagement patients compared with those assigned to LVAD (58±7% versus 82±5%; P=0.004). No such difference was seen if baseline VAS was ≥55 (70±7% versus 75±9%; P=0.79). Survival on original therapy with acceptable quality of life was also more likely with LVAD versus optimal medical management if baseline VAS was <55, whereas outcomes in patients with higher baseline VAS scores were similar regardless of treatment assignment (P=0.046 for treatment arm and baseline VAS interaction). LVAD therapy resulted in improvement of patient health status in heart failure patients with low self-reported hrQoL, but not in patients with acceptable quality of life at the time of LVAD implantation. Patient-reported hrQoL should be integrated into decision making concerning the use and timing of LVAD therapy in heart failure patients who are symptom limited but remain ambulatory. URL: http://www.ClinicalTrials.gov. Unique identifier: NCT01452802. © 2017 American Heart Association, Inc.

  20. [A study to compare formal duties of medical directors of Italian public hospitals with actual activities performer].

    Science.gov (United States)

    Montanari, Katia; Cucchi, Alessandro; Tessari, Gianni; Turri, Valentina; Gregorio, Pasquale

    2009-01-01

    It is difficult to identify, from a regulatory point of view, the actual competencies of medical directors of public hospitals in Italy. A questionnaire survey was therefore conducted to identify which are the activities actually performed by this professional. One hundred twenty local health authorities participated in the survey. Findings reveal that many activities conducted by the hospital medical director, such a mediation with the local health authorities, are not formally recognized and that the medical director actually conducts more complex activities than those formally pertaining to his role.

  1. The principle of Merit in the Law of Roman Administration. Historical-Comparative Reflections about Careers in Public Office

    Directory of Open Access Journals (Sweden)

    Andrea Trisciuoglio

    2016-12-01

    Full Text Available The article makes a comparison between the laws of the Roman authorities, particularly those of the late empire based on the constitutions of the emperors, and constitutional and Italian administrative law (including the most recent legislation on the issue of access and promotion in public administration. In the article it is observed how in both laws the principle of meritocracy emerges, and proposals are made, in the light of the Roman experience, on how such a principle, which we can all agree with, can be concretely implemented.

  2. Comparative analysis of publications on nuclear field in the world, Ukraine and in the institute for nuclear research of the national academy of sciences of Ukraine

    CERN Document Server

    Trofimenko, A P; Lipska, A Y

    2003-01-01

    Comparative analysis of publications in the world, in Ukraine and in the Institute for Nuclear Research of NAS of Ukraine (INR) in nuclear physics and other directions of INR research was performed. Conclusions about the intensity of research, contribution of Ukraine in this research and the INR role in it are presented. It is shown that 30 % of Ukrainian publications in nuclear physics, and about 8 % of them in other fields belong to the INR. Part of Ukrainian authors who publish their works in Ukraine and abroad, as well as the part of foreign authors publishing in Ukraine is shown. Distribution of the INR publications among 16 countries is indicated. Ths mentioned information can be used for profound study of research in Ukraine and INR.

  3. The Comparative Law Thinking of Administrative Public Interest Litigation%行政公益诉讼的比较法思考

    Institute of Scientific and Technical Information of China (English)

    谢樑

    2015-01-01

    With the development of time, society continues to change. Under this background, the citizen 's con-sciousness of maintain the rights is improving, and the public interest is more attention than ever before. But in re-ality there is still damage of public interest and can't be solved, and the voice of the administrative public interest litigation has a long history. This article attempts through the perspective of comparative law analysis of administra-tive public interest litigation, to breakthrough on the plaintiff qualification and scope of accepting cases, in the hope of our country to perfect the administrative public interest litigation.%时代不断发展,社会也在不断变革,在此背景下,公民维权意识提高,较之以往对于公共利益更为关注。但现实中仍然存在公益损害求助无门之情形,行政公益诉讼的呼声由来已久。论文试图通过比较法的角度,对行政公益诉讼进行分析,在原告资格和受案范围上予以突破,以期我国行政公益诉讼之完善。

  4. Comparing demographics, clinical presentation, treatments and outcome between systemic lupus erythematosus patients treated in a public and private health system in Santa Fe, Argentina.

    Science.gov (United States)

    Schmid, María Marcela; Roverano, Susana Graciela; Paira, Sergio Oscar

    2014-01-01

    The study includes 159 SLE patients seen between 1987 and 2011, of whom 116 were treated in the public health system and 43 in private practice. In the comparison between both groups, it was shown that patients in the public health system were younger at first consultation and at the onset of SLE, and that the mean duration of their disease prior to nephropathy was statistically significantly shorter. They also presented with more SLE activity (measured by Systemic Lupus Erythematosus Activity Index) such as fever, lower levels of C4, and elevated erythrocyte sedimentation rate. Although cyclophosphamide was administered more frequently to patients in the public health system group, there were no statistically significant differences in renal histological findings. A second renal biopsy was performed on 20 patients due to the presence of persistent proteinuria, peripheral edema, urinary casts, or because of previous defective renal specimens. The overall 10-year survival of the patients in the public health system was 78% compared to a survival rate of 91% for the patients in private practices. When survival was evaluated at 15 years, however, no differences were found (log rank test: 0.65). Patients from both public and private groups attended medical specialist practices and received early diagnoses and close follow-ups.

  5. Vascular plug-assisted retrograde transvenous obliteration for the management of gastric varices: Comparative effectiveness between gelatin sponge embolization and permanent sclerosant

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Ji Hyun; Jo, Jeong Hyun; Park, Jae Hyung; Park, Byeong Ho [Dept. of Radiology, Dong A University Hospital, Dong A University College of Medicine, Busan (Korea, Republic of); Jung, Gyoo Sik [Dept. of Radiology, Gospel Hospital, Kosin University College of Medicine, Busan (Korea, Republic of)

    2016-08-15

    To evaluate the short-term outcome of plug-assisted retrograde transvenous obliteration (PARTO) using vascular plugs and gelatin sponges in comparison with balloon-occluded retrograde transvenous obliteration (BRTO) for the management of gastric varices. From January 2005 to October 2014, 171 patients were referred for management of gastric varices, of which, 52 patients with hemodynamically stable gastric varices (48 recent bleeding; 4 primary prophylaxes) were evaluated. Of these, 38 received BRTO (men/women 23/15; mean age 61.3; Child-Pugh classes A/B/C = 11/25/2) and 14 underwent PARTO (men/women 11/3; mean age 63.4; Child-Pugh classes A/B/C = 9/4/1). The technical success rate, complications, variceal changes, liver function, and exacerbation of ascites/pleural effusion were compared between the 2 groups within 3 months after the procedure. The technical success rates were 92.1% in the BRTO and 100% in the PARTO group. Procedure-related early complications occurred in the BRTO group alone (8%, n = 3). Among patients with technical success, follow-up CT at 1 month was available for 98% (n = 48/49). Complete thrombosis of gastric varices was achieved in 97.1% in the BRTO and 100% in the PARTO group. Worsening of esophageal varices was observed in 24% of the BRTO group alone (n = 8). The albumin level increased significantly in both groups and aspartate aminotransferase/alanine aminotransferase level improved significantly in the PARTO group (p < 0.05). Exacerbation of ascites/pleural effusion was observed in both groups (35.2% vs. 21.4%, both p > 0.05). PARTO appears to be equivalent to BRTO for short-term management of gastric varices.

  6. Comparative evaluation of visual outcomes and corneal asphericity after laser-assisted in situ keratomileusis with the six-dimension Amaris excimer laser system

    Science.gov (United States)

    Piao, JunJie; Li, Ying-Jun; Whang, Woong-Joo; Choi, Mihyun; Kang, Min Ji; Lee, Jee Hye; Yoon, Geunyoung; Joo, Choun-Ki

    2017-01-01

    Purpose To compare the visual and refractive outcomes after laser-assisted in situ keratomileusis (LASIK) surgery for correction of myopia or myopic astigmatism using a six-dimensional Amaris excimer laser. Methods In this retrospective cohort study, we enrolled 47 eyes of 28 patients (age: 19–36 years) with myopia or myopic astigmatism. We used the Custom Ablation Manager protocol and performed ablations with the SCHWIND AMARIS system. LASIK flaps were cut with an iFS Advanced Femtosecond Laser. Mean static (SCC) and dynamic cyclotorsion (DCC) were evaluated. Visual and refractive outcomes were evaluated during 6 months’ follow-up. Corneal asphericity (Q-value) was analyzed at 4 months postoperatively. Results The spherical equivalent (SE) reduction was statistically significant reduce 1 day after refractive surgery (P Free mode (AF) and 90% in the Corneal Wavefront mode (CW). SCC measurements were within ± 5 degrees in 57% (AF) and 68% (CW) of eyes. Mean DCC was within ± 1 degree in 96% (AF) or 95% (CW) of cases. At 6 months, the uncorrected distance visual acuity was 20/25 or better in all eyes. At last follow-up, both steep and flat keratometry values had significantly flattened in both groups (P < 0.001). Corneal asphericity also increased significantly during the postoperative period for an 8-mm corneal diameter (P < 0.001). Conclusions LASIK for myopia or myopic compound astigmatism correction using the six-dimensional AMARIS 750S excimer laser is safe, effective, and predictable. Postoperative corneal asphericity can be analyzed by linear regression to predict the changes in postoperative corneal asphericity with this approach. PMID:28187180

  7. 42 CFR 50.209 - Use of Federal financial assistance.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Use of Federal financial assistance. 50.209 Section 50.209 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GRANTS POLICIES....209 Use of Federal financial assistance. (a) Federal financial assistance adminstered by the Public...

  8. BRAZILIAN AND INTERNATIONAL ACCOUNTING STANDARDS APPLIED TO THE PUBLIC SECTOR AND THE CHALLENGE OF CONVERGENCE: A COMPARATIVE ANALYSIS - IPSAS AND NBCTSP

    Directory of Open Access Journals (Sweden)

    José Francisco Ribeiro Filho (in memoriam

    2012-11-01

    Full Text Available The aim in this study is to analyze the current stage of conceptual convergence between Brazilian accounting standards applied to the public sector (NBCTSP and the International Public Sector Accounting Standard (IPSAS. The complexity and range of transactions between public or private sector entities, as a result of market internationalization, demand continuous and dynamic assessment of the events that promote quantitative or qualitative equity changes. For this evaluation process, observing accounting principles and standards is important to guarantee, among other information characteristics, understandability and comparability, thus reducing costs for investors and users in general, in view of the barriers raised by diverse languages, cultures, tax and economic policies. For convergence analysis, the standards’ contents were subject to a comparative study, based on a descriptive analysis, with a view to verifying the existing adherence between Brazilian and international standards applied to the public sector. The results found highlight that different aspects still have to be discussed with a view to an actual convergence with the international standards; the current convergence is partial. The high-quality conceptual exposure of the NBCPSPs is observed though, while the contents of the IPSAS are more focused on operating procedures

  9. 34 CFR 300.105 - Assistive technology.

