Perceived service delivery and productivity in the food and beverage sector in Potchefstroom / Adam Herman Viljoen

OpenAIRE

Viljoen, Adam Herman

2012-01-01

The importance of management in the food and beverage sector as well as managing food and beverage service employees are crucial aspects that influence quality service delivery. The food and beverage sector is a large service orientated segment of the greater tourism industry, and effective management of employees is therefore necessary since employees are regarded as the primary resource through which establishments deliver services. One might further argue that an employee is...

Citizens and service channels: channel choice and channel management implications

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Pieterson, Willem Jan

2010-01-01

The arrival of electronic channels in the 1990s has had a huge impact on governmental service delivery. The new channels have led to many new opportunities to improve public service delivery, not only in terms of citizen satisfaction, but also in cost reduction for governmental agencies. However,

A Blockchain Ecosystem for Digital Identity: Improving Service Delivery in Canada’s Public and Private Sectors

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Greg Wolfond

2017-10-01

Full Text Available Blockchain-based solutions have the potential to make government operations more efficient and improve the delivery of services in the public and private sectors. Identity verification and authentication technologies, as one of the applications of blockchain-based solutions – and the focus of our own efforts at SecureKey Technologies – have been critical components in service delivery in both sectors due to their power to increase trust between citizens and the services they access. To convert trust into solid value added, identities must be validated through highly-reliable technologies, such as blockchain, that have the capacity to reduce cost and fraud and to simplify the experience for customers while also keeping out the bad actors. With identities migrating to digital platforms, organizations and citizens need to be able to transact with reduced friction even as more counter-bound services move to online delivery. In this article, drawing on our own experiences with an ecosystem approach to digital identity, we describe the potential value of using blockchain technology to address the present and future challenges of identity verification and authentication within a Canadian context.

Operational Criteria for the Design of Front-Office Processes in Multi-Channel Service Delivery Systems

OpenAIRE

Sousa, Rui; Amorim, Marlene

2010-01-01

This paper identifies relevant operational factors that affect the design of front-office processes in Multi-Channel Service Delivery Systems. Based on two in-depth case studies in banking and telecommunications, we distinguish four operational factors: i) characteristics of the inputs and outputs of the service activities; ii) characteristics of the transformation taking place; iii) the expected utilization; iv) the economics of developing the activities in the channels. Building on these re...

ASSESSMENT OF E-COMMERCE USAGE FOR EFFECTIVE SERVICE DELIVERY IN NIGERIA BANKING SECTOR

OpenAIRE

Soneye Gbolade Michael

2017-01-01

This study assessed the extent of e-commerce usage for effective service delivery in Nigeria banking sector. Four research questions and four null hypotheses guided the study. Descriptive survey research design was adopted for the study. The study covered 64 microfinance banks in Oyo State, South-West, Nigeria. The population was made up of 1275 staffs from the 64 microfinance banks. The sample size consisted of 28 microfinance banks of which 280 staffs were purposively selected. A 28-item st...

Expansion in the private sector provision of institutional delivery services and horizontal equity: evidence from Nepal and Bangladesh.

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Hotchkiss, David R; Godha, Deepali; Do, Mai

2014-07-01

Wealth-related inequity in the use of maternal healthcare services continues to be a substantial problem in most low- and middle-income countries. One strategic approach to increase the use of appropriate maternal healthcare services is to encourage the expansion of the role of the private sector. However, critics of such an approach argue that increasing the role of the private sector will lead to increased inequity in the use of maternal healthcare services. This article explores this issue in two South Asian countries that have traditionally had high rates of maternal mortality-Nepal and Bangladesh. The study is based on multiple rounds of nationally representative household survey data collected in Nepal and Bangladesh from 1996 to 2011. The methodology involves estimating a concentration index for each survey to assess changes in wealth-related inequity in the use of institutional delivery assistance over time. The results of the study suggest that the expansion of private sector supply of institutional-based delivery services in Nepal and Bangladesh has not led to increased horizontal inequity. In fact, in both countries, inequity was shown to have decreased over the study period. The study findings also suggest that the provision of government delivery services to the poor protects against increased wealth-related inequity in service use. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2014; all rights reserved.

Private sector delivery of health services in developing countries: a mixed-methods study on quality assurance in social franchises

OpenAIRE

Schlein, Karen; De La Cruz, Anna York; Gopalakrishnan, Tisha; Montagu, Dominic

2013-01-01

Abstract Background Across the developing world health care services are most often delivered in the private sector and social franchising has emerged, over the past decade, as an increasingly popular method of private sector health care delivery. Social franchising aims to strengthen business practices through economies of scale: branding clinics and purchasing drugs in bulk at wholesale prices. While quality is one of the established goals of social...

Harmony in health sector: a requirement for effective healthcare delivery in Nigeria.

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Osaro, Erhabor; Charles, Adias Teddy

2014-09-01

Harmony is defined as the pleasing combination of elements of a system to form an all-inclusive, all involving and more productive team. The aim of this present review was to investigate the factors militating against harmony among healthcare professional in the Nigerian healthcare delivery system. This review was carried out by searching through literature on the topic that bother on harmony among health professions in the health sector. Literature search and reports from previous studies indicates that harmony among health workers is pivotal to improving the health indices. However, available evidence suggests that unlike in the developed world, health care professionals do not collaborate well together in Nigeria because of the claim of superiority of a particular health professional over others. This has often resulted in inter-professional conflict which is threatening to tear the health sector apart to the detriment of the patients. The Nigeria health system should be based on team work. Health professionals from a variety of disciplines should work together to deliver the best possible healthcare services to all Nigerians. All members of the team are equally valuable and essential to the smooth running of hospitals. Hospitals should ideally be headed by health administrators or by a qualified member of any of the professions in the health sector. Copyright © 2014 Hainan Medical College. Published by Elsevier B.V. All rights reserved.

Family planning, antenatal and delivery care: cross-sectional survey evidence on levels of coverage and inequalities by public and private sector in 57 low- and middle-income countries.

Science.gov (United States)

Campbell, Oona M R; Benova, Lenka; MacLeod, David; Baggaley, Rebecca F; Rodrigues, Laura C; Hanson, Kara; Powell-Jackson, Timothy; Penn-Kekana, Loveday; Polonsky, Reen; Footman, Katharine; Vahanian, Alice; Pereira, Shreya K; Santos, Andreia Costa; Filippi, Veronique G A; Lynch, Caroline A; Goodman, Catherine

2016-04-01

The objective of this study was to assess the role of the private sector in low- and middle-income countries (LMICs). We used Demographic and Health Surveys for 57 countries (2000-2013) to evaluate the private sector's share in providing three reproductive and maternal/newborn health services (family planning, antenatal and delivery care), in total and by socio-economic position. We used data from 865 547 women aged 15-49, representing a total of 3 billion people. We defined 'met and unmet need for services' and 'use of appropriate service types' clearly and developed explicit classifications of source and sector of provision. Across the four regions (sub-Saharan Africa, Middle East/Europe, Asia and Latin America), unmet need ranged from 28% to 61% for family planning, 8% to 22% for ANC and 21% to 51% for delivery care. The private-sector share among users of family planning services was 37-39% across regions (overall mean: 37%; median across countries: 41%). The private-sector market share among users of ANC was 13-61% across regions (overall mean: 44%; median across countries: 15%). The private-sector share among appropriate deliveries was 9-56% across regions (overall mean: 40%; median across countries: 14%). For all three healthcare services, women in the richest wealth quintile used private services more than the poorest. Wealth gaps in met need for services were smallest for family planning and largest for delivery care. The private sector serves substantial numbers of women in LMICs, particularly the richest. To achieve universal health coverage, including adequate quality care, it is imperative to understand this sector, starting with improved data collection on healthcare provision. © 2016 The Authors. Tropical Medicine & International Health published by John Wiley & Sons Ltd.

Energy efficiency programs and policies in the industrial sector in industrialized countries

Energy Technology Data Exchange (ETDEWEB)

Galitsky, Christina; Price, Lynn; Worrell, Ernst

2004-06-01

About 37% of the primary energy consumed both in the U.S. and globally is used by the industrial sector. A variety of energy efficiency policies and programs have been implemented throughout the world in an effort to improve the energy efficiency of this sector. This report provides an overview of these policies and programs in twelve industrialized nations and the European Union (EU). We focus on energy efficiency products and services that are available to industrial consumers, such as reports, guidebooks, case studies, fact sheets, profiles, tools, demonstrations, roadmaps and benchmarking. We also focus on the mechanisms to communicate the availability and features of these products and services and to disseminate them to the industrial consumers who can use them. Communication channels include customer information centers and websites, conferences and trade shows, workshops and other training mechanisms, financial assistance programs, negotiated agreements, newsletters, publicity, assessments, tax and subsidy schemes and working groups. In total, over 30 types of industrial sector energy efficiency products, services and delivery channels have been identified in the countries studied. Overall, we found that the United States has a large variety of programs and offers industry a number of supporting programs for improving industrial energy efficiency. However, there are some products and services found in other industrialized countries that are not currently used in the U.S., including benchmarking programs, demonstration of commercialized technologies and provision of energy awareness promotion materials to companies. Delivery mechanisms found in other industrialized countries that are not employed in the U.S. include negotiated agreements, public disclosure and national-level tax abatement for energy-efficient technologies.

Sectoral linkages of financial services as channels of economic development—An input–output analysis of the Nigerian and Kenyan economies

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Andreas Freytag

2017-06-01

Full Text Available Sectoral linkages of financial services of the Nigerian and Kenyan economies are evaluated by means of an input–output analysis for 2007, 2009 and 2011. Backward linkages, forward linkages, multiplier effects and variation indices for the financial services sectors are determined. Due to the increasing importance of mobile money, we additionally investigate these linkages for the communication sector. We find high forward and backward linkages for the Nigerian financial services sector only. Here, changes in final demand for or primary input into the financial sector have a wide and evenly spread impact on the rest of the economy classifying the financial sector as a key sector. Regarding Kenya, however, the sectoral linkages of the financial services sector are lower. This may be due to the well-developed mobile financial market in Kenya. But results for the communication sector, however, yield rather low linkage values and multiplier effects for both economies. All results are confirmed by a robustness test. Nonetheless, they could have been influenced by a lack of data coverage especially with regard to mobile money and a high degree of informal financial transactions. Still, our findings confirm the significance of financial services as channels of economic development for both the economies.

BDNF gene delivery within and beyond templated agarose multi-channel guidance scaffolds enhances peripheral nerve regeneration

Science.gov (United States)

Gao, Mingyong; Lu, Paul; Lynam, Dan; Bednark, Bridget; Campana, W. Marie; Sakamoto, Jeff; Tuszynski, Mark

2016-12-01

Objective. We combined implantation of multi-channel templated agarose scaffolds with growth factor gene delivery to examine whether this combinatorial treatment can enhance peripheral axonal regeneration through long sciatic nerve gaps. Approach. 15 mm long scaffolds were templated into highly organized, strictly linear channels, mimicking the linear organization of natural nerves into fascicles of related function. Scaffolds were filled with syngeneic bone marrow stromal cells (MSCs) secreting the growth factor brain derived neurotrophic factor (BDNF), and lentiviral vectors expressing BDNF were injected into the sciatic nerve segment distal to the scaffold implantation site. Main results. Twelve weeks after injury, scaffolds supported highly linear regeneration of host axons across the 15 mm lesion gap. The incorporation of BDNF-secreting cells into scaffolds significantly increased axonal regeneration, and additional injection of viral vectors expressing BDNF into the distal segment of the transected nerve significantly enhanced axonal regeneration beyond the lesion. Significance. Combinatorial treatment with multichannel bioengineered scaffolds and distal growth factor delivery significantly improves peripheral nerve repair, rivaling the gold standard of autografts.

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

Comparative performance of public and private sector delivery of BCG vaccination: evidence from Sub-Saharan Africa.

Science.gov (United States)

Wagner, Zachary; Szilagyi, Peter G; Sood, Neeraj

2014-07-31

The private sector is an important source of health care in the developing world. However, there is limited evidence on how private providers compare to public providers, particularly for preventive services such as immunizations. We used data from Sub-Saharan Africa (SSA) to assess public-private differences in Bacillus Calmette-Guérin (BCG) vaccine delivery. We used demographic and health surveys from 102,629 children aged 0-59 months from 29 countries across SSA to measure differences in BCG status for children born at private versus public health facilities (BCG is recommended at birth). We used a probit model to estimate public-private differences in BCG delivery, while controlling for key confounders. Next, we estimated how differences in BCG status evolved over time for children born at private versus public facilities. Finally, we estimated heterogeneity in public-private differences based on wealth and rural-urban residency. We found that children born at a private facility were 7.1 percentage points less likely to receive BCG vaccine in the same month as birth than children born at a public facility (95% CI 6.3-8.0; pprivate providers (as opposed to NGOs) where the BCG provision rate was 10.0 percentage points less than public providers (95% CI 9.0-11.2; pprivate for-profit facilities remained less likely to be vaccinated up to 59 months after birth. Finally, public-private differences were more pronounced for poorer children and children in rural areas. The for-profit private sector performed substantially worse than the public sector in providing BCG vaccine to newborns, resulting in a longer duration of vulnerability to tuberculosis. This disparity was greater for poorer children and children in rural areas. Copyright © 2014 Elsevier Ltd. All rights reserved.

Emerging Requirements for Technology Management: A Sector-based Scenario Planning Approach

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Simon Patrick Philbin

2013-09-01

Full Text Available Identifying the emerging requirements for technology management will help organisations to prepare for the future and remain competitive. Indeed technology management as a discipline needs to develop and respond to societal and industrial needs as well as the corresponding technology challenges. Therefore, following a review of technology forecasting methodologies, a sector-based scenario planning approach has been used to derive the emerging requirements for technology management. This structured framework provided an analytical lens to focus on the requirements for managing technology in the healthcare, energy and higher education sectors over the next 5-10 years. These requirements include the need for new business models to support the adoption of technologies; integration of new technologies with existing delivery channels; management of technology options including R&D project management; technology standards, validation and interoperability; and decision-making tools to support technology investment.

Targeting Potassium Channels for Increasing Delivery of Imaging Agents and Therapeutics to Brain Tumors

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Nagendra Sanyasihally Ningaraj

2013-05-01

Full Text Available Every year in the US, 20,000 new primary and nearly 200,000 metastatic brain tumor cases are reported. The cerebral microvessels/ capillaries that form the blood–brain barrier (BBB not only protect the brain from toxic agents in the blood but also pose a significant hindrance to the delivery of small and large therapeutic molecules. Different strategies have been employed to circumvent the physiological barrier posed by blood-brain tumor barrier (BTB. Studies in our laboratory have identified significant differences in the expression levels of certain genes and proteins between normal and brain tumor capillary endothelial cells. In this study, we validated the non-invasive and clinically relevant Dynamic Contrast Enhancing-Magnetic Resonance Imaging (DCE-MRI method with invasive, clinically irrelevant but highly accurate Quantitative Autoradiography (QAR method using rat glioma model. We also showed that DCE-MRI metric of tissue vessel perfusion-permeability is sensitive to changes in blood vessel permeability following administration of calcium-activated potassium (BKCa channel activator NS-1619. Our results show that human gliomas and brain tumor endothelial cells that overexpress BKCa channels can be targeted for increased BTB permeability for MRI enhancing agents to brain tumors. We conclude that monitoring the outcome of increased MRI enhancing agents’ delivery to microsatellites and leading tumor edges in glioma patients would lead to beneficial clinical outcome.

Summer Sea Ice Motion from the 18 GHz Channel of AMSR-E and the Exchange of Sea Ice between the Pacific and Atlantic Sectors

Science.gov (United States)

Kwok, Ronald

2008-01-01

We demonstrate that sea ice motion in summer can be derived reliably from the 18GHz channel of the AMSR-E instrument on the EOS Aqua platform. The improved spatial resolution of this channel with its lower sensitivity to atmospheric moisture seems to have alleviated various issues that have plagued summer motion retrievals from shorter wavelength observations. Two spatial filters improve retrieval quality: one reduces some of the microwave signatures associated with synoptic-scale weather systems and the other removes outliers. Compared with daily buoy drifts, uncertainties in motion are approx.3-4 km/day. Using the daily motion fields, we examine five years of summer ice area exchange between the Pacific and Atlantic sectors of the Arctic Ocean. With the sea-level pressure patterns during the summer of 2006 and 2007 favoring the export of sea ice into the Atlantic Sector, the regional outflow is approx.21% and approx.15% of the total sea ice retreat in the Pacific sector.

Treatment delivery software for a new clinical grade ultrasound system for thermoradiotherapy.

Science.gov (United States)

Novák, Petr; Moros, Eduardo G; Straube, William L; Myerson, Robert J

2005-11-01

A detailed description of a clinical grade Scanning Ultrasound Reflector Linear Array System (SURLAS) applicator was given in a previous paper [Med. Phys. 32, 230-240 (2005)]. In this paper we concentrate on the design, development, and testing of the personal computer (PC) based treatment delivery software that runs the therapy system. The SURLAS requires the coordinated interaction between the therapy applicator and several peripheral devices for its proper and safe operation. One of the most important tasks was the coordination of the input power sequences for the elements of two parallel opposed ultrasound arrays (eight 1.5 cm x 2 cm elements/array, array 1 and 2 operate at 1.9 and 4.9 MHz, respectively) in coordination with the position of a dual-face scanning acoustic reflector. To achieve this, the treatment delivery software can divide the applicator's treatment window in up to 64 sectors (minimum size of 2 cm x 2 cm), and control the power to each sector independently by adjusting the power output levels from the channels of a 16-channel radio-frequency generator. The software coordinates the generator outputs with the position of the reflector as it scans back and forth between the arrays. Individual sector control and dual frequency operation allows the SURLAS to adjust power deposition in three dimensions to superficial targets coupled to its treatment window. The treatment delivery software also monitors and logs several parameters such as temperatures acquired using a 16-channel thermocouple thermometry unit. Safety (in particular to patients) was the paramount concern and design criterion. Failure mode and effects analysis (FMEA) was applied to the applicator as well as to the entire therapy system in order to identify safety issues and rank their relative importance. This analysis led to the implementation of several safety mechanisms and a software structure where each device communicates with the controlling PC independently of the others. In case

Innovative health service delivery models in low and middle income countries - what can we learn from the private sector?

Science.gov (United States)

Bhattacharyya, Onil; Khor, Sara; McGahan, Anita; Dunne, David; Daar, Abdallah S; Singer, Peter A

2010-07-15

The poor in low and middle income countries have limited access to health services due to limited purchasing power, residence in underserved areas, and inadequate health literacy. This produces significant gaps in health care delivery among a population that has a disproportionately large burden of disease. They frequently use the private health sector, due to perceived or actual gaps in public services. A subset of private health organizations, some called social enterprises, have developed novel approaches to increase the availability, affordability and quality of health care services to the poor through innovative health service delivery models. This study aims to characterize these models and identify areas of innovation that have led to effective provision of care for the poor. An environmental scan of peer-reviewed and grey literature was conducted to select exemplars of innovation. A case series of organizations was then purposively sampled to maximize variation. These cases were examined using content analysis and constant comparison to characterize their strategies, focusing on business processes. After an initial sample of 46 studies, 10 case studies of exemplars were developed spanning different geography, disease areas and health service delivery models. These ten organizations had innovations in their marketing, financing, and operating strategies. These included approaches such a social marketing, cross-subsidy, high-volume, low cost models, and process reengineering. They tended to have a narrow clinical focus, which facilitates standardizing processes of care, and experimentation with novel delivery models. Despite being well-known, information on the social impact of these organizations was variable, with more data on availability and affordability and less on quality of care. These private sector organizations demonstrate a range of innovations in health service delivery that have the potential to better serve the poor's health needs and be

Innovative health service delivery models in low and middle income countries - what can we learn from the private sector?

Directory of Open Access Journals (Sweden)

Daar Abdallah S

2010-07-01

Full Text Available Abstract Background The poor in low and middle income countries have limited access to health services due to limited purchasing power, residence in underserved areas, and inadequate health literacy. This produces significant gaps in health care delivery among a population that has a disproportionately large burden of disease. They frequently use the private health sector, due to perceived or actual gaps in public services. A subset of private health organizations, some called social enterprises, have developed novel approaches to increase the availability, affordability and quality of health care services to the poor through innovative health service delivery models. This study aims to characterize these models and identify areas of innovation that have led to effective provision of care for the poor. Methods An environmental scan of peer-reviewed and grey literature was conducted to select exemplars of innovation. A case series of organizations was then purposively sampled to maximize variation. These cases were examined using content analysis and constant comparison to characterize their strategies, focusing on business processes. Results After an initial sample of 46 studies, 10 case studies of exemplars were developed spanning different geography, disease areas and health service delivery models. These ten organizations had innovations in their marketing, financing, and operating strategies. These included approaches such a social marketing, cross-subsidy, high-volume, low cost models, and process reengineering. They tended to have a narrow clinical focus, which facilitates standardizing processes of care, and experimentation with novel delivery models. Despite being well-known, information on the social impact of these organizations was variable, with more data on availability and affordability and less on quality of care. Conclusions These private sector organizations demonstrate a range of innovations in health service delivery that have

Issues affecting therapist workforce and service delivery in the disability sector in rural and remote New South Wales, Australia: perspectives of policy-makers, managers and senior therapists.

Science.gov (United States)

Veitch, Craig; Dew, Angela; Bulkeley, Kim; Lincoln, Michelle; Bundy, Anita; Gallego, Gisselle; Griffiths, Scott

2012-01-01

The disability sector encompasses a broad range of conditions and needs, including children and adults with intellectual and developmental disabilities, people with acquired disabilities, and irreversible physical injuries. Allied health professionals (therapists), in the disability sector, work within government and funded or charitable non-government agencies, schools, communities, and private practice. This article reports the findings of a qualitative study of therapist workforce and service delivery in the disability sector in rural and remote New South Wales (NSW), Australia. The aim was to investigate issues of importance to policy-makers, managers and therapists providing services to people with disabilities in rural and remote areas. The project gathered information via semi-structured interviews with individuals and small groups. Head office and regional office policy-makers, along with managers and senior therapists in western NSW were invited to participate. Participants included 12 policy-makers, 28 managers and 10 senior therapists from NSW government agencies and non-government organisations (NGOs) involved in providing services and support to people with disabilities in the region. Information was synthesised prior to using constant comparative analysis within and across data sets to identify issues. Five broad themes resonated across participants' roles, locations and service settings: (1) challenges to implementing policy in rural and remote NSW; (2) the impact of geographic distribution of workforce and clients; (3) workforce issues - recruitment, support, workloads, retention; (4) equity and access issues for rural clients; and (5) the important role of the NGO sector in rural service delivery and support. Although commitment to providing best practice services was universal, policy-related information transfer between organisations and employees was inconsistent. Participants raised some workforce and service delivery issues that are similar to

arXiv Probing compressed dark sectors at 100 TeV in the dileptonic mono-Z channel

CERN Document Server

Mahbubani, Rakhi

We examine the sensitivity at a future 100 TeV proton-proton collider to compressed dark sectors whose decay products are invisible due to below-threshold energies and/or small couplings to the Standard Model. This scenario could be relevant to models of WIMP dark matter, where the lightest New Physics state is an (isolated) electroweak multiplet whose lowest component is stable on cosmological timescales. We rely on the additional emission of a hard on-shell $Z$-boson decaying to leptons, a channel with low background systematics, and include a careful estimate of the real and fake backgrounds to this process in our analysis. We show that an integrated luminosity of 30 ab$^{-1}$ would allow exclusion of a TeV-scale compressed dark sector with inclusive production cross section of 0.3 fb, for 1\\% background systematic uncertainty and splittings below 5 GeV. This translates to exclusion of a pure higgsino (wino) multiplet with mass of 500 (970) GeV.

Effects of Parallel Channel Interactions, Steam Flow, Liquid Subcool ...

African Journals Online (AJOL)

Tests were performed to examine the effects of parallel channel interactions, steam flow, liquid subcool and channel heat addition on the delivery of liquid from the upper plenum into the channels and lower plenum of Boiling Water Nuclear Power Reactors during reflood transients. Early liquid delivery into the channels, ...

Impact of Affirmative Action on Quality of Service Delivery in the Public Service Sector of Kenya: A Comparative Case Study of the Ministry of State in the Office of the President and Ministry of Higher Education

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Kilonzo, Evans Mbuthi; Ikamari, Lawrence

2015-01-01

This study was carried out to determine the impact of affirmative action policy on the quality service delivery in the public service sector of Kenya. The study was carried out on the premise that there is a relationship between affirmative Action implementation and the quality of service delivery in the public service sector of Kenya. A lot of…

Improving Government service delivery with private sector intermediaries

NARCIS (Netherlands)

Klievink, B.; Janssen, M.

2008-01-01

Government organizations operate a variety of channels to interact with citizens and businesses. Advances in information and communication technology enabled an online presence and more direct interactions. A focus on efficiency makes organizations encourage the use of electronic channels over

Improving Outcomes in the Nigeria Healthcare Sector through Public ...

African Journals Online (AJOL)

PPP) model in the Country's healthcare sector. Public - Private Interaction offers opportunity of leveraging private sector investment in the sector and further enhances improvements in service delivery as well as increases access to quality ...

Comparison of neural network applications for channel assignment in cellular TDMA networks and dynamically sectored PCS networks

Science.gov (United States)

Hortos, William S.

1997-04-01

The use of artificial neural networks (NNs) to address the channel assignment problem (CAP) for cellular time-division multiple access and code-division multiple access networks has previously been investigated by this author and many others. The investigations to date have been based on a hexagonal cell structure established by omnidirectional antennas at the base stations. No account was taken of the use of spatial isolation enabled by directional antennas to reduce interference between mobiles. Any reduction in interference translates into increased capacity and consequently alters the performance of the NNs. Previous studies have sought to improve the performance of Hopfield- Tank network algorithms and self-organizing feature map algorithms applied primarily to static channel assignment (SCA) for cellular networks that handle uniformly distributed, stationary traffic in each cell for a single type of service. The resulting algorithms minimize energy functions representing interference constraint and ad hoc conditions that promote convergence to optimal solutions. While the structures of the derived neural network algorithms (NNAs) offer the potential advantages of inherent parallelism and adaptability to changing system conditions, this potential has yet to be fulfilled the CAP for emerging mobile networks. The next-generation communication infrastructures must accommodate dynamic operating conditions. Macrocell topologies are being refined to microcells and picocells that can be dynamically sectored by adaptively controlled, directional antennas and programmable transceivers. These networks must support the time-varying demands for personal communication services (PCS) that simultaneously carry voice, data and video and, thus, require new dynamic channel assignment (DCA) algorithms. This paper examines the impact of dynamic cell sectoring and geometric conditioning on NNAs developed for SCA in omnicell networks with stationary traffic to improve the metrics

“Crossing over”: appropriate private sector principles, to operate more reliable public sector water services

OpenAIRE

Kevin Wall

2008-01-01

Private sector institutions utilise many different business methods, some of which can selectively be adapted for use by organisations outside the private sector, to the benefit of their service delivery responsibilities. But the best of the appropriate practices from the private sector have often “not crossed over”. The Water Research Commission (WRC) of South Africa, working in collaboration with the Council for Scientific and Industrial Research (CSIR), finds that the concept of franch...

Intra- and Inter-Channel Competition in Local-Service Sectors

NARCIS (Netherlands)

K. Cleeren; M.G. Dekimpe (Marnik); F. Verboven

2005-01-01

textabstractAlthough economically very important, local-service sectors have received little attention in the extensive literature on competitive interactions. Detailed data gathering in these sectors is hard, not only because of the multitude of local players, but also because key service

Influence of different structured channels of mesoporous silicate on the controlled ibuprofen delivery

Energy Technology Data Exchange (ETDEWEB)

Gao, Lin [Department of Chemistry and Chemical Engineering, College of Environmental and Energy Engineering, Beijing University of Technology, 100 PingLeYuan, Chaoyang District, Beijing 100124 (China); Sun, Jihong, E-mail: jhsun@bjut.edu.cn [Department of Chemistry and Chemical Engineering, College of Environmental and Energy Engineering, Beijing University of Technology, 100 PingLeYuan, Chaoyang District, Beijing 100124 (China); Zhang, Li; Wang, Jinpeng; Ren, Bo [Department of Chemistry and Chemical Engineering, College of Environmental and Energy Engineering, Beijing University of Technology, 100 PingLeYuan, Chaoyang District, Beijing 100124 (China)

2012-08-15

The bimodal mesoporous silicas with short random mesoporous channels and MCM-41 with long ordered mesopores were synthesised and modified with 3-(2-aminoethylamino) propyltrimethoxysilane as ibuprofen carriers to study the influence of mesoporous structure on drug delivery property. For further comparing the different mesoporous channels, modified SBA-15 with relative large and long ordered mesopores was also synthesized as drug carriers. The resultant samples were characterized with X-ray diffraction, scanning electron microscopy, transmission electron microscopy, Fourier transform infrared spectra, N{sub 2} adsorption-desorption isotherms, thermogravimetric analyses, solid-state {sup 29}Si NMR spectra, elemental analysis, and UV-vis spectra. Meanwhile, the Korsmeyer-Peppas equation f{sub t} = kt{sup n} was employed to analyze the drug release profile and three release mediums including simulated fluid solution, distilled water and simulated gastric fluid were used. The results indicated that the modified BMMs with the bimodal mesopores leaded to the most drug loading amount of 25.0 mg/0.1 g, while the MCM-41 with the long and one-dimensional mesopores had the least loading amount around 20.3 mg/0.1 g. Meanwhile, the easier diffusion behavior of drug molecules in the bimodal mesopore channels of BMMs resulted in relatively faster drug release properties in comparison with MCM-41, while the release time maintained in SBF for about 12 h (release percent was about 90 wt%) and corresponding release constant k obtained from Korsmeyer-Peppas equation was around 4.10. Highlights: Black-Right-Pointing-Pointer BMMs, MCM-41 and SBA-15 with different mesostructure channels were modified with amino groups via post-treatment procedure. Black-Right-Pointing-Pointer Loading and release profiles of ibuprofen in modified BMMs, MCM-41 and SBA-15. Black-Right-Pointing-Pointer BMMs presents more drug loading amount than MCM-41 as well as better controlled release than SBA-15.

Influence of different structured channels of mesoporous silicate on the controlled ibuprofen delivery

International Nuclear Information System (INIS)

Gao, Lin; Sun, Jihong; Zhang, Li; Wang, Jinpeng; Ren, Bo

2012-01-01

The bimodal mesoporous silicas with short random mesoporous channels and MCM-41 with long ordered mesopores were synthesised and modified with 3-(2-aminoethylamino) propyltrimethoxysilane as ibuprofen carriers to study the influence of mesoporous structure on drug delivery property. For further comparing the different mesoporous channels, modified SBA-15 with relative large and long ordered mesopores was also synthesized as drug carriers. The resultant samples were characterized with X-ray diffraction, scanning electron microscopy, transmission electron microscopy, Fourier transform infrared spectra, N 2 adsorption–desorption isotherms, thermogravimetric analyses, solid-state 29 Si NMR spectra, elemental analysis, and UV–vis spectra. Meanwhile, the Korsmeyer–Peppas equation f t = kt n was employed to analyze the drug release profile and three release mediums including simulated fluid solution, distilled water and simulated gastric fluid were used. The results indicated that the modified BMMs with the bimodal mesopores leaded to the most drug loading amount of 25.0 mg/0.1 g, while the MCM-41 with the long and one-dimensional mesopores had the least loading amount around 20.3 mg/0.1 g. Meanwhile, the easier diffusion behavior of drug molecules in the bimodal mesopore channels of BMMs resulted in relatively faster drug release properties in comparison with MCM-41, while the release time maintained in SBF for about 12 h (release percent was about 90 wt%) and corresponding release constant k obtained from Korsmeyer–Peppas equation was around 4.10. Highlights: ► BMMs, MCM-41 and SBA-15 with different mesostructure channels were modified with amino groups via post-treatment procedure. ► Loading and release profiles of ibuprofen in modified BMMs, MCM-41 and SBA-15. ► BMMs presents more drug loading amount than MCM-41 as well as better controlled release than SBA-15.