    Science.gov (United States)

    2010-07-01

    ... 34 Education 2 2010-07-01 2010-07-01 false Assistive technology. 300.105 Section 300.105 Education... DISABILITIES State Eligibility Other Fape Requirements § 300.105 Assistive technology. (a) Each public agency must ensure that assistive technology devices or assistive technology services, or both, as those terms...

  10. Investigating the Relationship of Work Values and Work Ethics: A Comparative Study on Public and Private Sector Employees

    Directory of Open Access Journals (Sweden)

    Serdar Bozkurt

    Full Text Available The purpose of this study is to investigate the relationship between work values and attitudes towards work ethics for public and private sector employees. The results of the study reveal a significant relationship between work values and attitudes towards work ethics. A further examination pointed out a positive relationship between attitudes towards work ethics and dimensions of work values, namely management, achievement, security, associates, aesthetic, prestige, independence, variety, economic return and intellectual stimulation. Furthermore, work values of employees are found to vary depending on gender variable whereas management and aesthetic dimensions of work values are found to vary depending on the sector of the employee. Attitudes towards ethics and work values do not show difference according to demographic variables such as education level, age and marital status.

  11. Comparative Susceptibility of Aedes albopictus and Aedes aegypti to Dengue Virus Infection After Feeding on Blood of Viremic Humans: Implications for Public Health.

    Science.gov (United States)

    Whitehorn, James; Kien, Duong Thi Hue; Nguyen, Nguyet Minh; Nguyen, Hoa L; Kyrylos, Peter P; Carrington, Lauren B; Tran, Chau Nguyen Bich; Quyen, Nguyen Thanh Ha; Thi, Long Vo; Le Thi, Dui; Truong, Nguyen Thanh; Luong, Tai Thi Hue; Nguyen, Chau Van Vinh; Wills, Bridget; Wolbers, Marcel; Simmons, Cameron P

    2015-10-15

    Aedes albopictus is secondary to Aedes aegypti as a vector of dengue viruses (DENVs) in settings of endemicity, but it plays an important role in areas of dengue emergence. This study compared the susceptibility of these 2 species to DENV infection by performing 232 direct blood-feeding experiments on 118 viremic patients with dengue in Vietnam. Field-derived A. albopictus acquired DENV infections as readily as A. aegypti after blood feeding. Once infected, A. albopictus permitted higher concentrations of DENV RNA to accumulate in abdominal tissues, compared with A. aegypti. However, the odds of A. albopictus having infectious saliva were lower than the odds observed for A. aegypti (odds ratio, 0.70; 95% confidence interval, .52-.93). These results quantitate the susceptibility of A. albopictus to DENV infection and will assist parameterization of models for predicting disease risk in settings where A. albopictus is present.

  12. Prevalence of stress among medical students: a comparative study between public and private medical schools in Bangladesh.

    Science.gov (United States)

    Eva, Eliza Omar; Islam, Md Zakirul; Mosaddek, Abu Syed Md; Rahman, Md Faizur; Rozario, Rini Juliet; Iftekhar, A F Md Hassan; Ahmed, Tarafder Shahniam; Jahan, Iffat; Abubakar, Abdullahi Rabiu; Dali, Wan Putri Elena Wan; Razzaque, Mohammed S; Habib, Rahat Bin; Haque, Mainul

    2015-07-30

    Throughout the world all health professionals face stress because of time-pressures, workload, multiple roles and emotional issues. Stress does not only exist among the health professionals but also in medical students. Bangladesh has currently 77 medical colleges 54 of which are private. This study was designed to collect baseline data of stress-level among Bangladeshi students, which we believe will form the basis for further in depth studies. A cross-sectional study was conducted on medical students from 2 public and 6 private medical-schools in Bangladesh. All medical schools have common curriculum formulated by the Government of Bangladesh. The study population was 1,363 medical students of Year-III and IV of academic session 2013/2014. Universal sampling technique was used. The period of study was February to June 2014. Data was collected using a validated instrument, compiled and analysed using SPSS version-20. A total of 990 (73%) out 1,363 medical students participated in the study, of which 36% were male and 64% were female. The overall prevalence of stress of the study population was 54%. 53% of male and 55% of female were reported suffering from stress. 54% of Year-III students and 55% of Year-IV were noted suffering from stress. There was statistically significant (p = 0.005) differences in the level of stress between public (2.84 ± 0.59) and private (2.73 ± 0.57) medical schools student. More than half of Bangladeshi medical students are suffering from measureable academic stress. It would be pertinent if the relevant authorities could address the issue so as to provide a conducive medical learning environment.

  13. Public availability of a genotyped, segregating population may foster marker assisted breeding (MAB) and quantitative trait loci (QTL) discovery: An example using strawberry

    Science.gov (United States)

    Much of the cost associated with marker discovery for marker assisted breeding (MAB) can be eliminated if a diverse, segregating population is generated, genotyped and made available to the global breeding community. Herein, we present an example of a hybrid, wild-derived family of the octoploid str...

  14. Evaluation of the TSC Dolphin Computer Assisted Instructional System in the Chapter 1 Program of the District of Columbia Public Schools. Final Report 85-9.

    Science.gov (United States)

    Harris, Carolyn DeMeyer; And Others

    Dolphin is a computer-assisted instruction system used to teach and reinforce skills in reading, language arts, and mathematics. An evaluation of this system was conducted to provide information to TSC Division of Houghton Mifflin regarding its effectiveness and possible modifications to the system. The general design of the evaluation was to…

  15. Expanding Technical Assistance Consultation to Public Schools: District-Wide Evaluation of Instructional and Behavior Support Practices for Students with Developmental Disabilities.

    Science.gov (United States)

    Putnam, Robert F.; Luiselli, James K.; Jefferson, Gretchen, L.

    2002-01-01

    Describes consultation to a public school district in the form of a systems-wide evaluation of instructional and behavior support practices for students with developmental disabilities. The format of the evaluative model, respective findings, suggested remedies, and implications for large-scale public school consultation are provided. (Contains 22…

  16. Comparing stigmatising attitudes towards people with substance use disorders between the general public, GPs, mental health and addiction specialists and clients.

    Science.gov (United States)

    van Boekel, Leonieke C; Brouwers, Evelien Pm; van Weeghel, Jaap; Garretsen, Henk Fl

    2015-09-01

    Substance use disorders (SUDs) are among the most severely stigmatised conditions; however, little is known about the nature of these stigmatising attitudes. To assess and compare stigmatising attitudes towards persons with SUDs among different stakeholders: general public, general practitioners (GPs), mental health and addiction specialists, and clients in treatment for substance abuse. Cross-sectional study (N = 3,326) in which stereotypical beliefs, attribution beliefs (e.g. perceptions about controllability and responsibility for having an addiction), social distance and expectations about rehabilitation opportunities for individuals with substance use disorders were assessed and compared between stakeholders. Individuals with substance use disorders elicited great social distance across all stakeholders. Stereotypical beliefs were not different between stakeholders, whereas attribution beliefs were more diverse. Considering social distance and expectations about rehabilitation opportunities, the general public was most pessimistic, followed by GPs, mental health and addiction specialists, and clients. Stereotypical and attribution beliefs, as well as age, gender and socially desirable answering, were not associated with social distance across all stakeholders. The general public and GPs expressed more social distance and were more negative in their expectations about rehabilitation opportunities, compared to mental health and addiction specialists and clients. Although stigmatising attitudes were prevalent across all groups, no striking differences were found between stakeholders. © The Author(s) 2014.

  17. A Model to Assemble: A Methodological Proposal to Address the Comparative Study of the History of Public Health, Health Professions and their Two-Way Relationships with Society

    Directory of Open Access Journals (Sweden)

    Emilio Quevedo

    2013-09-01

    Full Text Available The article shows the theoretical and methodological proposal that, grounded in previous studies, was built during the first phase of a long-term project that seeks to develop a comparative history of medicine and public health in Latin America. For laying out purposes, this article initially develops a brief historiographical overview of the literature on the history of medicine and public health in Latin America. It then proposes a reconfiguration of the ‘health field’ concept, based on a critical analysis of the concept, that begins to appear as a framework for a long term program of Social Studies of Health Research in El Rosario University, in which this comparative proposal is articulated. In a third moment, the article presents the general outlines of the proposal. As a final result, it presents a matrix to be used in the second phase of the comparative project of the history of medicine and public health in Latin America. It was structured upon all the theoretical and methodological elements discussed in this historiography study. This matrix was composed by nine attributes and their corresponding categories, which will be used as a guide to gather the historical records and to do the respective analysis and comparison.

  18. Comparators (medicinal and non medicinal) for marketing authorization, for public health, for payers and at the European level.

    Science.gov (United States)

    Berdaï, Driss; Hotton, Jean-Michel; Lechat, Philippe

    2010-01-01

    Drug evaluation is based on comparison. Thus, the choice of the comparator for any new treatment becomes a key issue, especially when there are great differences in medical practice and of use conditions of the comparators depending on the geographical zones and their evolution with time. The choice of the comparators must satisfy sometimes different expectations from the registration authorities and for insurance coverage. The universal comparator that allows answering all the clinical assessment questions does not exist. Placebo, when it can be used, remains a reference for the MA (marketing authorisation) application, but does not exclude the use of the reference drug available on the market and prescribed under optimal efficacy conditions. The reference treatment is sometimes a difficult choice due to the absence of validated therapeutic recommendations or if the recommendations vary depending on the countries. The expansion and international harmonization of prescription guidelines (clinical practice guidelines) would reinforce the robustness and efficiency of clinical research efforts with respect to the relevance of the comparison to reference treatments. This principle also applies to the use of a non-drug comparator when it has been recognized as the reference comparator in the treatment of the pathology in question. In as much as possible, the search for a consensus must also aim at defining in the clinical development recommendations significant thresholds for the size of evaluated effects. Optimization of the information made available after clinical trials could also be helped by the development of use of methodologies that allow assessing superiority on secondary criteria during a non-inferiority study on the main criterion. Finally, the development of early scientific consultations by the Haute Autorité de Santé (HAS, French Health Authority) would contribute to adapt phase III clinical trials better to questions concerning the assessment of the

  19. 网络舆情传播阶段与模型比较研究%Comparative Study on Transmission Phase and Model of Internet Public Opinion

    Institute of Scientific and Technical Information of China (English)

    曾润喜; 王晨曦; 陈强

    2014-01-01

    网络舆情传播阶段与模型作为网络舆情研究重要组成部分,对其进行总结与归纳能为网络舆情管控研究提供借鉴。分析比较网络舆情传播的三阶段、四阶段、五阶段、六阶段模型,研究网络舆情在传播阶段中所显示出的阶段性。从网络舆情演变模型和技术模型这两角度出发,对各传播模型进行梳理与比较,分析现有传播模型优缺点,并在此基础上,提出未来的研究应向小世界、大数据、云计算方向发展。%Internet public opinion transmission phase and model play an important role in Internet public opinion research, the analysis of it can provide certain reference for Internet public opinion control research. First of all, on the basis of comparing the Internet public opin-ion stage theories of three-phase, four-phase, five-phase, and six-phase model, the stage characteristics of the Internet public opinion in the transmission stage is studied. Then, from the perspectives of evolution model and technical propagation model, various propagation models are analyzed and compared, the advantages and disadvantages of the existing propagation models are summarized. At last, the fu-ture research trend is concluded as small world, big data, and cloud computing.