New energy efficiency technologies associated with increased natural gas demand in delivery and consumption sectors of Iran

Energy Technology Data Exchange (ETDEWEB)

Alghalandis, Saeid Mansouri

2010-09-15

Increasing population and economic growth in developing countries has changed their energy consumption patterns. So, the conventional systems of energy supply have become inadequate to deal with rising energy demand. Iran has great reservoirs of natural gas and its natural gas usage is far more than average international standard. Dominance of natural gas share in energy basket in Iran, make it necessary to consider energy efficient technologies and solutions for this domain. In this study new technologies for increasing energy efficiency (EE) in natural gas delivery and consumption sub sectors are discussed and evaluated according to available infrastructures in Iran.

The Breakdown: Hillslope Sources of Channel Blocks in Bedrock Landscapes

Science.gov (United States)

Selander, B.; Anderson, S. P.; Rossi, M.

2017-12-01

Block delivery from hillslopes is a poorly understood process that influences bedrock channel incision rates and shapes steep terrain. Previous studies demonstrate that hillslope sediment delivery rate and grain size increases with channel downcutting rate or fracture density (Attal et al., 2015, ESurf). However, blocks that exceed the competence of the channel can inhibit incision. In Boulder Creek, a bedrock channel in the Colorado Front Range, large boulders (>1 m diameter) are most numerous in the steepest channel reaches; their distribution seems to reflect autogenic channel-hillslope feedback between incision rate and block delivery (Shobe et al., 2016, GRL). It is clear that the processes, rates of production, and delivery of large blocks from hillslopes into channels are critical to our understanding of steep terrain evolution. Fundamental questions are 1) whether block production or block delivery is rate limiting, 2) what mechanisms release blocks, and 3) how block production and transport affect slope morphology. As a first step, we map rock outcrops on the granodiorite hillslopes lining Boulder Creek within Boulder Canyon using a high resolution DEM. Our algorithm uses high ranges of curvature values in conjunction with slopes steeper than the angle of repose to quickly identify rock outcrops. We field verified mapped outcrop and sediment-mantled locations on hillslopes above and below the channel knickzone. We find a greater abundance of exposed rock outcrops on steeper hillslopes in Boulder Canyon. Additionally, we find that channel reaches with large in-channel blocks are located at the base of hillslopes with large areas of exposed bedrock, while reaches lacking large in-channel blocks tend to be at the base of predominately soil mantled and forested hillslopes. These observations support the model of block delivery and channel incision of Shobe et al. (2016, GRL). Moreover, these results highlight the conundrum of how rapid channel incision is

Sector Economic Outlook. Energy

Energy Technology Data Exchange (ETDEWEB)

NONE

2013-04-15

The energy sector is a key driver of the economic pillar of Vision 2030. As the economy grows, urbanization intensifies and incomes increase, corporate and household demand for energy also rises. To meet this growth in demand for energy, the sector needs to increase investments and diversify into more sources of energy such as geothermal and wind power. It is therefore critical that focus is directed towards development and sustainability of the energy sector to ensure delivery of least cost power that will improve Kenya's competitiveness and achieve the Vision 2030 objective of 10% average annual economic growth.

Pricing Model for Dual Sales Channel with Promotion Effect Consideration

Directory of Open Access Journals (Sweden)

Chuiri Zhou

2016-01-01

Full Text Available We focus on the pricing strategy of a dual sales channel member when his/her online retailer faces an upcoming overloaded express delivery service due to the sales peak of online shopping, especially referring to the occurring affairs in China. We characterize the pricing problem of the dual selling channel system as a two-period game. When the price discount is only provided by the online seller, we find that the prices of the traditional channel and the online channel in the two periods are higher while the overloaded degree of express delivery is lower and the overloaded delivery services can decrease the profits of both channels. When the price discounts are provided by both traditional and online sellers, we find that the derived Nash price equilibrium of both channels includes five possible combinations of prices. Both traditional and online sellers will choose their price strategies, respectively, according to their cost advantages which are affected by the overloaded degree of express delivery.

Modelling the impact of dam removal on geomorphic channel response and sediment delivery: an Austrian case study

Science.gov (United States)

Pöppl, Ronald; Coulthard, Tom; Keesstra, Saskia; Keiler, Margreth

2015-04-01

Dams are often considered to have the most significant impact on rivers as dam construction generally reduces downstream sediment fluxes which further involves geomorphic changes in the affected river reaches. Since many dams no longer fulfill their intended purpose (e.g. due to siltation), are dangerous (e.g. catastrophic dam failures) and/or are ecologically damaging (e.g. habitat destruction), within the last two decades several dams have been removed and many more are already proposed for removal. Unfortunately, there is still only little empirical knowledge about the geomorphic consequences of dam removals and the related sediment release which represents a big challenge for river management. Modelling is one way to approach this problem. In the presented study we modelled the impacts of dam removal on geomorphic channel processes, channel morphology and sediment delivery further considering the role of channel engineering measures and reservoir excavation within a river reach impacted by a series of dams using the landscape evolution model CAESAR-Lisflood. The model was run with data from a small catchment located in Lower Austria. Modelled geomorphic channel changes and sediment fluxes were spatio-temporally analyzed, related to real-world data and are discussed in the context of river management issues.

Speedy changes in energy sector

International Nuclear Information System (INIS)

Kazlauskas, J.

1998-01-01

Status of the reforms in Lithuania's energy sector and preparation of updated Energy Strategy is presented in this article. The new Strategy has been worked out considering the conclusions of different studies as well as the changes that have taken place in Lithuania and restructuring of its energy sector, the guidelines of the European Union. The principal objectives of the country's energy sector consists in reliable and safe energy supply with minimum expenses, increasing efficiency of energy utilisation, introducing principles of market economy within the sector, reducing environmental impacts, preparing Lithuania's energy sector for integration into the EU. In the field of nuclear energy the top priority is to ensure the safety of Ignalina NPP. Ignalina NPP will only be operated if and as long as it is safe. Two most likely scenarios for the future operation of Ignalina NPP are analysed in the draft Strategy. According to scenario 1, reactor 1 and 2 are to be operated half of the design service life, until 2005 and 2010 respectively, i.e. until the gap between the graphite and fuel channels reaches the critical margin. In accordance with the second scenario, the fuel channels are to be replaced as envisaged in the design, after which the reactors may be operated for another 10 - 15 years

Improving Outcomes in the Nigeria Healthcare Sector through Public ...

African Journals Online (AJOL)

Nigeria's healthcare sector over the years has continued to degenerate with health indicators ... in service delivery as well as increases access to quality healthcare. ... Key words: Nigeria, Healthcare Sector, Health Outcomes, Health Indicators, ...

Coverage and Financial Risk Protection for Institutional Delivery: How Universal Is Provision of Maternal Health Care in India?

Science.gov (United States)

Prinja, Shankar; Bahuguna, Pankaj; Gupta, Rakesh; Sharma, Atul; Rana, Saroj Kumar; Kumar, Rajesh

2015-01-01

India aims to achieve universal access to institutional delivery. We undertook this study to estimate the universality of institutional delivery care for pregnant women in Haryana state in India. To assess the coverage of institutional delivery, we analyze service coverage (coverage of public sector institutional delivery), population coverage (coverage among different districts and wealth quintiles of the population) and financial risk protection (catastrophic health expenditure and impoverishment as a result of out-of-pocket expenditure for delivery). We analyzed cross-sectional data collected from a randomly selected sample of 12,191 women who had delivered a child in the last one year from the date of data collection in Haryana state. Five indicators were calculated to evaluate coverage and financial risk protection for institutional delivery--proportion of public sector deliveries, out-of-pocket expenditure, percentage of women who incurred no expenses, prevalence of catastrophic expenditure for institutional delivery and incidence of impoverishment due to out-of-pocket expenditure for delivery. These indicators were calculated for the public and private sectors for 5 wealth quintiles and 21 districts of the state. The coverage of institutional delivery in Haryana state was 82%, of which 65% took place in public sector facilities. Approximately 63% of the women reported no expenditure on delivery in the public sector. The mean out-of-pocket expenditures for delivery in the public and private sectors in Haryana were INR 771 (USD 14.2) and INR 12,479 (USD 229), respectively, which were catastrophic for 1.6% and 22% of households, respectively. Our findings suggest that there is considerably high coverage of institutional delivery care in Haryana state, with significant financial risk protection in the public sector. However, coverage and financial risk protection for institutional delivery vary substantially across districts and among different socio

Fractional laser-assisted drug delivery

DEFF Research Database (Denmark)

Taudorf, Elisabeth Hjardem; Lerche, C.M.; Erlendsson, A M

2016-01-01

BACKGROUND AND OBJECTIVE: Ablative fractional laser (AFXL) facilitates delivery of topical methotrexate (MTX). This study investigates impact of laser-channel depth on topical MTX-delivery. MATERIALS AND METHODS: MTX (1% [w/v]) diffused for 21 hours through AFXL-exposed porcine skin in in vitro F...

Health sector reform and public sector health worker motivation: a conceptual framework.

Science.gov (United States)

Franco, Lynne Miller; Bennett, Sara; Kanfer, Ruth

2002-04-01

Motivation in the work context can be defined as an individual's degree of willingness to exert and maintain an effort towards organizational goals. Health sector performance is critically dependent on worker motivation, with service quality, efficiency, and equity, all directly mediated by workers' willingness to apply themselves to their tasks. Resource availability and worker competence are essential but not sufficient to ensure desired worker performance. While financial incentives may be important determinants of worker motivation, they alone cannot and have not resolved all worker motivation problems. Worker motivation is a complex process and crosses many disciplinary boundaries, including economics, psychology, organizational development, human resource management, and sociology. This paper discusses the many layers of influences upon health worker motivation: the internal individual-level determinants, determinants that operate at organizational (work context) level, and determinants stemming from interactions with the broader societal culture. Worker motivation will be affected by health sector reforms which potentially affect organizational culture, reporting structures, human resource management, channels of accountability, types of interactions with clients and communities, etc. The conceptual model described in this paper clarifies ways in which worker motivation is influenced and how health sector reform can positively affect worker motivation. Among others, health sector policy makers can better facilitate goal congruence (between workers and the organizations they work for) and improved worker motivation by considering the following in their design and implementation of health sector reforms: addressing multiple channels for worker motivation, recognizing the importance of communication and leadership for reforms, identifying organizational and cultural values that might facilitate or impede implementation of reforms, and understanding that reforms

Role of the private sector in vaccination service delivery in India: evidence from private-sector vaccine sales data, 2009-12.

Science.gov (United States)

Sharma, Abhishek; Kaplan, Warren A; Chokshi, Maulik; Zodpey, Sanjay P

2016-09-01

India's Universal Immunization Programme (UIP) provides basic vaccines free-of-cost in the public sector, yet national vaccination coverage is poor. The Government of India has urged an expanded role for the private sector to help achieve universal immunization coverage. We conducted a state-by-state analysis of the role of the private sector in vaccinating Indian children against each of the six primary childhood diseases covered under India's UIP. We analyzed IMS Health data on Indian private-sector vaccine sales, 2011 Indian Census data and national household surveys (DHS/NFHS 2005-06 and UNICEF CES 2009) to estimate the percentage of vaccinated children among the 2009-12 birth cohort who received a given vaccine in the private sector in 16 Indian states. We also analyzed the estimated private-sector vaccine shares as function of state-specific socio-economic status. Overall in 16 states, the private sector contributed 4.7% towards tuberculosis (Bacillus Calmette-Guérin (BCG)), 3.5% towards measles, 2.3% towards diphtheria-pertussis-tetanus (DPT3) and 7.6% towards polio (OPV3) overall (both public and private sectors) vaccination coverage. Certain low income states (Uttar Pradesh, Rajasthan, Madhya Pradesh, Orissa, Assam and Bihar) have low private as well as public sector vaccination coverage. The private sector's role has been limited primarily to the high income states as opposed to these low income states where the majority of Indian children live. Urban areas with good access to the private sector and the ability to pay increases the Indian population's willingness to access private-sector vaccination services. In India, the public sector offers vaccination services to the majority of the population but the private sector should not be neglected as it could potentially improve overall vaccination coverage. The government could train and incentivize a wider range of private-sector health professionals to help deliver the vaccines, especially in the low

National Electric Sector Cybersecurity Organization Resource (NESCOR)

Energy Technology Data Exchange (ETDEWEB)

None, None

2014-06-30

The goal of the National Electric Sector Cybersecurity Organization Resource (NESCOR) project was to address cyber security issues for the electric sector, particularly in the near and mid-term. The following table identifies the strategies from the DOE Roadmap to Achieve Energy Delivery Systems Cybersecurity published in September 2011 that are applicable to the NESCOR project.

Strong Sector in non-minimal SUSY model

Directory of Open Access Journals (Sweden)

Costantini Antonio

2016-01-01

Full Text Available We investigate the squark sector of a supersymmetric theory with an extended Higgs sector. We give the mass matrices of stop and sbottom, comparing the Minimal Supersymmetric Standard Model (MSSM case and the non-minimal case. We discuss the impact of the extra superfields on the decay channels of the stop searched at the LHC.

How can insulin initiation delivery in a dual-sector health system be optimised? A qualitative study on healthcare professionals' views.

Science.gov (United States)

Lee, Ping Yein; Lee, Yew Kong; Ng, Chirk Jenn

2012-04-30

The prevalence of type 2 diabetes is increasing at an alarming rate in developing countries. However, glycaemia control remains suboptimal and insulin use is low. One important barrier is the lack of an efficient and effective insulin initiation delivery approach. This study aimed to document the strategies used and proposed by healthcare professionals to improve insulin initiation in the Malaysian dual-sector (public-private) health system. In depth interviews and focus group discussions were conducted in Klang Valley and Seremban, Malaysia in 2010-11. Healthcare professionals consisting of general practitioners (n = 11), medical officers (n = 8), diabetes educators (n = 3), government policy makers (n = 4), family medicine specialists (n = 10) and endocrinologists (n = 2) were interviewed. We used a topic guide to facilitate the interviews, which were audio recorded, transcribed verbatim and analysed using a thematic approach. Three main themes emerged from the interviews. Firstly, there was a lack of collaboration between the private and public sectors in diabetes care. The general practitioners in the private sector proposed an integrated system for them to refer patients to the public health services for insulin initiation programmes. There could be shared care between the two sectors and this would reduce the disproportionately heavy workload at the public sector. Secondly, besides the support from the government health authority, the healthcare professionals wanted greater involvement of non-government organisations, media and pharmaceutical industry in facilitating insulin initiation in both the public and private sectors. The support included: training of healthcare professionals; developing and disseminating patient education materials; service provision by diabetes education teams; organising programmes for patients' peer group sessions; increasing awareness and demystifying insulin via public campaigns; and subsidising glucose

How can insulin initiation delivery in a dual-sector health system be optimised? A qualitative study on healthcare professionals’ views

Directory of Open Access Journals (Sweden)

Lee Ping Yein

2012-04-01

Full Text Available Abstract Background The prevalence of type 2 diabetes is increasing at an alarming rate in developing countries. However, glycaemia control remains suboptimal and insulin use is low. One important barrier is the lack of an efficient and effective insulin initiation delivery approach. This study aimed to document the strategies used and proposed by healthcare professionals to improve insulin initiation in the Malaysian dual-sector (public–private health system. Methods In depth interviews and focus group discussions were conducted in Klang Valley and Seremban, Malaysia in 2010–11. Healthcare professionals consisting of general practitioners (n = 11, medical officers (n = 8, diabetes educators (n = 3, government policy makers (n = 4, family medicine specialists (n = 10 and endocrinologists (n = 2 were interviewed. We used a topic guide to facilitate the interviews, which were audio recorded, transcribed verbatim and analysed using a thematic approach. Results Three main themes emerged from the interviews. Firstly, there was a lack of collaboration between the private and public sectors in diabetes care. The general practitioners in the private sector proposed an integrated system for them to refer patients to the public health services for insulin initiation programmes. There could be shared care between the two sectors and this would reduce the disproportionately heavy workload at the public sector. Secondly, besides the support from the government health authority, the healthcare professionals wanted greater involvement of non-government organisations, media and pharmaceutical industry in facilitating insulin initiation in both the public and private sectors. The support included: training of healthcare professionals; developing and disseminating patient education materials; service provision by diabetes education teams; organising programmes for patients’ peer group sessions; increasing awareness and demystifying

Role of the private sector in childbirth care: cross-sectional survey evidence from 57 low- and middle-income countries using Demographic and Health Surveys.

Science.gov (United States)

Benova, Lenka; Macleod, David; Footman, Katharine; Cavallaro, Francesca; Lynch, Caroline A; Campbell, Oona M R

2015-12-01

Maternal mortality rates have decreased globally but remain off track for Millennium Development Goals. Good-quality delivery care is one recognised strategy to address this gap. This study examines the role of the private (non-public) sector in providing delivery care and compares the equity and quality of the sectors. The most recent Demographic and Health Survey (2000-2013) for 57 countries was used to analyse delivery care for most recent birth among >330 000 women. Wealth quintiles were used for equity analysis; skilled birth attendant (SBA) and Caesarean section rates served as proxies for quality of care in cross-sectoral comparisons. The proportion of women who used appropriate delivery care (non-facility with a SBA or facility-based births) varied across regions (49-84%), but wealth-related inequalities were seen in both sectors in all regions. One-fifth of all deliveries occurred in the private sector. Overall, 36% of deliveries with appropriate care occurred in the private sector, ranging from 9% to 46% across regions. The presence of a SBA was comparable between sectors (≥93%) in all regions. In every region, Caesarean section rate was higher in the private compared to public sector. The private sector provided between 13% (Latin America) and 66% (Asia) of Caesarean section deliveries. This study is the most comprehensive assessment to date of coverage, equity and quality indicators of delivery care by sector. The private sector provided a substantial proportion of delivery care in low- and middle-income countries. Further research is necessary to better understand this heterogeneous group of providers and their potential to equitably increase the coverage of good-quality intrapartum care. © 2015 The Authors. Tropical Medicine & International Health Published by John Wiley & Sons Ltd.

Problems affecting the operational procurement process: A study of the Zimbabwean public sector

Directory of Open Access Journals (Sweden)

Abel Dzuke

2017-02-01

Full Text Available Background: The public sector occupies a key role in the economy comprising the appropriation of state revenue to purchase goods and to render services productively, while ensuring the optimum utilisation of available funds and resources to benefit the inhabitants of the country. Problems in the Zimbabwean public procurement sector that detract from service delivery are key contemporary issues. This is evident from the numerous complaints of poor service delivery received by the public that can be attributed to public procurement. Objective: The purpose of this article was to report on a study that investigated problems in the different stages of the operational procurement process in the Zimbabwean public sector that detract from service delivery, the extent of these problems and how the public procurement process can be improved to enhance service delivery. Method: This descriptive and exploratory study followed a quantitative approach. Data were collected by means of a questionnaire administered to all public entities in Zimbabwe. Data were analysed using SPSS. Results: The majority of the identified problems in the public procurement sector that detract from service delivery are found in the advertising, bid evaluation and contract stages. Conclusion: As only a few studies on this topic have been conducted in Zimbabwe, the findings of this research add a significant perspective to the existing body of knowledge and can assist stakeholders with regard to how the public procurement process can be improved in order to enhance service delivery through public procurement process reform and restructuring.

Fractional CO(2) laser-assisted drug delivery

DEFF Research Database (Denmark)

Haedersdal, Merete; Sakamoto, Fernanda H; Farinelli, William A

2010-01-01

Ablative fractional resurfacing (AFR) creates vertical channels that might assist the delivery of topically applied drugs into skin. The purpose of this study was to evaluate drug delivery by CO(2) laser AFR using methyl 5-aminolevulinate (MAL), a porphyrin precursor, as a test drug....

Going private: clinicians' experience of working in UK independent sector treatment centres.

Science.gov (United States)

Waring, Justin; Bishop, Simon

2012-02-01

With increased possibility that public healthcare services in the UK will be outsourced to the private sector, this study investigates how clinicians working in Independent Sector Treatment Centres perceive the differences between public and private sectors. Qualitative interviews with 35 clinicians recruited from two ISTCs. All participants were transferred to the independent sector from the public National Health Service. Interview data were analysed to identify shared experience about the variable organisation and delivery of services. Clinicians perceived differences between public and independent sectors in the areas of 'environment and facilities', 'management', 'work organisation and care delivery', and 'patient experience'. The independent sector was described as offering a positive alternative to public services in regard to service environment and patient experience, but there were concerns about management priorities and the reconfiguration of work. Clinicians' experience of moving between sectors reveals mixed experiences. Although some improvements might legitimise the growing role of the independent sector, there remain doubts about the commercialisation of services, the motives of managers and the impact of clinical roles and capabilities. With policies looking to expand the mixed economy of public healthcare services, the study suggests clinicians will not automatically embrace a move between sectors. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

Utilization of skilled birth attendants in public and private sectors in Vietnam.

Science.gov (United States)

Do, Mai

2009-05-01

The private sector in health care in Vietnam has been increasingly competing with the government in primary health care services. However, little is known about the use of skilled birth attendance or about choice of public and private sectors among those who opt for skilled attendants. Using data from the Vietnam 2002 Demographic and Health Survey, this study examines factors related to women's decision-making of whether to have a skilled birth attendant at a recent childbirth, and if they did, whether it was a public or private sector provider. The study indicates that the use of the private sector for delivery services was significant. Women's household wealth, education, antenatal care and community's wealth were positively related to skilled birth attendance, while ethnicity and order of childbirth were negatively related. Order of childbirth was positively associated with skilled birth attendance in the private sector. Among service environment factors, increased access to public sector health centres was associated with an increased likelihood of skilled birth attendance in general, but a lowered chance of that in the private sector. Further studies are needed to assess the current situation in the private sector, the demand for delivery services in the private sector, and its readiness to provide quality services.

Global report on preterm birth and stillbirth (4 of 7): delivery of interventions.

Science.gov (United States)

Victora, Cesar G; Rubens, Craig E

2010-02-23

The efficacious interventions identified in the previous article of this report will fail unless they are delivered at high and equitable coverage. This article discusses critical delivery constraints and strategies. Achieving universal coverage entails addressing major barriers at many levels. An overarching constraint is the lack of political will, resulting from the dearth of preterm birth and stillbirth data and the lack of visibility. Other barriers exist at the household and community levels, such as insufficient demand for interventions or sociocultural barriers; at the health services level, such as a lack of resources and trained healthcare providers; and at the health sector policy and management level, such as poorly functioning, centralized systems. Additional constraints involve weak governance and accountability, political instability, and challenges in the physical environment. Scaling up maternal, newborn and child health interventions requires strengthening health systems, but there is also a role for focused, targeted interventions. Choosing a strategy involves identifying appropriate channels for reaching high coverage, which depends on many factors such as access to and attendance at healthcare facilities. Delivery channels vary, and may include facility- and community-based healthcare providers, mass media campaigns, and community-based approaches and marketing strategies. Issues related to scaling up are discussed in the context of four interventions that may be given to mothers at different stages throughout pregnancy or to newborns: (1) detection and treatment of syphilis; (2) emergency Cesarean section; (3) newborn resuscitation; and (4) kangaroo mother care. Systematic reviews of the literature and large-scale implementation studies are analyzed for each intervention. Equitable and successful scale-up of preterm birth and stillbirth interventions will require addressing multiple barriers, and utilizing multiple delivery approaches and

SeaSketch: Implementation of a Decision-Support Platform for a Channel Islands National Marine Sanctuary Multi-sector Working Group

Science.gov (United States)

Goldberg, G.; McClintock, W.

2016-12-01

Effective interagency and cross-sector coordination is essential to ecosystem based management which depends on processes characterized by collaboration and science-based information. Many technological barriers that exist in the development of science-based management plans are closely tied to process challenges, such as the sharing of data and information or the inclusion of parties with varied levels of technical experience. The Channel Islands National Marine Sanctuary has convened a diverse working group to develop recommendations for the management of marine shipping in and around the Santa Barbara Channel, as well as recommendations regarding research needs and outreach strategies. Working group members take a multi-issue approach with four distinct goals related to the reduction of ship strikes on whales, emissions and air quality, conflicting ocean uses, and issues of navigational safety. Members range from industry representatives, scientists, and multiple local and federal government entities. The recommended management plans will be based in the best-available science, and will build off of previous efforts, making this an interesting case study of adaptive management. In addition to support from the Sanctuary and professional facilitators, the group is using a decision-support platform, SeaSketch (safepassage.seasketch.org). SeaSketch is a web-based GIS that supports collaborative science-based marine spatial planning (MSP). Each feature supports a step of the MSP process, from data gathering, identification of data needs, the design of spatial plans, evaluation of those plans with analytics, and map-based forums that facilitate data-driven discussions. Working group members are able to access these tools to explore management options and collaborate remotely, in addition to using the platform during in-person meetings and webinars. Empowering diverse audiences to engage in the design of science-based plans is of key importance to developing ecosystem

Rethinking the delivery of public services to citizens

National Research Council Canada - National Science Library

Seidle, F. Leslie

1995-01-01

... Sector Reform and Service Delivery in the Antipodes New Zealand: Transforming the State Australia: a Concerted Program of Management Reform Conclusion Notes 75 Chapter Four The Canadian Federal Government and Service Delivery Issues Perceptions of Service from the Federal Government The Mulroney Government and Public Service 2000 Special Operati...

Contributing factors to poor service delivery by administrative ...

African Journals Online (AJOL)

This article reports on a study that was conducted among non-managerial administrative employees in the public sector in Gauteng. The researchers attempted to determine the effect of specified job factors on the wellbeing and service delivery of these employees. Poor service delivery in the country triggered the research.

Channel One Online: Advertising Not Educating.

Science.gov (United States)

Pasnik, Shelley

Rather than viewing Channel One's World Wide Web site as an authentic news bureau, as the organization claims, it is better understood as an advertising delivery system. The web site is an attempt to expand Channel One's reach into schools, taking advantage of unsuspecting teachers and students who might fall prey to spurious claims. This paper…

Baking of SST-1 vacuum vessel modules and sectors

International Nuclear Information System (INIS)

Pathan, Firozkhan S; Khan, Ziauddin; Yuvakiran, Paravastu; George, Siju; Ramesh, Gattu; Manthena, Himabindu; Shah, Virendrakumar; Raval, Dilip C; Thankey, Prashant L; Dhanani, Kalpesh R; Pradhan, Subrata

2012-01-01

SST-1 Tokamak is a steady state super-conducting tokamak for plasma discharge of 1000 sec duration. The plasma discharge of such long time duration can be obtained by reducing the impurities level, which will be possible only when SST-1 vacuum chamber is pumped to ultra high vacuum. In order to achieve UHV inside the chamber, the baking of complete vacuum chamber has to be carried out during pumping. For this purpose the C-channels are welded inside the vacuum vessel. During baking of vacuum vessel, these welded channels should be helium leak tight. Further, these U-channels will be in accessible under operational condition of SST-1. So, it will not possible to repair if any leak is developed during experiment. To avoid such circumstances, a dedicated high vacuum chamber is used for baking of the individual vacuum modules and sectors before assembly so that any fault during welding of the channels will be obtained and repaired. This paper represents the baking of vacuum vessel modules and sectors and their temperature distribution along the entire surface before assembly.

The effect of healthcare delivery privatisation on avoidable mortality: longitudinal cross-regional results from Italy, 1993-2003.

Science.gov (United States)

Quercioli, Cecilia; Messina, Gabriele; Basu, Sanjay; McKee, Martin; Nante, Nicola; Stuckler, David

2013-02-01

During the 1990s, Italy privatised a significant portion of its healthcare delivery. The authors compared the effectiveness of private and public sector healthcare delivery in reducing avoidable mortality (deaths that should not occur in the presence of effective medical care). The authors calculated the average rate of change in age-standardised avoidable mortality rates in 19 of Italy's regions from 1993 to 2003. Multivariate regression models were used to analyse the relationship between rates of change in avoidable mortality and levels of spending on public versus private healthcare delivery, controlling for potential demographic and economic confounders. Greater spending on public delivery of health services corresponded to faster reductions in avoidable mortality rates. Each €100 additional public spending per capita on NHS delivery was independently associated with a 1.47% reduction in the rate of avoidable mortality (p=0.003). In contrast, spending on private sector services had no statistically significant effect on avoidable mortality rates (p=0.557). A higher percentage of spending on private sector delivery was associated with higher rates of avoidable mortality (p=0.002). The authors found that neither public nor private sector delivery spending was significantly associated with non-avoidable mortality rates, plausibly because non-avoidable mortality is insensitive to healthcare services. Public spending was significantly associated with reductions in avoidable mortality rates over time, while greater private sector spending was not at the regional level in Italy.

Alternative Public Service Delivery Models in Health, Water and ...

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

The literature on public service delivery alternatives has to date been highly localized, sector specific and lacking in methodological consistency. This project seeks to analyze health, water and electricity delivery models in Africa, Asia and Latin America in order to identify and document successful alternatives to ...

Design of an Implantable Device for Ocular Drug Delivery

Directory of Open Access Journals (Sweden)

Jae-Hwan Lee

2012-01-01

Full Text Available Ocular diseases, such as, glaucoma, age-related macular degeneration (AMD, diabetic retinopathy, and retinitis pigmentosa require drug management in order to prevent blindness and affecting million of adults in USA and worldwide. There is an increasing need to develop devices for drug delivery to address ocular diseases. This study focuses on the design, simulation, and development of an implantable ocular drug delivery device consisting of micro-/nanochannels embedded between top and bottom covers with a drug reservoir made from polydimethylsiloxane (PDMS which is silicon-based organic and biodegradable polymer. Several simulations were carried out with six different micro-channel configurations in order to see the feasibility for ocular drug delivery applications. Based on the results obtained, channel design of osmotic I and osmotic II satisfied the diffusion rates required for ocular drug delivery. Finally, a prototype illustrating the three components of the drug delivery design is presented. In the future, the device will be tested for its functionality and diffusion characteristics.

US Health Care Reform and Transplantation, Part II: impact on the public sector and novel health care delivery systems.

Science.gov (United States)

Axelrod, D A; Millman, D; Abecassis, M M

2010-10-01

The Patient Protection and Affordable Care Act passed in 2010 will result in dramatic expansion of publically funded health insurance coverage for low-income individuals. It is estimated that of the 32 million newly insured, 16 million will obtain coverage through expansion of the Medicaid Program, and the remaining 16 million will purchase coverage through their employer or newly legislated insurance exchanges. While the Act contains numerous provisions to improve access to private insurance as discussed in Part I of this analysis, public sector coverage will significantly be affected. The cost of health care reform will be borne disproportionately by Medicare, which faces nearly $500 billion in cuts to be identified by a new independent board. Transplant centers should be concerned about the impact of the reform on the financial aspects of transplantation. In addition, this legislation also utilizes the Medicare Program to drive reform of the health care delivery system, by encouraging the development of integrated Accountable Care Organizations, experimentation with new 'models' of healthcare delivery, and expanded support for Comparative Effectiveness Research. Transplant providers, including transplant centers and physicians/surgeons need to lead this movement, drawing on our experience providing comprehensive multidisciplinary care under global budgets with publically reported outcomes.

Effect of communication channels on success rate of entrepreneurial SMEs in the agricultural sector (a case study

Directory of Open Access Journals (Sweden)

Z. Khoshnodifar

2016-01-01

Full Text Available The present research aimed at investigating the effect of communication channels on the economic success of early profitable and entrepreneur small and medium enterprises in the agricultural sector. It was an applied research in which the descriptive-survey method was used. The research sample included 356 founders of entrepreneur small and medium enterprises (at the time of conducting the research in the Markazi province, Iran, among which 100 founders were selected according to the Cochran formulation using the stratified random sampling method. A questionnaire was used as the research tool and its validity was confirmed as the face validity by a group of teachers and experts. The questionnaire’s reliability was calculated using Cronbach’s alpha (α = 0.82. The results indicated that the information seeking facilities of most of the entrepreneurs were seen at a good level (53 persons, 53% and acquiring information from other businesses and consulting contacts with the neighbors and relatives, product sellers and promoting factors were listed as the highest priorities of the respondents, respectively. Also, there was a meaningful relationship between rate of using information and communication resources with the variables namely age, duration of operation on the job, number of people operating the business and number using loans. The results of regression analysis indicated that seven communication channels, promoters, other producers, product sellers, group visit, training films, creditors, radio and TV in the order of significance have defined 78.4% of the dependent variable changes.

The car manufacturer (CM) and third party logistics provider (TPLP) relationship in the outbound delivery channel: A qualitative study of the Malaysian automotive industry

OpenAIRE

Abdul Rahman, Nor Aida

2012-01-01

This thesis was submitted for the degree of Doctor of Philosophy and awarded by Brunel University. This research studies the relationship between car manufacturers (CM) and third party logistics providers (TPLP), also known as the logistics partnership, in the outbound delivery channel in the Malaysian automotive industry. It focuses specifically on the dyad perspective, and demonstrates that several critical success factors are required for a successful relationship between these two part...

Role of the private sector in the provision of immunization services in low- and middle-income countries.

Science.gov (United States)

Levin, Ann; Kaddar, Miloud

2011-07-01

The authors conducted a literature review on the role of the private sector in low- and middle-income countries. The review indicated that relatively few studies have researched the role of the private sector in immunization service delivery in these countries. The studies suggest that the private sector is playing different roles and functions according to economic development levels, the governance structure and the general presence of the private sector in the health sector. In some countries, generally low-income countries, the private for-profit sector is contributing to immunization service delivery and helping to improve access to traditional EPI vaccines. In other countries, particularly middle-income countries, the private for-profit sector often acts to facilitate early adoption of new vaccines and technologies before introduction and generalization by the public sector. The not-for-profit sector plays an important role in extending access to traditional EPI vaccines, particularly in low-income countries. Not-for-profit facilities are situated in rural as well as urban areas and are more likely to be coordinated with public services than the private for-profit sector. Although numerous studies on non-governmental organizations (NGOs) suggest that the extent of NGO provision of immunization services in low- and middle-income countries is substantial, the contribution of this sector is poorly documented, leading to a lack of recognition of its role at national and global levels. Studies on quality of immunization service provision at private health facilities suggest that it is sometimes inadequate and needs to be monitored. Although some articles on public-private collaboration exist, little was found on the extent to which governments are effectively interacting with and regulating the private sector. The review revealed many geographical and thematic gaps in the literature on the role and regulation of the private sector in the delivery of immunization

“Crossing over”: appropriate private sector principles, to operate more reliable public sector water services

Directory of Open Access Journals (Sweden)

Kevin Wall

2008-04-01

Full Text Available Private sector institutions utilise many different business methods, some of which can selectively be adapted for use by organisations outside the private sector, to the benefit of their service delivery responsibilities. But the best of the appropriate practices from the private sector have often “not crossed over”. The Water Research Commission (WRC of South Africa, working in collaboration with the Council for Scientific and Industrial Research (CSIR, finds that the concept of franchising, so successfully used by the private sector to deliver many goods and services, if applied to water services operation and maintenance, could alleviate and address many challenges in the management of water services. At the same time, franchising could provide an ideal stimulus to support the development of local enterprises, all within the municipal service delivery environment. Franchisee water service providers, dependent for their livelihood on the success of their business, would have a strong incentive to perform, and would also enjoy the benefit of the franchisor’s expert guidance and quality assurance. Some areas for potential franchising include meter management, billing, plumbing, pressure management, sewer maintenance, and wastewater treatment processes. The help from the franchisor would be of particular value to water services authorities at a distance from the major urban centres. Few of these authorities can afford to employ competent qualified staff, and often non-compliance with the laid down performance standards is a direct consequence of this lack. Significant improvements would soon be seen if the generally under-qualified and under-resourced water services staff could have this ongoing support, mentoring and quality control — or if the authority could enter into partnerships with small local enterprises or NGOs which would, through franchising, enjoy the necessary ongoing support, mentoring and quality control, and would have

A decision Enhancement Service for Stakeholder Analysis to Achieve Transformations in the Public Sector

NARCIS (Netherlands)

Knol, Arjan; Janssen, Marijn; Sol, H G

2015-01-01

Sourcing has become a popular practice for public sector managers aiming for transformations to save costs and improve service delivery. Nevertheless, public sector sourcing often fails due to stakeholder resistance and power struggles, stressing the need for stakeholder analysis. This paper

Supplier relationship management – anathema for the South African public procurement sector

OpenAIRE

Micheline J. Naude; Intaher M. Ambe; René Kling

2013-01-01

The public sector is recognised as being one of the most important customer groups for many suppliers and service providers because of the volume of public expenditure. Supplier relationship management (SRM) is a necessary tool on which businesses in the public and private sectors rely. However, in the South African public sector, despite the intention to boost service delivery through efficient and effective supplier-management processes, the development of sound supplier relationships is a ...

Global report on preterm birth and stillbirth (4 of 7: delivery of interventions

Directory of Open Access Journals (Sweden)

Rubens Craig E

2010-02-01

Full Text Available Abstract Background The efficacious interventions identified in the previous article of this report will fail unless they are delivered at high and equitable coverage. This article discusses critical delivery constraints and strategies. Barriers to scaling up interventions Achieving universal coverage entails addressing major barriers at many levels. An overarching constraint is the lack of political will, resulting from the dearth of preterm birth and stillbirth data and the lack of visibility. Other barriers exist at the household and community levels, such as insufficient demand for interventions or sociocultural barriers; at the health services level, such as a lack of resources and trained healthcare providers; and at the health sector policy and management level, such as poorly functioning, centralized systems. Additional constraints involve weak governance and accountability, political instability, and challenges in the physical environment. Strategies and examples Scaling up maternal, newborn and child health interventions requires strengthening health systems, but there is also a role for focused, targeted interventions. Choosing a strategy involves identifying appropriate channels for reaching high coverage, which depends on many factors such as access to and attendance at healthcare facilities. Delivery channels vary, and may include facility- and community-based healthcare providers, mass media campaigns, and community-based approaches and marketing strategies. Issues related to scaling up are discussed in the context of four interventions that may be given to mothers at different stages throughout pregnancy or to newborns: (1 detection and treatment of syphilis; (2 emergency Cesarean section; (3 newborn resuscitation; and (4 kangaroo mother care. Systematic reviews of the literature and large-scale implementation studies are analyzed for each intervention. Conclusion Equitable and successful scale-up of preterm birth and stillbirth

Sediment source, turbidity maximum, and implications for mud exchange between channel and mangroves in an Amazonian estuary

Science.gov (United States)

Asp, Nils Edvin; Gomes, Vando José Costa; Ogston, Andrea; Borges, José Carlos Corrêa; Nittrouer, Charles Albert

2016-02-01

The tide-dominated eastern sector of the Brazilian Amazonian coast includes large mangrove areas and several estuaries, including the estuary associated with the Urumajó River. There, the dynamics of suspended sediments and delivery mechanisms for mud to the tidal flats and mangroves are complex and were investigated in this study. Four longitudinal measuring campaigns were carried out, encompassing spring/neap tides and dry/rainy seasons. During spring tides, water levels were measured simultaneously at 5 points along the estuary. Currents, salinity, and suspended sediment concentrations (SSCs) were measured over the tidal cycle in a cross section at the middle sector of the estuary. Results show a marked turbidity maximum zone (TMZ) during the rainy season, with a 4-km upstream displacement from neap to spring tide. During dry season, the TMZ was conspicuous only during neap tide and dislocated about 5 km upstream and was substantially less apparent in comparison to that observed during rainy season. The results show that mud is being concentrated in the channel associated with the TMZ especially during the rainy season. At this time, a substantial amount of the mud is washed out from mangroves to the estuarine channel and hydrodynamic/salinity conditions for TMZ formation are optimal. As expected, transport to the mangrove flats is most effective during spring tide and substantially reduced at neap tide, when mangroves are not being flooded. During the dry season, mud is resuspended from the bed in the TMZ sector and is a source of sediment delivered to the tidal flats and mangroves. The seasonal variation of the sediments on the seabed is in agreement with the variation of suspended sediments as well.

The skills gap in nursing management in South Africa: a sectoral analysis: a research paper.

Science.gov (United States)

Pillay, Rubin

2010-03-01

To identify competencies important for effective nursing management and to assess managers' proficiency therein. A lack of management capacity has been identified as the key stumbling block to health delivery in South Africa. Despite nursing managers being central to overcoming the challenges facing health care, there has been a paucity of research that empirically evaluates their skill levels. A survey was conducted among 171 senior nursing managers in South Africa using a self-administered questionnaire. Public sector managers assessed themselves as being relatively less competent than private sector managers. The largest skill gaps for public sector managers were for 'ethico-legal', 'task-related' and 'controlling' skills whereas those for private sector managers were for 'ethico-legal', 'health-related ' and 'task-related' skills. This research confirmed the lack of management capacity within the health sector and identified areas in which the skills deficit was most significant for both the public and private sectors. These findings reflect the needs of nursing managers and will be useful in the conceptualization, design and delivery of health management programmes aimed at enhancing management and leadership capacity in the health sector in South Africa.

Advanced SLARette delivery machine

International Nuclear Information System (INIS)

Bodner, R.R.

1995-01-01

SLARette 1 equipment, comprising of a SLARette Delivery Machine, SLAR Tools, SLAR power supplies and SLAR Inspection Systems was designed, developed and manufactured to service fuel channels of CANDU 6 stations during the regular yearly station outages. The Mark 2 SLARette Delivery Machine uses a Push Tube system to provide the axial and rotary movements of the SLAR Tool. The Push Tubes are operated remotely but must be attached and removed manually. Since this operation is performed at the Reactor face, there is radiation dose involved for the workers. An Advanced SLARette Delivery Machine which incorporates a computer controlled telescoping Ram in the place of the Push Tubes has been recently designed and manufactured. Utilization of the Advanced SLARette Delivery Machine significantly reduces the amount of radiation dose picked up by the workers because the need to have workers at the face of the Reactor during the SLARette operation is greatly reduced. This paper describes the design, development and manufacturing process utilized to produce the Advanced SLARette Delivery Machine and the experience gained during the Gentilly-2 NGS Spring outage. (author)

Financing the UK power sector: Is the money available?

International Nuclear Information System (INIS)

Blyth, William; McCarthy, Rory; Gross, Robert

2015-01-01

The UK power generation sector faces a major new round of investment: the coincidence of asset retiring and ambitious goals for decarbonisation is not unique, but is particularly acute in the UK. The UK government has put in place a raft of new policies that seek to promote new, low carbon investment and ensure security of supply. The traditional channel for financing the sector has been through large utility companies, but this now looks challenging for various reasons. The UK therefore offers an interesting case study on several counts; the scale of the challenge, effectiveness of new policies, and the availability of alternative finance. We find that the link between the finance sector and the electricity sector is not ‘broken’, but the flow of money to the sector is threatened by the current weakness of the utilities’ business model. This paper compares estimates of the scale of investment required in the UK with historical investment rates. It summarises contemporary finance industry views of conditions and trends, and potential policy interventions that might be needed to bridge the investment gap. The potential for channelling institutional investor funds directly into energy assets is reviewed. - Highlights: • Power investment need to scale up compared to historical trends, but is achievable. • Traditionally, low-cost finance has been through bonds and shares of large utilities. • Utilities are suffering high debt, reduced demand, and suppressed prices. • Policy interventions to scale-up investment are reviewed.

Towards a Carbon-Neutral Energy Sector: Opportunities and Challenges of Coordinated Bioenergy Supply Chains-A PSE Approach

Directory of Open Access Journals (Sweden)

Luis Puigjaner

2015-06-01

Full Text Available The electricity generation sector needs to reduce its environmental impact and dependence on fossil fuel, mainly from coal. Biomass is one of the most promising future options to produce electricity, given its potential contribution to climate change mitigation. Even though biomass is an old source of energy, it is not yet a well-established commodity. The use of biomass in large centralised systems requires the establishment of delivery channels to provide the desired feedstock with the necessary attributes, at the right time and place. In terms of time to deployment and cost of the solution, co-combustion/co-gasification of biomass and coal are presented as transition and short-medium term alternatives towards a carbon-neutral energy sector. Hence, there is a need to assess an effective introduction of co-combustion/co-gasification projects in the current electricity production share. The purpose of this work is to review recent steps in Process Systems Engineering towards bringing into reality individualised and ad-hoc solutions, by building a common but adjustable design platform to tailored approaches of biomass-based supply chains. Current solutions and the latest developments are presented and future needs under study are also identified.

Fractional laser-assisted drug delivery

DEFF Research Database (Denmark)

Erlendsson, Andrés M; Doukas, Apostolos G; Farinelli, William A

2016-01-01

BACKGROUND AND OBJECTIVE: Ablative fractional laser (AFXL) is rapidly evolving as one of the foremost techniques for cutaneous drug delivery. While AFXL has effectively improved topical drug-induced clearance rates of actinic keratosis, treatment of basal cell carcinomas (BCCs) has been challenging......, potentially due to insufficient drug uptake in deeper skin layers. This study sought to investigate a standardized method to actively fill laser-generated channels by altering pressure, vacuum, and pressure (PVP), enquiring its effect on (i) relative filling of individual laser channels; (ii) cutaneous...

Supplier relationship management – anathema for the South African public procurement sector

Directory of Open Access Journals (Sweden)

Micheline J. Naude

2013-07-01

Full Text Available The public sector is recognised as being one of the most important customer groups for many suppliers and service providers because of the volume of public expenditure. Supplier relationship management (SRM is a necessary tool on which businesses in the public and private sectors rely. However, in the South African public sector, despite the intention to boost service delivery through efficient and effective supplier-management processes, the development of sound supplier relationships is a challenge. The purpose of this article is to provide insight into supplier-relationship challenges and to suggest a framework for implementing SRM in the South African public sector. The research presented is based on a survey using both descriptive and exploratory research. Data were gathered through semi-structured interviews with 15 participants at eight institutions in KwaZulu-Natal. Purposive sampling techniques were used. The findings reveal that the main supplier-related challenges that handicap procurement practices in the province are a lack of experience, a lack of affirmable suppliers, threats and bribes, a lack of integrity, an inability to meet delivery deadlines and quality issues. The findings further reveal that supplier relationships in the public sector are of a transactional nature. A five-stage framework is therefore recommended for implementing SRM in the South African public sector and in order to assist government procurement officials to reap the benefits of SRM whilst supporting the requirements of public-sector procurement.

Power-Controlled CDMA Cell Sectorization with Multiuser Detection: A Comprehensive Analysis on Uplink and Downlink

Directory of Open Access Journals (Sweden)

Aylin Yener

2007-12-01

Full Text Available We consider the joint optimization problem of cell sectorization, transmit power control and multiuser detection for a CDMA cell. Given the number of sectors and user locations, the cell is appropriately sectorized such that the total transmit power, as well as the receiver filters, is optimized. We formulate the corresponding joint optimization problems for both the uplink and the downlink and observe that in general, the resulting optimum transmit and receive beamwidth values for the directional antennas at the base station are different. We present the optimum solution under a general setting with arbitrary signature sets, multipath channels, realistic directional antenna responses and identify its complexity. We propose a low-complexity sectorization algorithm that performs near optimum and compare its performance with that of optimum solution. The results suggest that by intelligently combining adaptive cell sectorization, power control, and linear multiuser detection, we are able to increase the user capacity of the cell. Numerical results also indicate robustness of optimum sectorization against Gaussian channel estimation error.

Power-Controlled CDMA Cell Sectorization with Multiuser Detection: A Comprehensive Analysis on Uplink and Downlink

Directory of Open Access Journals (Sweden)

Oh Changyoon

2007-01-01

Full Text Available We consider the joint optimization problem of cell sectorization, transmit power control and multiuser detection for a CDMA cell. Given the number of sectors and user locations, the cell is appropriately sectorized such that the total transmit power, as well as the receiver filters, is optimized. We formulate the corresponding joint optimization problems for both the uplink and the downlink and observe that in general, the resulting optimum transmit and receive beamwidth values for the directional antennas at the base station are different. We present the optimum solution under a general setting with arbitrary signature sets, multipath channels, realistic directional antenna responses and identify its complexity. We propose a low-complexity sectorization algorithm that performs near optimum and compare its performance with that of optimum solution. The results suggest that by intelligently combining adaptive cell sectorization, power control, and linear multiuser detection, we are able to increase the user capacity of the cell. Numerical results also indicate robustness of optimum sectorization against Gaussian channel estimation error.

The impact of treatment density and molecular weight for fractional laser-assisted drug delivery

DEFF Research Database (Denmark)

Haak, Christina S; Bhayana, Brijesh; Farinelli, William A

2012-01-01

Ablative fractional lasers (AFXL) facilitate uptake of topically applied drugs by creating narrow open micro-channels into the skin, but there is limited information on optimal laser settings for delivery of specific molecules. The objective of this study was to investigate the impact of laser...... treatment density (% of skin occupied by channels) and molecular weight (MW) for fractional CO(2) laser-assisted drug delivery. AFXL substantially increased intra- and transcutaneous delivery of polyethylene glycols (PEGs) in a MW range from 240 to 4300 Da (Nuclear Magnetic Resonance, p...

The LIFEspan model of transitional rehabilitative care for youth with disabilities: healthcare professionals' perspectives on service delivery.

Science.gov (United States)

Hamdani, Yani; Proulx, Meghann; Kingsnorth, Shauna; Lindsay, Sally; Maxwell, Joanne; Colantonio, Angela; Macarthur, Colin; Bayley, Mark

2014-01-01

LIFEspan is a service delivery model of continuous coordinated care developed and implemented by a cross-organization partnership between a pediatric and an adult rehabilitation hospital. Previous work explored enablers and barriers to establishing the partnership service. This paper examines healthcare professionals' (HCPs') experiences of 'real world' service delivery aimed at supporting transitional rehabilitative care for youth with disabilities. This qualitative study - part of an ongoing mixed method longitudinal study - elicited HCPs' perspectives on their experiences of LIFEspan service delivery through in-depth interviews. Data were categorized into themes of service delivery activities, then interpreted from the lens of a service integration/coordination framework. Five main service delivery themes were identified: 1) addressing youth's transition readiness and capacities; 2) shifting responsibility for healthcare management from parents to youth; 3) determining services based on organizational resources; 4) linking between pediatric and adult rehabilitation services; and, 5) linking with multi-sector services. LIFEspan contributed to service delivery activities that coordinated care for youth and families and integrated inter-hospital services. However, gaps in service integration with primary care, education, social, and community services limited coordinated care to the rehabilitation sector. Recommendations are made to enhance service delivery using a systems/sector-based approach.

Single top t-channel

CERN Document Server

Faltermann, Nils

2017-01-01

The production of single top quarks allows to study the interplay of top quark physics and the electroweak sector of the standard model. Deviations from predictions can be a hint for physics beyond the standard model. The t-channel is the dominant production mode for single top quarks at the LHC. This talk presents the latest measurements from the ATLAS and CMS collaborations.

Viability of healthcare service delivery alternatives for the Australian mining sector.

Science.gov (United States)

Williams, Patricia A H; Giles, Margaret

2012-01-01

The changing and demanding nature of the mining workforce in rural and remote Australia brings unique challenges to the delivery of healthcare services. In an attempt to control costs whilst delivering cost effective and quality healthcare, new models of delivery must be considered. For a workforce that is fly-in/fly-out, the provision of healthcare is problematic given the lack of consistency in location. A cost-benefit framework is analysed comparing three models of service provision using travel to a major location, locum services and remote health monitoring. Ultimately, new models of care must be considered to address the issues of increasing workforce turnover, to cater for rising healthcare costs, and to improve the health of such communities.

Energy use and life cycle greenhouse gas emissions of drones for commercial package delivery.

Science.gov (United States)

Stolaroff, Joshuah K; Samaras, Constantine; O'Neill, Emma R; Lubers, Alia; Mitchell, Alexandra S; Ceperley, Daniel

2018-02-13

The use of automated, unmanned aerial vehicles (drones) to deliver commercial packages is poised to become a new industry, significantly shifting energy use in the freight sector. Here we find the current practical range of multi-copters to be about 4 km with current battery technology, requiring a new network of urban warehouses or waystations as support. We show that, although drones consume less energy per package-km than delivery trucks, the additional warehouse energy required and the longer distances traveled by drones per package greatly increase the life-cycle impacts. Still, in most cases examined, the impacts of package delivery by small drone are lower than ground-based delivery. Results suggest that, if carefully deployed, drone-based delivery could reduce greenhouse gas emissions and energy use in the freight sector. To realize the environmental benefits of drone delivery, regulators and firms should focus on minimizing extra warehousing and limiting the size of drones.

The gas market and sector in France. Situation and predictions 2018 - Sector and competitive analysis

International Nuclear Information System (INIS)

2017-01-01

Through a detailed analysis of market determining factors, of evolutions of supply and demand, and of major events in firms life, this set of two reports proposes an analysis of the recent situation of the gas sector and of the evolutions of the competitive game. The first report on situation and predictions which is updated three times a year, proposes a synthesis on the consequences of the evolution of the economic environment, on major trends noticed for the sector, and on predictable evolutions. It proposes the most recent predictions regarding natural gas consumption in France and the turnover of the gas sector. It highlights recent events for companies of the sector: takeovers, investments, restructuring, introduction of new products, and so on. It proposes a sector-based dashboard which contains all the critical figures useful to analyse the sector situation (activity determining factors, key figures for the sector and its environment). The second report (the annual one) proposes an overview of trends and competition within the gas sector. It gives an overview of some basic aspects of the activity (sector organisation, gas categories, main customer markets, gas consumption in industry), and of its determining factors, analyses the sector environment (sites connected to the natural gas network, evolution of average temperatures in France, production by chemical industry, by the food industry, and by metallurgy and oil refining, thermal production of electricity, regulatory evolution regarding supports to energy efficiency, and new opportunities). The evolution of the sector activity is analysed through its trends and indicators (turnovers, gas consumption, butane-propane deliveries, wholesale prices, regulated tariffs). The economic structure is also analysed: aspects related to the upstream part (extraction, injection of biogas, natural gas main input and output points, transport and storage, natural gas distribution), and aspects related to gas provision

Pricing Model for Dual Sales Channel with Promotion Effect Consideration

OpenAIRE

Chuiri Zhou

2016-01-01

We focus on the pricing strategy of a dual sales channel member when his/her online retailer faces an upcoming overloaded express delivery service due to the sales peak of online shopping, especially referring to the occurring affairs in China. We characterize the pricing problem of the dual selling channel system as a two-period game. When the price discount is only provided by the online seller, we find that the prices of the traditional channel and the online channel in the two periods are...

Situation Analysis of Healthcare Service Delivery using ...

African Journals Online (AJOL)

ISML5

7. No. 1, AARSE 2017 Special Edition, January 2017. 75. Situation Analysis of ... then becomes a major bottleneck to proper planning and policy formulation in healthcare delivery. ... Uganda Annual Health Sector Performance Report for Financial Year 2014/15 ... government's strategy of taking services closer to the people.

Vertical funding, non-governmental organizations, and health system strengthening: perspectives of public sector health workers in Mozambique.

Science.gov (United States)

Mussa, Abdul H; Pfeiffer, James; Gloyd, Stephen S; Sherr, Kenneth

2013-06-14

In the rapid scale-up of human immunodeficiency virus (HIV) care and acquired immunodeficiency syndrome (AIDS) treatment, many donors have chosen to channel their funds to non-governmental organizations and other private partners rather than public sector systems. This approach has reinforced a private sector, vertical approach to addressing the HIV epidemic. As progress on stemming the epidemic has stalled in some areas, there is a growing recognition that overall health system strengthening, including health workforce development, will be essential to meet AIDS treatment goals. Mozambique has experienced an especially dramatic increase in disease-specific support over the last eight years. We explored the perspectives and experiences of key Mozambican public sector health managers who coordinate, implement, and manage the myriad donor-driven projects and agencies. Over a four-month period, we conducted 41 individual qualitative interviews with key Ministry workers at three levels in the Mozambique national health system, using open-ended semi-structured interview guides. We also reviewed planning documents. All respondents emphasized the value and importance of international aid and vertical funding to the health sector and each highlighted program successes that were made possible by recent increased aid flows. However, three serious concerns emerged: 1) difficulties coordinating external resources and challenges to local control over the use of resources channeled to international private organizations; 2) inequalities created within the health system produced by vertical funds channeled to specific services while other sectors remain under-resourced; and 3) the exodus of health workers from the public sector health system provoked by large disparities in salaries and work. The Ministry of Health attempted to coordinate aid by implementing a "sector-wide approach" to bring the partners together in setting priorities, harmonizing planning, and coordinating

The state-led large scale public private partnership 'Chiranjeevi Program' to increase access to institutional delivery among poor women in Gujarat, India: How has it done? What can we learn?

Science.gov (United States)

De Costa, Ayesha; Vora, Kranti S; Ryan, Kayleigh; Sankara Raman, Parvathy; Santacatterina, Michele; Mavalankar, Dileep

2014-01-01

Many low-middle income countries have focused on improving access to and quality of obstetric care, as part of promoting a facility based intra-partum care strategy to reduce maternal mortality. The state of Gujarat in India, implements a facility based intra-partum care program through its large for-profit private obstetric sector, under a state-led public-private-partnership, the Chiranjeevi Yojana (CY), under which the state pays accredited private obstetricians to perform deliveries for poor/tribal women. We examine CY performance, its contribution to overall trends in institutional deliveries in Gujarat over the last decade and its effect on private and public sector deliveries there. District level institutional delivery data (public, private, CY), national surveys, poverty estimates, census data were used. Institutional delivery trends in Gujarat 2000-2010 are presented; including contributions of different sectors and CY. Piece-wise regression was used to study the influence of the CY program on public and private sector institutional delivery. Institutional delivery rose from 40.7% (2001) to 89.3% (2010), driven by sharp increases in private sector deliveries. Public sector and CY contributed 25-29% and 13-16% respectively of all deliveries each year. In 2007, 860 of 2000 private obstetricians participated in CY. Since 2007, >600,000 CY deliveries occurred i.e. one-third of births in the target population. Caesareans under CY were 6%, higher than the 2% reported among poor women by the DLHS survey just before CY. CY did not influence the already rising proportion of private sector deliveries in Gujarat. This paper reports a state-led, fully state-funded, large-scale public-private partnership to improve poor women's access to institutional delivery - there have been >600,000 beneficiaries. While caesarean proportions are higher under CY than before, it is uncertain if all beneficiaries who require sections receive these. Other issues to explore include

The state-led large scale public private partnership 'Chiranjeevi Program' to increase access to institutional delivery among poor women in Gujarat, India: How has it done? What can we learn?

Directory of Open Access Journals (Sweden)

Ayesha De Costa

Full Text Available BACKGROUND: Many low-middle income countries have focused on improving access to and quality of obstetric care, as part of promoting a facility based intra-partum care strategy to reduce maternal mortality. The state of Gujarat in India, implements a facility based intra-partum care program through its large for-profit private obstetric sector, under a state-led public-private-partnership, the Chiranjeevi Yojana (CY, under which the state pays accredited private obstetricians to perform deliveries for poor/tribal women. We examine CY performance, its contribution to overall trends in institutional deliveries in Gujarat over the last decade and its effect on private and public sector deliveries there. METHODS: District level institutional delivery data (public, private, CY, national surveys, poverty estimates, census data were used. Institutional delivery trends in Gujarat 2000-2010 are presented; including contributions of different sectors and CY. Piece-wise regression was used to study the influence of the CY program on public and private sector institutional delivery. RESULTS: Institutional delivery rose from 40.7% (2001 to 89.3% (2010, driven by sharp increases in private sector deliveries. Public sector and CY contributed 25-29% and 13-16% respectively of all deliveries each year. In 2007, 860 of 2000 private obstetricians participated in CY. Since 2007, >600,000 CY deliveries occurred i.e. one-third of births in the target population. Caesareans under CY were 6%, higher than the 2% reported among poor women by the DLHS survey just before CY. CY did not influence the already rising proportion of private sector deliveries in Gujarat. CONCLUSION: This paper reports a state-led, fully state-funded, large-scale public-private partnership to improve poor women's access to institutional delivery - there have been >600,000 beneficiaries. While caesarean proportions are higher under CY than before, it is uncertain if all beneficiaries who require

Private sector participation in agricultural extension service in nigeria

African Journals Online (AJOL)

The issue of who is to undertake and sustain an efficient agricultural extension service delivery between the public and private sectors in sub-saharan Africa has continued to feature prominently among the extension stakeholders and professionals. This has become pertinent, especially in recent times where government's ...

Regional aspects of long-term public sector psychiatric care in the ...

African Journals Online (AJOL)

such as clinical, geographic and socio-demographic) influencing the use of public sector long-term psychiatric services in the Eastern Cape. This is important in improving service delivery, to assist policy developers with evidence-based research ...

Unleashing the Potentials of Housing Sector in Nigeria as Perceived by Users

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Taiwo David Olugbenga

2017-10-01

Full Text Available Housing is a basic need and a human right. The role that housing plays in the social and economic development of a country cannot be underestimated. Interventions in housing by government are widely acknowledged as one of the ways by which the social aspect of the life of the citizenry can be impacted especially through mass housing otherwise called social housing. This paper aims to examine the various potentials in the housing sector in order to enhance the delivery of more housing to Nigerians. A survey research approach was used in the study. Descriptive analysis was employed to explain the potentials in the housing sector. Housing deficit in Nigeria currently stands at about 17 million units. Efforts to meet and rectify the deficit will need a concerted effort of individuals and government. It requires unleashing the potentials in the housing sector to stimulate growth in the economy, thereby diversifying the economy from the mono to a multi sector economy. Interventions of governments at all levels as well as the involvement of informal sector in the housing sector will have a multiplier effect. It will generate multiple employment opportunities which will in turn stimulate the economy through the circulation of money in the system. The paper noted that interventions in housing sector will stimulate industries in the production of local building materials. Additionally, ailing companies will be revitalized, thereby improving the standard of living of the citizens. The paper concludes that strengthening and repositioning of agencies such as the Federal Mortgage Bank of Nigeria, Real Estate Developers Association of Nigeria, Nigeria Mortgage Refinance Company, will accelerate the release of the potentials in the housing sector and thereby enhance the delivery of affordable houses for Nigerians.

Service Innovation and Sustainability in the Danish Logistics Sector

DEFF Research Database (Denmark)

Gammelgaard, Britta; Prockl, Günter; Thordardottir, Kristin

2012-01-01

in the logistics sector, but also that a sustainability profile is not used as a driver for marketing new sustainable logistics services. The customers, on the other hand, are focused on price, geographical coverage and reliability of delivery. This study reports a portion of survey results that cover more issues......Sustainability in the logistics sector is much talked about, but at the same time there is little overview of the current activities. This paper provides an input to such an overview of logistics services provided in the Danish logistics sector in 2011. The purpose of the study is also...... to investigate driving forces of development towards sustainable logistics services from the industry. The paper is descriptive and based on an online survey sent to managing directors of 201 companies in the Danish logistics sector. The survey questions were developed on the basis of literature studies...

Privatization of Electricity Service Delivery in Developing Nations: Issues and Challenges

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Olamide Eniola Victor

2015-09-01

Full Text Available The provision of public utilities and infrastructures particularly electricity by the public sector (Government especially in the Developing Nations has been heavily criticized. This has been attributed to many reasons including poor electricity supply, poor distribution of service delivery of electricity due to the absence of spatial planning, insufficient government investment into the power industry, ineptitude operation on the part of the technicians, poor administration and managerial control. However, efforts to move away from government ownership, control or participation in this sector of economy towards free enterprise and increased inclusive private sector participation known as privatization, has been adopted as one of the solutions. This paper presents a critical review of privatization practices of alternative Service Delivery approach of selected Asian and African nations. The paper would elicit the common variants of privatization models adopted by these nations and the different implementation strategies which resulted in divergence in effectiveness and efficiency in the service delivery of electricity. The selected Asian countries are; Malaysia, India, and China, while the selected African nations are Nigeria, Cameroun and South Africa. The paper will draw from the literatures the various approaches, concepts adopted, practices, issues and challenges faced by these countries.

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

Science.gov (United States)

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

2014-01-27

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

Dense Clustered Multi-Channel Wireless Sensor Cloud

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Sivaramakrishnan Sivakumar

2015-08-01

Full Text Available Dense Wireless Sensor Network Clouds have an inherent issue of latency and packet drops with regards to data collection. Though there is extensive literature that tries to address these issues through either scheduling, channel contention or a combination of the two, the problem still largely exists. In this paper, a Clustered Multi-Channel Scheduling Protocol (CMSP is designed that creates a Voronoi partition of a dense network. Each partition is assigned a channel, and a scheduling scheme is adopted to collect data within the Voronoi partitions. This scheme collects data from the partitions concurrently and then passes it to the base station. CMSP is compared using simulation with other multi-channel protocols like Tree-based Multi-Channel, Multi-Channel MAC and Multi-frequency Media Access Control for wireless sensor networks. Results indicate CMSP has higher throughput and data delivery ratio at a lower power consumption due to network partitioning and hierarchical scheduling that minimizes load on the network.