  20. Comparing Online with Brick and Mortar Course Learning Outcomes: An Analysis of Quantitative Methods Curriculum in Public Administration

    Science.gov (United States)

    Harris, Ronald A.; Nikitenko, Gleb O.

    2014-01-01

    Teaching graduate students in an intensive adult-learning format presents a special challenge for quantitative analytical competencies. Students often lack necessary background, skills and motivation to deal with quantitative-skill-based course work. This study compares learning outcomes for graduate students enrolled in three course sections…

  1. A Comparative Study of Black Dropouts and Black High School Graduates in an Urban Public School System.

    Science.gov (United States)

    Williams, Silvia Brooks

    1987-01-01

    Reports findings of a comparative study of Black high school dropouts and Black high school graduates in Houston, TX, in relation to five clusters of variables: demographic/personal characteristics; academic origin variables; family characteristics; feelings toward school; and feelings toward peers in school. The primary distinguishing…

  2. Examining Teacher Job Satisfaction and Principals' Instructional Supervision Behaviours: A Comparative Study of Turkish Private and Public School Teachers

    Science.gov (United States)

    Sungu, Hilmi; Ilgan, Abdurrahman; Parylo, Oksana; Erdem, Mustafa

    2014-01-01

    In spite of a strong body of research examining teacher job satisfaction and teachers' assessment of their principals' behaviours, most studies focus on the educational systems in the first world countries. This quantitative study focuses on a lesser-examined educational context by comparing school teachers' job satisfaction levels and principals'…

  3. Public and private responsibility for health: a comparative analysis of attitudes towards financing and the right for health care.

    NARCIS (Netherlands)

    Abel, T.; Zee, J. van der

    1995-01-01

    The present study focuses on values that directly relate to issues of health care. It will observe specific patterns of health values and compare their distribution across selected social groups within and across four European nations. Studying these issues, new insights are expected into Eurpean we

  4. Examining Teacher Job Satisfaction and Principals' Instructional Supervision Behaviours: A Comparative Study of Turkish Private and Public School Teachers

    Science.gov (United States)

    Sungu, Hilmi; Ilgan, Abdurrahman; Parylo, Oksana; Erdem, Mustafa

    2014-01-01

    In spite of a strong body of research examining teacher job satisfaction and teachers' assessment of their principals' behaviours, most studies focus on the educational systems in the first world countries. This quantitative study focuses on a lesser-examined educational context by comparing school teachers' job satisfaction levels and principals'…

  5. Private and Public EFL Teachers’ Level of Burnout and its Relationship with their Emotional Intelligence: A Comparative Study

    Directory of Open Access Journals (Sweden)

    Akbar Heiran

    2015-07-01

    Full Text Available The study aimed to investigate EFL teachers’ level of burnout and its relationship with their emotional intelligence in both Iranian Public Schools (IPS and Private Language Institutes (PLI contexts. To this end, quantitative method of gathering data was used. 100 EFL teachers teaching at IPS and PLI contexts participated in this study. They were asked to complete Maslach Burnout Inventory-Educators Survey and Revised Emotional Intelligence Scale. Data were analyzed using Correlation, Multiple Regression, and T-tests. The results of the study indicated a significant relationship between emotional intelligence and burnout among EFL teachers teaching at both IPS and PLI contexts. However, the results of multiple regression analyses indicated different patterns of relationships among the subscales of the two questionnaires for IPS and PLI teachers. The result of the T-tests also showed that the level of burnout among IPS teachers was higher than that of PLI teachers. The overall results of the study were discussed and the theoretical implications for further studies and the practical recommendations for EFL teacher education programs were made.

  6. Social inequality in health: dichotomy or gradient? A comparative study of problematizations in national public health programmes.

    Science.gov (United States)

    Vallgårda, Signild

    2008-01-01

    Recent public health programmes from four countries: Denmark, England, Norway, and Sweden, are studied to analyse how social inequality in health is described, explained and suggested to be tackled, i.e., the problematization or the discursive process whereby the issue is framed and made accessible to political action. Social inequality in health is defined in these programmes both as a disadvantaged minority with major health problems, in contrast to the rest of the population, i.e., as a dichotomy; and as a gradient in which health problems are seen as increasing with lower social class or educational level. The causes of health inequality are identified as behaviour, social relations and underlying social structures. Policies aimed at reducing health inequality can be characterized as either in accordance with a residual welfare state model, targeting the disadvantaged, or a universal model, addressing the whole population. All countries have policies that are mixtures of these problematizations, but with some systematic differences between the countries. In this field England resembles the Scandinavian countries, as much as they resemble each other dispelling the idea of a Nordic or Scandinavian welfare state model.

  7. Conflicts of assisted reproduction in the public sphere: an analysis in the agenda-setting on the television program Fantastico/Globo TV

    Directory of Open Access Journals (Sweden)

    Alba Lívia Tallon Bozi

    2012-07-01

    Full Text Available This article intends to analyse the role of massmedia in structuring the discussions in society about the advances in biotechnology and the possibilities of intervention in human reproduction. It analyzes the agenda-setting of the matter in the television program Fantastico, Globo TV, that motivated the public to comment about the right of the maternity in cases of egg donation and replacement uterus. The article indicates the complexity of the relationship of the public and private routing of personal conflicts but related to moral and ethical issues of the society, they need, because it, a broad and pluralistic debate in the public sphere.

  8. A psicologia nos centros de referência de assistência social (CRAS: um panorama das publicações científicas brasileiras de 2004 a 2014 / Psychology in social assistance reference centers (CRAS: a review in brazilian scientific publications between 2004 and 2014

    Directory of Open Access Journals (Sweden)

    Roberta Fin Motta

    2015-12-01

    Full Text Available RESUMO O artigo apresenta uma revisão narrativa de estudos sobre a publicação em periódicos da área da Psicologia a respeito da presença dos (as psicólogos (as no campo da Assistência Social, com ênfase na sua relação com Centros de Referências de Assistência Social (CRAS. A pesquisa realizou-se entre os meses de Agosto de 2014 a Maio de 2015, com consulta às bases de dados bibliográficos eletrônicos da BVS - Psi e da CAPES, no período de 2004 a 2014. Usou-se as palavras-chave: «Centro de Referência de Assistência Social», associadas ao descritor psicologia, totalizando 20 textos selecionados. Percebe-se o envolvimento e o investimento que têm sido feitos na área em relação a esta temática nos últimos anos. Além disso, a Assistência Social tem colaborado para a expansão e interiorização da profissão e o desenvolvimento de diferentes práticas das tradicionais, contudo, a clínica tradicional responde a demandas que extrapolam as atribuições do CRAS.ABSTRACT The article presents a narrative review of studies about publications in psychology journals with regard to the presence of psychologists in the Social Assistance field, with emphasis on its relationship with the Social Assistance Reference Centers (CRAS. The research was conducted between the months of August 2014 to May 2015, consulting electronic bibliographic databases from BVS-Psi and CAPES, during the period 2004-2014. We used the keywords «Social Assistance Reference Center», associated with the psychology descriptor – in total 20 selected texts. Development and investment that has been made in recent years is perceived in the area related to this topic. In addition, social assistance has contributed to the expansion and assimilation of the profession, and the development of different traditional practices; however, the traditional clinic responds to the demands that extrapolates the powers of the CRAS.

  9. Comparative analysis of national and state publications on the quality control of radiation diagnosis; Analise comparativa das publicacoes nacionais e estaduais de controle de qualidade em radiodiagnostico

    Energy Technology Data Exchange (ETDEWEB)

    Francisco, Michel F.F.; Souza, Danilo L.M.; Oliveira, Caio V.; Cabete, Henrique V.; Cruz, Livia C.; Pires, Silvio R.; Freitas, Marcelo B.; Medeiros, Regina B. [Universidade Federal de Sao Paulo (EPM/UNIFESP), SP (Brazil). Escola Paulista de Medicina

    2016-07-01

    Taking into account that there are several standards for Quality Control in diagnostic radiology, the purpose of this research was to carry out an overview of Brazilian regulatory publications. The sample was composed by Ordinance 453/98, resolutions SS-625 (SP), SES/MG Number 5177, 002/DIVS/SES (SC) and ANVISA guide. Differences and similarities in the tests, nomenclatures, periodicity and performance parameters were evaluated. It was identified that SS-625 was one of the first publications in the area, proposing standards and indicating reference levels. ANVISA guide describes the procedures for performing the tests established in Ordinance 453. The 002/DIVS/SES included digital imaging systems and provides more restrictive performance standards in some tests when compared other publications. ES/MG Number 5177 describes some tests in mammography equipment, not defined in other publications. We conclude that there is no standardization in the nomenclature or in the performance and frequency of the tests, seeking greater scope and updating. (author)

  10. Chemometric-assisted spectrophotometric methods and high performance liquid chromatography for simultaneous determination of seven β-blockers in their pharmaceutical products: A comparative study

    Science.gov (United States)

    Abdel Hameed, Eman A.; Abdel Salam, Randa A.; Hadad, Ghada M.

    2015-04-01

    Chemometric-assisted spectrophotometric methods and high performance liquid chromatography (HPLC) were developed for the simultaneous determination of the seven most commonly prescribed β-blockers (atenolol, sotalol, metoprolol, bisoprolol, propranolol, carvedilol and nebivolol). Principal component regression PCR, partial least square PLS and PLS with previous wavelength selection by genetic algorithm (GA-PLS) were used for chemometric analysis of spectral data of these drugs. The compositions of the mixtures used in the calibration set were varied to cover the linearity ranges 0.7-10 μg ml-1 for AT, 1-15 μg ml-1 for ST, 1-15 μg ml-1 for MT, 0.3-5 μg ml-1 for BS, 0.1-3 μg ml-1 for PR, 0.1-3 μg ml-1 for CV and 0.7-5 μg ml-1 for NB. The analytical performances of these chemometric methods were characterized by relative prediction errors and were compared with each other. GA-PLS showed superiority over the other applied multivariate methods due to the wavelength selection. A new gradient HPLC method had been developed using statistical experimental design. Optimum conditions of separation were determined with the aid of central composite design. The developed HPLC method was found to be linear in the range of 0.2-20 μg ml-1 for AT, 0.2-20 μg ml-1 for ST, 0.1-15 μg ml-1 for MT, 0.1-15 μg ml-1 for BS, 0.1-13 μg ml-1 for PR, 0.1-13 μg ml-1 for CV and 0.4-20 μg ml-1 for NB. No significant difference between the results of the proposed GA-PLS and HPLC methods with respect to accuracy and precision. The proposed analytical methods did not show any interference of the excipients when applied to pharmaceutical products.