The State-Led Large Scale Public Private Partnership ‘Chiranjeevi Program’ to Increase Access to Institutional Delivery among Poor Women in Gujarat, India: How Has It Done? What Can We Learn?

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De Costa, Ayesha; Vora, Kranti S.; Ryan, Kayleigh; Sankara Raman, Parvathy; Santacatterina, Michele; Mavalankar, Dileep

2014-01-01

Background Many low-middle income countries have focused on improving access to and quality of obstetric care, as part of promoting a facility based intra-partum care strategy to reduce maternal mortality. The state of Gujarat in India, implements a facility based intra-partum care program through its large for-profit private obstetric sector, under a state-led public-private-partnership, the Chiranjeevi Yojana (CY), under which the state pays accredited private obstetricians to perform deliveries for poor/tribal women. We examine CY performance, its contribution to overall trends in institutional deliveries in Gujarat over the last decade and its effect on private and public sector deliveries there. Methods District level institutional delivery data (public, private, CY), national surveys, poverty estimates, census data were used. Institutional delivery trends in Gujarat 2000–2010 are presented; including contributions of different sectors and CY. Piece-wise regression was used to study the influence of the CY program on public and private sector institutional delivery. Results Institutional delivery rose from 40.7% (2001) to 89.3% (2010), driven by sharp increases in private sector deliveries. Public sector and CY contributed 25–29% and 13–16% respectively of all deliveries each year. In 2007, 860 of 2000 private obstetricians participated in CY. Since 2007, >600,000 CY deliveries occurred i.e. one-third of births in the target population. Caesareans under CY were 6%, higher than the 2% reported among poor women by the DLHS survey just before CY. CY did not influence the already rising proportion of private sector deliveries in Gujarat. Conclusion This paper reports a state-led, fully state-funded, large-scale public-private partnership to improve poor women’s access to institutional delivery - there have been >600,000 beneficiaries. While caesarean proportions are higher under CY than before, it is uncertain if all beneficiaries who require sections

Drug Delivery and Cosmeceutical Applications of Poly- Lactic Acid Based Novel Constructs - A Review.

Science.gov (United States)

Ruiz-Ruiz, Federico; Mancera-Andrade, Elena Ivonne; Parra-Saldivar, Roberto; Keshavarz, Tajalli; Iqbal, Hafiz M N

2017-01-01

Poly (lactic acid) (PLA) based novel constructs have been engineered for targeted applications in various biomedical sectors of the modern world. In this context, a special focus has been given to pharmaceutical and cosmeceutical industries. In this review, we extensively reviewed, analyzed and compiled salient information from the authentic bibliographic sources including PubMed, Scopus, Elsevier, Springer, Bentham Science and other scientific databases. A focused review question and inclusion/exclusion criterion were adopted to appraise the quality of retrieved peer-reviewed research literature. Recently, bio-based constructs are being engineered for target applications in different bio- and non-bio sectors of the modern world to address the growing human health-related serious concerns. The utilization of properly designed and structured materials thus allows the creation of a well-defined environment that induces a series of directed measures, and so on. Over the last few years, PLA-based novel constructs have received exceptional attention as potential candidates for various biotechnological and biomedical applications at large and drug delivery in particular. Owing to their unique characteristics including biocompatibility, together with the adjustable thermomechanical and tunable control drug release, PLA has raised interesting applications in many sectors of the medical world. So far, many of such PLA-based bio-constructs have been exploited in drug delivery systems, cosmeceutical products, and therapeutic uses. In recent years, many new applications have been reported for PLA-based materials at the micro- and nano- level, resulting in novel requests for specific drug delivery and cosmeceutical sectors. In summary, this review summarizes recent research on different aspects of PLA and PLA-based novel constructs and their potential biomedical applications. Moreover, with the aid of nanotechnology, PLA has made a positive impact in emerging sectors such as

MEASURING THE CUSTOMER SATISFACTION OF ISLAMIC BANKING SECTOR IN BANGLADESH

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Hossain Shahid SHOHROWARDHY

2015-08-01

Full Text Available The banking sector has been playing a significant role in achieving the economic growth of Bangladesh, where contribution of Islamic Banking Sector is remarkable. Islamic Banking Sector shows a substantial growth position in Bangladesh. Customer satisfaction is the most significant affecting phenomenon in determining the banking growth. Thus, this study attempts to measure the existing level of customer satisfaction of Islamic Banks in Bangladesh, using the Structural Equation Model (SEM. This study uses the 22 dimensions of customer satisfaction which used in the earlier studies in different countries for measuring the customer satisfaction of Islamic Banking Sector. A total of 385 samples have been taken from six full pledged Islamic Banks in Bangladesh. It reveals form the study that Human Resources and Systemization Service Delivery is the strongest indicator of customer satisfaction of Islamic Banking Sector in Bangladesh followed by Core Product, Service Capability and Social Responsibility. The findings therefore, may be helpful for policy-makers of banking authorities who have been making serious endeavor to sustain the growth of Islamic Banking Sector in Bangladesh.

Dynamic trafficking and delivery of connexons to the plasma membrane and accretion to gap junctions in living cells

NARCIS (Netherlands)

Lauf, Undine; Giepmans, Ben N G; Lopez, Patricia; Braconnot, Sebastien; Chen, Shu-Chih; Falk, Matthias M

2002-01-01

Certain membrane channels including acetylcholine receptors, gap junction (GJ) channels, and aquaporins arrange into large clusters in the plasma membrane (PM). However, how these channels are recruited to the clusters is unknown. To address this question, we have investigated delivery of GJ channel

Nanotechnology and its applications in the food sector.

Science.gov (United States)

Sozer, Nesli; Kokini, Jozef L

2009-02-01

Nanoscience and nanotechnology are new frontiers of this century. Their applications to the agriculture and food sector are relatively recent compared with their use in drug delivery and pharmaceuticals. Smart delivery of nutrients, bioseparation of proteins, rapid sampling of biological and chemical contaminants and nanoencapsulation of nutraceuticals are some of the emerging topics of nanotechnology for food and agriculture. Advances in technologies, such as DNA microarrays, microelectromechanical systems and microfluidics, will enable the realization of the potential of nanotechnology for food applications. In this review, we intended to summarize the applications of nanotechnology relevant to food and nutraceuticals together with identifying the outstanding challenges.

Scenarios for the South African Water Sector in 2025

African Journals Online (AJOL)

2012-03-20

Mar 20, 2012 ... anced solutions to the ever-growing challenges of a developing nation. In this ... precedence, with a view to 'improving the quality of life'; and when decisions are made ... delivery, work is going to the private sector (often via costly .... and adaptive management, particularly in balancing social and economic ...

The role of public sector libraries on enhancing public officers ...

African Journals Online (AJOL)

GOJEH

enhance public officers' quality service delivery in Ethiopia. Most public ... Ethiopia. The study concluded the Libraries in the Ethiopian public sector are inadequately ... portion of a nation's affairs, especially economic ... and in some cases considered an irrelevant arm of the ..... approving the sponsorship of this research ...

Private Sector An Important But Not Dominant Provider Of Key Health Services In Low- And Middle-Income Countries.

Science.gov (United States)

Grépin, Karen A

2016-07-01

There is debate about the role of the private sector in providing services in the health systems of low- and middle-income countries and about how the private sector could help achieve the goal of universal health coverage. Yet the role that the private sector plays in the delivery of health services is poorly understood. Using data for the period 1990-2013 from 205 Demographic and Health Surveys in seventy low- and middle-income countries, I analyzed the use of the private sector for the treatment of diarrhea and of fever or cough in children, for antenatal care, for institutional deliveries, and as a source of modern contraception for women. I found that private providers were the dominant source of treatment for childhood illnesses but not for the other services. I also found no evidence of increased use of the private sector over time. There is tremendous variation in use of the private sector across countries and health services. Urban and wealthier women disproportionately use the private sector, compared to rural and poorer women. The private sector plays an important role in providing coverage, but strategies to further engage the sector, if they are to be effective, will need to take into consideration the variation in its use. Project HOPE—The People-to-People Health Foundation, Inc.

Impact of HIV/AIDS to the tourism sector human resources: Case of selected hotels in Harare

Directory of Open Access Journals (Sweden)

Zengeni, D.M.F.

2013-12-01

Full Text Available The study investigated the impacts of HIV/AIDS on human resources in the tourism sector in Zimbabwe’s capital city, Harare. Harare Hotels were used as a case study establishing how HIV/AIDS affects the workforce in the tourism sector and the consequent effects on service delivery. Visitors’ inflows into Zimbabwe have declined since the year 2000. To understand the reasons and related aspects, data was collected by way of questionnaires which were administered to 9 human resources managers and 9 marketing managers from hotels in Harare during the period of 2008 and 2009. These questionnaires were individually distributed and collected which resulted in 100% return rate. Human resources managers were used because they are involved directly with the social welfare of employees and marketing managers were used because they work in customer care and analyse service delivery. The findings of the study were that HIV/AIDS impact negatively to the hotel sector through deaths of skilled members. This was said to consequently leading to the reduction in service delivery and inconsistence in service delivery. Besides losing skilled members through death it was also discovered that the hotels were now moving HIV/AIDS effected victims to the back of the house to minimise their contact with guests. It was also discovered that hotels were using lot of funds to implement mitigation measures.

Ore bearing system and hydrological characteristics of mineralized sector in Hushiliang area

International Nuclear Information System (INIS)

Zhang Zhaolin; Liu Zhengbang; Miao Aisheng

2010-01-01

Hushiliang area is one of the best uranium ore bearing areas in Erdos basin from the point of fluvial sedimentary system and uranium geochemical environment, So far, three mineralized sector has been found that are Nalingou, Nongshengxin, Baobeigou. By using the first-hand data of uranium regional survey in this area lately and systematically comparing and analyzing of the hydrological structure in the mineralized sector of this area, the thesis ascertain the ore and water bearing fluid reservoir's spatial relationship generally, and argues that the Zhiluo formation ore and water bearing fluid reservoir in this area is a unified underwater ore bearing system, and the orebody's hydrological structure is propitious in the distributary channel and unpropitious in the main channel because of deep ore bearing layer to the ISL. (authors)

African Financial Sectors and the European Debt Crisis : Will Trouble Blow across the Sahara?

OpenAIRE

World Bank

2012-01-01

The exposure of African financial sectors to global risks, including the likely fall-out of the on-going European debt crisis, continues to be limited. African financial sectors have received much recognition for their steady growth performance and resilience during and after the 2008 global financial crisis. Many of the transmission channels for global risks and financial contagion to fin...

The third sector, user involvement and public service reform: a case study in the co-governance of health service provision.

Science.gov (United States)

Martin, Graham P

2011-01-01

The ‘modernization’ of British public services seeks to broaden public sector governance networks, bringing the views of third sector organizations, the public and service users (among others) to the design, management and delivery of welfare. Building on previous analyses of the contradictions generated by these roles, this paper draws on longitudinal qualitative research to enunciate the challenges faced by one third-sector organization in facilitating service user influence in a UK National Health Service (NHS) pilot programme, alongside other roles in tension with this advocacy function. The analysis highlights limits in the extent to which lateral governance networks pluralize stakeholder involvement. The ‘framing’ of governance may mean that traditional concerns outweigh the views of new stakeholders such as the third sector and service users. Rather than prioritizing wider stakeholders' views in the design and delivery of public services, placing third sector organizations at the centre of governance networks may do more to co-opt these organizations in reproducing predominant priorities.

Financial sector development, economic volatility and shocks in sub-Saharan Africa

Science.gov (United States)

Ibrahim, Muazu; Alagidede, Paul

2017-10-01

The role of financial sector development in economic volatility has been extensively studied albeit without informative results largely on the failure of extant studies to decompose volatility into its various components. By disaggregating volatility using the spectral approach, this study examines the effect of financial development on volatility components as well as channels through which finance affects volatility in 23 sub-Saharan African countries over the period 1980-2014. Our findings based on the newly developed panel cointegration estimation strategy reveal that while financial development affects business cycle volatility in a non-linear fashion, its effect on long run fluctuation is imaginary. More specifically, well developed financial sectors dampen volatility. Further findings show that while monetary shocks have large magnifying effect on volatility, their effect in the short run is minuscule. The reverse, however, holds for real shocks. The channels of manifestation shows that financial development dampens (magnifies) the effect of real shocks (monetary shocks) on the components of volatility with the dampening effects consistently larger only in the short run. Strengthening financial sector supervision and cross-border oversight may be very crucial in examining the right levels of finance and price stability necessary to falter economic fluctuations.

Water-Sectoral Disorders in Puerperas with Preeclampsia

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S. V. Galushka

2007-01-01

Full Text Available Objective: to study the profile of water sectors in puerperas with preeclampsia and to determine whether it is expedient to include colloidal solutions into an infusion therapy program for this category of patients.Subjects and methods. Forty-two puerperas with moderate and severe preeclampsia, whose delivery was made by cesarean section, were examined. All the study puerperas were divided into 2 groups: 1 22 puerperas who received heta-hydroethylized starch (HES solutions as part of infusion therapy; 2 20 puerperas who did not.Results. At the beginning of the study, both groups had increased systemic water and higher extracellular and interstitial fluid volumes as compared with the normal values. With infusion therapy, Group 1 exhibited a decrease in systemic water from 123.8% on day 1 of the study to 106.7% by day 5 and reductions in interstitial hyperhydration from 141.5 to 110.1% and in extracellular fluid from 139.7 to 108.6% as compared with Group 2. By the end of the study, significant impairments in the balance of water sectors preserved in Group 2.Conclusion. Inclusion of heta-HES (Stabisole into infusion therapy in patients with preeclampsia on days 1—2 after delivery leads to a rapider normalization of impaired water balance.  

ELECTRONIC BANKING ADVANTAGES FOR FINANCIAL SERVICES DELIVERY

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Paun Dragos

2010-12-01

Full Text Available E-banking is a fully automatic service for traditionally banking customers products based on information technology platforms. E-banking services provide customer access to accounts, the ability to move their money between different accounts or making payments via e-channels. The advantages generated by this services have determined an accelerate developing of this industry over the entire world. This paper examines some of the advantages of electronic banking products together with the characteristic management issues generated by the implementation of this new channel for financial services delivery.

Private sector joins family planning effort.

Science.gov (United States)

1989-12-01

Projects supported by the Directorate for Population (S&T/POP) of the U.S. Agency for International Development and aimed at increasing for-profit private sector involvement in providing family planning services and products are described. Making products commercially available through social-marketing partnerships with the commercial sector, USAID has saved $1.1 million in commodity costs from Brazil, Dominican Republic, Ecuador, Indonesia, and Peru. Active private sector involvement benefits companies, consumers, and donors through increased corporate profits, healthier employees, improved consumer access at lower cost, and the possibility of sustained family planning programs. Moreover, private, for-profit companies will be able to meet service demands over the next 20 years where traditional government and donor agency sources would fail. Using employee surveys and cost-benefit analyses to demonstrate expected financial and health benefits for businesses and work forces, S&T/POP's Technical Information on Population for the Private Sector (TIPPS) project encourages private companies in developing countries to invest in family planning and maternal/child health care for their employees. 36 companies in 9 countries have responded thus far, which examples provided from Peru and Zimbabwe. The Enterprise program's objectives are also to increase the involvement of for-profit companies in delivering family planning services, and to improve the efficiency and effectiveness of private volunteer organizations in providing services. Projects have been started with mines, factories, banks, insurance companies, and parastatals in 27 countries, with examples cited from Ghana and Indonesia. Finally, the Social Marketing for Change project (SOMARC) builds demand and distributes low-cost contraceptives through commercial channels especially to low-income audiences. Partnerships have been initiated with the private sector in 17 developing countries, with examples provided from

Re-inventing Nigeria's Public Sector: A Review of National Agency for Food, Drug Administration and Control (NAFDAC

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Chinyeaka Justine Igbokwe-Ibeto

2015-06-01

Full Text Available Public  Over the years, the efficiency and effectiveness of Nigeria’s public sector has been a subject of debate. However, in recent time, the organizational performance and service delivery of National Agency for Food, Drug Administration and Control (NAFDAC have been a success story. Within the framework of New Public Management (NPM theory, the study investigates the secrete behind the degree of success achieved by NAFDAC with the aim of recommending such to other public sector organizations in Nigeria which has over the year’s demonstrated lack of zeal for service delivery. The study relied heavily on primary and secondary data. Yamani’s formula for sample size determination was used to select a sample of 133 employees from NAFDAC Lagos office out of a total of 200. Weighted mean and chi-square statistical tools was used to determine the independence or otherwise of the variables under investigation. It is the position of the study that NPM has enhanced NAFDAC’s performance and service delivery. It concludes that since the traditional public administration theories has failed to deliver the much needed public goods and services, it is therefore imperative to reinvent Nigeria’s public sector in line with (NPM international best practices so as to reposition the Nigerian public sector for the challenges of a modern and rapidly changing world. However, while change is desirable, we feel there is need to exercise caution on account of the peculiar nature and character of the Nigerian state and society. Reinventing the country’s public sector should progress slowly and wisely.

Efficient Project Delivery Using Lean Principles - An Indian Case Study

Science.gov (United States)

Kovvuri, P. Ramachandra Reddy; Sawhney, Anil; Ahuja, Ritu; Sreekumar, Aiswarya

2016-03-01

Construction industry in India is growing at a rapid pace. Along with this growth, the industry is facing numerous challenges that are making delivery of projects inefficient. Experts believe that capacity constraints in the industry need to be addressed immediately. Government has recommended `introduction of efficient technologies and modern management techniques' to increase the productivity of the industry. In this context, lean principles can act as a lever to make project delivery more efficient and provide the much needed impetus to the Indian construction sector. Around the globe lean principles are showing positive results on the projects. Project teams are reporting improvements in construction time, cost and quality along with softer benefits of enhanced collaboration, coordination and trust in project teams. Can adoption of lean principles provide similar benefits in the Indian construction sector? This research was conducted to answer this question. Using an action research approach a key lean construction tool called Last Planner System (LPS) was tested on a large Indian construction project. The work described in this work investigates the improvements achieved in project delivery by adopting LPS in Indian construction sector. Comparison in pre- and post-implementation data demonstrates increase in the certainty of work-flow and improves schedule compliance. This is measured through a simple LPS metric called percent plan complete. Explicit improvements in schedule performance are seen during 8 week LPS implementation along with implicit improvements in coordination, collaboration and trust in the project team. This work reports the findings of LPS implementation on the case study project outlining the barriers and drivers to adoption, strategies needed to ensure successful implementation and roadmap for implementation. Based on the findings the authors envision that lean construction can make project delivery more efficient in India.

High prevalence of cesarean section births in private sector health facilities- analysis of district level household survey-4 (DLHS-4) of India.

Science.gov (United States)

Singh, Priyanka; Hashmi, Gulfam; Swain, Prafulla Kumar

2018-05-10

Worldwide rising cesarean section (CS) births is an issue of concern. In India, with increase in institutional deliveries there has also been an increase in cesarean section births. Aim of the study is to quantify the prevalence of cesarean section births in public and private health facility, and also to determine the factors associated with cesarean section births. We analyzed data from district level household survey data 4 (DLHS-4) combined individual level dataset for 19 states/UTs of India comprising 24,398 deliveries resulting in 22,111 live births for year 2011. The percentages and Chi-square has been computed for the select variables viz. Socio demographic, maternal, antenatal care and delivery related based on type of births (CS Vs normal births). The multiple logistic regression model has been used to identify the potential risk factors associated with CS births. Of 22,111 live birth analyzed 49.2% were delivered at public sector, 31.9% at private sector and 18.9% were home deliveries. Prevalence of CS births were 13.7% (95% CI; 13.0- 14.3%) and 37.9% (95% CI; 36.7- 39.0%) in the public and private sectors, respectively. Higher odds of CS births were observed with- delivery at private health facility (OR 3.79; 95% C.I 3.06-4.72), urban residence (OR 1.15; 95% C.I 1.00- 1.35), first delivery after 35 years of maternal age (OR 5.5; 95% C.I 1.85- 16.4), hypertension in pregnancy (OR 1.32; 95% C.I 1.06- 1.65) and breach presentation (OR 2.37; 95% C.I. 1.63- 3.43). Our findings shows that CS births are nearly three times more in private as compared to public sector health facilities.The higher rates of CS births, especially in private sector, not only increase the cost of care but may pose unnecessary risks to women (when there is no indications for CS). The government of India need to take measures to strengthen existing public health facilities as well as ensure that cesarean sections are performed based upon medical indications in both public and private

The potential of the Code for Sustainable Homes to deliver genuine 'sustainable energy' in the UK social housing sector

International Nuclear Information System (INIS)

McManus, A.; Gaterell, M.R.; Coates, L.E.

2010-01-01

Environmental concern in light of anthropogenic climate change will impact the housing sector as one of the major energy-consuming and carbon dioxide producing sectors. For new housing, currently the most important policy to combat this issue is the Code for Sustainable Homes. The social housing sector is under obligation to comply with these standards, which entails a significant increase in the cost of housing delivery. The sector is also under pressure to increase much-needed housebuilding, without increased funding being available. The quandary facing the sector is how to achieve both aims. Therefore any policy, such as the Code, which impacts on the ability of the sector to deliver unit numbers must be truly effective at delivering its own main aim. This paper explores the current situation, with a preliminary analysis of how the Code may not be able to deliver its 'sustainable energy' goals due to the ways in which 'low and zero carbon technologies' are assessed and how they behave in real world situations. It demonstrates that further research and policy changes are needed to deliver sustainable energy for this sector and ensure the delivery of crucial new housing is not hampered whilst also failing to meet energy goals.

Delivery of agricultural technology to resource-poor farmers in Africa.

Science.gov (United States)

Mignouna, Hodeba D; Abang, Mathew M; Omanya, Gospel; Nang'ayo, Francis; Bokanga, Mpoko; Boadi, Richard; Muchiri, Nancy; Terry, Eugene

2008-01-01

Recent developments in agricultural science and technology have the potential to transform the agricultural sector in the developing world. These technological advances constitute key drivers of economic growth and hold great promise for poverty reduction in sub-Saharan Africa (SSA). Agricultural research and development in Africa is undergoing a major paradigm shift. Until recently, public-sector institutions in Africa worked in isolation to create and disseminate agricultural technologies to smallholder farmers. However, they need access to improved proprietary technologies developed for the most part by the private sector in developed countries. These technologies are currently concentrated in the hands of a few large corporations and are protected by intellectual property rights. The African Agricultural Technology Foundation (AATF) is a new initiative addressing the challenges associated with the access, development, and deployment of agricultural technologies to smallholder farmers in SSA. This article describes the AATF model of facilitating the creation of partnership alliances dedicated to promote and support collaboration among a wide variety of public- and private-sector organizations around shared agricultural research and development goals for the public good. It explains AATF's public-private partnership framework for technology delivery in the light of market failures, institutional constraints, and systemic weaknesses, which impede public-sector organizations from accessing and delivering pro-poor knowledge and technology to farmers. The article provides policy makers, research managers, and business decision makers with an understanding of how access to, and delivery of, proprietary technologies could contribute to food security and the improvement of farmers' livelihoods in Africa.

Theoretical and computational analysis of IFR beam transport on curved channels

International Nuclear Information System (INIS)

Rienstra, W.W.

1987-01-01

With the successful demonstration at Sandia National Laboratory and at Lawrence Livermore Laboratory of ion focused regime (IFR) electron beam guiding in accelerators there has developed interest in using IFR channels to steer beams along curved paths. The authors report the calculations of the expected emittance growth from such channels and the results of the TRACKER code simulations of IFR steering with the assistance of strong focus sector magnets

The change in capacity and service delivery at public and private hospitals in Turkey: a closer look at regional differences.

Science.gov (United States)

Aksan, Hediye A D; Ergin, Işıl; Ocek, Zeliha

2010-11-01

Substantial regional health inequalities have been shown to exist in Turkey for major health indicators. Turkish data on hospitals deserves a closer examination with a special emphasis on the regional differences in the context of the rapid privatization of the secondary or tertiary level health services.This study aims to evaluate the change in capacity and service delivery at public and private hospitals in Turkey between 2001-2006 and to determine the regional differences. Data for this retrospective study was provided from Statistical Almanacs of Inpatient Services (2001-2006). Hospitals in each of the 81 provinces were grouped into two categories: public and private. Provinces were grouped into six regions according to a development index composed by the State Planning Organisation. The number of facilities, hospital beds, outpatient admissions, inpatient admissions (per 100 000), number of deliveries and surgical operations (per 10 000) were calculated for public and private hospitals in each province and region. Regional comparisons were based on calculation of ratios for Region 1(R1) to Region 6(R6). Public facilities had a fundamental role in service delivery. However, private sector grew rapidly in Turkey between 2001-2006 in capacity and service delivery. In public sector, there were 2.3 fold increase in the number of beds in R1 to R6 in 2001. This ratio was 69.9 fold for private sector. The substantial regional inequalities in public and private sector decreased for the private sector enormously while a little decrease was observed for the public sector. In 2001 in R1, big surgical operations were performed six times more than R6 at the public sector whereas the difference was 117.7 fold for the same operations in the same regions for the private sector. These ratios decreased to 3.6 for the public sector and 13.9 for the private sector in 2006. The private health sector has grown enormously between 2001-2006 in Turkey including the less developed

The change in capacity and service delivery at public and private hospitals in Turkey: A closer look at regional differences

Directory of Open Access Journals (Sweden)

Ergin Işıl

2010-11-01

Full Text Available Abstract Background Substantial regional health inequalities have been shown to exist in Turkey for major health indicators. Turkish data on hospitals deserves a closer examination with a special emphasis on the regional differences in the context of the rapid privatization of the secondary or tertiary level health services. This study aims to evaluate the change in capacity and service delivery at public and private hospitals in Turkey between 2001-2006 and to determine the regional differences. Methods Data for this retrospective study was provided from Statistical Almanacs of Inpatient Services (2001-2006. Hospitals in each of the 81 provinces were grouped into two categories: public and private. Provinces were grouped into six regions according to a development index composed by the State Planning Organisation. The number of facilities, hospital beds, outpatient admissions, inpatient admissions (per 100 000, number of deliveries and surgical operations (per 10 000 were calculated for public and private hospitals in each province and region. Regional comparisons were based on calculation of ratios for Region 1(R1 to Region 6(R6. Results Public facilities had a fundamental role in service delivery. However, private sector grew rapidly in Turkey between 2001-2006 in capacity and service delivery. In public sector, there were 2.3 fold increase in the number of beds in R1 to R6 in 2001. This ratio was 69.9 fold for private sector. The substantial regional inequalities in public and private sector decreased for the private sector enormously while a little decrease was observed for the public sector. In 2001 in R1, big surgical operations were performed six times more than R6 at the public sector whereas the difference was 117.7 fold for the same operations in the same regions for the private sector. These ratios decreased to 3.6 for the public sector and 13.9 for the private sector in 2006. Conclusions The private health sector has grown

The separated-sector cyclotron

International Nuclear Information System (INIS)

1988-01-01

The injection system of the SSC, consisting of two bending magnets (BM1 and BM2) and a magnetic inflection channel (MIC) in the pole tip of one sector magnet, has been operating without failure since installation. Beam injection efficiency of 100% is achieved with ease. The extraction system performs well. The first extraction element, the electrostatic extraction channel (EEC), located in the second half of the injection valley vacuum chamber, lost a few of its foils of the septum, presumably from interception of a beam of high intensity. This does not interfere with the proper functioning of the channel. The 5 Mω damping resistor located between high-voltage power supply and the EEC had to be repaired twice during the past year. A slight modification to the design should prevent recurrence of this problem. Although the second extraction element, i.e. the first septum magnet SPM1, has been functioning satisfactorily, its driving mechanism had to be repaired during a scheduled shut-down. The final extraction element, i.e. the second septum magnet SPM2 is functioning well, but a water leak on the inner liner (collimator) made it necessary to remove SPM2 for repairs. A slightly modified driving system has been fitted to this magnet as the previous system occasionally failed to function properly due to unexpectedly high forces

Nanotechnologies associated to floral resources in agri-food sector

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Ahmad S Ammar

2018-01-01

Full Text Available Nanotechnology advent in agri-food sector is set to prompt next revolution in agricultural engineering. However, there is a perpetually rising need for development of new nanotechnologies that could synchronically work with various agrochemicals such as fertilizers, pesticides, herbicides, and growth promoters to potentially increase farmlands efficiency, preserve agro-ecosystems, and diminish the negative health risks imposed by conventional practices. In nanotechnology, smart delivery systems that utilize either nanoscale carriers such as clay nanotubes and carbon nanotubes or nanoparticles such as mesoporous silica nanoparticles and silver nanoparticles, could enable not only the accurate and targeted delivery of functional ingredients but also their impartial dissemination over farmlands. Nanotechnology has found applications for bioremediation of irrigation water and agricultural runoff, crop breeding, agronomic traits via genetic manipulation of genomes at molecular level, and detection of minute quantities of contaminants and stressors as well as early detection of plant diseases and continuous monitoring of plant environment through employment of nano-biosensors. Scientists are diligently working to explore new substitutes for conventional technologies. Advancements in nanotechnology could help them to explore new frontiers and find novel applications in agri-food sector.

Co-operative bidding of SMEs in health care sector.

Science.gov (United States)

Mezgár, István; Kovács, György; Bonfatti, Fabio

2002-01-01

Tendering become an important process for customers in the health care sector to select products and services from the market for the lowest price, with the highest quality and with the shortest delivery time. The number of SMEs (Small and Medium-sized Enterprises) delivering products or services for the health care sector is increasing, but they have usually limited capital and expertise to participate in tenders. The paper introduces a possible solution for this problem, when SMEs form special groups, so called Smart Bidding Organisations (SBO), to prepare a bid for the tender jointly. The SBO appears for the customer (tender issuer) as a single enterprise and the bidding procedure will be faster and less expensive in this way.

Malaria treatment in the retail sector: Knowledge and practices of drug sellers in rural Tanzania

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Makemba Ahmed M

2008-05-01

Full Text Available Abstract Background Throughout Africa, the private retail sector has been recognised as an important source of antimalarial treatment, complementing formal health services. However, the quality of advice and treatment at private outlets is a widespread concern, especially with the introduction of artemisinin-based combination therapies (ACTs. As a result, ACTs are often deployed exclusively through public health facilities, potentially leading to poorer access among parts of the population. This research aimed at assessing the performance of the retail sector in rural Tanzania. Such information is urgently required to improve and broaden delivery channels for life-saving drugs. Methods During a comprehensive shop census in the districts of Kilombero and Ulanga, Tanzania, we interviewed 489 shopkeepers about their knowledge of malaria and malaria treatment. A complementary mystery shoppers study was conducted in 118 retail outlets in order to assess the vendors' drug selling practices. Both studies included drug stores as well as general shops. Results Shopkeepers in drug stores were able to name more malaria symptoms and were more knowledgeable about malaria treatment than their peers in general shops. In drug stores, 52% mentioned the correct child-dosage of sulphadoxine-pyrimethamine (SP compared to only 3% in general shops. In drug stores, mystery shoppers were more likely to receive an appropriate treatment (OR = 9.6, but at an approximately seven times higher price. Overall, adults were more often sold an antimalarial than children (OR = 11.3. On the other hand, general shopkeepers were often ready to refer especially children to a higher level if they felt unable to manage the case. Conclusion The quality of malaria case-management in the retail sector is not satisfactory. Drug stores should be supported and empowered to provide correct malaria-treatment with drugs they are allowed to dispense. At the same time, the role of general shops

Analysing knowledge transfer channels between universities and industry : to what degree do sectors also matter?

NARCIS (Netherlands)

Bekkers, R.N.A.; Bodas de Araújo Freitas, I.M.

2008-01-01

There is a wide variety of channels through which knowledge and technology is being transferred between universities and industry. This paper aims to explain the relative importance of these different channels in different contexts. For this purpose, responses from two questionnaires were analysed,

Nanotechnology in food processing sector-An assessment of emerging trends.

Science.gov (United States)

Kalpana Sastry, R; Anshul, Shrivastava; Rao, N H

2013-10-01

Use of nanoscience based technology in the food industry is fast emerging as new area for research and development. Several research groups including private companies in the industry have initiated research programmes for exploring the wide scope of nanotechnology into the value chain of food processing and manufacturing. This paper discusses the current focus of research in this area and assesses its potential impacts. Using the developed relational database framework with R&D indicators like literature and patent documents for assessment of the potential of nanotechnology in food sector, a model to organize and map nanoresearch areas to the food processing sector was developed. The study indicates that the about five basic categories of nanotechnology applications and functionalities currently in the development of food sector, include food processing, packaging, nutraceuticals delivery, food safety and functional foods.