  11. Do Patients with Multiple Sclerosis Derive More Benefit from Robot-Assisted Gait Training Compared with Conventional Walking Therapy on Motor Function? A Meta-analysis

    Directory of Open Access Journals (Sweden)

    Xiao Xie

    2017-06-01

    Full Text Available ObjectiveTo determine whether robot-assisted gait training (RAGT is more effective in improving mobility, endurance, gait performance, and balance in patients with multiple sclerosis (MS compared with conventional walking rehabilitation treatment (CWT.Data sourcesSources included the Cochrane Library, PubMed, Embase, and Science Direct databases.Review methodAll possible articles were retrieved by two independent investigators and relevant articles were gathered. Studies on adult patients (older than 19 years old suffering from MS were included, regardless the subtype of MS diagnosis. Finally, we identified seven studies that comprised 205 patients with MS.ResultsWe identified seven studies comprising 205 patients with MS in our meta-analysis. The pooled mean difference (MD for the six-minute walk test (6MWT was 14.25 [95% confidence interval (CI 3.19 to 25.32, Z = 2.53, P = 0.01, I2 = 54%], which indicates that RAGT is superior to CWT on improving endurance. No significant improvement on using RAGT was found regarding the Berg Balance Scale (MD = −0.59, 95% CI: −2.7 to 1.52, Z = 0.55, P = 0.58, I2 = 51%, 10-meter walk test [standard mean difference (SMD = 0.03, 95% CI: −0.26 to 0.31, Z = 0.18, P = 0.86, I2 = 48%] timed up and go (TUG test (MD = −1.04, 95% CI: −8.68 to 6.60, Z = 0.27, P = 0.79, or stride length (SMD = 0.36, 95% CI: −0.13 to 0.85, Z = 0.73, P = 0.15.ConclusionWe can conclude that RAGT can bring more benefits on improving 6MWT among MS patients, but it is not enough to make a clinically significance conclusion. Considering the limitation of our study, it takes reservations about recommending all MS patients to take RAGT as primary rehabilitation intervention. Unless patients with progressive MS can take conventional rehabilitation in early time, RAGT would be a suitable substitute.

  12. Quality Computer Assisted Mobile Learning (CAML) and Distance Education Leadership in Managing Technology Enhanced Learning Management System (TELMS) in the Malaysian Public Tertiary Education

    OpenAIRE

    Lee Tan Luck

    2009-01-01

    Abstract - The success in the implementation of a quality computer assisted mobile learning and distance education in a Technology Enhanced Learning Management System is highly rely on the academic leadership in managing and application of Information and Communication Technology (ICT) in the tertiary level. The effectiveness of its leadership, knowledge, application and management of ICT and learning management system is of utmost important. Successful application and management includes qua...

  13. World Shares of Publications of the USA, EU-27, and China Compared and Predicated using the New Interface of the Web-of-Science versus Scopus

    CERN Document Server

    Leydesdorff, Loet

    2011-01-01

    The new interface of the Web of Science (of Thomson Reuters) enables users to retrieve sets larger than 100,000 documents in a single search. This makes it possible to compare publication trends for China, the USA, EU-27, and a number of smaller countries. China no longer grew exponentially during the 2000s, but linearly. Contrary to previous predictions on the basis of exponential growth or Scopus data, the cross-over of the lines for China and the USA is postponed to the next decade (after 2020) according to this data. These extrapolations, however, should be used only as indicators and not as predictions. Along with the dynamics in the publication trends, one also has to take into account the dynamics of the databases used for the measurement.

  14. A COMPARATIVE ANALYSIS REGARDING THE DEGREE OF SATISFACTION OF THE SERVICES GIVEN BY THE PUBLIC AND PRIVATE CARE HOMES FOR THE ELDERLY

    Directory of Open Access Journals (Sweden)

    Elena ZODIERIU

    2015-08-01

    Full Text Available In the context of economic and social realities of our country, more and more elderly choose to spend the last years of his life in homes for the elderly. Reasons for choosing this path are many, but the most important is the lack of support and the need for personal care companions. These two reasons were cited by the elderly from the study, adding that they do not want to be a burden for their children. One of the problems encountered when an elderly person decides to enter a home is the dilemma of choosing a public or private care home. In these circumstances, the present study aims to present the public-private comparative perspective, the realities of the homes of the elderly both in terms of material and human conditions and the satisfaction of the beneficiaries of these homes.

  15. The evolution of public policies for the promotion of SMEs in the Andean Community of Nations and the European Union: A comparative analysis

    Directory of Open Access Journals (Sweden)

    Liliana Heredia Rodríguez

    2016-09-01

    Full Text Available This paper studies the policies designed to promote SMEs implemented in the Andean Community of Nations (ACN and the European Union (EU in the past few decades. Based on an analytical and comparative methodology, it is set out that, with regard to synchronous or sequential adoption hypotheses, public policies that support SMEs respond to an independent adoption model and are determined by their own historical and political context, according to the different arenas in which the economic integration process of both regions is found. The paper also highlights that in the ACN, in contrast to the EU, it is difficult to find abiding lines of action in the design of these public policies.

  16. 24 CFR Appendix to Part 972 - Methodology of Comparing Cost of Public Housing With the Cost of Tenant-Based Assistance

    Science.gov (United States)

    2010-04-01

    ... costs (HCC) that HUD publishes as a component of its TDC index series. Subtracted from this HCC figure... percent of the average Total Development Cost (TDC) for the units, the lower of the PHA estimate or a figure based on 10 percent of TDC must be used. Suppose the estimated remediation and demolition...

  17. Critical Success Factors for Public Private Partnerships in the UAE Construction Industry- A Comparative Analysis between the UAE and the UK

    Directory of Open Access Journals (Sweden)

    Khalid Almarri

    2017-01-01

    Full Text Available Procurement instruments by Public Private Partnerships (PPP have shown their amazing capacity in procuring public works from around the globe. Their success rate has been immense as they are known to bring efficiency, quality, innovation, experience, funds, and most importantly, the art of risk sharing to developed projects. This research aims to pinpoint the critical success factors (CSFs that are needed to implement PPPs in transitional economies. We have taken UAE as a case study and will be comparing its results with that of the UK’s; a developed country. Relevant data was collected through a questionnaire to establish the PPP critical success factors for the each of the two countries. In this questionnaire, data was collected from 30 participants residing in the UAE and 62 participants residing in the UK. A comparative analysis between the results of the UK and UAE showed a great deal of similarity between the two in PPP practice trends in the critical success factors. Both countries ranked the same nine factors as the most significant ones out of the eighteen critical success factors for implementing PPPs. These factors were commitment of public and private parties, appropriate risk allocation, committed and competent public agency, transparent procurement process, strong private consortium, competitive procurement process, political support, detailed cost/benefits assessment, and good governance. Whereas, the major differences were related to local financial market, macro-economic conditions, and favourable legal framework. The findings were validated through a small sample of practitioners using the Partnering Performance Index, and were found to be comprehensive, objective, reliable, practical, replicable, and adaptable.

  18. Personal exposure and health risk assessment of carbonyls in family cars and public transports-a comparative study in Nanjing, China.

    Science.gov (United States)

    Xu, Huaizhou; Zhang, Qin; Song, Ninghui; Guo, Min; Zhang, Shenghu; Ji, Guixiang; Shi, Lili

    2017-09-24

    To evaluate passenger health risks associated with inhalation exposure to carbonyl compounds mainly emitted from decoration materials of vehicles, we tested the carbonyl concentrations in interior air of 20 family cars, 6 metro lines, and 5 buses in the city of Nanjing. To assess non-carcinogenic health risks, we compared the data to the health guidelines of China, US Environmental Protection Agency (EPA), and Office of Environmental Health Hazard Assessment (OEHHA), respectively. To assess carcinogenic risks, we followed a standard approach proposed by the OEHHA to calculate lifetime cancer risks (LCR) of formaldehyde and acetaldehyde for various age groups. The results showed that there are formaldehyde, acetaldehyde, and acrolein concentrations in 40, 35, and 50% of family car samples exceeded the reference concentrations (RfCs) provided by Chinese guidelines (GB/T 27630-2011 and GB/T 18883-2002). Whereas, in the tested public transports, concentrations of the three carbonyls were all below the Chinese RfCs. Fifty and 90% of family cars had formaldehyde and acrolein concentrations exceeding the guidelines of OEHHA. Only one public transport sample (one bus) possesses formaldehyde and acetaldehyde concentrations above the chronic inhalation reference exposure limits (RELs). Furthermore, the assessments of carcinogenic risk of formaldehyde and acetaldehyde showed that lifetime cancer risks were higher than the limits of EPA for some family cars and public transports. In the study, buses and metros appear to be relatively clean environments, with total carbonyl concentrations that do not exceed 126 μg/m(3). In family cars, carbonyl levels showed significant variations from 6.1 to 811 μg/m(3) that was greatly influenced by direct emissions from materials inside the vehicles. Public transports seemed to be the first choice for resident trips as compared to family cars. Graphical abstract ᅟ.

  19. Assistive Technology

    Science.gov (United States)

    ... Page Resize Text Printer Friendly Online Chat Assistive Technology Assistive technology (AT) is any service or tool that helps ... be difficult or impossible. For older adults, such technology may be a walker to improve mobility or ...

  20. STUDY ON FINANCIAL COMMUNICATIONS FROM PUBLIC RETAIL COMPANIES: COMPARATIVE ANALYSIS – MILANO STOCK EXCHANGE AND BUCHAREST STOCK EXCHANGE

    Directory of Open Access Journals (Sweden)

    Veronica R GROSU

    2016-09-01

    Full Text Available The economic and financial crisis that hit the world economy has shown that for retail companies, growth continued to record only for those who held full control over every point of sale. The objective of our work is focused on the analysis of the most important financial indicators that a retail company should focus on and include in communication with external stakeholders. We make the connection with problems of the real economy through a comparative study of Romania and Italy, in which we analyze retail companies listed on the Bucharest Stock Exchange (BSE and a similar number of retail companies listed on the Milan Stock Exchange (MSE. The importance of the topic stems from the fact that it is essential for understanding how consumers relate the various retail companies and how the latter model their structure or behavior depending on the requirements and needs of the former.

  1. Higher oxidization rate of photo-assisted annealing compared with thermal annealing after YBa{sub 2}Cu{sub 3}O{sub 7−δ} films growth

    Energy Technology Data Exchange (ETDEWEB)

    Li, Guoxing; Li, Shanwen [State Key Laboratory on Integrated Optoelectronics, College of Electronic Science and Engineering, Jilin University, Changchun 130012 (China); Li, Wei [National Engineering Research Center for Optoelectronics Devices, Institute of Semiconductors, Chinese Academy of Sciences, Beijing 100083 (China); Wang, Xinsheng; Guo, Feng [State Key Laboratory on Integrated Optoelectronics, College of Electronic Science and Engineering, Jilin University, Changchun 130012 (China); Zhang, Baolin, E-mail: zbl@jlu.edu.cn [State Key Laboratory on Integrated Optoelectronics, College of Electronic Science and Engineering, Jilin University, Changchun 130012 (China); Chou, PenChu [State Key Laboratory on Integrated Optoelectronics, College of Electronic Science and Engineering, Jilin University, Changchun 130012 (China)

    2014-12-15

    Highlights: • The photo-assisted annealing has higher oxidization rate for the YBCO films was found. • The production efficiency of REBCO films were enhanced. • The experimental study for deoxidization has been executed. • Thermodynamics effect of photo-activation during annealing process has been analyzed. - Abstract: In order to study the possible advantage of photo-assisted MOCVD compared with thermal MOCVD during the annealing process after film growth, a piece of c-axis oriented YBa{sub 2}Cu{sub 3}O{sub 7−δ} film on Φ1″ LaAlO{sub 3} (1 0 0) substrate was prepared by photo-assisted MOCVD. It has well in-plane alignment and high critical current density (J{sub c} > 2.5 MA/cm{sup 2}, @ 0 T, 77 K, thickness ≈ 430 nm). Small pieces cut from it were annealed by photo-assisted or thermal annealing process to realize deoxidization or oxidization respectively. By monitoring the c-axis lattice constant, it was found that oxidization rate of photo-assisted annealing is obviously higher than that of thermal annealing. Inversely, the deoxidization rate of photo-assisted annealing is lower than that of thermal annealing. And a phenomenon that the long-time stable c-axis lattice constant is related to the temperature, unrelated to annealing process has been observed. It conforms to the thermodynamic equilibrium which is relative to annealing temperature and oxygen partial pressure, irrespective to whether photo activation or thermal activation.

  2. Assistive Technologies

    Science.gov (United States)

    Auat Cheein, Fernando A., Ed.

    2012-01-01

    This book offers the reader new achievements within the Assistive Technology field made by worldwide experts, covering aspects such as assistive technology focused on teaching and education, mobility, communication and social interactivity, among others. Each chapter included in this book covers one particular aspect of Assistive Technology that…

  3. The VIMOS Public Extragalactic Redshift Survey (VIPERS). Never mind the gaps: comparing techniques to restore homogeneous sky coverage

    CERN Document Server

    Cucciati, O; Branchini, E; Marulli, F; Iovino, A; Moscardini, L; Bel, J; Cappi, A; Peacock, J A; de la Torre, S; Bolzonella, M; Guzzo, L; Polletta, M; Fritz, A; Adami, C; Bottini, D; Coupon, J; Davidzon, I; Franzetti, P; Fumana, M; Garilli, B; Krywult, J; Malek, K; Paioro, L; Pollo, A; Scodeggio, M; Tasca, L A M; Vergani, D; Zanichelli, A; Di Porto, C; Zamorani, G

    2014-01-01

    [Abridged] Non-uniform sampling and gaps in sky coverage are common in galaxy redshift surveys but these effects can degrade galaxy counts-in-cells and density estimates. We carry out a comparison of methods that aim to fill the gaps to correct for the systematic effects. Our study is motivated by the analysis of the VIMOS Extragalactic Redshift Survey (VIPERS), a flux-limited survey (i<22.5) based on one-pass observations with VIMOS, with gaps covering 25% of the surveyed area and a mean sampling rate of 35%. Our findings are applicable to other surveys with similar observing strategies. We compare 1) two algorithms based on photometric redshift, that assign redshifts to galaxies based on the spectroscopic redshifts of the nearest neighbours, 2) two Bayesian methods, the Wiener filter and the Poisson-Lognormal filter. Using galaxy mock catalogues we quantify the accuracy of the counts-in-cells measurements on scales of R=5 and 8 Mpc/h after applying each of these methods. We also study how they perform to...

  4. Do transgenesis and marker-assisted backcross breeding produce substantially equivalent plants? - A comparative study of transgenic and backcross rice carrying bacterial blight resistant gene Xa21

    OpenAIRE

    Gao, Lifen; Cao, Yinghao; Xia, Zhihui; Jiang, Guanghuai; Liu, Guozhen; Zhang, Weixiong; Zhai, Wenxue

    2013-01-01

    Background The potential impact of genetically modified (GM) plants on human health has attracted much attention worldwide, and the issue remains controversial. This is in sharp contrast to the broad acceptance of plants produced by breeding through Marker Assisted Backcrossing (MAB). Results Focusing on transcriptome variation and perturbation to signaling pathways, we assessed the molecular and biological aspects of substantial equivalence, a general principle for food safety endorsed by th...

  5. Radical nephrectomy performed by open, laparoscopy with or without hand-assistance or robotic methods by the same surgeon produces comparable perioperative results

    OpenAIRE

    Tanya Nazemi; Anton Galich; Samuel Sterrett; Douglas Klingler; Lynette Smith; Balaji, K. C.

    2006-01-01

    PURPOSE: Radical nephrectomy can be performed using open or laparoscopic (with or without hand assistance) methods, and most recently using the da Vinci Surgical Robotic System. We evaluated the perioperative outcomes using a contemporary cohort of patients undergoing radical nephrectomy by one of the above 4 methods performed by the same surgeon. MATERIALS AND METHODS: The relevant clinical information on 57 consecutive patients undergoing radical nephrectomy from September 2000 until July 2...

  6. A meta-analysis of public microarray data identifies gene regulatory pathways deregulated in peripheral blood mononuclear cells from individuals with Systemic Lupus Erythematosus compared to those without.

    Science.gov (United States)

    Kröger, Wendy; Mapiye, Darlington; Entfellner, Jean-Baka Domelevo; Tiffin, Nicki

    2016-11-15

    Systemic Lupus Erythematosus (SLE) is a complex, multi-systemic, autoimmune disease for which the underlying aetiological mechanisms are poorly understood. The genetic and molecular processes underlying lupus have been extensively investigated using a variety of -omics approaches, including genome-wide association studies, candidate gene studies and microarray experiments of differential gene expression in lupus samples compared to controls. This study analyses a combination of existing microarray data sets to identify differentially regulated genetic pathways that are dysregulated in human peripheral blood mononuclear cells from SLE patients compared to unaffected controls. Two statistical approaches, quantile discretisation and scaling, are used to combine publicly available expression microarray datasets and perform a meta-analysis of differentially expressed genes. Differentially expressed genes implicated in interferon signaling were identified by the meta-analysis, in agreement with the findings of the individual studies that generated the datasets used. In contrast to the individual studies, however, the meta-analysis and subsequent pathway analysis additionally highlighted TLR signaling, oxidative phosphorylation and diapedesis and adhesion regulatory networks as being differentially regulated in peripheral blood mononuclear cells (PBMCs) from SLE patients compared to controls. Our analysis demonstrates that it is possible to derive additional information from publicly available expression data using meta-analysis techniques, which is particularly relevant to research into rare diseases where sample numbers can be limiting.

  7. Knowledge of School Health Programme among Public Primary School Teachers in Oyo State, South-West Nigeria: A Rural-Urban Comparative Study.

    Science.gov (United States)

    Adebayo, Ayodeji M; Onadeko, Modupe O

    2015-09-01

    Teachers are in a vantage position to facilitate positive health among school-age children through the School Health Programme (SHP). Lack of basic knowledge of the programme among them will hinder its effective implementation. Studies to gauge teachers' knowledge of SHP are needed to improve the current suboptimal level of implementation in Nigeria. This study was conducted to assess and compare the knowledge of SHP among public primary school teachers in rural and urban areas of Oyo State, South-West Nigeria. A comparative cross-sectional survey was conducted among teachers in selected rural and urban public primary schools using a 2-stage cluster sampling technique. Knowledge scores were computed giving minimum and maximum obtainable scores of 0 and 33 respectively. Respondents were reported as having inadequate knowledge if aggregate score "was knowledge of SHP with similar proportions in the rural (84.2%) and urban (84.9%) schools. Higher proportions of those aged 40 years, that were ever married and had 2 qualifications had adequate knowledge compared with their counterparts (p knowledge of SHP. Further study to assess teachers' training in SHP is needed. This may inform training intervention to upgrade their knowledge of the programme in the study area.

  8. The ‘Eurosceptic Europeanization of Public Spheres’: Comparing Swedish and Danish Reactions to the 2014 European Parliament elections across Print Media and Twitter

    DEFF Research Database (Denmark)

    Dutceac Segesten, Anamaria; Bossetta Jr, Michael Joseph

    2015-01-01

    ? To test for this ‘Eurosceptic Europeanization of Public Spheres,’ we compare Swedish and Danish print media and Twitter reactions to the far-right’s success on May26th, the day following the elections. We find that the narrative of the ‘rise of the far right’ is indeed presented in European terms...... communication cultures. On Twitter, however, we find much more congruence between the countries in the tone used to discuss the Eurosceptics’ success. Despite this unity of tone, the Twitter narrative was not as Europeanized as in the print media, undermining claims that online channels are more prone...

  9. A Comparative Study of Scientific Publications in Health Care Sciences and Services from Mainland China, Taiwan, Japan, and India (2007–2014

    Directory of Open Access Journals (Sweden)

    Yipeng Lv

    2015-12-01

    Full Text Available In this study, we aimed to compare the quantity and quality of publications in health care sciences and services journals from the Chinese mainland, Taiwan, Japan, and India. Journals in this category of the Science Citation Index Expanded were included in the study. Scientific papers were retrieved from the Web of Science online database. Quality was measured according to impact factor, citation of articles, number of articles published in top 10 journals, and the 10 most popular journals by country (area. In the field of health care sciences and services, the annual incremental rates of scientific articles published from 2007 to 2014 were higher than rates of published scientific articles in all fields. Researchers from the Chinese mainland published the most original articles and reviews and had the highest accumulated impact factors, highest total article citations, and highest average citation. Publications from India had the highest average impact factor. In the field of health care sciences and services, China has made remarkable progress during the past eight years in the annual number and percentage of scientific publications. Yet, there is room for improvement in the quantity and quality of such articles.

  10. A Comparative Study of Scientific Publications in Health Care Sciences and Services from Mainland China, Taiwan, Japan, and India (2007-2014).