Inflation and financial sector correlation: the case of Bangladesh

OpenAIRE

Abu N. M., Wahid; Muhammad, Shahbaz; Pervez, Azeem

2011-01-01

This paper examines the impact of inflation on financial development in case of Bangladesh for the period of 1985-2005. In doing so, ARDL bounds testing approach and Error Correction Method (ECM) have been employed. Empirical findings reveal that high trends of inflation impede the performance of financial markets. GDP per capita promotes development of financial sector through its causal channels.

Tourism and information technologies distribution channels: a panorama of the brazilian reality

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Elisete Santos da Silva Zagheni

2011-05-01

Full Text Available Technological evolution has made it possible that the same service may be delivered by means of multiple channels, including in the tourism sector.  The present study proposes to present a bibliographic summary of the distribution channels in tourism and the impact of information technologies (IT in these channels.  Based on exploratory research, 24 scientific papers were analyzed with the intention of identifying a research structure concerning the channels of Brazilian tourism and IT.  We observed that in Brazil, there is a lack of work concerning distribution channels in tourism, highlighting the management of these channels under the view of supply chains.  Beyond this, these papers concentrate on two elements of the channels: means of lodging and hospitality, and travel agencies.  These elements have used direct channels based on IT in order to support service activities and the commercialization of the tourist product.

Las Microfinanzas como Instrumento de Apoyo al Sector Microempresarial en Chile: Estado y Desafíos

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Paulina Sanhueza

2013-05-01

Full Text Available The paper analyzes the microfinance sector in Chile: its origins, evolution and actual condition. The results showthat microfinance is a relatively new activity in the country whichinvolves both, Profit and Non Profit Organitations, all of them supported by the public sector. The microfinance activity is mainly characterized for the delivery of microcredits for microenterpreuners, in a context where it does not exist a specific regulation for the sector. In adittion, it is possible to see that there arenot many studies that showthe impacts that microfinance programs have on microenterpreuners.

Sectoral Innovation Watch electrical and Optical Equipment Sector. Final sector report

NARCIS (Netherlands)

Broek, T. van den; Giessen, A.M. van der

2011-01-01

The electrical and optical equipment sector is a high-tech manufacturing sector. It is one of the most innovative sectors in Europe with investments and advances in fundamental research, applied R&D and innovation in the actual use of equipment. This sector is also one of the most global sectors

Managerial competencies of hospital managers in South Africa: a survey of managers in the public and private sectors

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Pillay Rubin

2008-02-01

Full Text Available Abstract Background South Africa has large public and private sectors and there is a common perception that public sector hospitals are inefficient and ineffective while the privately owned and managed hospitals provide superior care and are more sustainable. The underlying assumption is that there is a potential gap in management capacity between the two sectors. This study aims to ascertain the skills and competency levels of hospital managers in South Africa and to determine whether there are any significant differences in competency levels between managers in the different sectors. Methods A survey using a self administered questionnaire was conducted among hospital managers in South Africa. Respondents were asked to rate their proficiency with seven key functions that they perform. These included delivery of health care, planning, organizing, leading, controlling, legal and ethical, and self-management. Ratings were based on a five point Likert scale ranging from very low skill level to very high skill level. Results The results show that managers in the private sector perceived themselves to be significantly more competent than their public sector colleagues in most of the management facets. Public sector managers were also more likely than their private sector colleagues to report that they required further development and training. Conclusion The findings confirm our supposition that there is a lack of management capacity within the public sector in South Africa and that there is a significant gap between private and public sectors. It provides evidence that there is a great need for further development of managers, especially those in the public sector. The onus is therefore on administrators and those responsible for management education and training to identify managers in need of development and to make available training that is contextually relevant in terms of design and delivery.

Tracing pathways from antenatal to delivery care for women in Mumbai, India: cross-sectional study of maternity in low-income areas

Science.gov (United States)

More, Neena Shah; Alcock, Glyn; Bapat, Ujwala; Das, Sushmita; Joshi, Wasundhara; Osrin, David

2009-01-01

Summary In many cities, healthcare is available through a complex mix of private and public providers. The line between the formal and informal sectors may be blurred and movement between them uncharted. We quantified the use of private and public providers of maternity care in low-income areas of Mumbai, India. We identified births among a population of about 300 000 in 48 vulnerable slum areas and interviewed women at 6 weeks after delivery. For 10,754 births in 2005–7, levels of antenatal care (93%) and institutional delivery (90%) were high. Antenatal care was split 50:50 between public and private providers, and institutional deliveries 60:40 in favour of the public sector. Women generally stayed within the sector and institution in which care began. Home births were common if women did not register in advance. The findings were at least superficially reassuring, and there was less movement than expected between sectors and health institutions. In the short term, we suggest an emphasis on birth preparedness for pregnant women and their families, and an effort to rationalize the process of referral between institutions. In the longer term, service improvement needs to acknowledge the private-public mix and work towards practicable regulation of quality in both sectors. PMID:20119484

Consumers satisfaction in the energy sector in Kenya

International Nuclear Information System (INIS)

Mutua, John; Ngui, Dianah; Osiolo, Helen; Aligula, Eric; Gachanja, James

2012-01-01

This paper analyzes consumer satisfaction in the energy sector in Kenya to assess the quality and level of service delivery. By use of the European Consumer Satisfaction Index (ECSI), the paper estimates consumer satisfaction in biomass, petroleum, electricity and renewable energy subsectors. The findings are that consumer satisfaction is highest in the renewable energy sub sector at 74.7% followed by petroleum at 62.8%. The electricity sub sector has the lowest consumer satisfaction of 53.06%. Further, it is found that the image of renewable energy providers is also the highest at 72.5% followed by that of petroleum companies at 63.1%. In the electricity sub sector, perceived value scored the highest at 64.2%. The paper concludes that image of a service provider, loyalty of consumers, consumer expectations, perceived value, perceived quality and the way complains are handled are very important factors that determine consumer satisfaction levels. It is recommended that for monitoring and evaluation purposes in the performance of the energy sector, the Energy RegulatoryCommission(ERC) could use the consumer satisfaction index level to evaluate whether the regulatory policies and their implementation are bearing fruit where a high index would be associated with good performance and vice versa. - Highlights: ► The paper estimates consumer satisfaction in biomass, petroleum, electricity and renewable energy subsectors. ► Consumer satisfaction is highest in the renewable energy sub sector at 74.7%. ► The electricity sub sector has the lowest consumer satisfaction of 53.06%. ► Image of renewable energy providers is also the highest at 72.5%. ► Factors explaining consumer satisfaction are; Image, consumers’ loyalty, expectations, perceived value, and perceived quality.

Women's preferences and mode of delivery in public and private hospitals: a prospective cohort study.

Science.gov (United States)

Mazzoni, Agustina; Althabe, Fernando; Gutierrez, Laura; Gibbons, Luz; Liu, Nancy H; Bonotti, Ana María; Izbizky, Gustavo H; Ferrary, Marta; Viergue, Nora; Vigil, Silvia I; Zalazar Denett, Gabriela; Belizán, José M

2016-02-08

Rates of caesarean section have steadily increased in most middle- and high-income countries over the last few decades without medical justification. Maternal request is one of the frequently cited non-medical factors contributing to this trend. The objectives of this study were to assess pregnant women's preferences regarding mode of delivery and to compare actual caesarean section rates in the public and private sectors. A prospective cohort study was conducted in two public and three private hospitals in Buenos Aires, Argentina. 382 nulliparous pregnant women (183 from the private sector and 199 from the public sector) aged 18 to 35 years, with single pregnancies over 32 weeks of gestational age were enrolled during antenatal care visits between October 2010 and September 2011. We excluded women with pregnancies resulting from assisted fertility, women with known pre-existing major diseases or, with pregnancy complications, or with a medical indication of elective cesarean section. We used two different approaches to assess women's preferences: a survey using a tailored questionnaire, and a discrete choice experiment. Only 8 and 6% of the healthy nulliparous women in the public and private sectors, respectively, expressed a preference for caesarean section. Fear of pain and safety were the most frequently expressed reasons for preferring caesarean section. When reasons for delivery mode were assessed by a discrete choice experiment, women placed the most emphasis on sex after childbirth. Of women who expressed their preference for vaginal delivery, 34 and 40% ended their pregnancies by caesarean section in public and private hospitals, respectively. The preference for caesarean section is low among healthy nulliparous women in Buenos Aires. The reasons why these women had a rate of more than 35% caesarean sections are unlikely related to their preferences for mode of delivery.

The Technique to Prevent the Data Leakage using Covert Channels

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Anna Vasilievna Arkhangelskaya

2013-12-01

Full Text Available The purpose of the article was to analyze technique to prevent information leakage using covert channels. The main steps are as follows: involving covert channels identification, data throughput estimation, its elimination or limitation, audit and detection. Three schemes of identification had been analyzed: shared resources methodology, covert flow tree method, message sequence diagram method. Ways of guarantee information delivery from systems with low security level to systems with high security level have been investigated.

MINI-SLAR delivery system

International Nuclear Information System (INIS)

Alstein, D.

1996-01-01

In the Spring of 1993, a need to complete Spacer Location and Repositioning (SLAR) on the Bruce 'A', Unit 1 Reactor was identified. An alternate SLAR delivery system was required due to conversion constraints that prevented the existing Bruce SLAR System from being used in Unit 1. A Portable SLAR Delivery System called MINI-SLAR Delivery System was developed, designed and fabricated in a 14 month period, then used to successfully SLAR 109 channels. The system is a portable remotely operated Nuclear Class 1 registered fitting that is independent of the Fuelling Machine, allowing the station to continue normal Fuelling and Maintenance activities. It is designed to a Level 'D' faulted condition of HPECI Pressure thus minimizing PHT Heat Sink configuration requirements and minimizing outage set-up times. The system is based on a modular design allowing for easy fabrication, assembly and repair. It consists of a Snout Assembly, a Closure Plug Assembly, Shield Plug Assembly, SLAR Ram assembly, Work Table Assembly and Control Panel. Controls are through a Programmable Logic Controller with software tested and certified to a Software Quality Assurance of Level Ill. (author). 2 refs., 2 figs

MINI-SLAR delivery system

Energy Technology Data Exchange (ETDEWEB)

Alstein, D [Ontario Hydro, Tiverton, ON (Canada). Bruce Nuclear Generating Station-A; Dalton, K [Spectrum Engineering, Peterborough, ON (Canada)

1997-12-31

In the Spring of 1993, a need to complete Spacer Location and Repositioning (SLAR) on the Bruce `A`, Unit 1 Reactor was identified. An alternate SLAR delivery system was required due to conversion constraints that prevented the existing Bruce SLAR System from being used in Unit 1. A Portable SLAR Delivery System called MINI-SLAR Delivery System was developed, designed and fabricated in a 14 month period, then used to successfully SLAR 109 channels. The system is a portable remotely operated Nuclear Class 1 registered fitting that is independent of the Fuelling Machine, allowing the station to continue normal Fuelling and Maintenance activities. It is designed to a Level `D` faulted condition of HPECI Pressure thus minimizing PHT Heat Sink configuration requirements and minimizing outage set-up times. The system is based on a modular design allowing for easy fabrication, assembly and repair. It consists of a Snout Assembly, a Closure Plug Assembly, Shield Plug Assembly, SLAR Ram assembly, Work Table Assembly and Control Panel. Controls are through a Programmable Logic Controller with software tested and certified to a Software Quality Assurance of Level Ill. (author). 2 refs., 2 figs.

The Dilemma of Accountability and Good Governance for Improved Public Service Delivery in Nigeria

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Kehinde David Adejuwon

2012-12-01

Full Text Available The public sector in Nigeria is irrefutably beset with gross  incompetence and ineffective management. Perplexing difficulties endure in the Nigerian public sector in spite of a number of reform programmes that have been designed to enhance efficient and effective service delivery for almost two decades. The fact that public service has failed dismally to achieve its laudable objectives is the reason for the vote of no confidence passed on its administrators by majority of the Nigerian populace. The article examines the dilemma of accountability and good governance in Nigeria and demonstrates that the critical point in achieving meaningful developments in the country intrinsically lay with improved service delivery in the public sector. The basic reason why the public service has become the scorn of the people is because for too long, both the government and public servants have paid lip service to the crucial issue of effective and efficient service delivery. The article argues that improved service delivery will improve both the performance and the image of public service and re-awaken the citizens’ interest and trust in them to do business with public servants. It suggests that  in order to bring sanity back to the Nigerian Public Service,  all unprofessional tendencies such as ethnicity bias and nepotism in appointments and promotions, lack of security of tenure of office, and appointment of non-career public servants into key positions in the public service must stop. Also,  effective service delivery must be tailored to the circumstances of Nigeria. The study made use of secondary data obtained from various sources. It therefore concludes that without a reawakening of the culture of accountability and transparency lost over the years, the trusting relationship needed to forge between the government and the governed for the actualization of good governance will not materialize.

Inflation and Financial Sector Correlation: The Case of Bangladesh

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Abu N.M. Wahid

2011-01-01

Full Text Available This paper examines the impact of inflation on financial development in case of Bangladesh for the period of 1985-2005. In doing so, ARDL bounds testing approach and Error Correction Method (ECM have been employed. Empirical findings reveal that high trends of inflation impede the performance of financial markets. GDP per capita promotes development of financial sector through its causal channels.

WLAN Technologies for Audio Delivery

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Nicolas-Alexander Tatlas

2007-01-01

Full Text Available Audio delivery and reproduction for home or professional applications may greatly benefit from the adoption of digital wireless local area network (WLAN technologies. The most challenging aspect of such integration relates the synchronized and robust real-time streaming of multiple audio channels to multipoint receivers, for example, wireless active speakers. Here, it is shown that current WLAN solutions are susceptible to transmission errors. A detailed study of the IEEE802.11e protocol (currently under ratification is also presented and all relevant distortions are assessed via an analytical and experimental methodology. A novel synchronization scheme is also introduced, allowing optimized playback for multiple receivers. The perceptual audio performance is assessed for both stereo and 5-channel applications based on either PCM or compressed audio signals.

The Medicaid School Program: An Effective Public School and Private Sector Partnership

Science.gov (United States)

Mallett, Christopher A.

2013-01-01

Privatized service delivery within Medicaid has greatly increased over the past two decades. This public program-private sector collaboration is quite common today, with a majority of Medicaid recipients receiving services in this fashion; yet controversy remains. This article focuses on just one program within Medicaid, school-based services for…

Effect of Skeletal Muscle Na+ Channel Delivered Via a Cell Platform on Cardiac Conduction and Arrhythmia Induction

NARCIS (Netherlands)

Boink, Gerard J. J.; Lu, Jia; Driessen, Helen E.; Duan, Lian; Sosunov, Eugene A.; Anyukhovsky, Evgeny P.; Shlapakova, Iryna N.; Lau, David H.; Rosen, Tove S.; Danilo, Peter; Jia, Zhiheng; Ozgen, Nazira; Bobkov, Yevgeniy; Guo, Yuanjian; Brink, Peter R.; Kryukova, Yelena; Robinson, Richard B.; Entcheva, Emilia; Cohen, Ira S.; Rosen, Michael R.

2012-01-01

Background-In depolarized myocardial infarct epicardial border zones, the cardiac sodium channel is largely inactivated, contributing to slow conduction and reentry. We have demonstrated that adenoviral delivery of the skeletal muscle Na+ channel (SkM1) to epicardial border zones normalizes

From intervention to impact: modelling the potential mortality impact achievable by different long-lasting, insecticide-treated net delivery strategies

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Okell Lucy C

2012-09-01

Full Text Available Abstract Background The current target of universal access to long-lasting, insecticide-treated nets (LLIN is 80% coverage to reduce malaria deaths by 75% by 2015. So far, campaigns have been the main channel for large-scale delivery of LLINs, however the World Health Organization has recommended that equal priority should be given to delivery via routine antenatal care (ANC and immunization systems (EPI to target pregnant women and children from birth. These various channels of LLIN delivery are targeted to children of different ages. Since risk of mortality varies with child age and LLIN effectiveness declines with net age, it was hypothesized that the age at which a child receives a new LLIN, and therefore the delivery channel, is important in optimizing the health impact of a net. Methods A simple dynamic mathematical model was developed of delivery and impact of LLINs among children under five years of age and their household members, incorporating data on age-specific malaria death rates, net use by household structure, and net efficacy over time. Results The presented analysis finds that supplementing a universal mass campaign with extra ANC delivery would achieve a 1.4 times higher mortality reduction than campaign delivery alone, reflecting that children born in the years between campaigns would otherwise have access to old nets or no nets at an age of high risk. The relative advantage of supplementary ANC delivery is still present though smaller if malaria transmission levels are lower or if there is a strong mass effect achieved by mass campaigns. Conclusion These results indicate that LLIN delivery policies must take into account the age of greatest malaria risk. Emphasis should be placed on supporting routine delivery of LLINs to young children as well as campaigns.

Fiscal Decentralization and Delivery of Public Services: Evidence from Education Sector in Pakistan

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Rauf Abdur

2017-04-01

Full Text Available Fiscal Decentralization is the devolution of fiscal assignments to lower governments for high growth and better delivery of public services. The current study covering the period from 1972 to 2009 is an attempt to find out the impacts of fiscal decentralization on public services deliveries in Pakistan. Public services are proxy by Gross enrollment at primary school level while fiscal decentralization by fiscal transfer and expenditure sides of devolution. Using time series data, it is found that the individual impacts of fiscal transfer are although insignificant but still support the theoretical proposition regarding fiscal decentralization and public services relationship while delegation of expenditure responsibilities helps in improving the gross enrollment at primary school level. Furthermore the study evident that complete delegation of fiscal responsibilities to lower governments enhance enrollment ratio in Pakistan.

Effects of Higgs sector CP violation in top-quark pair production at the LHC

CERN Document Server

Bernreuther, W; Flesch, M

1998-01-01

A striking manifestation of CP violation in the electroweak symmetry breaking sector would be the existence of neutral Higgs boson(s) with undefined CP parity. We analyse signatures of such a boson, with a mass of about 300 GeV or larger, produced in high energy proton-proton collisions at LHC energies in its top-quark antitop-quark decay channel. The large irreducible $t\\bar t$ background is taken into account. We propose, both for the dilepton and the lepton + jets decay channels of $t\\bar t$, several correlations and asymmetries with which (Higgs sector) CP violation can be traced. We show that for judiciously chosen cuts on the $t\\bar t$ invariant mass these CP observables yield, for an LHC integrated luminosity of 100 $\\rm{fb}^{-1}$, statistically significant signals for a range of Higgs boson masses and Yukawa couplings.

Cationic Polymers Inhibit the Conductance of Lysenin Channels

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Daniel Fologea

2013-01-01

Full Text Available The pore-forming toxin lysenin self-assembles large and stable conductance channels in natural and artificial lipid membranes. The lysenin channels exhibit unique regulation capabilities, which open unexplored possibilities to control the transport of ions and molecules through artificial and natural lipid membranes. Our investigations demonstrate that the positively charged polymers polyethyleneimine and chitosan inhibit the conducting properties of lysenin channels inserted into planar lipid membranes. The preservation of the inhibitory effect following addition of charged polymers on either side of the supporting membrane suggests the presence of multiple binding sites within the channel's structure and a multistep inhibition mechanism that involves binding and trapping. Complete blockage of the binding sites with divalent cations prevents further inhibition in conductance induced by the addition of cationic polymers and supports the hypothesis that the binding sites are identical for both multivalent metal cations and charged polymers. The investigation at the single-channel level has shown distinct complete blockages of each of the inserted channels. These findings reveal key structural characteristics which may provide insight into lysenin’s functionality while opening innovative approaches for the development of applications such as transient cell permeabilization and advanced drug delivery systems.

Scaling up delivery of contraceptive implants in sub-Saharan Africa: operational experiences of Marie Stopes International.

Science.gov (United States)

Duvall, Susan; Thurston, Sarah; Weinberger, Michelle; Nuccio, Olivia; Fuchs-Montgomery, Nomi

2014-02-01

Contraceptive implants offer promising opportunities for addressing the high and growing unmet need for modern contraceptives in sub-Saharan Africa. Marie Stopes International (MSI) offers implants as one of many family planning options. Between 2008 and 2012, MSI scaled up voluntary access to implants in 15 sub-Saharan African countries, from 80,041 implants in 2008 to 754,329 implants in 2012. This 9-fold increase amounted to more than 1.7 million implants delivered cumulatively over the 5-year period. High levels of client satisfaction were attained alongside service provision scale up by using existing MSI service delivery channels-mobile outreach, social franchising, and clinics-to implement strategies that broadened access for underserved clients and maintained service quality. Use of adaptive and context-specific service delivery models and attention to key operational components, including sufficient numbers of trained providers, strong supply chains, diverse financing mechanisms, and implant removal services, underpinned our service delivery efforts. Accounting for 70% of the implants delivered by MSI in 2012, mobile outreach services through dedicated MSI provider teams played a central role in scale-up efforts, fueled in part by the provision of free or heavily subsidized services. Social franchising also demonstrated promise for future program growth, along with MSI clinics. Continued high growth in implant provision between 2011 and 2012 in all sub-Saharan African countries indicates the region's capacity for further service delivery expansion. Meeting the expected rising demand for implants and ensuring long-term sustainable access to the method, as part of a comprehensive method mix, will require continued use of appropriate service delivery models, effective operations, and ongoing collaboration between the private, public, and nongovernmental sectors. MSI's experience can be instructive for future efforts to ensure contraceptive access and choice

Private sector delivery of health services in developing countries: a mixed-methods study on quality assurance in social franchises

Science.gov (United States)

2013-01-01

Background Across the developing world health care services are most often delivered in the private sector and social franchising has emerged, over the past decade, as an increasingly popular method of private sector health care delivery. Social franchising aims to strengthen business practices through economies of scale: branding clinics and purchasing drugs in bulk at wholesale prices. While quality is one of the established goals of social franchising, there is no published documentation of how quality levels might be set in the context of franchised private providers, nor what quality assurance measures can or should exist within social franchises. The aim of this study was to better understand the quality assurance systems currently utilized in social franchises, and to determine if there are shared standards for practice or quality outcomes that exist across programs. Methods The study included three data sources and levels of investigation: 1) Self-reported program data; 2) Scoping telephone interviews; and 3) In-depth field interviews and clinic visits. Results Social Franchises conceive of quality assurance not as an independent activity, but rather as a goal that is incorporated into all areas of franchise operations, including recruitment, training, monitoring of provider performance, monitoring of client experience and the provision of feedback. Conclusions These findings are the first evidence to support the 2002 conceptual model of social franchising which proposed that the assurance of quality was one of the three core goals of all social franchises. However, while quality is important to franchise programs, quality assurance systems overall are not reflective of the evidence to-date on quality measurement or quality improvement best practices. Future research in this area is needed to better understand the details of quality assurance systems as applied in social franchise programs, the process by which quality assurance becomes a part of the

Private sector delivery of health services in developing countries: a mixed-methods study on quality assurance in social franchises.

Science.gov (United States)

Schlein, Karen; De La Cruz, Anna York; Gopalakrishnan, Tisha; Montagu, Dominic

2013-01-03

Across the developing world health care services are most often delivered in the private sector and social franchising has emerged, over the past decade, as an increasingly popular method of private sector health care delivery. Social franchising aims to strengthen business practices through economies of scale: branding clinics and purchasing drugs in bulk at wholesale prices. While quality is one of the established goals of social franchising, there is no published documentation of how quality levels might be set in the context of franchised private providers, nor what quality assurance measures can or should exist within social franchises. The aim of this study was to better understand the quality assurance systems currently utilized in social franchises, and to determine if there are shared standards for practice or quality outcomes that exist across programs. The study included three data sources and levels of investigation: 1) Self-reported program data; 2) Scoping telephone interviews; and 3) In-depth field interviews and clinic visits. Social Franchises conceive of quality assurance not as an independent activity, but rather as a goal that is incorporated into all areas of franchise operations, including recruitment, training, monitoring of provider performance, monitoring of client experience and the provision of feedback. These findings are the first evidence to support the 2002 conceptual model of social franchising which proposed that the assurance of quality was one of the three core goals of all social franchises. However, while quality is important to franchise programs, quality assurance systems overall are not reflective of the evidence to-date on quality measurement or quality improvement best practices. Future research in this area is needed to better understand the details of quality assurance systems as applied in social franchise programs, the process by which quality assurance becomes a part of the organizational culture, and the components of

Private sector delivery of health services in developing countries: a mixed-methods study on quality assurance in social franchises

Directory of Open Access Journals (Sweden)

Schlein Karen

2013-01-01

Full Text Available Abstract Background Across the developing world health care services are most often delivered in the private sector and social franchising has emerged, over the past decade, as an increasingly popular method of private sector health care delivery. Social franchising aims to strengthen business practices through economies of scale: branding clinics and purchasing drugs in bulk at wholesale prices. While quality is one of the established goals of social franchising, there is no published documentation of how quality levels might be set in the context of franchised private providers, nor what quality assurance measures can or should exist within social franchises. The aim of this study was to better understand the quality assurance systems currently utilized in social franchises, and to determine if there are shared standards for practice or quality outcomes that exist across programs. Methods The study included three data sources and levels of investigation: 1 Self-reported program data; 2 Scoping telephone interviews; and 3 In-depth field interviews and clinic visits. Results Social Franchises conceive of quality assurance not as an independent activity, but rather as a goal that is incorporated into all areas of franchise operations, including recruitment, training, monitoring of provider performance, monitoring of client experience and the provision of feedback. Conclusions These findings are the first evidence to support the 2002 conceptual model of social franchising which proposed that the assurance of quality was one of the three core goals of all social franchises. However, while quality is important to franchise programs, quality assurance systems overall are not reflective of the evidence to-date on quality measurement or quality improvement best practices. Future research in this area is needed to better understand the details of quality assurance systems as applied in social franchise programs, the process by which quality assurance

Modelo de aprendizaje para la selección de un proyecto diseño-construcción (llave en mano en el sector público A learning model for design-build project selection in the public sector

Directory of Open Access Journals (Sweden)

Alfonso Bastias

2010-04-01

Full Text Available El método primario de ejecución de proyectos en el sector público en los Estados Unidos (U.S., tradicionalmente ha sido la ejecución diseño-licitación-construcción. El sector público históricamente ha separado los contratos de diseño y construcción. En la década de los 90, el sector público norteamericano comenzó a experimentar con la ejecución de proyectos diseño-construcción (llave en mano, que combina el diseño y la construcción en un solo contrato. En 1997 se estableció un sistema de apoyo a la toma de decisiones, con el fin de entregar un modelo se selección formal para la ejecución de proyectos en el sector público. El modelo apoya a los propietarios del sector público a determinar cuáles son los proyectos adecuados para la ejecución diseño-construcción (llave en mano. Este modelo inicial por naturaleza era estático y estaba basado en un análisis de regresión de 104 proyectos. El análisis produjo un modelo predictivo con cinco criterios de rendimiento: satisfacción general, carga administrativa, cumplimiento de expectativas, variación del programa, y variación del presupuesto. Desde 1997, el número de proyectos diseño-construcción ha aumentado dramáticamente y los métodos diseño-construcción del sector público han evolucionado. El modelo original puede ser mejorado con nuevos datos y una estructura que se traduce en un modelo adaptativo, mientras la industria continúa evolucionando. Este documento presenta una aplicación formal y el uso de capacidades para complementar el modelo estático original. Este modelo se ajusta a parámetros y funciones a través del empleo de inteligencia artificial, como principal motor de conocimiento. Este enfoque puede ser adaptado a muchas aplicaciones de apoyo a la toma de decisiones en la industria del diseño y construcción.The primary method of public sector project delivery in the United States (U.S. has traditionally been design-bid-build delivery. The

Transurethral ultrasound applicators with dynamic multi-sector control for prostate thermal therapy: In vivo evaluation under MR guidance

International Nuclear Information System (INIS)

Kinsey, Adam M.; Diederich, Chris J.; Rieke, Viola; Nau, William H.; Pauly, Kim Butts; Bouley, Donna; Sommer, Graham

2008-01-01

The purpose of this study was to explore the feasibility and performance of a multi-sectored tubular array transurethral ultrasound applicator for prostate thermal therapy, with potential to provide dynamic angular and length control of heating under MR guidance without mechanical movement of the applicator. Test configurations were fabricated, incorporating a linear array of two multi-sectored tubular transducers (7.8-8.4 MHz, 3 mm OD, 6 mm length), with three 120 deg. independent active sectors per tube. A flexible delivery catheter facilitated water cooling (100 ml min -1 ) within an expandable urethral balloon (35 mm longx10 mm diameter). An integrated positioning hub allows for rotating and translating the transducer assembly within the urethral balloon for final targeting prior to therapy delivery. Rotational beam plots indicate ∼90 deg. - 100 deg. acoustic output patterns from each 120 deg. transducer sector, negligible coupling between sectors, and acoustic efficiencies between 41% and 53%. Experiments were performed within in vivo canine prostate (n=3), with real-time MR temperature monitoring in either the axial or coronal planes to facilitate control of the heating profiles and provide thermal dosimetry for performance assessment. Gross inspection of serial sections of treated prostate, exposed to TTC (triphenyl tetrazolium chloride) tissue viability stain, allowed for direct assessment of the extent of thermal coagulation. These devices created large contiguous thermal lesions (defined by 52 deg. C maximum temperature, t 43 =240 min thermal dose contours, and TTC tissue sections) that extended radially from the applicator toward the border of the prostate (∼15 mm) during a short power application (∼8-16 W per active sector, 8-15 min), with ∼200 deg. or 360 deg. sector coagulation demonstrated depending upon the activation scheme. Analysis of transient temperature profiles indicated progression of lethal temperature and thermal dose contours

Facilitators and Inhibitors of Supply Chain Innovation-prospects for Supply Chain Managment in the Irish Grocery Sector

OpenAIRE

Keegan, Joan; O'Callaghan, Edmund; Wilcox, Mary

2001-01-01

Supply chain management is one of the most significant strategic challenges currently facing the Irish grocery sector. The UK grocery market with its emphasis on composite deliveries via regional distribution centres is extremely sophisticated; the Irish grocery sector, however, is in the embryonic stage of implementing central distribution. The potential to develop innovative supply chain systems is mediated by both national logistic-related variables and company characteristics. In additio...

The Changing Political Undercurrents in Health Services Delivery in Sub-Saharan Africa.

Science.gov (United States)

Ichoku, H E; Ifelunini, A I

2017-07-01

This article reviews the changing political undercurrent in health service delivery in Sub-Saharan Africa, chronicling the ideological shift in orientation toward neoliberalism in the health sector, an ideology crafted and introduced into Sub-Saharan Africa by the International Monetary Fund and the World Bank. The article examines the implication of this neoliberal reform on the efficiency in health care provision and on the quality and accessibility of health services by the poor and vulnerable. Drawing inference from countries like Nigeria, the authors argue that the ascendency of neoliberalism in the health systems of Sub-Saharan Africa has engendered unethical practices and introduced elements of moral hazard in the health sector, reducing the incentive for governments to develop effective service delivery over the long term. The authors therefore advocate for a rejection of neoliberal ideology in favor of a universal coverage principle if an inclusive health system is to be developed.

Scaling-up public sector childhood diarrhea management program: Lessons from Indian states of Gujarat, Uttar Pradesh and Bihar.

Science.gov (United States)

Kumar, Sanjeev; Roy, Rajashree; Dutta, Sucharita

2015-12-01

Diarrhea remains a leading cause of death among children under five in India. Public health sector is an important source for diarrhea treatment with oral rehydration salts (ORS) and zinc. In 2010, Micronutrient Initiative started a project to improve service delivery for childhood diarrhea management through public health sector in Gujarat, Uttar Pradesh (UP) and Bihar. This paper aims to highlight feasible strategies, experiences and lessons learned from scaling-up zinc and ORS for childhood diarrhea management in the public sector in three Indian states. The project was implemented in six districts of Gujarat, 12 districts of UP and 15 districts of Bihar, which includes 10.5 million children. Program strategies included capacity building of health care providers, expanding service delivery through community health workers (CHWs), providing supportive supervision to CHWs, ensuring supplies and conducting monitoring and evaluation. The lessons described in this paper are based on program data, government documents and studies that were used to generate evidence and inform program scale-up. 140 000 health personnel, including CHWs, were trained in childhood diarrhea management. During three years, CHWs had sustained knowledge and have treated and reported more than three million children aged 2-59 months having diarrhea, of which 84% were treated with both zinc and ORS. The successful strategies were scaled-up. It is feasible and viable to introduce and scale-up zinc and ORS for childhood diarrhea treatment through public sector. Community-based service delivery, timely and adequate supplies, trained staff and pro-active engagement with government were essential for program success.