    Science.gov (United States)

    Lv, Yipeng; Tang, Bihan; Liu, Xu; Xue, Chen; Liu, Yuan; Kang, Peng; Zhang, Lulu

    2015-12-24

    In this study, we aimed to compare the quantity and quality of publications in health care sciences and services journals from the Chinese mainland, Taiwan, Japan, and India. Journals in this category of the Science Citation Index Expanded were included in the study. Scientific papers were retrieved from the Web of Science online database. Quality was measured according to impact factor, citation of articles, number of articles published in top 10 journals, and the 10 most popular journals by country (area). In the field of health care sciences and services, the annual incremental rates of scientific articles published from 2007 to 2014 were higher than rates of published scientific articles in all fields. Researchers from the Chinese mainland published the most original articles and reviews and had the highest accumulated impact factors, highest total article citations, and highest average citation. Publications from India had the highest average impact factor. In the field of health care sciences and services, China has made remarkable progress during the past eight years in the annual number and percentage of scientific publications. Yet, there is room for improvement in the quantity and quality of such articles.

  11. A Comparative Study of Scientific Publications in Health Care Sciences and Services from Mainland China, Taiwan, Japan, and India (2007–2014)

    Science.gov (United States)

    Lv, Yipeng; Tang, Bihan; Liu, Xu; Xue, Chen; Liu, Yuan; Kang, Peng; Zhang, Lulu

    2015-01-01

    In this study, we aimed to compare the quantity and quality of publications in health care sciences and services journals from the Chinese mainland, Taiwan, Japan, and India. Journals in this category of the Science Citation Index Expanded were included in the study. Scientific papers were retrieved from the Web of Science online database. Quality was measured according to impact factor, citation of articles, number of articles published in top 10 journals, and the 10 most popular journals by country (area). In the field of health care sciences and services, the annual incremental rates of scientific articles published from 2007 to 2014 were higher than rates of published scientific articles in all fields. Researchers from the Chinese mainland published the most original articles and reviews and had the highest accumulated impact factors, highest total article citations, and highest average citation. Publications from India had the highest average impact factor. In the field of health care sciences and services, China has made remarkable progress during the past eight years in the annual number and percentage of scientific publications. Yet, there is room for improvement in the quantity and quality of such articles. PMID:26712774

  12. How Local Intermediaries Improve the Effectiveness of Public Payment for Ecosystem Services Programs: The Role of Networks and Agri-Environmental Assistance

    Directory of Open Access Journals (Sweden)

    Sarah Schomers

    2015-10-01

    Full Text Available Large governmental payments for ecosystem services programs (PES have frequently been criticized for their limited environmental effectiveness. The use of local intermediaries has been considered as one possibility for improving the environmental effectiveness of such programs. German Landcare Associations (LCAs have been identified as one intermediary that holds the potential to positively influence the implementation of agri-environmental measures (AEMs. This paper empirically assesses the involvement of LCAs in the context of AEM implementation in Germany. An online questionnaire was distributed to all LCAs in Germany. In a first step, we examine if LCAs (1 provide social networks between stakeholders and (2 provide agri-environmental information and assistance to farmers. In a second step, the LCAs assess (3 their perception of how strongly their work influences farmers’ participation in PES schemes and (4 if they pursue the spatial targeting of AEMs. In a third step, we relate the relative level of social networks and the provision of agri-environmental information and assistance to their stated influence on farmers’ participation in and spatial targeting of AEMs. Finally we derive overall conclusions on how intermediaries can enhance the effectiveness of PES programs in general.

  13. Politics of water resources and environmental problem. US-Japan comparative policy history on the public district; Mizushigen kaihatsu to kankyo mondai. Public district no Nichibei hikaku seisakushi kenkyu

    Energy Technology Data Exchange (ETDEWEB)

    Mikuriya, T. [Tokyo Metropolitan University, Tokyo (Japan). Faculty of Engineering

    1994-12-15

    With an objective to give some suggestion to the water resources policies for the future Japan, a comparative study was made on the water resources development policies in Japan and the water resources policies in the state of California, U.S.A. The study on Japan has been proceeded empirically based on specific data with regard to the development of electric power policies from the prewar to postwar times when the governmental electric power control was changed to incorporation of the nine electric power companies. The change may be identified from viewpoints of both profit and ideology. Noticing the `public corporations` established one after another for social capitals before and after the establishment of the Liberal Democratic Party, their relation with the water resources development policies was pursued in terms of actual proof and political science. The identity of the public corporations established in and after 1955 stands on the premise of free economy, rather than the controlled economy. This paper positions the water resources development policies in a broader context as the national land plan, and considers the problems that are expanding from flood damages, dam construction, industrial complex construction to environmental problems around the water. Comparative discussions on the Tone river system and the Colorado river system were left as the future assignment.

  14. Federal Assistance Program Quarterly Project Progress Report. Geothermal Energy Program: Information Dissemination, Public Outreach, and Technical Analysis Activities. Reporting Period: January 1 - March 31, 2001 [Final report

    Energy Technology Data Exchange (ETDEWEB)

    Lund, John W.

    2002-03-22

    The final report of the accomplishments of the geothermal energy program: information dissemination, public outreach and technical analysis activities by the project team consisting of the Geo-Heat Center, Geothermal Resources Council, Geothermal Education Office, Geothermal Energy Association and the Washington State University Energy Program.

  15. Housing Assistance

    Directory of Open Access Journals (Sweden)

    Emma Baker

    2013-07-01

    Full Text Available In Australia, an increasing number of households face problems of access to suitable housing in the private market. In response, the Federal and State Governments share responsibility for providing housing assistance to these, mainly low-income, households. A broad range of policy instruments are used to provide and maintain housing assistance across all housing tenures, for example, assisting entry into homeownership, providing affordability assistance in the private rental market, and the provision of socially owned and managed housing options. Underlying each of these interventions is the premise that secure, affordable, and appropriate housing provides not only shelter but also a number of nonshelter benefits to individuals and their households. Although the nonshelter outcomes of housing are well acknowledged in Australia, the understanding of the nonshelter outcomes of housing assistance is less clear. This paper explores nonshelter outcomes of three of the major forms of housing assistance provided by Australian governments—low-income mortgage assistance, social housing, and private rent assistance. It is based upon analysis of a survey of 1,353 low-income recipients of housing assistance, and specifically measures the formulation of health and well-being, financial stress, and housing satisfaction outcomes across these three assistance types. We find clear evidence that health, finance, and housing satisfaction outcomes are associated with quite different factors for individuals in these three major housing assistance types.

  16. Ventricular assist device

    Science.gov (United States)

    VAD; RVAD; LVAD; BVAD; Right ventricular assist device; Left ventricular assist device; Biventricular assist device; Heart pump; Left ventricular assist system; LVAS; Implantable ventricular assist device

  17. 10 CFR 455.92 - State technical assistance awards.

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 3 2010-01-01 2010-01-01 false State technical assistance awards. 455.92 Section 455.92... OWNED BY UNITS OF LOCAL GOVERNMENT AND PUBLIC CARE INSTITUTIONS State Grants for Technical Assistance, Program Assistance, and Marketing § 455.92 State technical assistance awards. Technical assistance awards...

  18. Público versus privado: avaliando a assistência à gestação e ao parto no extremo sul do Brasil Public versus private: assessing maternity care in the far South of Brazil

    Directory of Open Access Journals (Sweden)

    Juraci A Cesar

    2011-09-01

    Full Text Available OBJETIVOS: avaliar a assistência à gestação e ao parto entre o setor público e privado no município de Rio Grande, RS. MÉTODOS: aplicou-se questionário padronizado a todas as gestantes residentes neste município que tiveram filho em 2007. Investigaram-se aspectos relativos a cuidados recebidos desde o início da gestação até o pós-parto imediato. A análise estatística consistiu da comparação de proporções nestes dois grupos através do teste de qui-quadrado. RESULTADOS: dentre os 2584 nascimentos cujas mães residiam no município, foram obtidas informações sobre 2557, o que representa 98,9% do total. Destas mães, 96% realizaram pelo menos uma consulta de pré-natal. Gestantes atendidas no setor privado iniciaram o pré-natal mais cedo, realizaram um maior número de consultas médicas, exame de sangue e ultrassonografia pélvica, exame ginecológico, das mamas e citopatológico de colo uterino. Gestantes do setor público realizaram maior número de exames de urina e sorologia para sífilis e foram mais comumente suplementadas com sulfato ferroso. Todas estas diferenças foram estatisticamente significativas (pOBJECTIVES: to compare public and private sector maternity care in the municipality of Rio Grande, in the Brazilian State of Rio Grande do Sul. METHODS: a standardized questionnaire was applied to all pregnant women residing in this municipality who had a child in 2007. All aspects, from the beginning of gestation to immediate post-partum were investigated. Statistical analysis took the form of comparison of proportions for these two groups, using the chi-squared test. RESULTS: of the 2584 children born whose mothers resided in the municipality, information was obtained on 2557, representing 98.9% of the total. Of these mothers, 96% received at least one prenatal consultation. Pregnant women attended by the private sector began prenatal care earlier, had a larger number of medical consults, blood tests, pelvic

  19. Analysis of the Necessity of Knowledge Assistance of Public Libraries to Children of Migrant Workers%公共图书馆对农民工子女进行知识援助的必要性分析

    Institute of Scientific and Technical Information of China (English)

    张腾跃

    2012-01-01

    随着社会的发展,农民工为城市建设做出了突出贡献,然而农民工及其子女却是被忽略的群体,作为服务机构的公共图书馆应对农民工流动子女实施知识援助,以求真正地改善农民工流动子女的教育环境。%With the development of the society, migrant workers have made outstanding contribution to city construction. But migrant workers and their children are still neglected groups. Public libraries, as Serviceorganizations, should provide knowledge assistance to children of migrant workers so as to improve the education environment of children of migrant workers.

  20. Laser-assisted hatching in assisted reproduction.

    Science.gov (United States)

    Montag, M; van der Ven, H

    1999-09-01

    The use of a 1.48 um diode laser for assisted hatching was investigated in animal experimentation. Laser assisted hatching was offered to patients with advanced maternal age to evaluate a possible benefit. Using the Fertilase(r) system we investigated the impact of openings with different size in the zona of mouse embryos on the hatching process, as well as that of two openings. Laser-drilling was performed at the blastocyst stage to look for differences in timing and efficacy of hatching. The possible benefit of assisted hatching was studied in 24 couples with advanced maternal age (38.8+2.1 years) and compared to a control group (37.8+2.5 years) treated in the same time period but without assisted hatching. A certain diameter of a laser drilled opening in the zona pellucida is necessary for efficient hatching. When two openings are present in the zona, the embryo will use both openings for hatching and subsequently become trapped. Laser-drilling at th e expanded blastocyst stage causes an immediate collapse of treated blastocysts and the onset of hatching is retarded. Assisted hatching in 24 patients with advanced maternal age resulted in a significant increase (plaser to drill an opening into the zona pellucida provides a good alternate to conventionally applied techniques. The procedure is efficient and safe as long as it is applied properly. In a human in vitro fertilization program, selected patients will have a benefit form assisted hatching.