Gas allocation plans based on failures scenarios: PETROBRAS-Gas and Power Sector

Energy Technology Data Exchange (ETDEWEB)

Faertes, Denise; Vieira, Flavia; Saker, Leonardo; Heil, Luciana [PETROBRAS, Rio de Janeiro, RJ (Brazil); Galvao, Joao [DNV, Rio de Janeiro, RJ (Brazil)

2009-07-01

The purpose of this paper is to present gas allocation plans developed for PETROBRAS Gas and Power Sector, considering failure to supply scenarios that could occur along gas supply network. Those scenarios, as well as the associated contingency plans, were identified and validated by an experienced team, composed by engineers and operators from different PETROBRAS sectors. The key issue of concern was the anticipation of possible undesired scenarios that could imply on contract shortfalls, the evaluation of possible maneuvers, taking into account best gas delivery allocation. Different software were used for the simulation of best gas supply allocation and for the verification of delivery pressure and conditions for final consumers. The ability of being capable of dealing with undesired or crisis scenarios, based on suitable anticipation levels, is, nowadays, a highly valuable attribute to be presented by competitive corporations, for best crisis management and prompt recovery response. Those plans are being used by Gas and Power Gas Operation Control Centre and as an input for reliability modeling of gas supply chain. (author)

Adaptive guard channel allocation scheme with buffer for mobile ...

African Journals Online (AJOL)

The devastating effect congestion has on the quality of service delivery and overall network performance demands an utmost attention. This certainly calls for taking some expedient measures to deal with congestion so as to salvage the network from total collapse. In this paper, an adaptive guard channel allocation scheme ...

Private sector participation and health system performance in sub-saharan Africa.

Science.gov (United States)

Yoong, Joanne; Burger, Nicholas; Spreng, Connor; Sood, Neeraj

2010-10-07

The role of the private health sector in developing countries remains a much-debated and contentious issue. Critics argue that the high prices charged in the private sector limits the use of health care among the poorest, consequently reducing access and equity in the use of health care. Supporters argue that increased private sector participation might improve access and equity by bringing in much needed resources for health care and by allowing governments to increase focus on underserved populations. However, little empirical exists for or against either side of this debate. We examine the association between private sector participation and self-reported measures of utilization and equity in deliveries and treatment of childhood respiratory disease using regression analysis, across a sample of nationally-representative Demographic and Health Surveys from 34 SSA economies. We also examine the correlation between private sector participation and key background factors (socioeconomic development, business environment and governance) and use multivariate regression to control for potential confounders. Private sector participation is positively associated with greater overall access and reduced disparities between rich and poor as well as urban and rural populations. The positive association between private sector participation and improved health system performance is robust to controlling for confounders including per capita income and maternal education. Private sector participation is positively correlated with measures of socio-economic development and favorable business environment. Greater participation is associated with favorable intermediate outcomes in terms of access and equity. While these results do not establish a causal link between private sector participation and health system performance, they suggest that there is no deleterious link between private sector participation and health system performance in SSA.

Thermoelectricity in Heterogeneous Nanofluidic Channels.

Science.gov (United States)

Li, Long; Wang, Qinggong

2018-05-01

Ionic fluids are essential to energy conversion, water desalination, drug delivery, and lab-on-a-chip devices. Ionic transport in nanoscale confinements and complex physical fields still remain elusive. Here, a nanofluidic system is developed using nanochannels of heterogeneous surface properties to investigate transport properties of ions under different temperatures. Steady ionic currents are observed under symmetric temperature gradients, which is equivalent to generating electricity using waste heat (e.g., electronic chips and solar panels). The currents increase linearly with temperature gradient and nonlinearly with channel size. Contributions to ion motion from temperatures and channel properties are evaluated for this phenomenon. The findings provide insights into the study of confined ionic fluids in multiphysical fields, and suggest applications in thermal energy conversion, temperature sensors, and chip-level thermal management. © 2018 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

Fine sediment in pools: An index of how sediment is affecting a stream channel

Science.gov (United States)

Tom Lisle; Sue Hilton

1991-01-01

One of the basic issues facing managers of fisheries watersheds is how inputs of sediment affect stream channels. In some cases we can measure and even roughly predict effects of land use on erosion and delivery of sediment from hillslopes to streams. But we are at a loss about how a given increase in sediment load will affect channel morphology, flow conditions, and...

Data mining in pharma sector: benefits.

Science.gov (United States)

Ranjan, Jayanthi

2009-01-01

The amount of data getting generated in any sector at present is enormous. The information flow in the pharma industry is huge. Pharma firms are progressing into increased technology-enabled products and services. Data mining, which is knowledge discovery from large sets of data, helps pharma firms to discover patterns in improving the quality of drug discovery and delivery methods. The paper aims to present how data mining is useful in the pharma industry, how its techniques can yield good results in pharma sector, and to show how data mining can really enhance in making decisions using pharmaceutical data. This conceptual paper is written based on secondary study, research and observations from magazines, reports and notes. The author has listed the types of patterns that can be discovered using data mining in pharma data. The paper shows how data mining is useful in the pharma industry and how its techniques can yield good results in pharma sector. Although much work can be produced for discovering knowledge in pharma data using data mining, the paper is limited to conceptualizing the ideas and view points at this stage; future work may include applying data mining techniques to pharma data based on primary research using the available, famous significant data mining tools. Research papers and conceptual papers related to data mining in Pharma industry are rare; this is the motivation for the paper.

A proposed framework of big data readiness in public sectors

Science.gov (United States)

Ali, Raja Haslinda Raja Mohd; Mohamad, Rosli; Sudin, Suhizaz

2016-08-01

Growing interest over big data mainly linked to its great potential to unveil unforeseen pattern or profiles that support organisation's key business decisions. Following private sector moves to embrace big data, the government sector has now getting into the bandwagon. Big data has been considered as one of the potential tools to enhance service delivery of the public sector within its financial resources constraints. Malaysian government, particularly, has considered big data as one of the main national agenda. Regardless of government commitment to promote big data amongst government agencies, degrees of readiness of the government agencies as well as their employees are crucial in ensuring successful deployment of big data. This paper, therefore, proposes a conceptual framework to investigate perceived readiness of big data potentials amongst Malaysian government agencies. Perceived readiness of 28 ministries and their respective employees will be assessed using both qualitative (interview) and quantitative (survey) approaches. The outcome of the study is expected to offer meaningful insight on factors affecting change readiness among public agencies on big data potentials and the expected outcome from greater/lower change readiness among the public sectors.

Private sector contributions and their effect on physician emigration in the developing world.

Science.gov (United States)

Loh, Lawrence C; Ugarte-Gil, Cesar; Darko, Kwame

2013-03-01

The contribution made by the private sector to health care in a low- or middle-income country may affect levels of physician emigration from that country. The increasing importance of the private sector in health care in the developing world has resulted in newfound academic interest in that sector's influences on many aspects of national health systems. The growth in physician emigration from the developing world has led to several attempts to identify both the factors that cause physicians to emigrate and the effects of physician emigration on primary care and population health in the countries that the physicians leave. When the relevant data on the emerging economies of Ghana, India and Peru were investigated, it appeared that the proportion of physicians participating in private health-care delivery, the percentage of health-care costs financed publicly and the amount of private health-care financing per capita were each inversely related to the level of physician expatriation. It therefore appears that private health-care delivery and financing may decrease physician emigration. There is clearly a need for similar research in other low- and middle-income countries, and for studies to see if, at the country level, temporal trends in the contribution made to health care by the private sector can be related to the corresponding trends in physician emigration. The ways in which private health care may be associated with access problems for the poor and therefore reduced equity also merit further investigation. The results should be of interest to policy-makers who aim to improve health systems worldwide.

Intracellular trafficking pathways of Cx43 gap junction channels.

Science.gov (United States)

Epifantseva, Irina; Shaw, Robin M

2018-01-01

Gap Junction (GJ) channels, including the most common Connexin 43 (Cx43), have fundamental roles in excitable tissues by facilitating rapid transmission of action potentials between adjacent cells. For instance, synchronization during each heartbeat is regulated by these ion channels at the cardiomyocyte cell-cell border. Cx43 protein has a short half-life, and rapid synthesis and timely delivery of those proteins to particular subdomains are crucial for the cellular organization of gap junctions and maintenance of intracellular coupling. Impairment in gap junction trafficking contributes to dangerous complications in diseased hearts such as the arrhythmias of sudden cardiac death. Of recent interest are the protein-protein interactions with the Cx43 carboxy-terminus. These interactions have significant impact on the full length Cx43 lifecycle and also contribute to trafficking of Cx43 as well as possibly other functions. We are learning that many of the known non-canonical roles of Cx43 can be attributed to the recently identified six endogenous Cx43 truncated isoforms which are produced by internal translation. In general, alternative translation is a new leading edge for proteome expansion and therapeutic drug development. This review highlights recent mechanisms identified in the trafficking of gap junction channels, involvement of other proteins contributing to the delivery of channels to the cell-cell border, and understanding of possible roles of the newly discovered alternatively translated isoforms in Cx43 biology. This article is part of a Special Issue entitled: Gap Junction Proteins edited by Jean Claude Herve. Copyright © 2017 Elsevier B.V. All rights reserved.

Lattice QCD studies on baryon interactions in the strangeness -2 sector with physical quark masses

Science.gov (United States)

Sasaki, Kenji; Aoki, Sinya; Doi, Takumi; Gongyo, Shinya; Hatsuda, Tetsuo; Ikeda, Yoichi; Inoue, Takashi; Iritani, Takumi; Ishii, Noriyoshi; Miyamoto, Takaya

2018-03-01

We investigate baryon-baryon (BB) interactions in the strangeness S = -2 sector via the coupled-channel HAL QCD method which enables us to extract the scattering observables from Nambu-Bethe-Salpeter (NBS) wave function on the lattice. The simulations are performed with (almost) physical quark masses (mπ = 146MeV) and a huge lattice volume of La = 8.1fm. We discuss the fate of H-dibaryon state through the ΛΛ and NΞ coupled-channel scatterings

Leadership in Surgery for Public Sector Hospitals in Jamaica: Strategies for the Operating Room

Science.gov (United States)

Cawich, Shamir O; Harding, Hyacinth E; Crandon, Ivor W; McGaw, Clarence D; Barnett, Alan T; Tennant, Ingrid; Evans, Necia R; Martin, Allie C; Simpson, Lindberg K; Johnson, Peter

2013-01-01

The barriers to health care delivery in developing nations are many: underfunding, limited support services, scarce resources, suboptimal health care worker attitudes, and deficient health care policies are some of the challenges. The literature contains little information about health care leadership in developing nations. This discursive paper examines the impact of leadership on the delivery of operating room (OR) services in public sector hospitals in Jamaica. Delivery of OR services in Jamaica is hindered by many unique cultural, financial, political, and environmental barriers. We identify six leadership goals adapted to this environment to achieve change. Effective leadership must adapt to the environment. Delivery of OR services in Jamaica may be improved by addressing leadership training, workplace safety, interpersonal communication, and work environment and by revising existing policies. Additionally, there should be regular practice audits and quality control surveys. PMID:24355903

Non-abelian dark sectors and their collider signatures

International Nuclear Information System (INIS)

Baumgart, Matthew; Cheung, Clifford; Ruderman, Joshua T.; Wang, Lian-Tao; Yavin, Itay

2009-01-01

Motivated by the recent proliferation of observed astrophysical anomalies, Arkani-Hamed et al. have proposed a model in which dark matter is charged under a non-abelian 'dark' gauge symmetry that is broken at ∼1 GeV. In this paper, we present a survey of concrete models realizing such a scenario, followed by a largely model-independent study of collider phenomenology relevant to the Tevatron and the LHC. We address some model building issues that are easily surmounted to accommodate the astrophysics. While SUSY is not necessary, we argue that it is theoretically well-motivated because the GeV scale is automatically generated. Specifically, we propose a novel mechanism by which mixed D-terms in the dark sector induce either SUSY breaking or a super-Higgs mechanism precisely at a GeV. Furthermore, we elaborate on the original proposal of Arkani-Hamed et al. in which the dark matter acts as a messenger of gauge mediation to the dark sector. In our collider analysis we present cross-sections for dominant production channels and lifetime estimates for primary decay modes. We find that dark gauge bosons can be produced at the Tevatron and the LHC, either through a process analogous to prompt photon production or through a rare Z decay channel. Dark gauge bosons will decay back to the SM via 'lepton jets' which typically contain >2 and as many as 8 leptons, significantly improving their discovery potential. Since SUSY decays from the MSSM will eventually cascade down to these lepton jets, the discovery potential for direct electroweak-ino production may also be improved. Exploiting the unique kinematics, we find that it is possible to reconstruct the mass of the MSSM LSP. We also present several non-SUSY and SUSY decay channels that have displaced vertices and lead to multiple leptons with partially correlated impact parameters.

Vehicle type affects filling of fractional laser-ablated channels imaged by optical coherence tomography

DEFF Research Database (Denmark)

Olesen, Uffe Høgh; Mogensen, Mette; Haedersdal, Merete

2017-01-01

Ablative fractional laser (AFXL) is an emerging method that enhances topical drug delivery. Penetrating the skin in microscopic, vertical channels, termed microscopic treatment zones (MTZs), the fractional technique circumvents the skin barrier and allows increased uptake of topically applied dru...... was overall greater for more superficial MTZs. In conclusion, vehicle type affects filling of MTZs, which may be of importance for AFXL-assisted drug delivery....

Perspective channel-type reactor with enhanced safety

International Nuclear Information System (INIS)

Adamov, E.O.; Grozdov, I.I.; Kuznetsov, S.P.; Petrov, A.A.; Rozhdestvensky, M.I.; Cherkashov, Yu.M.

1994-01-01

Following the search for new design solutions to develop within the framework of channel trends the reactor with enhanced safety the Research and Development Institute of Power Engineering has developed the design of the multiloop boiling water reactor (MKER). The MKER enhanced safety is attained when involving the inherent safety features, passive safety systems as well as the accident consequences confinement devices. The design realizes several advantages which are typical of the channel-type reactors, namely: The design desintegration simplifying the manufacture, control, equipment delivery and decreasing, versus the pressure vessel reactors, the accident effect if it proceeds in an explosive manner; small operating reactivity margin and fuel burnup increased due to continuous refuelling; fuel cycle flexibility allowing comparatively easily to adopt the reactor to the conjuncture of the country fuel balance; multiloop circuit of the main coolant which reduces the degree and effect of the accidents connected with the equipment and pipings rupture; monitoring of the channels and fuel assemblies leak-tightness. (orig.)

Exposing Dark Sector with Future Z-Factories arXiv

CERN Document Server

Liu, Jia; Wang, Xiao-Ping; Xue, Wei

We investigate the prospects of searching dark sector models via exotic Z-boson decay at future $e^+ e^-$ colliders with Giga Z and Tera Z options. Four general categories of dark sector models: Higgs portal dark matter, vector portal dark matter, inelastic dark matter and axion-like particles, are considered. Focusing on channels motivated by the dark sector models, we carry out a model independent study of the sensitivities of Z-factories in probing exotic decays. The limits on branching ratios of the exotic Z decay are typically $\\mathcal{O} (10^{-6} - 10^{-8.5}) $ for the Giga Z and $\\mathcal{O} (10^{-7.5} - 10^{-11})$ for the Tera Z, and they are compared with the projection for the high luminosity LHC. We demonstrate that future Z-factories can provide its unique and leading sensitivity, and highlight the complementarity with other experiments, including the indirect and direct dark matter search limits, and the existing collider limits. Future Z factories will play a leading role to uncover the hidden ...

CAPITAL FLOWS AND THEIR SECTORAL DESTINATIONS

Directory of Open Access Journals (Sweden)

Petris Sorina

2012-07-01

Full Text Available Since 2003, New European Union Member States have made large capital inflows, which led to a credit crunch and recession. Whether they are foreign direct investment, or banking flows, capital inflows ultimately affect GDP, depending on how they are invested. In the specialty literature, analysis of capital flows was done especially in terms of their structure, with a lack of analysis in terms of final destination of capital inflows. Therefore, we analyzed the effect of capital inflows on GDP in the New Member States of the European Union (Bulgaria, Czech Republic, Estonia, Hungary, Latvia, Lithuania, Poland, Romania and Slovakia over the last economic cycle. Based on experiences of the new Member States during the recent boom and crisis, the paper studies the impact of capital inflows on GDP growth, inflows channeled to economic sectors, such as real estate and corporate investment sector. The results of this research tries to highlight the extent to which the final destination of capital flows is important for the evolution of GDP.

Evaluation of a cross-sector community initiative partnership: delivering a local sport program.

Science.gov (United States)

Kihl, Lisa A; Tainsky, Scott; Babiak, Kathy; Bang, Hyejin

2014-06-01

Corporate community initiatives (CCI) are often established via cross-sector partnerships with nonprofit agencies to address critical social problems. While there is a growing body of literature exploring the effectiveness and social impact of these partnerships, there is a limited evaluative research on the implementation and execution processes of CCIs. In this paper, we examined the implementation and operational processes in the delivery of a professional sport organization's CCI initiative using program theory evaluation. The findings showed discrepancies between the associate organization and the implementers regarding understanding and fulfilling responsibilities with performing certain aspects (maintaining accurate records and program marketing) of the service delivery protocol. Despite program stakeholders being satisfied overall with the program delivery, contradictions between program stakeholders' satisfaction in the quality of program delivery was found in critical components (marketing and communications) of the service delivery. We conclude that ongoing evaluations are necessary to pinpoint the catalyst of the discrepancies along with all partners valuing process evaluation in addition to outcome evaluation. Copyright © 2014 Elsevier Ltd. All rights reserved.

Effect of Multimodal Pore Channels on Cargo Release from Mesoporous Silica Nanoparticles

Directory of Open Access Journals (Sweden)

Sushilkumar A. Jadhav

2016-01-01

Full Text Available Mesoporous silica nanoparticles (MSNs with multimodal pore channels were fully characterized by TEM, nitrogen adsorption-desorption, and DLS analyses. MSNs with average diameter of 200 nm with dual pore channel zones with pore diameters of 1.3–2.6 and 4 nm were tested for their use in drug delivery application. Important role of the multimodal pore systems present on MSNs on the quantitative release of model drug ibuprofen was investigated. The results obtained revealed that the release profile for ibuprofen clearly shows distinct zones which can be attributed to the respective porous channel zones present on the particles. The fluctuations in the concentration of ibuprofen during the prolonged release from MSNs were caused by the multimodal pore channel systems.

Scaling–up public sector childhood diarrhea management program: Lessons from Indian states of Gujarat, Uttar Pradesh and Bihar

Science.gov (United States)

Kumar, Sanjeev; Roy, Rajashree; Dutta, Sucharita

2015-01-01

Background Diarrhea remains a leading cause of death among children under five in India. Public health sector is an important source for diarrhea treatment with oral rehydration salts (ORS) and zinc. In 2010, Micronutrient Initiative started a project to improve service delivery for childhood diarrhea management through public health sector in Gujarat, Uttar Pradesh (UP) and Bihar. This paper aims to highlight feasible strategies, experiences and lessons learned from scaling–up zinc and ORS for childhood diarrhea management in the public sector in three Indian states. Methods The project was implemented in six districts of Gujarat, 12 districts of UP and 15 districts of Bihar, which includes 10.5 million children. Program strategies included capacity building of health care providers, expanding service delivery through community health workers (CHWs), providing supportive supervision to CHWs, ensuring supplies and conducting monitoring and evaluation. The lessons described in this paper are based on program data, government documents and studies that were used to generate evidence and inform program scale–up. Results 140 000 health personnel, including CHWs, were trained in childhood diarrhea management. During three years, CHWs had sustained knowledge and have treated and reported more than three million children aged 2–59 months having diarrhea, of which 84% were treated with both zinc and ORS. The successful strategies were scaled–up. Conclusion It is feasible and viable to introduce and scale–up zinc and ORS for childhood diarrhea treatment through public sector. Community–based service delivery, timely and adequate supplies, trained staff and pro–active engagement with government were essential for program success. PMID:26682047

Lattice QCD studies on baryon interactions in the strangeness -2 sector with physical quark masses

Directory of Open Access Journals (Sweden)

Sasaki Kenji

2018-01-01

Full Text Available We investigate baryon-baryon (BB interactions in the strangeness S = −2 sector via the coupled-channel HAL QCD method which enables us to extract the scattering observables from Nambu-Bethe-Salpeter (NBS wave function on the lattice. The simulations are performed with (almost physical quark masses (mπ = 146MeV and a huge lattice volume of La = 8.1fm. We discuss the fate of H-dibaryon state through the ΛΛ and NΞ coupled-channel scatterings

Sexuality Education Delivery in Australian Regional Secondary Schools: A Qualitative Case Study

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Hulme Chambers, Alana; Tomnay, Jane; Clune, Samantha; Roberts, Sarah

2017-01-01

Background: Factors affecting the delivery of sexuality education to school students include government policy, school leadership and teacher confidence. Objective: The aim of this paper was to understand, from the perspective of regional education, health and welfare sector professionals, what is needed to support good sexual health for secondary…

Service delivery innovation architecture: An empirical study of antecedents and outcomes

Directory of Open Access Journals (Sweden)

Rajeev Verma

2014-06-01

Full Text Available The research examines service delivery innovation architecture and its role in achieving sustainable competitive advantage of firms. The study develops and empirically examines an antecedent based model of service delivery innovation. We collected data from 203 service sector professionals working in Mexican financial and information technology firms, and tested the proposed relationship. Further, the study investigates the moderating role of customer orientation on innovation driven performance outcomes. Results show that customer orientation strengthens the service delivery–performance relationship. This paper aims to contribute to the strategic planning of service firms by guiding their resource allocation to ensure sustainable growth.

Accelerated reforms in healthcare financing: the need to scale up private sector participation in Nigeria.

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Ejughemre, Ufuoma John

2014-01-01

The health sector, a foremost service sector in Nigeria, faces a number of challenges; primarily, the persistent under-funding of the health sector by the Nigerian government as evidence reveals low allocations to the health sector and poor health system performance which are reflected in key health indices of the country.Notwithstanding, there is evidence that the private sector could be a key player in delivering health services and impacting health outcomes, including those related to healthcare financing. This underscores the need to optimize the role of private sector in complementing the government's commitment to financing healthcare delivery and strengthening the health system in Nigeria. There are also concerns about uneven quality and affordability of private-driven health systems, which necessitates reforms aimed at regulation. Accordingly, the argument is that the benefits of leveraging the private sector in complementing the national government in healthcare financing outweigh the challenges, particularly in light of lean public resources and finite donor supports. This article, therefore, highlights the potential for the Nigerian government to scale up healthcare financing by leveraging private resources, innovations and expertise, while working to achieve the universal health coverage.

Design and implementation of an affordable, public sector electronic medical record in rural Nepal.

Science.gov (United States)

Raut, Anant; Yarbrough, Chase; Singh, Vivek; Gauchan, Bikash; Citrin, David; Verma, Varun; Hawley, Jessica; Schwarz, Dan; Harsha Bangura, Alex; Shrestha, Biplav; Schwarz, Ryan; Adhikari, Mukesh; Maru, Duncan

2017-06-23

Globally, electronic medical records are central to the infrastructure of modern healthcare systems. Yet the vast majority of electronic medical records have been designed for resource-rich environments and are not feasible in settings of poverty. Here we describe the design and implementation of an electronic medical record at a public sector district hospital in rural Nepal, and its subsequent expansion to an additional public sector facility.DevelopmentThe electronic medical record was designed to solve for the following elements of public sector healthcare delivery: 1) integration of the systems across inpatient, surgical, outpatient, emergency, laboratory, radiology, and pharmacy sites of care; 2) effective data extraction for impact evaluation and government regulation; 3) optimization for longitudinal care provision and patient tracking; and 4) effectiveness for quality improvement initiatives. For these purposes, we adapted Bahmni, a product built with open-source components for patient tracking, clinical protocols, pharmacy, laboratory, imaging, financial management, and supply logistics. In close partnership with government officials, we deployed the system in February of 2015, added on additional functionality, and iteratively improved the system over the following year. This experience enabled us then to deploy the system at an additional district-level hospital in a different part of the country in under four weeks. We discuss the implementation challenges and the strategies we pursued to build an electronic medical record for the public sector in rural Nepal.DiscussionOver the course of 18 months, we were able to develop, deploy and iterate upon the electronic medical record, and then deploy the refined product at an additional facility within only four weeks. Our experience suggests the feasibility of an integrated electronic medical record for public sector care delivery even in settings of rural poverty.

Hybrid complementary circuits based on p-channel organic and n-channel metal oxide transistors with balanced carrier mobilities of up to 10 cm2/Vs

KAUST Repository

Isakov, Ivan

2016-12-29

We report the development of hybrid complementary inverters based on p-channel organic and n-channel metal oxide thin-film transistors (TFTs) both processed from solution at <200 °C. For the organic TFTs, a ternary blend consisting of the small-molecule 2,7-dioctyl[1]benzothieno[3,2-b][1]benzothiophene, the polymer indacenodithiophene-benzothiadiazole (CIDT-BT) and the p-type dopant CF was employed, whereas the isotype InO/ZnO heterojunction was used for the n-channel TFTs. When integrated on the same substrate, p- and n-channel devices exhibited balanced carrier mobilities up to 10 cm/Vs. Hybrid complementary inverters based on these devices show high signal gain (>30 V/V) and wide noise margins (70%). The moderate processing temperatures employed and the achieved level of device performance highlight the tremendous potential of the technology for application in the emerging sector of large-area microelectronics.

Hybrid complementary circuits based on p-channel organic and n-channel metal oxide transistors with balanced carrier mobilities of up to 10 cm2/Vs

KAUST Repository

Isakov, Ivan; Paterson, Alexandra F.; Solomeshch, Olga; Tessler, Nir; Zhang, Qiang; Li, Jun; Zhang, Xixiang; Fei, Zhuping; Heeney, Martin; Anthopoulos, Thomas D.

2016-01-01

We report the development of hybrid complementary inverters based on p-channel organic and n-channel metal oxide thin-film transistors (TFTs) both processed from solution at <200 °C. For the organic TFTs, a ternary blend consisting of the small-molecule 2,7-dioctyl[1]benzothieno[3,2-b][1]benzothiophene, the polymer indacenodithiophene-benzothiadiazole (CIDT-BT) and the p-type dopant CF was employed, whereas the isotype InO/ZnO heterojunction was used for the n-channel TFTs. When integrated on the same substrate, p- and n-channel devices exhibited balanced carrier mobilities up to 10 cm/Vs. Hybrid complementary inverters based on these devices show high signal gain (>30 V/V) and wide noise margins (70%). The moderate processing temperatures employed and the achieved level of device performance highlight the tremendous potential of the technology for application in the emerging sector of large-area microelectronics.

The Role of Libraries in eHealth Service Delivery in Australia

Science.gov (United States)

Rao, Sarada

2009-01-01

eHealth is an emerging service sector which has great potential to improve health care delivery to rural and remote communities, facilitate health surveillance, and promote health education and research. Despite the critical need for eHealth services in Australia based on the challenges of distance and human resources, its utility has yet to be…

The comparative advantage of NGO (non-governmental organizations) in the health sector--a look at the evidence.

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Matthias, A R; Green, A T

1994-01-01

Attention being given to the development of an appropriate public/private mix in health-care delivery should not exclude the role of non-governmental organizations (NGOs). There is a widely accepted thesis of NGO comparative advantage over government, but evidence to support this thesis is generally more anecdotal than analytical. This paper considers evidence available in the literature and from field research in southern Africa, especially with regard to efficiency, innovation and reaching grass-roots communities. The paper concludes that the comparative advantage of the NGO sector needs to be analysed in relation to both the private for-profit sector and the public sector.

Coherent detection passive optical access network enabling converged delivery of broadcast and dedicated broadband services

DEFF Research Database (Denmark)

Osadchiy, Alexey Vladimirovich; Prince, Kamau; Guerrero Gonzalez, Neil

2011-01-01

We propose a passive optical network architecture based on coherent detection for converged delivery of broadcast services from a dedicated remote broadcast server and user-specific services from a local central office. We experimentally demonstrate this architecture with mixed traffic types....... The broadcast channels were transmitted over 78 km of single mode fiber to a central office where they were multiplexed with the unicast channels for further fiber transmission over 34-km to reach the access network. Successful detection of all channels is demonstrated....

A Community Checklist for Health Sector Resilience Informed by Hurricane Sandy.

Science.gov (United States)

Toner, Eric S; McGinty, Meghan; Schoch-Spana, Monica; Rose, Dale A; Watson, Matthew; Echols, Erin; Carbone, Eric G

This is a checklist of actions for healthcare, public health, nongovernmental organizations, and private entities to use to strengthen the resilience of their community's health sector to disasters. It is informed by the experience of Hurricane Sandy in New York and New Jersey and analyzed in the context of findings from other recent natural disasters in the United States. The health sector is defined very broadly, including-in addition to hospitals, emergency medical services (EMS), and public health agencies-healthcare providers, outpatient clinics, long-term care facilities, home health providers, behavioral health providers, and correctional health services. It also includes community-based organizations that support these entities and represent patients. We define health sector resilience very broadly, including all factors that preserve public health and healthcare delivery under extreme stress and contribute to the rapid restoration of normal or improved health sector functioning after a disaster. We present the key findings organized into 8 themes. We then describe a conceptual map of health sector resilience that ties these themes together. Lastly, we provide a series of recommended actions for improving health sector resilience at the local level. The recommended actions emphasize those items that individuals who experienced Hurricane Sandy deemed to be most important. The recommendations are presented as a checklist that can be used by a variety of interested parties who have some role to play in disaster preparedness, response, and recovery in their own communities. Following a general checklist are supplemental checklists that apply to specific parts of the larger health sector.

Service time analysis of secondary packet transmission with opportunistic channel access

KAUST Repository

Usman, Muneer; Yang, Hongchuan; Alouini, Mohamed-Slim

2014-01-01

Cognitive radio transceiver can opportunistically access the underutilized channels of primary systems for new wireless services. The secondary transmission may be interrupted by the primary user's transmission. To facilitate the delay analysis of such secondary packet transmission, we study the resulting extended delivery time for a fixed-size secondary packet that includes both transmission time and waiting time. In particular we derive the exact distribution functions of extended delivery time of secondary transmission for both continuous sensing and periodic sensing cases. Selected numerical results are presented for illustrating the mathematical formulation.

Service time analysis of secondary packet transmission with opportunistic channel access

KAUST Repository

Usman, Muneer

2014-09-01

Cognitive radio transceiver can opportunistically access the underutilized channels of primary systems for new wireless services. The secondary transmission may be interrupted by the primary user\\'s transmission. To facilitate the delay analysis of such secondary packet transmission, we study the resulting extended delivery time for a fixed-size secondary packet that includes both transmission time and waiting time. In particular we derive the exact distribution functions of extended delivery time of secondary transmission for both continuous sensing and periodic sensing cases. Selected numerical results are presented for illustrating the mathematical formulation.

The quality of free antenatal and delivery services in Northern Sierra Leone.