  1. 公立医院辅助用工形式现状分析%Analysis on the present assistant laboring forms in public hospital

    Institute of Scientific and Technical Information of China (English)

    王文京; 王霞; 崔瑜

    2011-01-01

    China's socialist market economy system reform deeply, the medical service market increasingly fierce competition, the hospital toestablish the compiled for main body, a variety of employment form common existence compiled new recruitment mechanism. With several years of practice, existing problems and problems can be forecasted are found. The authors have thought and investigated the status of assistant laboring forms. It shows that various kinds of assistant laboring forms are selected by the characters and management of position and they have done their functions. Personnel department can comprehensively use various management methods to manage and motivate those staffs. Laboring form is a general management reform. It needs the basic management experience and combining with hospital situation and relative support policy for constantly promotion.%医疗服务市场竞争日趋激烈,医院逐渐建立以编制内用工为主体,多种编制外用工形式共同存在的新的用工机制.通过几年来的运行,发现了一些问题,也预见到今后可能会发生的问题.作者对辅助用工方式的现状进行了较深入地调研与分析思考.研究表明,本院应用的各种辅助用工形式均是根据各个岗位的职业特点和管理方式选择,它们各自发挥着应有的作用.作为人事部门也能较好地运用各种管理手段,对其进行管理和激励.人事用工方式是一项综合的管理措施改革,要在以往管理工作经验的基础上,结合医院自身的实际情况和相关配套政策的改革,在今后的工作中不断探索和完善.

  2. IMU/DGPS 辅助空三下几种布点方案的精度比较%Several Layout Point Projects Precision Compare in the IMU/DGPS Assisted Aerial Triangulation

    Institute of Scientific and Technical Information of China (English)

    荣幸

    2014-01-01

    This paper mainly introduced in the IMU/DGPS assisted aerial triangulation ,through the different layout point project to the aerial triangulation , compare and analysis these Achievements , what accuracy can we get that analysis for the POS assisted aerial triangulation at few control points or no control points .How can meet the requirements of whichmapping scale .%主要介绍了在IMU/DGPS辅助空三的情况下,通过对不同的布点方案进行空三加密,对这些空三成果进行精度比较与分析,分析POS辅助空三在无地面控制点或少量的地面控制点的情况下能获得怎样的精度,能满足多大比例尺的成图要求。

  3. Public Library Clients Prefer Formal Classes for Initial Training on Library’s Online Resources and Informal, On-Demand Assistance for Further Training. A Review of: Ruthven, J. (2010. Training needs and preferences of adult public library clients in the use of online resources. The Australian Library Journal, 59(3, 108-117.

    Directory of Open Access Journals (Sweden)

    Diana K. Wakimoto

    2012-03-01

    Full Text Available Objective – To discover public library clients’ needs and preferences for modes of training on the use of the Internet and the libraries’ online resources and to apply these findings to improve training offered by public library staff.Design – Multiple exploratory case study.Setting – Two public libraries in New South Wales, Australia: a regional library (Mudgee Branch of the Mid-Western Regional Council Library Service and a metropolitan library (Marrickville Central Library.Subjects – A total of 24 public library clients. The participants were split evenly between the two libraries, with 12 from the Mudgee Branch and 12 from the Marrickville Central. The respondents were further subdivided into two groups based on age (35 to 44 years old and 65 or older and evenly distributed by sex within the groups.Methods – This study used naturalistic inquiry to frame the multiple exploratory case study of two public libraries. Ruthven used maximum variation sampling to guide the selection of participants. Library staff helped the researcher to identify possible participants at Marrickville, while the researcher advertised for participants at Mudgee Library and at an Internet/database course taught at the Mudgee Business Enterprise Centre. She used snowball sampling to find additional participants at both sites. Ruthven conducted semi-structured interviews with the participants, with questions covering their preferences, recommendations, and needs for online resource training. The data from the interviews and search logs were analyzed using inductive data analysis.Main Results – Participants preferred small group, face-to-face, formalized instruction for initial training on online resources. For further training, participants preferred individualized assistance and immediate support instead of formal classes. They noted a lack of training opportunities and a lack of help from library staff as sources of frustration when trying to learn to

  4. 24 CFR 901.235 - Technical assistance.

    Science.gov (United States)

    2010-04-01

    ... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Technical assistance. 901.235... DEVELOPMENT PUBLIC HOUSING MANAGEMENT ASSESSMENT PROGRAM § 901.235 Technical assistance. (a) The Department may provide technical assistance to a PHA that is in substantial default. (b) The Department may...

  5. Weatherization Assistance Program Technical Assistance Center

    Energy Technology Data Exchange (ETDEWEB)

    Robert Adams

    2009-01-07

    The following is a synopsis of the major achievements attributed to the operation of the Weatherization Assistance Program Technical Assistance Center (WAPTAC) by the National Association for State Community Services Programs (NASCSP). During the past five years, the WAPTAC has developed into the premier source for information related to operating the Weatherization Assistance Program (WAP) at the state and local levels. The services provide through WAPTAC include both virtual technical support as well as hands-on training and instruction in classroom and in the field. The WAPTAC achieved several important milestones during its operation including the establishment of a national Weatherization Day now celebrated in most states, the implementation of a comprehensive Public Information Campaign (PIC) to raise the awareness of the Program among policy makers and the public, the training of more than 150 new state managers and staff as they assume their duties in state offices around the country, and the creation and support of a major virtual information source on the Internet being accessed by thousands of staff each month. The Weatherization Assistance Program Technical Assistance Center serves the Department of Energy's (DOE) Office of Weatherization and Intergovernmental Program as a valuable training and technical assistance resource for the network of 54 direct state grantees (50 states, District of Columbia and three Native American tribes) and the network of 900 local subgrantees (comprised of community action agencies, units of local government, and other non-profit organizations). The services provided through WAPTAC focus on standardizing and improving the daily management of the WAP. Staff continually identify policies changes and best practices to help the network improve its effectiveness and enhance the benefits of the Program for the customers who receive service and the federal and private investors. The operations of WAPTAC are separated into

  6. [Comparative study about the conceptions of health and disease between social science and dentistry students from a public university of Rio de Janeiro State].

    Science.gov (United States)

    Torres, Myrna de Faria Magalhães; Carvalho, Fernanda Ribeiro; Martins, Marisa Drumond

    2011-01-01

    The purpose of this article was to compare the social representation between dentistry and social sciences students, concerning the process of health and disease, and the conception of health professional position in our society, aiming a contribution to improve dentistry students' social formation. It is a qualitative research and its methodology was based in interviews performed by two researchers with one free association question and five open questions directed to ten first and ten last year students from both graduation courses of a public university. The first year students from both courses said that health and disease was based in the World Health Organization (WHO) concept. The social sciences students showed more engagement about social questions while dentistry's cared more about the individual than the community. Considering that, we can conclude that dentistry students from the last year did not show social sensitivity either worried about Brazilian's population problems, while social sciences students do.

  7. Training Public Health Advisors.

    Science.gov (United States)

    Meyer, Pamela A; Brusuelas, Kristin M; Baden, Daniel J; Duncan, Heather L

    2015-01-01

    Federal public health advisors provide guidance and assistance to health departments to improve public health program work. The Centers for Disease Control and Prevention (CDC) prepares them with specialized training in administering public health programs. This article describes the evolving training and is based on internal CDC documents and interviews. The first federal public health advisors worked in health departments to assist with controlling syphilis after World War II. Over time, more CDC prevention programs hired them. To meet emerging needs, 3 major changes occurred: the Public Health Prevention Service, a fellowship program, in 1999; the Public Health Associate Program in 2007; and integration of those programs. Key components of the updated training are competency-based training, field experience, supervision, recruitment and retention, and stakeholder support. The enduring strength of the training has been the experience in a public health agency developing practical skills for program implementation and management.

  8. Hardware Assisted ROP Detection Mode (HARD Mode)

    Science.gov (United States)

    2013-08-01

    Distribution A. Cleared for public release; unlimited distribution. USAFA-CN-2013-457 Hardware Assisted ROP Detection Mode (HARD Mode) NATHANIEL HART...457 This report, "Hardware Assisted ROP Detection Mode (HARD Mode)" is presented as a competent treatment of the subj ect, worthy of publication. The...Technical 20120810-20121215 Hardware Assisted ROP Detection Mode (HARD Mode) NATHANIEL HART MICHAEL WINSTEAD MARTIN CARLISLE RODNEY LYKINS MICHAEL

  9. Health-Related Quality of Life and Primi-Gravid: A Comparative Study of Natural Conception and Conception by Assisted Reproduction Technologies (ARTs

    Directory of Open Access Journals (Sweden)

    Ashraf Kazemi

    2014-07-01

    Full Text Available Background: This study evaluated the impact of body mass index (BMI, total calorie intake and physical activity (PA as energy expenditure related factors on oxidative stress (OS in follicular fluid (FF. Materials and Methods: This prospective study conducted on 219 infertile women. We evaluated patients’ BMI, total calorie intake and PA in their assisted reproduction treatment cycles. Malondialdehyde (MDA and total antioxidant capacity (TAC in pooled FF at oocyte retrieval were additionally assessed. Results: There was no relation between OS biomarkers to total calorie intake and PA. The TAC levels in FF adjusted for age, duration of infertility, etiology of infertility, number of used gonadotrophin and PA showed a positive relation to BMI (p=0.001. The number of used gonadotrophin and PA had a negative relation to duration of infertility (p=0.03 and anovulation disorder as an etiology of infertility. The MDA level in FF had a positive association with anovulation disorder as the etiology of infertility (p=0.02. MDA in FF was unaffected by BMI. Conclusion: Increasing age, BMI and PA do not affect OS in FF. In women with longtime infertility and those with anovulation disorder as an etiology of infertility, decreased potent antioxidant defense in the follicular microenvironment may contribute to ovarian function. Therefore antioxidant supplements may be beneficial for these groups of women.

  10. A Comparative Study of Major Computer-assisted Translation Tools%主流计算机辅助翻译软件比较研究

    Institute of Scientific and Technical Information of China (English)

    张剑

    2015-01-01

    从用户的角度,根据笔者对Déjà Vu X、SDLX和STAR Transit & TermStar三款主流计算机辅助翻译软件的实际使用经验,探讨三款软件在术语管理工具、翻译记忆库、翻译对齐工具和翻译项目管理工具四个核心模块的功能异同,有利于帮助译员选择适合翻译项目、满足个体需要的软件。%In four areas of terminology management ,translation memory management ,alignment and translation management ,the paper analyzes the similarities and differences of four core functions with these three major computer - assisted translation tools :Déjà Vu X , SDLX and STAR Transit &TermStar ,and is helpful for translators to choose the appropriate translation tools which meet the need of translation project .