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Koroma, Manso M; Kamara, Samuel S; Bangura, Evelyn A; Kamara, Mohamed A; Lokossou, Virgil; Keita, Namoudou

2017-07-12

The number of maternal deaths in sub-Saharan Africa continues to be overwhelmingly high. In West Africa, Sierra Leone leads the list, with the highest maternal mortality ratio. In 2010, financial barriers were removed as an incentive for more women to use available antenatal, delivery and postnatal services. Few published studies have examined the quality of free antenatal services and access to emergency obstetric care in Sierra Leone. A cross-sectional survey was conducted in 2014 in all 97 peripheral health facilities and three hospitals in Bombali District, Northern Region. One hundred antenatal care providers were interviewed, 276 observations were made and 486 pregnant women were interviewed. We assessed the adequacy of antenatal and delivery services provided using national standards. The distance was calculated between each facility providing delivery services and the nearest comprehensive emergency obstetric care (CEOC) facility, and the proportion of facilities in a chiefdom within 15 km of each CEOC facility was also calculated. A thematic map was developed to show inequities. The quality of services was poor. Based on national standards, only 27% of women were examined, 2% were screened on their first antenatal visit and 47% received interventions as recommended. Although 94% of facilities provided delivery services, a minority had delivery rooms (40%), delivery kits (42%) or portable water (46%). Skilled attendants supervised 35% of deliveries, and in only 35% of these were processes adequately documented. None of the five basic emergency obstetric care facilities were fully compliant with national standards, and the central and northernmost parts of the district had the least access to comprehensive emergency obstetric care. The health sector needs to monitor the quality of antenatal interventions in addition to measuring coverage. The quality of delivery services is compromised by poor infrastructure, inadequate skilled staff, stock-outs of

Public Private Partnerships: A possible alternative for delivery of infrastructure projects in Africa

Directory of Open Access Journals (Sweden)

Salim Bwanali

2017-12-01

Full Text Available It is estimated that Africa needs $93 billion annually until 2020 in order to bridge its infrastructure deficit. It is through significant investment in infrastructure development that economic growth and poverty alleviation can be enhanced. However central to all construction projects is an effective and sustainable procurement system. There is a notable shift by some African governments to turn to the private sector to design, build, finance and operate infrastructure facilities previously provided by the public sector in the form of Public Private Partnerships (PPP’s. As an innovative financing model, PPPs present an opportunity to governments to improve service delivery. Accordingly, this paper focuses on assessing international best practices as to how some developing nations tap into the resources of the private sector in implementing their infrastructure projects. The study is a result of critical review, synthesis and contextualization of relevant academic literature, conference and journal publications. A thorough document review method was employed to assess how some developing countries have institutionalized PPP as part of their development strategy. The paper will be of significant value to senior government officials as understanding the concept and dynamics of PPP will result in accelerated and effective service delivery.

Design and implementation of an affordable, public sector electronic medical record in rural Nepal

Directory of Open Access Journals (Sweden)

Anant Raut

2017-06-01

Over the course of 18 months, we were able to develop, deploy and iterate upon the electronic medical record, and then deploy the refined product at an additional facility within only four weeks. Our experience suggests the feasibility of an integrated electronic medical record for public sector care delivery even in settings of rural poverty.

Should I stay or should I go?: consistency and switching of delivery locations among new mothers in 39 Sub-Saharan African and South/Southeast Asian countries.

Science.gov (United States)

Benova, Lenka; Macleod, David; Radovich, Emma; Lynch, Caroline A; Campbell, Oona M R

2017-11-01

The objective of this article is to assess the extent and determinants of switching delivery location between women's first and second deliveries. We used Demographic and Health Survey data from 39 low- and middle-income countries on delivery locations from >30 000 women who had their first two deliveries in the 5-year survey recall period. Each delivery was characterized as occurring at home or in a health facility, facilities were classified as public- or private-sector. The extent of switching was estimated for each country, region and overall. Multivariable logistic regression models assessed determinants of switching (home to facility or facility to home), using four dimensions (perceived/biological need, socioeconomic characteristics, utilization of care and availability of care). Overall, 49.0% of first and 44.5% of second deliveries occurred in health facilities. Among women who had their first delivery at home, 11.8% used a facility for their second (7.0% public-sector and 4.8% private-sector). Among women who had their first delivery in a facility, 21.6% switched to a home location for their second. The extent of switching varied by country; but the overall net effect was either non-existent (n = 20) or away from facilities (n = 17) in all but two countries-Cambodia and Burkina Faso. Four factors were associated with switching to a facility after a home delivery: higher education, urban residence, non-poor household status and multiple gestation. Majority of women consistently used the same delivery location for their first two deliveries. We found some evidence that where switching occurred, women were being lost from facility care during this important transition, and that all four included dimensions were important determinants of women's pattern of delivery care use. The relative importance of these factors should be understood in each specific context to improve retention in and provision of quality intrapartum care for women and their

Health care delivery in Malaysia: changes, challenges and champions

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Thomas, Susan; Beh, LooSee; Nordin, Rusli Bin

2011-01-01

Since 1957, there has been major reorganization of health care services in Malaysia. This article assesses the changes and challenges in health care delivery in Malaysia and how the management in health care processes has evolved over the years including equitable health care and health care financing. The health care service in Malaysia is changing towards wellness service as opposed to illness service. The Malaysian Ministry of Health (MOH), being the main provider of health services, may need to manage and mobilize better health care services by providing better health care financing mechanisms. It is recommended that partnership between public and private sectors with the extension of traditional medicine complementing western medicine in medical therapy continues in the delivery of health care. PMID:28299064

Why do they keep calling? Single parents’ Domestication of mandatory e-government self-service channels

DEFF Research Database (Denmark)

Østergaard Madsen, Christian

The Danish Digitization strategy 2011-2015 made e-government channels mandatory within multiple areas, including public benefits. Although most Danes have adopted the e-government channels, many keep using traditional channels. Moreover, some have their own ways of interpreting and using the e...... other, to claim economic benefits. The thesis positions itself within channel choice studies in the e-government research field. It contributes to this literature by studying citizens’ actual use of e-government and traditional channels in a post-adoption and mandatory setting. It applies Domestication...... theory, as a theoretical lens, and follows a social constructionist research tradition. As an Industrial PhD project, the thesis offers multiple recommendations for practitioners on how to improve the efficiency of public sector administration. The thesis’ primary recommendation is that public...

Impacts of energy subsidy reform on the Malaysian economy and transportation sector

International Nuclear Information System (INIS)

Solaymani, Saeed; Kari, Fatimah

2014-01-01

Malaysia is paying a high level of subsidies on the consumption of energy (about 5% of its GDP). Therefore, reforming the energy subsidies, as planned by the government, will have a significant impact on household welfare and energy-intensive sectors, such as the transport sector. This study employs a computable general equilibrium (CGE) model to highlight the transmission channels through which the removal of energy subsidies affects the domestic economy. The findings show that the shock increases real GDP and real investment, while decreasing Malaysian total exports and imports. The removal of energy subsidies also decreases the aggregate energy demand, and, consequently, decreases the level of carbon emissions in the Malaysian economy. In addition, households experience significant falls in their consumption and welfare. The transport sector is significantly influenced through an increase in production costs due to an increase in the prices of intermediate inputs. The total output and total exports of the whole transport sector decrease while its imports increase. In addition, the use of all kinds of transport by households decreases significantly. The Malaysian energy subsidy reform, leads to an initial decrease in CO 2 emissions and demand for electricity, gas, and petroleum products in the entire transport sector. - Highlights: • Malaysia pays a high level of subsidy on consumption of energy. • The transportation sector in this country is the highest energy consumer among others. • A general equilibrium model used to analyse the effects of energy subsidy reform. • The shock increases real GDP and decreases energy and carbon emission in this sector. • It is not beneficial for the transport sector as decreases the output of this sector

Tunable Photonic RF Generator for Dynamic Allocation and Multicast of 1.25 Gbps Channels in the 60 GHz Unlicensed Band

DEFF Research Database (Denmark)

Lebedev, Alexander; Pang, Xiaodan; Vegas Olmos, Juan José

2013-01-01

) or in the central office (CO). At the RN, we perform the replication of the original channel suitable for closely spaced multicast applications such as high definition (HD) video delivery where RN serves as a photonic radio frequency (RF) generator for both channel allocation and multicast. Experimental...

DETERMINANTS OF THE CHOICE OF MARKETING CHANNELS BY CORPORATE CLIENTS: AN ANALYSIS OF THE INFORMATION TECHNOLOGY SECTOR

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Guilherme Soares

2012-12-01

Full Text Available Based on a survey of 505 corporate clients from the information technology industry, this study uses a logit statistical model to analyze whether such factors as loyalty, trust, client importance, intimacy between customer and supplier and the cost of changing suppliers may affect the choice of the marketing channel used by the client. The results show that the greater intimacy between a supplier and a corporate client is a determining factor for the client’s preference for being served by the manufacturer rather than an intermediary. In contrast, clients’ perception of their own importance to the supplier is not very relevant to their preference for being served directly by the manufacturer, and the other factors were not identified as (statistically important determinants of the choice of the marketing channel. These results suggest that the real advantage of the direct sales channel over the indirect sales channel lies in its ability to strengthen the client-manufacturer relationship, thereby contributing to the development of solutions that better serve the needs of corporate clients.

Aquaglyceroporins: generalized metalloid channels

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Mukhopadhyay, Rita; Bhattacharjee, Hiranmoy; Rosen, Barry P.

2014-01-01

Background: Aquaporins (AQPs), members of a superfamily of transmembrane channel proteins, are ubiquitous in all domains of life. They fall into a number of branches that can be functionally categorized into two major sub-groups: i) orthodox aquaporins, which are water-specific channels, and ii) aquaglyceroporins, which allow the transport of water, non-polar solutes, such as urea or glycerol, the reactive oxygen species hydrogen peroxide, and gases such as ammonia, carbon dioxide and nitric oxide and, as described in this review, metalloids. Scope of Review: This review summarizes the key findings that AQP channels conduct bidirectional movement of metalloids into and out of cells. Major Conclusions: As(OH)3 and Sb(OH)3 behave as inorganic molecular mimics of glycerol, a property that allows their passage through AQP channels. Plant AQPs also allow the passage of boron and silicon as their hydroxyacids, boric acid (B(OH)3) and orthosilicic acid (Si(OH)4), respectively. Genetic analysis suggests that germanic acid (GeO2) is also a substrate. While As(III), Sb(III) and Ge(IV) are toxic metalloids, borate (B(III)) and silicate (Si(IV)) are essential elements in higher plants. General Significance: The uptake of environmental metalloids by aquaporins provides an understanding of (i) how toxic elements such as arsenic enter the food chain; (ii) the delivery of arsenic and antimony containing drugs in the treatment of certain forms of leukemia and chemotherapy of diseases caused by pathogenic protozoa; and (iii) the possibility that food plants such as rice could be made safer by genetically modifying them to exclude arsenic while still accumulating boron and silicon. PMID:24291688

Prohibit, constrain, encourage, or purchase: how should we engage with the private health-care sector?

Science.gov (United States)

Montagu, Dominic; Goodman, Catherine

2016-08-06

The private for-profit sector's prominence in health-care delivery, and concern about its failures to deliver social benefit, has driven a search for interventions to improve the sector's functioning. We review evidence for the effectiveness and limitations of such private sector interventions in low-income and middle-income countries. Few robust assessments are available, but some conclusions are possible. Prohibiting the private sector is very unlikely to succeed, and regulatory approaches face persistent challenges in many low-income and middle-income countries. Attention is therefore turning to interventions that encourage private providers to improve quality and coverage (while advancing their financial interests) such as social marketing, social franchising, vouchers, and contracting. However, evidence about the effect on clinical quality, coverage, equity, and cost-effectiveness is inadequate. Other challenges concern scalability and scope, indicating the limitations of such interventions as a basis for universal health coverage, though interventions can address focused problems on a restricted scale. Copyright © 2016 Elsevier Ltd. All rights reserved.

Performance analysis of data delivery schemes for a multi-sink wireless sensor network

NARCIS (Netherlands)

Tan, H.P.; Gabor, A.F.; Seah, W.K.G.; Lee, P.W.Q.

2008-01-01

Wireless sensor networks are expected to be deployed in harsh environments characterised by extremely poor and fluctuating channel conditions. With the commonly adopted single-sink architecture, such conditions are exemplified by contention near the sink as a result of multipath delivery. This may

Examining fiscal federalism, regionalization and community-based initiatives in Canada's health care delivery system.

Science.gov (United States)

Forest, Pierre-Gerlier; Palley, Howard A

2008-01-01

This study focuses on the ability of Canadian provinces to shape in different ways the development of various provincial health delivery systems within the constraints of the mandates of the federal Canada Health Act of 1984 and the fiscal revenues that the provinces receive if they comply with these mandates. In so doing, it will examine the operation of Canadian federalism with respect to various provincial health systems. This study applies a comparative analysis framework developed by Heisler and Peters to facilitate an understanding of the dimensionality of provincial health delivery systems as applied to the case of provincial regionalization and community-based initiatives. The three sets of relationships touched upon are: first, the levels of government and the nature of their involvement in public policy concerning the provincial health care delivery systems; and secondly, understanding of the factors influencing provincial governments' political dispositions to act in various directions. A third dimension that is taken are the factors influencing the "timing" of particular decisions. A fourth area noted by Heisler and Peters and other comparative analysts is the nature and characteristics of public and private sector activities in health care and other social policy areas. While the evolving nature of public and private sector health care delivery activities within Canada's provincial and territorial systems is a significant policy matter in the Canadian context, due to the space limitations of this article, they are not discussed herein.

Multiplexed and Switchable Release of Distinct Fluids from Microneedle Platforms via Conducting Polymer Nanoactuators for Potential Drug Delivery

Science.gov (United States)

Valdés-Ramírez, Gabriela; Windmiller, Joshua R.; Claussen, Jonathan C.; Martinez, Alexandra G.; Kuralay, Filiz; Zhou, Ming; Zhou, Nandi; Polsky, Ronen; Miller, Philip R.; Narayan, Roger; Wang, Joseph

2013-01-01

We report on the development of a microneedle-based multiplexed drug delivery actuator that enables the controlled delivery of multiple therapeutic agents. Two individually-addressable channels on a single microneedle array, each paired with its own reservoir and conducting polymer nanoactuator, are used to deliver various permutations of two unique chemical species. Upon application of suitable redox potentials to the selected actuator, the conducting polymer is able to undergo reversible volume changes, thereby serving to release a model chemical agent in a controlled fashion through the corresponding microneedle channels. Time-lapse videos offer direct visualization and characterization of the membrane switching capability and, along with calibration investigations, confirm the ability of the device to alternate the delivery of multiple reagents from individual microneedles of the array with higher precision and temporal resolution than conventional drug delivery actuators. Analytical modeling offers prediction of the volumetric flow rate through a single microneedle and accordingly can be used to assist in the design of subsequent microneedle arrays. The robust solid-state design and lack of mechanical components circumvent reliability issues that challenge fragile conventional microelectromechanical drug delivery devices. This proof-of-concept study demonstrates the potential of the drug delivery actuator system to aid in the rapid administration of multiple therapeutic agents and indicates the potential to counteract diverse biomedical conditions. PMID:24174709

Local File Disclosure Vulnerability: A Case Study of Public-Sector Web Applications

Science.gov (United States)

Ahmed, M. Imran; Maruf Hassan, Md; Bhuyian, Touhid

2018-01-01

Almost all public-sector organisations in Bangladesh now offer online services through web applications, along with the existing channels, in their endeavour to realise the dream of a ‘Digital Bangladesh’. Nations across the world have joined the online environment thanks to training and awareness initiatives by their government. File sharing and downloading activities using web applications have now become very common, not only ensuring the easy distribution of different types of files and documents but also enormously reducing the time and effort of users. Although the online services that are being used frequently have made users’ life easier, it has increased the risk of exploitation of local file disclosure (LFD) vulnerability in the web applications of different public-sector organisations due to unsecure design and careless coding. This paper analyses the root cause of LFD vulnerability, its exploitation techniques, and its impact on 129 public-sector websites in Bangladesh by examining the use of manual black box testing approach.

Financial sector and economic growth in the Republic of Croatia 1995-2005

Directory of Open Access Journals (Sweden)

Novotny Damir

2006-01-01

Full Text Available Financial sector in the Republic of Croatia had a strong growth between 1995 2005.g. Liberalization of financial sector in 1999 led to an increase in bank foreign debt, which resulted in a strong increase in foreign currency reserves and appreciation of the national currency. The growth of the financial sector and credit expansion have been allocated in favour of private and public consumption, but not in industry investments. GDP growth didn't have the same momentum as financial aggregates. Economic growth, after a contraction in 1999 was within the average of global economic growth. Relying on neoclassical growth model, government and central bank didn't put in place the needed set of pro-active policies. Factor allocation was solely through private bank channels financing private consumption. If the sustainable economic growth and new employment are to be major macroeconomic goals, a new macroeconomic paradigm as combination of neclassical and neokeynesians approach will be needed.

Public sector administration of ecological economics systems using mediated modeling.

Science.gov (United States)

van den Belt, Marjan; Kenyan, Jennifer R; Krueger, Elizabeth; Maynard, Alison; Roy, Matthew Galen; Raphael, Ian

2010-01-01

In today's climate of government outsourcing and multiple stakeholder involvement in public sector management and service delivery, it is more important than ever to rethink and redesign the structure of how policy decisions are made, implemented, monitored, and adapted to new realities. The traditional command-and-control approach is now less effective because an increasing amount of responsibility to deliver public goods and services falls on networks of nongovernment agencies. Even though public administrators are seeking new decision-making models in an increasingly more complex environment, the public sector currently only sparsely utilizes Mediated Modeling (MM). There is growing evidence, however, that by employing MM and similar tools, public interest networks can be better equipped to deal with their long-term viability while maintaining the short-term needs of their clients. However, it may require a shift in organizational culture within and between organizations to achieve the desired results. This paper explores the successes and barriers to implementing MM and similar tools in the public sector and offers insights into utilizing them through a review of case studies and interdisciplinary literature. We aim to raise a broader interest in MM and similar tools among public sector administrators at various administrative levels. We focus primarily, but not exclusively, on those cases operating at the interface of ecology and socio-economic systems.

Organisational approaches to the 'professionalisation' agenda: planning the provision of the new ITE qualifications for the FE sector

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Broad, Janet

2010-01-01

Full Text Available Situated within the context of policy change in the Lifelong Learning Sector, this article is based on the LONCETT (London Centre for Excellence in Teacher Training research strand exploring organisational responses to policy challenges and the impacts on the delivery of Initial Teacher Education (ITE for the sector. It builds on and further develops three themes reported in year one (Wooding, 2007: impact of the new requirements for QTLS/ATLS; impact on delivery patterns and organisational collaboration; and organisational responses to existing staff first employed prior to 2007. Findings suggest a positive view of the new qualifications in terms of enhancement of teachers’ professional standing. Nevertheless, the introduction of three levels of qualification: preparing to teach, certificate, and diploma in teaching have caused confusion, especially in light of the proliferation of job specifications, titles and practices within Further Education (FE noted by Gleeson, Davies and Wheeler (2005.

Analysis the Impact of Technology Spillovers on Total Factor Productivity of Agricultural Sector in Iran

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Mostafa Baniasadi

2016-09-01

Group of Eight developed countries (D8 plus China. Technology spillover indexes are thus decomposed into two components: Imports of capital goods and foreign direct investment (FDI. Index of capital goods imports measures imports of capital goods from major commercial partners of Iran (D8 countries and china. Foreign direct investment (FDI represents the share of foreign capital in agricultural sectors. Therefore, the empirical analysis of the technology spillover on the productivity of agricultural sectors is based on theatrical framework and ARDL model. Results and Discussion: According to the results of the ARDL model, technological spillover effect on the TFP of agricultural sector, in long-term shows that technology spillover has a positive and significant effect on agricultural productivity from both channels of capital goods import and foreign direct investment (FDI. But in short-term spillover variable from a capital goods import channel is not significant. This indicates that absorption of the technology from imports of capital goods channel do not perform very well and probably low-tech and without affecting on TFP of agriculture sector is imported. But in long-term technology spillover from imports channels also had a positive impact on total factor productivity of the agricultural sector. In fact, high technologies in long-term can be absorbed through the imports and influenced on TFP. According to thesis study results, the estimated coefficient of error correction term is equal to 0.53.This means that in each period, 53 percent of imbalances of agricultural TFP will be resolved. The average speed of upward of adjustment reflects the fact that in Iran economy, deviations and imbalances have arisen in the agricultural sector TFP caused by technology spillovers shocks, move very fast towards long-run equilibrium. Conclusions: The purpose of this paper is to advance the knowledge for a key question with evident implications for economic policy: What is the

A commentary on transdermal drug delivery systems in clinical trials.

Science.gov (United States)

Watkinson, Adam C

2013-09-01

The number of drugs available as marketed transdermal products is limited to those that exhibit the correct physicochemical and pharmacokinetic properties that enable their effective delivery across the skin. In this respect, there are less than 20 drugs that are currently marketed in the US and EU as products that deliver systemic levels of their active ingredients. An analysis of clinical trials conducted in the transdermal sector shows a similar picture with only nine drugs accounting for approximately 80% of all transdermal clinical trials listed on ClinicalTrials.gov. Those drugs for which there are very few transdermal trials listed consist mostly of molecules that are inherently unsuitable for transdermal delivery and serve as a clear warning to drug developers that the science that governs transdermal drug delivery is well reflected by the successes and failures of drugs in development as well as those that make it to the market. Copyright © 2013 Wiley Periodicals, Inc.

Evolving Role of the Power Sector Regulator: A Clean Energy Regulators Initiative Report

Energy Technology Data Exchange (ETDEWEB)

Zinaman, O.; Miller, M.; Bazilian, M.

2014-04-01

This paper seeks to briefly characterize the evolving role of power sector regulation. Given current global dynamics, regulation of the power sector is undergoing dramatic changes. This transformation is being driven by various factors including technological advances and cost reductions in renewable energy, energy efficiency, and demand management; increasing air pollution and climate change concerns; and persistent pressure for ensuring sustainable economic development and increased access to energy services by the poor. These issues add to the already complex task of power sector regulation, of which the fundamental remit remains to objectively and transparently ensure least-cost service delivery at high quality. While no single regulatory task is trivial to undertake, it is the prioritization and harmonization of a multitude of objectives that exemplifies the essential challenge of power sector regulation. Evolving regulatory roles can be understood through the concept of existing objectives and an additional layer of emerging objectives. Following this categorization, we describe seven existing objectives of power sector regulators and nine emerging objectives, highlighting key challenges and outlining interdependencies. This essay serves as a preliminary installment in the Clean Energy Regulatory Initiative (CERI) series, and aims to lay the groundwork for subsequent reports and case studies that will explore these topics in more depth.

The Relationship of Repeated Technical Assistance Support Visits to the Delivery of Positive Health, Dignity, and Prevention (PHDP) Messages by Healthcare Providers in Mozambique: A Longitudinal Multilevel Analysis.

Science.gov (United States)

Gutin, Sarah A; Amico, K Rivet; Hunguana, Elsa; Munguambe, António Orlando; Rose, Carol Dawson

Positive health, dignity, and prevention (PHDP) is Mozambique's strategy to engage clinicians in the delivery of prevention messages to their HIV-positive clients. This national implementation strategy uses provider trainings on offering key messages and focuses on intervening on 9 evidence-based risk reduction areas. We investigated the impact of longitudinal technical assistance (TA) as an addition to this basic training. We followed 153 healthcare providers in 5 Mozambican provinces over 6 months to evaluate the impact of on-site, observation-based TA on PHDP implementation. Longitudinal multilevel models were estimated to model change in PHDP message delivery over time among individual providers. With each additional TA visit, providers delivered about 1 additional PHDP message ( P < .001); clinicians and nonclinicians started at about the same baseline level, but clinicians improved more quickly ( P = .004). Message delivery varied by practice sector; maternal and child health sectors outperformed other sectors. Longitudinal TA helped reach the programmatic goals of the PHDP program in Mozambique.

Compliance With Legal Age Restrictions on Adolescent Alcohol Sales for Alcohol Home Delivery Services (AHDS)

NARCIS (Netherlands)

van Hoof, Joris Jasper; van den Wildenberg, Esther; de Bruijn, Dorien

2014-01-01

Purpose: Alcohol availability is an important predictor of alcohol use in adolescents and its negative consequences. Within this study, we zoomed in on availability through alcohol home delivery services (AHDS) by measuring compliance with the legal age limit in this sector. Methods: Two methods

Recent Trends in Nanotechnology-Based Drugs and Formulations for Targeted Therapeutic Delivery.

Science.gov (United States)

Iqbal, Hafiz M N; Rodriguez, Angel M V; Khandia, Rekha; Munjal, Ashok; Dhama, Kuldeep

2017-01-01

In the recent past, a wider spectrum of nanotechnologybased drugs or drug-loaded devices and systems has been engineered and investigated with high interests. The key objective is to help for an enhanced/better quality of patient life in a secure way by avoiding/limiting drug abuse, or severe adverse effects of some in practice traditional therapies. Various methodological approaches including in vitro, in vivo, and ex vivo techniques have been exploited, so far. Among them, nanoparticles-based therapeutic agents are of supreme interests for an enhanced and efficient delivery in the current biomedical sector of the modern world. The development of new types of novel, effective and highly reliable therapeutic drug delivery system (DDS) for multipurpose applications is essential and a core demand to tackle many human health related diseases. In this context, nanotechnology-based several advanced DDS have been engineered with novel characteristics for biomedical, pharmaceutical and cosmeceutical applications that include but not limited to the enhanced/improved bioactivity, bioavailability, drug efficacy, targeted delivery, and therapeutically safer with an extra advantage of overcoming demerits of traditional drug formulations/designs. This review work is focused on recent trends/advances in nanotechnology-based drugs and formulations designed for targeted therapeutic delivery. Moreover, information is also reviewed and given from recent patents and summarized or illustrated diagrammatically to depict a better understanding. Recent patents covering various nanotechnology-based approaches for several applications have also been reviewed. The drug-loaded nanoparticles are among versatile candidates with multifunctional characteristics for potential applications in biomedical, and tissue engineering sector. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

Enhanced biocompatibility of neural probes by integrating microstructures and delivering anti-inflammatory agents via microfluidic channels

Science.gov (United States)

Liu, Bin; Kim, Eric; Meggo, Anika; Gandhi, Sachin; Luo, Hao; Kallakuri, Srinivas; Xu, Yong; Zhang, Jinsheng

2017-04-01

Objective. Biocompatibility is a major issue for chronic neural implants, involving inflammatory and wound healing responses of neurons and glial cells. To enhance biocompatibility, we developed silicon-parylene hybrid neural probes with open architecture electrodes, microfluidic channels and a reservoir for drug delivery to suppress tissue responses. Approach. We chronically implanted our neural probes in the rat auditory cortex and investigated (1) whether open architecture electrode reduces inflammatory reaction by measuring glial responses; and (2) whether delivery of antibiotic minocycline reduces inflammatory and tissue reaction. Four weeks after implantation, immunostaining for glial fibrillary acid protein (astrocyte marker) and ionizing calcium-binding adaptor molecule 1 (macrophages/microglia cell marker) were conducted to identify immunoreactive astrocyte and microglial cells, and to determine the extent of astrocytes and microglial cell reaction/activation. A comparison was made between using traditional solid-surface electrodes and newly-designed electrodes with open architecture, as well as between deliveries of minocycline and artificial cerebral-spinal fluid diffused through microfluidic channels. Main results. The new probes with integrated micro-structures induced minimal tissue reaction compared to traditional electrodes at 4 weeks after implantation. Microcycline delivered through integrated microfluidic channels reduced tissue response as indicated by decreased microglial reaction around the neural probes implanted. Significance. The new design will help enhance the long-term stability of the implantable devices.

Potential applications of nanotechnology in the agro-food sector Potenciais aplicações de nanotecnologia no setor agro-alimentar

Directory of Open Access Journals (Sweden)

Mario García

2010-09-01

Full Text Available Nanoscience and nanotechnology are new frontiers of this century. Their application to the agriculture and food sectors is relatively recent compared with their use in drug delivery and pharmaceuticals. Smart delivery of nutrients, bioseparation of proteins, rapid sampling of biological and chemical contaminants, and nanoencapsulation of nutraceuticals are some of the emerging topics of nanotechnology for food and agriculture. In this review, some applications of nanotechnology in agro-food sector are discussed.Nanociências e nanotecnologia são fronteiras novas deste século. Suas aplicações à agricultura e ao setor alimentar são relativamente recentes quando comparadas com a sua utilização em entrega de fármacos. Entrega inteligente de nutrientes, biosseparação de proteínas, amostragem rápida de contaminantes químicos e biológicos e nanoencapsulamento de nutracêuticos são alguns dos tópicos emergentes relativamente à aplicação de nanotecnologia em agricultura e alimentação. Nesta revisão, abordam-se possíveis aplicações de nanotecnologia no sector agroalimentar.

Customer's Perceptions and Intentions on Online Travel Service Delivery: An Empirical Study in China

Science.gov (United States)

Li, Hongxiu; Suomi, Reima

With the wide adoption of e-commerce in travel and tourism industry, the Internet has become an important travel service delivery channel, and traditional travel agency has been under severe disintermediation threat. This paper reports on a survey conducted to explore the Chinese consumer's current usage of the Internet as the channel to search travel information and to book travel services. It also investigates customer's future intentions on using the Internet to book travel services. This paper aims to examine whether there are difference between different consumer segments in terms of gender and age, and to find the hypothesis of disintermediation or intermediation in travel industry. The results indicates that online travel service delivery has grown as a popular direct distribution channel in travel industry, but more of the customers still turn to the traditional travel agencies, which support both the disintermediation and intermediation in travel industry. The results also reveal that online travel services provided by travel service providers still need to be improved since the number of online bookers is declined. This paper concludes by discussing the limitation of this study and highlighting areas for the future research in online travel service field.

Energy conservation in agriculture sector

International Nuclear Information System (INIS)

Maggo, J.N.

1991-01-01

The annual production of foodgrains in India rose from 50.8 million tonnes in 1950-51 to 178 million tonnes in 1989-90. One of the factors which led to this impressive growth is the continued increase in input of mechanization and energy in the agricultural sector by way of tractors running on diesel and pumps (for water supply) based on diesel and electricity. Electricity consumption in agricultural sector rose from 833 million kWh in 1960-61 to 47000 million kWh in 1990-91 and is further expected to rise to 81.8 TWH in 1999-2000. Considering the heavy investments required for production and supply of energy, it has become imperative to avoid wasteful use of energy and to use energy more efficiently. This can be done by : (1) Changing the electricity tariff structure from the present horse power related rates to energy consumption related rates. This will induce farmers to avoid waste in energy use. (2) Adopting energy efficiency measures. These measures are : (1) replacement of inefficient foot valves, suction pipes and delivery pipes of the pump sets, (2) increasing power factor of electric motors used for pumps sets, (3) reducing distribution losses over LT lines, and (4) optimizing use of fertilizers. This optimization will indirectly conserve energy by reducing electricity consumption by fertilizer industry. (M.G.B.). 5 refs., 4 tabs

The Climate Change and Rwandan Coffee Sector

Directory of Open Access Journals (Sweden)

Fidele Hakorimana

2017-10-01

Full Text Available This paper provides a detailed overview of the current situation of the coffee sector in the Rwandan economy and identifies the possible challenges that the sector is currently facing. The study has identified the economic and the livelihood indicators for farmers who are engaged in coffee production and also gives the Rwandan coffee sector’ situation and its position in the global coffee market. Also, the research has found out that in Rwanda, nearly 500,000 farmers produce coffee along with other crops, notably beans, savory banana and corn and found out that in 2012, coffee accounted for almost 30 percent of Rwanda’s total export revenue. On the other hand, the study revealed that the sector throughout all the coffee production process, has undergone different challenges especially climate change as it is reported by the Ministry of Agriculture and Animal resources. A low yield was reported in 2007 and climate variability was quoted among the causes. Insufficient rainfall in the last three months of 2006 (the period of coffee flowering proceeding the short dry season in the first two months of 2007 was recorded. The reduced rainfall was also poorly distributed across coffee growing regions in Rwanda. In addition, the research revealed that even though the area under coffee production is increasing, the coffee production is decreasing due to unexpected climate change and variability in current years and also the improper use of chemical fertilizers by coffee farmers is very critical. The study concluded that adding value to the coffee supply chain of Rwanda is adding direct economic benefits and important indirect social benefits to the lives of individuals and to the health of communities in Rwanda. Moreover, more effort should continue to raise the profile of the Rwandan coffee sector suggesting that proper use of chemical fertilizers, solid marketing channels and climate change adaptations measures would be the fair ways of making the

Private sector participation in power sector in India

International Nuclear Information System (INIS)

Ranganathan, V.