  11. Políticas públicas de mobilidade e assistência a itinerantes: o caso dos trecheiros (Mobility Public policies and assistance to itinerants: the case of the Wanderers Doi: 10.5212/Emancipacao.v.13iEspecial.0007

    Directory of Open Access Journals (Sweden)

    José Sterza Justo

    2014-12-01

    Full Text Available Resumo: As políticas públicas e a promoção da cidadania têm a mobilidade urbana como um de seus focos principais, ao lado de outros como a saúde, educação e cultura. Um dos alvos das políticas de mobilidade urbana são os recém-chegados ou visitantes que desembarcam na cidade, sobretudo aqueles considerados indesejáveis, tais como mendigos e trecheiros. A presente pesquisa visou analisar as políticas públicas e práticas de assistência social dirigidas aos trecheiros de uma cidade do interior paulista. Foram realizadas observações no posto de atendimento a essa população, situado na rodoviária local, e entrevistas com usuários. Os resultados mostram que a despeito da política pública de assistência que propõe o reassentamento psicossocial dos trecheiros, prevalece a prática de evitar a permanência deles na cidade, enviando-os para outra localidade assim que desembarcam. Dessa forma, tal política pública acentua aquilo que se propõe a combater: a deambulação constante de um lugar a outro. Abstract: Public policies and the promotion of citizenship have urban mobility as one of its main focuses, alongside others such as health, education and culture. One of the aims of urban mobility policies are newcomers or visitors who arrive in the city, especially those considered undesirable, such as beggars and wanderers. This research aimed to analyze public policies and practices of social work in a city in São Paulo state targeting the wanderers. Observations were made at the service station for this population, located in the local bus station, and interviews with its users. The results show that, despite a public service policy proposing the psychosocial resettlement of wanderers, the prevailing pratice is to avoid their permanence in the city, sending them to some other place as soon as they disembark. Thus, this policy emphasizes what purports to combat: the constant walking from one place to another.Keywords: Public

  12. A Comparative Study of Students' Access to and Utilization of Learning Resources in Selected Public and Private Universities in Southwest, Nigeria

    Science.gov (United States)

    Lawal, B. O.; Viatonu, Olumuyiwa

    2017-01-01

    The study investigated students' access to and utilization of some learning resources in selected public and private universities in southwest Nigeria. Stratified random sampling technique was used to select 585 (295 public and 290 private) students from 12 (six public and six private) universities in southwest Nigeria. Two instruments--Cost and…

  13. The Experience of the Design of Thematic Network Resource, Concerning the History of the Public Assistance in the Extreme Conditions of Wars of the Early XX Century

    Directory of Open Access Journals (Sweden)

    Tatiana A. Kattсina

    2014-09-01

    Full Text Available The paper is focused on the content of website on the history of the social welfare to the victims of the Russian-Japan (1904-1905 and the First World (1914-1918 Wars. The technique of database creation, necessary for the study of public organizations, which activity was aimed at the rendering help to the victims of war is presented. In the course of the specific historic research, the creation of thematic database and website was the secondary, convenient form of work with information, mainly the archive one. The Eastern Siberia was selected as a base of the main research. The set of materials, posted on the website is aimed at the research of the influence of large-scale military conflicts on the concept, forms and activities of social welfare to the victims of war; widens the information base of historic research and educational process; enables to integrate the material across Russia and form the all-Russian database in the longer term.

  14. A Comparative-Interdisciplinary Study of the Production and Publication of Works of Fiction by Simin Daneshvar and Belgheis Soleimani on the Basis of the Theory of Paratextuality

    Directory of Open Access Journals (Sweden)

    F. Rostami

    2015-08-01

    Full Text Available Interdisciplinary studies confirm the fact that different branches of the humanities are closely connected with each other and increase each others’ efficiency. Since comparative interdisciplinary studies also include fields that are not purely literary, such as printing and publishing industries, the present study aims to analyze how cultural products achieve a better marketing through designing processes. Paratextuality, from Genette’s point of view, is the theoretical basis of this study, and peritexts and epitexts in the novels of Daneshvar and Soleimani are analyzed here. First, we define “comparative interdisciplinary study” and then discuss the peritexts and the epitexts in their novels. This is a library-based research; however, data is also collected through interviews with the publishers of their novels, Kharazmi, Ghoghnoos and Cheshmeh publications. It is a descriptive-analytical study and its findings show that there are some features in the appearance of books that motivate the customers to buy them. During years, because of cultural structures, advertising strategies and critical reviews, these features have changed. However, this study shows that the scope of the changes in the novels of Soleimani is vaster; in other words, by changing such features, publishers have been able to create a better marketing for Soleimani, even though he is less known than Daneshvar.

  15. Comparative Study of Seven Commercial Kits for Human DNA Extraction from Urine Samples Suitable for DNA Biomarker-Based Public Health Studies

    Science.gov (United States)

    El Bali, Latifa; Diman, Aurélie; Bernard, Alfred; Roosens, Nancy H. C.; De Keersmaecker, Sigrid C. J.

    2014-01-01

    Human genomic DNA extracted from urine could be an interesting tool for large-scale public health studies involving characterization of genetic variations or DNA biomarkers as a result of the simple and noninvasive collection method. These studies, involving many samples, require a rapid, easy, and standardized extraction protocol. Moreover, for practicability, there is a necessity to collect urine at a moment different from the first void and to store it appropriately until analysis. The present study compared seven commercial kits to select the most appropriate urinary human DNA extraction procedure for epidemiological studies. DNA yield has been determined using different quantification methods: two classical, i.e., NanoDrop and PicoGreen, and two species-specific real-time quantitative (q)PCR assays, as DNA extracted from urine contains, besides human, microbial DNA also, which largely contributes to the total DNA yield. In addition, the kits giving a good yield were also tested for the presence of PCR inhibitors. Further comparisons were performed regarding the sampling time and the storage conditions. Finally, as a proof-of-concept, an important gene related to smoking has been genotyped using the developed tools. We could select one well-performing kit for the human DNA extraction from urine suitable for molecular diagnostic real-time qPCR-based assays targeting genetic variations, applicable to large-scale studies. In addition, successful genotyping was possible using DNA extracted from urine stored at −20°C for several months, and an acceptable yield could also be obtained from urine collected at different moments during the day, which is particularly important for public health studies. PMID:25365790

  16. Comparative study of seven commercial kits for human DNA extraction from urine samples suitable for DNA biomarker-based public health studies.

    Science.gov (United States)

    El Bali, Latifa; Diman, Aurélie; Bernard, Alfred; Roosens, Nancy H C; De Keersmaecker, Sigrid C J

    2014-12-01

    Human genomic DNA extracted from urine could be an interesting tool for large-scale public health studies involving characterization of genetic variations or DNA biomarkers as a result of the simple and noninvasive collection method. These studies, involving many samples, require a rapid, easy, and standardized extraction protocol. Moreover, for practicability, there is a necessity to collect urine at a moment different from the first void and to store it appropriately until analysis. The present study compared seven commercial kits to select the most appropriate urinary human DNA extraction procedure for epidemiological studies. DNA yield has been determined using different quantification methods: two classical, i.e., NanoDrop and PicoGreen, and two species-specific real-time quantitative (q)PCR assays, as DNA extracted from urine contains, besides human, microbial DNA also, which largely contributes to the total DNA yield. In addition, the kits giving a good yield were also tested for the presence of PCR inhibitors. Further comparisons were performed regarding the sampling time and the storage conditions. Finally, as a proof-of-concept, an important gene related to smoking has been genotyped using the developed tools. We could select one well-performing kit for the human DNA extraction from urine suitable for molecular diagnostic real-time qPCR-based assays targeting genetic variations, applicable to large-scale studies. In addition, successful genotyping was possible using DNA extracted from urine stored at -20°C for several months, and an acceptable yield could also be obtained from urine collected at different moments during the day, which is particularly important for public health studies.

  17. Computer Assisted Cytologic Assessment,

    Science.gov (United States)

    1983-12-27

    Exfoliative Cytology in Oral Cancer Detection. Oral Surg 17. 327-330. TABLE I CATEGORIZATION ACCORDING TO NUCLEAR:CYTOPLASMIC RATIOS CLASS I CLASS II CLASS III... CYTOLOGIC ASSESSMENT Manuscript for Publication 6. PERFORMING ORG. REPORT NUMBER 7. AUTHOR(s) 8. CONTRACT OR GRANT NUMBER(s) Bryant, Michael L...CLASSIFICATION OF TH4IS PAGM(37,.n D~a Enterod) d, SF myvqN~ A SF’ .xt COMPUTER ASSISTED CYTOLOGIC ASSESSMENT BRYANT, MICHAEL L. HOLLINGER, JEFFREY 0

  18. Publicity and public relations

    Science.gov (United States)

    Fosha, Charles E.

    1990-01-01

    This paper addresses approaches to using publicity and public relations to meet the goals of the NASA Space Grant College. Methods universities and colleges can use to publicize space activities are presented.

  19. Assisted Living

    Science.gov (United States)

    ... if needs change. Assisted living costs less than nursing home care. It is still fairly expensive. Older people or their families usually pay for it. Health and long-term care insurance policies may cover ...

  20. Surgical and clinical safety and effectiveness of robot-assisted laparoscopic hysterectomy compared to conventional laparoscopy and laparotomy for cervical cancer: A systematic review and meta-analysis.

    Science.gov (United States)

    Park, D A; Yun, J E; Kim, S W; Lee, S H

    2017-06-01

    This study aimed to evaluate the surgical safety and clinical effectiveness of RH versus LH and laparotomy for cervical cancer. We searched Ovid-Medline, Ovid-EMBASE, and the Cochrane library through May 2015, and checked references of relevant studies. We selected the comparative studies reported the surgical safety (overall; peri-operative; and post-operative complications; death within 30 days; and specific morbidities), and clinical effectiveness (survival; recurrence; length of stay [LOS]; estimated blood loss [EBL]; operative time [OT]) and patient-reported outcomes. Fifteen studies comparing RH with OH and 11 comparing RH with LH were identified. No significant differences were found in survival outcomes. The LOS was shorter and transfusion rate was lower with RH compared to OH or LH. EBL was significantly reduced with RH compared to OH. Compared to OH, overall complications, urinary infection, wound infection, and fever were significantly less frequent with RH. The overall, peri-operative, and post-operative complications were similar in other comparisons. Several patient-reported outcomes were improved with RH, though each outcome was reported in only one study. RH appears to have a positive effect in reducing overall complications, individual adverse events including wound infection, fever, urinary tract infection, transfusion, LOS, EBL, and time to diet than OH for cervical cancer patients. Compared to LH, the current evidence is not enough to clearly determine its clinical safety and effectiveness. Further rigorous prospective studies with long-term follow-up that overcome the many limitations of the current evidence are needed. Copyright © 2016 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.