1992-01-01

The Indian Government is currently thinking of allowing private sector to participate in power sector inviting private sector to generate electricity mainly from coal. The main motivation is resource mobilization from private sector, since the Plan funds are diverted to rural development away from power sector; and yet the massive expansion has to be financed. The paper analyzes the inherent difficulties and contradictions in the Government's proposal, such as co-existence of high cost private power and low cost public power, the potential goal-conflicts of private and public utilities and the constraints in raising finance. It suggests a different model in order to make the privatization proposition feasible. 12 refs

Closed-Loop Noninvasive Ultrasound Glucose Sensing and Insulin Delivery

Science.gov (United States)

2007-09-01

mechanism suggests that ultrasound interacts with the structured lipids within the intracellular channels of the stratum corneum to permeabilize the...R. Prausnitz, “Mechanism of intracellular delivery by acoustic cavitation ,” Ultrasound Med. Biol. 32, 915–924 2006. 14E. Maione, K. K. Shung, R. J...result of cavitation (11– 14). Low frequency ultrasound is capable of generating microbubbles in the water and tissue. These bubbles allow water

The advantages of creating a positive radiation safety culture in the higher education and research sectors

International Nuclear Information System (INIS)

Coldwell, T; Cole, P; Edwards, C; Makepeace, J; Murdock, C; Odams, H; Whitcher, R; Willis, S; Yates, L

2015-01-01

The safety culture of any organisation plays a critical role in setting the tone for both effective delivery of service and high standards of performance. By embedding safety at a cultural level, organisations are able to influence the attitudes and behaviours of stakeholders. To achieve this requires the ongoing commitment of heads of organisations and also individuals to prioritise safety no less than other competing goals (e.g. in universities, recruitment and retention are key) to ensure the protection of both people and the environment.The concept of culture is the same whatever the sector, e.g. medical, nuclear, industry, education, and research, but the higher education and research sectors within the UK are a unique challenge in developing a strong safety culture.This report provides an overview of the challenges presented by the sector, the current status of radiation protection culture, case studies to demonstrate good and bad practice in the sector and the practical methods to influence change. (practical matter)

Computer tomography valorization of the vascular lingual channels in the jaw

International Nuclear Information System (INIS)

Costantino, Sebastian; Capiel, Carlos h; Bouzas, Carlos; Vuotto, Miguel; Ferrari, Daniela; Bazzano, Sebastian

2006-01-01

Purpose: To determine the frequency, location and position of vascular lingual channels of jaw by dental CT and classifying them based on its location. Material and methods: Dental CT of 100 consecutive patients were reevaluated as previous evaluation to the positioning of dental implants. They are classified by linking their location on the jaw with the number of tooth present or absent in that area. Results: All patients had at least one lingual vascular channel in the jaw; 36 patients presented two channels, eight patients presented three and a patient presented four. The more frequent location was between the sectors of the pieces 31 and 41. Sixteen patients showed two channels (superior and inferior) in that location. The second location by frequency was between pieces 32 and 33 (nine patients). The average distance between the lingual surface of the alveolar rim and the vascular channels was of 16 mm. Conclusion: the dental CT is an excellent method for the identification of the vascular lingual channels by its multiplanar capacity and appropriate image resolution. The characterization and classification of these conduits by a method of easy reading for the radiologists and the dentists assure a correct pre surgical valuation avoiding hemorrhages during the jaw perforation in the positioning of dental implants. (author) [es

Economical and technical origins of the electricity sector nationalization in Quebec: the mixed regime experience, from 1944 to 1963

International Nuclear Information System (INIS)

Bellavance, Claude

2003-01-01

For almost twenty years (1944-1963), private and public firms coexisted in the electricity sector in Quebec. We would like, in this article, to relate the growth of a state company (Hydro-Quebec) to the decline of the private sector, the networks' interconnection, and the confirmation of the hydraulic channel as the quasi unique source of primary energy for electricity production in that province. We will also check whether the mixed regime really was a case of 'yardstick competition' or not. Finally, we will examine the accuracy of the 'natural monopoly' concept as applied to the evolution of the electricity sector in Quebec before the second nationalization in 1963

Dynamical coupled-channels model for meson productions and application to strange nuclear physics

International Nuclear Information System (INIS)

Nakamura, S.X.; Kamano, H.; Lee, T.-S.H.; Sato, T.

2013-01-01

We discuss our dynamical coupled-channels (DCC) model in the context of extracting interesting strange nuclear physics from forthcoming J-PARC data. We describe the dynamical contents of the model, and its capability of describing a large amount of data of S=0 sector, namely, πN, γN → πN, ηN, KΛ, KΣ data. Then we discuss future extensions of the DCC model to S ≠ 0 and B ≥ 1 sectors. We emphasize that realistic amplitudes will be essential for extracting interesting physics from data, and the extended DCC model will play an important role there. (author)

CP violation in supersymmetry, Higgs sector and large hadron collider

International Nuclear Information System (INIS)

Godbole, Rohini M.

2006-01-01

In this talk I discuss some aspects of CP violation (CPV) in supersymmetry (SUSY) as well as in the Higgs sector. Further, I discuss ways in which these may be probed at hadronic colliders. In particular I will point out the ways in which studies in the χ ∼± , χ 2 ∼0 sector at Tevatron may be used to provide information on this and how the search can be extended to the LHC. I will then follow this by a discussion of the CP mixing induced in the Higgs sector due to the above-mentioned CPV in the soft SUSY breaking parameters and its effects on the Higgs phenomenology at the LHC. I would then point out some interesting aspects of the phenomenology of a moderately light charged Higgs boson, consistent with the LEP constraints, in this scenario. Decay of such a charged Higgs boson would also allow a probe of a light (≤)50 GeV), CP-violating (CPV) Higgs boson. Such a light neutral Higgs boson might have escaped detection at LEP and could also be missed at the LHC in the usual search channels. (author)

How Do Private Sector Schools Serve the Public Good by Fostering Inclusive Service Delivery Models?

Science.gov (United States)

Scanlan, Martin; Tichy, Karen

2014-01-01

Conversations about promoting educational reforms that redress educational inequities often ignore private schools as irrelevant. Yet pursuits of inclusivity in private sector schools serve the public interest. This article focuses on how the system of Catholic schools in the Archdiocese of St. Louis has been purposefully striving for 2 decades to…

Geochronological 40Ar/39Ar data on the submarine fault-scarps in the Sardinia channel (western mediterranean)

International Nuclear Information System (INIS)

Bouillin, J.P.; Tricart, P.; Mascle, G.; Monie, P.; Rolfo, F.; Torelli, L.

1999-01-01

Granite and gneiss have been sampled on the submarine fault scarps of the Sardinia Channel and have been dated using the 40 Ar/ 39 Ar method. The majority of rocks partially preserve Hercynian ages. Some of them display Lower Cretaceous ages. In addition, Upper Eocene-Oligocene argon resetting is recorded only in rocks from the southeast sector of the Channel. We thus propose that the basement of the Sardinia Channel occupied a shallow position within the stack of the Alpine tectonic units, behind the more deformed front of the internal zones of the Maghrebide Chain. (authors)

EXAMINATION OF THE THERMODYNAMIC PARAMETERS OF THE RESIDENTIAL COMMERCIAL SECTOR: AN APPLICATION

Directory of Open Access Journals (Sweden)

Zafer Utlu

2012-01-01

Full Text Available The energy utilization of a country can be evaluated using exergy analysis, which is a way to a sustainable development, to gain insights into its efficiency. The authors have conducted various studies on analyzing the energy utilization efficiencies of Turkey and extend here these studies by dealing with the investigation of the thermodynamic parameters in the Turkish residential-commercial sector (TRCS. The thermodynamic parameters considered are as follows: (i fuel depletion rate, (ii relative irreversibility, (iii productivity lack, and (iv exergetic factor. These parameters are determined for the components of the TRCS in an attempt to assess their individual performances and are also compared to each other, while the analysis is done based on the actual data. The present study has clearly indicated the necessity of the planned studies towards increasing exergy efficiencies in the sector studied and especially the critical role of policymakers in establishing effective energyefficiency delivery mechanisms throughout the country. It may be concluded that the current methodology is useful for analyzing the sectoral energy and exergy utilization, giving energy saving opportunities.

RNAi-mediated knockdown of the voltage gated sodium ion channel TcNav causes mortality in Tribolium castaneum.

Science.gov (United States)

Abd El Halim, Hesham M; Alshukri, Baida M H; Ahmad, Munawar S; Nakasu, Erich Y T; Awwad, Mohammed H; Salama, Elham M; Gatehouse, Angharad M R; Edwards, Martin G

2016-07-14

The voltage-gated sodium ion channel (VGSC) belongs to the largest superfamily of ion channels. Since VGSCs play key roles in physiological processes they are major targets for effective insecticides. RNA interference (RNAi) is widely used to analyse gene function, but recently, it has shown potential to contribute to novel strategies for selectively controlling agricultural insect pests. The current study evaluates the delivery of dsRNA targeted to the sodium ion channel paralytic A (TcNav) gene in Tribolium castaneum as a viable means of controlling this insect pest. Delivery of TcNav dsRNA caused severe developmental arrest with larval mortalities up to 73% post injection of dsRNA. Injected larvae showed significant (p < 0.05) knockdown in gene expression between 30-60%. Expression was also significantly (p < 0.05) reduced in pupae following injection causing 30% and 42% knockdown for early and late pupal stages, respectively. Oral delivery of dsRNA caused dose-dependant mortalities of between 19 and 51.34%; this was accompanied by significant (p < 0.05) knockdown in gene expression following 3 days of continuous feeding. The majority of larvae injected with, or fed, dsRNA died during the final larval stage prior to pupation. This work provides evidence of a viable RNAi-based strategy for insect control.

Analysis of Strengthening Steel Distribution Channel in Domestic Automotive Industry

OpenAIRE

Pangraksa, Sugeng; Djajadiningrat, Surna Tjahja

2013-01-01

Distribution has strategic role to spread up product from manufacturer into end-user. Automotive industry needs distribution channel which has: excellent data management, timely delivery management, excellent quality management, and competitive reducing cost. Krakatau Steel (KS) distributors has weaknesses to enter automotive market current that require tight prerequisite such as: consistency of product quality, good cooperation, close relationship, continuously cost reduction, wide spread to...

A hazard-independent approach for the standardised multi-channel dissemination of warning messages

Science.gov (United States)

Esbri Palomares, M. A.; Hammitzsch, M.; Lendholt, M.

2012-04-01

The tsunami disaster affecting the Indian Ocean region on Christmas 2004 demonstrated very clearly the shortcomings in tsunami detection, public warning processes as well as intergovernmental warning message exchange in the Indian Ocean region. In that regard, early warning systems require that the dissemination of early warning messages has to be executed in way that ensures that the message delivery is timely; the message content is understandable, usable and accurate. To that end, diverse and multiple dissemination channels must be used to increase the chance of the messages reaching all affected persons in a hazard scenario. In addition to this, usage of internationally accepted standards for the warning dissemination such as the Common Alerting Protocol (CAP) and Emergency Data Exchange Language (EDXL) Distribution Element specified by the Organization for the Advancement of Structured Information Standards (OASIS) increase the interoperability among different warning systems enabling thus the concept of system-of-systems proposed by GEOSS. The project Distant Early Warning System (DEWS), co-funded by the European Commission under the 6th Framework Programme, aims at strengthening the early warning capacities by building an innovative generation of interoperable tsunami early warning systems based on the above mentioned concepts following a Service-oriented Architecture (SOA) approach. The project focuses on the downstream part of the hazard information processing where customized, user-tailored warning messages and alerts flow from the warning centre to the responsible authorities and/or the public with their different needs and responsibilities. The information logistics services within DEWS generate tailored EDXL-DE/CAP warning messages for each user that must receive the message according to their preferences, e.g., settings for language, interested areas, dissemination channels, etc.. However, the significant difference in the implementation and

Systematic literature review of integrated community case management and the private sector in Africa: Relevant experiences and potential next steps

OpenAIRE

Phyllis Awor; Jane Miller; Stefan Peterson

2014-01-01

Background Despite substantial investments made over the past 40 years in low income countries, governments cannot be viewed as the principal health care provider in many countries. Evidence on the role of the private sector in the delivery of health services is becoming increasingly available. In this study, we set out to determine the extent to which the private sector has been utilized in providing integrated care for sick children under 5 years of age with community–acquired malaria, pneu...

Fluidic delivery of homogeneous solutions through carbon tube bundles

International Nuclear Information System (INIS)

Srikar, R; Yarin, A L; Megaridis, C M

2009-01-01

A wide array of technological applications requires localized high-rate delivery of dissolved compounds (in particular, biological ones), which can be achieved by forcing the solutions or suspensions of such compounds through nano or microtubes and their bundled assemblies. Using a water-soluble compound, the fluorescent dye Rhodamine 610 chloride, frequently used as a model drug release compound, it is shown that deposit buildup on the inner walls of the delivery channels and its adverse consequences pose a severe challenge to implementing pressure-driven long-term fluidic delivery through nano and microcapillaries, even in the case of such homogeneous solutions. Pressure-driven delivery (3-6 bar) of homogeneous dye solutions through macroscopically-long (∼1 cm) carbon nano and microtubes with inner diameters in the range 100 nm-1 μm and their bundled parallel assemblies is studied experimentally and theoretically. It is shown that the flow delivery gradually shifts from fast convection-dominated (unobstructed) to slow jammed convection, and ultimately to diffusion-limited transport through a porous deposit. The jamming/clogging phenomena appear to be rather generic: they were observed in a wide concentration range for two fluorescent dyes in carbon nano and microtubes, as well as in comparable transparent glass microcapillaries. The aim of the present work is to study the physics of jamming, rather than the chemical reasons for the affinity of dye molecules to the tube walls.

Circumferential or sectored beam arrangements for stereotactic body radiation therapy (SBRT) of primary lung tumors: Effect on target and normal-structure dose-volume metrics

Energy Technology Data Exchange (ETDEWEB)

Rosenberg, Mara W. [Broad Institute of MIT and Harvard, Cambridge, MA (United States); Department of Physics, Brandeis University, Waltham, MA (United States); Kato, Catherine M. [Macalester College, St. Paul, MN (United States); Carson, Kelly M.P. [The University of North Carolina, Chapel Hill, NC (United States); Matsunaga, Nathan M. [Santa Clara University, Santa Clara, CA (United States); Arao, Robert F. [Department of Public Health and Preventive Medicine, Oregon Health and Science University, Portland, OR (United States); Doss, Emily J. [Department of Internal Medicine, Providence St. Vincent Medical Center, Portland, OR (United States); McCracken, Charles L. [Department of Radiation Medicine, Oregon Health and Science University, Portland, OR (United States); Meng, Lu Z. [Department of Radiation Oncology, University of California Davis Comprehensive Cancer Center, Sacramento, CA (United States); Chen, Yiyi [Department of Public Health and Preventive Medicine, Oregon Health and Science University, Portland, OR (United States); Laub, Wolfram U.; Fuss, Martin [Department of Radiation Medicine, Oregon Health and Science University, Portland, OR (United States); Department of Nuclear Engineering and Radiation Health Physics, Oregon State University, Corvallis, OR (United States); Tanyi, James A., E-mail: tanyij@ohsu.edu [Department of Radiation Medicine, Oregon Health and Science University, Portland, OR (United States); Department of Nuclear Engineering and Radiation Health Physics, Oregon State University, Corvallis, OR (United States)

2013-01-01

To compare 2 beam arrangements, sectored (beam entry over ipsilateral hemithorax) vs circumferential (beam entry over both ipsilateral and contralateral lungs), for static-gantry intensity-modulated radiation therapy (IMRT) and volumetric-modulated arc therapy (VMAT) delivery techniques with respect to target and organs-at-risk (OAR) dose-volume metrics, as well as treatment delivery efficiency. Data from 60 consecutive patients treated using stereotactic body radiation therapy (SBRT) for primary non–small-cell lung cancer (NSCLC) formed the basis of this study. Four treatment plans were generated per data set: IMRT/VMAT plans using sectored (-s) and circumferential (-c) configurations. The prescribed dose (PD) was 60 Gy in 5 fractions to 95% of the planning target volume (PTV) (maximum PTV dose ∼ 150% PD) for a 6-MV photon beam. Plan conformality, R{sub 50} (ratio of volume circumscribed by the 50% isodose line and the PTV), and D{sub 2} {sub cm} (D{sub max} at a distance ≥2 cm beyond the PTV) were evaluated. For lungs, mean doses (mean lung dose [MLD]) and percent V{sub 30}/V{sub 20}/V{sub 10}/V{sub 5} Gy were assessed. Spinal cord and esophagus D{sub max} and D{sub 5}/D{sub 50} were computed. Chest wall (CW) D{sub max} and absolute V{sub 30}/V{sub 20}/V{sub 10}/V{sub 5} {sub Gy} were reported. Sectored SBRT planning resulted in significant decrease in contralateral MLD and V{sub 10}/V{sub 5} {sub Gy}, as well as contralateral CW D{sub max} and V{sub 10}/V{sub 5} {sub Gy} (all p < 0.001). Nominal reductions of D{sub max} and D{sub 5}/D{sub 50} for the spinal cord with sectored planning did not reach statistical significance for static-gantry IMRT, although VMAT metrics did show a statistically significant decrease (all p < 0.001). The respective measures for esophageal doses were significantly lower with sectored planning (p < 0.001). Despite comparable dose conformality, irrespective of planning configuration, R{sub 50} significantly improved with IMRT

Leveraging socially networked mobile ICT platforms for the last-mile delivery problem.

Science.gov (United States)

Suh, Kyo; Smith, Timothy; Linhoff, Michelle

2012-09-04

Increasing numbers of people are managing their social networks on mobile information and communication technology (ICT) platforms. This study materializes these social relationships by leveraging spatial and networked information for sharing excess capacity to reduce the environmental impacts associated with "last-mile" package delivery systems from online purchases, particularly in low population density settings. Alternative package pickup location systems (PLS), such as a kiosk on a public transit platform or in a grocery store, have been suggested as effective strategies for reducing package travel miles and greenhouse gas emissions, compared to current door-to-door delivery models (CDS). However, our results suggest that a pickup location delivery system operating in a suburban setting may actually increase travel miles and emissions. Only once a social network is employed to assist in package pickup (SPLS) are significant reductions in the last-mile delivery distance and carbon emissions observed across both urban and suburban settings. Implications for logistics management's decades-long focus on improving efficiencies of dedicated distribution systems through specialization, as well as for public policy targeting carbon emissions of the transport sector are discussed.

Reforming health service delivery at district level in Ghana: the perspective of a district medical officer.

Science.gov (United States)

Agyepong, I A

1999-03-01

Many countries in sub-Saharan Africa face the problem of organizing health service delivery in a manner that provides adequate quality and coverage of health care to their populations against a background of economic recession and limited resources. In response to these challenges, different governments, including that of Ghana, have been considering or are in the process of implementing varying degrees of reform in the health sector. This paper examines aspects of health services delivery, and trends in utilization and coverage, using routine data over time in the Dangme West district of the Greater Accra region of Ghana, from the perspective of a district health manager. Specific interventions through which health services delivery and utilization at district level could be improved are suggested. Suggestions include raising awareness among care providers and health managers that increased resource availability is only a success in so far as it leads to improvements in coverage, utilization and quality; and developing indicators of performance which assess and reward use of resources at the local level to improve coverage, utilization and quality. Also needed are more flexibility in Central Government regulations for resource allocation and use; integration of service delivery at district level with more decentralized planning to make services better responsive to local needs; changes in basic and inservice training strategies; and exploration of how the public and private sectors can effectively collaborate to achieve maximum coverage and quality of care within available resources.

Future of the transdermal drug delivery market--have we barely touched the surface?

Science.gov (United States)

Watkinson, Adam C; Kearney, Mary-Carmel; Quinn, Helen L; Courtenay, Aaron J; Donnelly, Ryan F

2016-01-01

Transdermal drug delivery is the movement of drugs across the skin for absorption into the systemic circulation. Transfer of the drug can occur via passive or active means; passive transdermal products do not disrupt the stratum corneum to facilitate delivery whereas active technologies do. Due to the very specific physicochemical properties necessary for successful passive transdermal drug delivery, this sector of the pharmaceutical industry is relatively small. There are many well-documented benefits of this delivery route however, and as a result there is great interest in increasing the number of therapeutic substances that can be delivered transdermally. This review discusses the various transdermal products that are currently/have been marketed, and the paths that led to their success, or lack of. Both passive and active transdermal technologies are considered with the advantages and limitations of each highlighted. In addition to marketed products, technologies that are in the investigative stages by various pharmaceutical companies are reviewed. Passive transdermal drug delivery has made limited progress in recent years, however with the ongoing intense research into active technologies, there is great potential for growth within the transdermal delivery market. A number of active technologies have already been translated into marketed products, with other platforms including microneedles, rapidly progressing towards commercialisation.

Short Summary European Reports on Retail Sector, Motor Vehicle Repair and Sales Sector, Food and Beverages Sector.

Science.gov (United States)

European Centre for the Development of Vocational Training, Berlin (Germany).

This document is composed of European synthesis reports on retail trade, the agro-food sector, and the motor vehicle sales and repair sector. They are based on the most important findings of the European report and the 12 national reports for each sector. Section 1, "Retail Sector," deals in part 1 with the structure of retailing in the…

Public Service Delivery in Hybrid Organisations : public management reform and horizontalisation as main challenges for public leaders

NARCIS (Netherlands)

Kuitert, L.; Volker, L.

2016-01-01

The public sector has been subject to some major movements the last 15 years. In public service delivery a trend called socialisation, leading to the displacement between public and private, is most crucial. A withdrawing government and privatization led to increased collaboration between public and

Channel Power in Multi-Channel Environments

NARCIS (Netherlands)

M.G. Dekimpe (Marnik); B. Skiera (Bernd)

2004-01-01

textabstractIn the literature, little attention has been paid to instances where companies add an Internet channel to their direct channel portfolio. However, actively managing multiple sales channels requires knowing the customers’ channel preferences and the resulting channel power. Two key

Care co-ordination for older people in the third sector: scoping the evidence.

Science.gov (United States)

Abendstern, Michele; Hughes, Jane; Jasper, Rowan; Sutcliffe, Caroline; Challis, David

2018-05-01

The third sector has played a significant role internationally in the delivery of adult social care services for many years. Its contribution to care co-ordination activities for older people, however, in England and elsewhere, is relatively unknown. A scoping review was therefore conducted to ascertain the character of the literature, the nature and extent of third sector care co-ordination activity, and to identify evidence gaps. It was undertaken between autumn 2013 and summer 2014 and updated with additional searches in 2016. Electronic and manual searches of international literature using distinct terms for different approaches to care co-ordination were undertaken. From a total of 835 papers, 26 met inclusion criteria. Data were organised in relation to care co-ordination approaches, types of third sector organisation and care recipients. Papers were predominantly from the UK and published this century. Key findings included that: a minority of literature focused specifically on older people and that those doing so described only one care co-ordination approach; third sector services tended to be associated with independence and person-centred practice; and working with the statutory sector, a prerequisite of care co-ordination, was challenging and required a range of features to be in place to support effective partnerships. Strengths and weaknesses of care co-ordination practice in the third sector according to key stakeholder groups were also highlighted. Areas for future research included the need for: a specific focus on older people's experiences; an investigation of workforce issues; detailed examination of third sector practices, outcomes and costs; interactions with the statutory sector; and an examination of quality assurance systems and their appropriateness to third sector practice. The main implication of the findings is a need to nurture variety within the third sector in order to provide older people and other adults with the range of service

The Only Game in Town: Public Private Partnerships in the Irish Water Services Sector

OpenAIRE

Eoin Reeves

2011-01-01

peer-reviewed This paper was obtained through PEER (Publishing and the Ecology of European Research) http://www.peerproject.eu Public Private Partnerships (PPPs) transfer significant responsibility for infrastructure and public service delivery to the private sector. This raises questions in relation to accountability in the context of PPP. An important accountability mechanism is the Value for Money (VFM) assessment which procuring authorities in Ireland must conduct prior to adopti...

Current funding and financing issues in the Australian hospice and palliative care sector.

Science.gov (United States)

Gordon, Robert; Eagar, Kathy; Currow, David; Green, Janette

2009-07-01

This article overviews current funding and financing issues in the Australian hospice and palliative care sector. Within Australia, the major responsibilities for managing the health care system are shared between two levels of government. Funding arrangements vary according to the type of care. The delivery of palliative care services is a State/Territory responsibility. Recently, almost all States/Territories have developed overarching frameworks to guide the development of palliative care policies, including funding and service delivery structures. Palliative care services in Australia comprise a mix of specialist providers, generalist providers, and support services in the public, nongovernment, and private sectors. The National Palliative Care Strategy is a joint strategy of the Commonwealth and States that commenced in 2002 and includes a number of major issues. Following a national study in 1996, the Australian National Subacute and Nonacute Patient (AN-SNAP) system was endorsed as the national casemix classification for subacute and nonacute care. Funding for palliative care services varies depending on the type of service and the setting in which it is provided. There is no national model for funding inpatient or community services, which is a State/Territory responsibility. A summary of funding arrangements is provided in this article. Palliative care continues to evolve at a rapid rate in Australia. Increasingly flexible evidence-based models of care delivery are emerging. This article argues that it will be critical for equally flexible funding and financing models to be developed. Furthermore, it is critical that palliative care patients can be identified, classified, and costed. Casemix classifications such as AN-SNAP represent an important starting point but further work is required.

Design of injection system for separated sector cyclotron proposed at the Institute of Physical and Chemical Research, (1)

International Nuclear Information System (INIS)

Yano, Yasushige

1980-01-01

A beam injection system has been proposed for the separated-sector cyclotron (SSC) planned at the IPCR. In the central region of the SSC, a beam transported from a variable frequency linac or an AVF cyclotron is guided onto the first equilibrium orbit by means of three types of inflecting elements. These equipments consist of three bending magnets, a magnetic inflection channel and an electrostatic inflection channel. The latter two elements are placed between the magnetic poles of the sector magnets. The bending magnets are of a modified window-frame design with a pure iron yoke. The magnetic field distribution generated by these magnets was calculated and ascertained to have the satisfactory homogeniety. The magnetic inflection channel is composed of two sets of coils. One is used to accomplish an adequate field rise and the other to compensate for the main field fall which is brought about in the accelerating area by the former set of coils. With the aid of a computer code solving the Laplace equation, shapes of the anode and the cathode of the electrostatic inflector have been determined to produce a sufficiently uniform electric field. Finally, the present method of injection is concluded to be feasible for our SSC. (author)

The role of information and communication policies in the governance of the healthcare sector

Directory of Open Access Journals (Sweden)

Barileé B. Baridam

2016-07-01

Full Text Available Information and communication technology (ICT is today an indispensable tool in the development of countries and economies, driving growth in many other sectors, including the health sector. The effective governance of the health sector demands enabling ICT policies. Healthcare is a key area in the development and growth of nations. A country that neglects this sector will definitely witness a decline in socio-economic development. Application of ICT in this sector is non-negotiable and an imperative. However, with diversities in policy ICT’s impact is not felt in many communities, and linking ICT and other business strategies is a big challenge. Availability of resources upon which ICT itself thrives is another factor limiting its impact upon the lives of the populations of most developing nations. Cultural diversity and technology problems seem to stand prominent among challenges impeding the impact of ICT on developing nations. Against this backdrop, this paper takes a critical look at the implementation and efficiency of ICT in healthcare delivery within the Nigerian context. The purpose is to assist those bodies responsible for ICT policy and implementation to enable the benefits of ICT to trickle through to the populace. We are also of the opinion that the adequate implementation of ICT policy in the health sector in the most populous black nation (Nigeria will go a long way to influence its implementation in neighbouring nations

Oil price shocks: Sectoral and dynamic adjustments in a small-open developed and oil-exporting economy

International Nuclear Information System (INIS)

Dissou, Yazid

2010-01-01

The recent uptrend in oil prices represents both an opportunity and a challenge for small-open developed and oil-exporting countries. Using Canada as a study case and in contrast to most studies that use aggregate models, this paper employs a multi-sector, intertemporal general equilibrium model to provide perspectives on the sectoral, aggregate and dynamic adjustments of a sustained increase in oil prices. It highlights the transmission channels through which the rise in oil prices affects the domestic economy. The simulation results suggest that the shock would have positive aggregate impacts, but would also spur the reallocation of resources and would therefore induce disparities in sectoral adjustments. The suggested contraction in some industries could not however be attributed to a pure Dutch disease phenomenon because of, among other factors, the cost-push effect induced by the increase in oil prices.

Preliminary results on 3D channel modeling: From theory to standardization

KAUST Repository

Kammoun, Abla; Khanfir, Hajer; Altman, Zwi; Debbah, Mé roú ane; Kamoun, Mohamed Amine

2014-01-01

Three dimensional (3D) beamforming (also elevation beamforming) is now gaining interest among researchers in wireless communication. The reason can be attributed to its potential for enabling a variety of strategies such as sector or user specific elevation beamforming and cell-splitting. Since these techniques cannot be directly supported by current LTE releases, the 3GPP is now working on defining the required technical specifications. In particular, a large effort is currently being made to get accurate 3D channel models that support the elevation dimension. This step is necessary as it will evaluate the potential of 3D and full dimensional (FD) beamforming techniques to benefit from the richness of real channels. This work aims at presenting the on-going 3GPP study item 'study on 3D-channel model for elevation beamforming and FD-MIMO studies for LTE' and positioning it with respect to previous standardization works. © 2014 IEEE.

Preliminary results on 3D channel modeling: From theory to standardization

KAUST Repository

Kammoun, Abla

2014-06-01

Three dimensional (3D) beamforming (also elevation beamforming) is now gaining interest among researchers in wireless communication. The reason can be attributed to its potential for enabling a variety of strategies such as sector or user specific elevation beamforming and cell-splitting. Since these techniques cannot be directly supported by current LTE releases, the 3GPP is now working on defining the required technical specifications. In particular, a large effort is currently being made to get accurate 3D channel models that support the elevation dimension. This step is necessary as it will evaluate the potential of 3D and full dimensional (FD) beamforming techniques to benefit from the richness of real channels. This work aims at presenting the on-going 3GPP study item \\'study on 3D-channel model for elevation beamforming and FD-MIMO studies for LTE\\' and positioning it with respect to previous standardization works. © 2014 IEEE.

The skills gap in nursing management in the South African public health sector.

Science.gov (United States)

Pillay, Rubin

2011-01-01

Nurse managers are central to health delivery in South Africa. However, there is a paucity of research that analyzes their competence to successfully discharge their managerial role. To identify the competencies perceived to be important for effective nursing management in the South African public sector and the managers' self-assessed proficiency in these. A cross-sectional survey using a self-administered questionnaire. 215 senior nursing managers at South African public sector hospitals. Respondents rated the level of importance that 51 proposed competencies had in their job and indicated their proficiency in each. Public sector managers ranked controlling as the most important competency, followed by leading, organizing, and self-management. Health/clinical skills, planning, and legal/ethical competencies were ranked as being relatively less important. They assessed themselves as being most competent in self-management, followed by planning, controlling, leading, and specific health skills. The competency gap was the largest for legal/ethical issues, organizing, and controlling. The competency gap for planning and self-management was relatively smaller. This research confirms that there is a lack of management capacity within the public health sector and also identifies the areas in which the lack of knowledge or skills is most significant. © 2011 Wiley Periodicals, Inc.

Impact of private sector credit on the real sector of Nigeria

Directory of Open Access Journals (Sweden)

Aliyu Mamman, Ph.D

2013-07-01

Full Text Available The real sector is a strategic component of an economy because it produces and distributes tangible goods and services required to satisfy aggregate demand in the economy. For this reason, there is the need for adequate credit flow from the banking industry to the real sector, which in the Nigerian case, the credit flow has been grossly inadequate. This study is carried out to examine the impact of credit to private sector (CPS on the real sector of Nigeria with a view to assess the significant contribution of CPS to real sector growth in Nigeria. The study used aggregate time series data from 1986 to 2010, which was drawn from central bank of Nigeria (CBN statistical bulletin and CBN annual report and statement of accounts. The data was analysed using multiple regression and based on the coefficient of determination (R square, the study reveals a 96.1% variation between the CPS and real sector growth in Nigeria. The study cocludes that there is a statistically significant impact of credit to private sector on the real sector of Nigeria. This, suggest that the performance of the real sector is greatly influence by credit to private sector. The study recommends that the federal government of Nigeria through the central bank of Nigeria (CBN should enhance the financing of the real sector as well as improve credit flow to the sector because of its strategic importance in creating and generating growth of the economy.

Measurement and evaluation of the public administration performance through delivery of electronic services

Directory of Open Access Journals (Sweden)

Mirlinda Batalli

2015-07-01

Full Text Available The purpose of this paper concerns the relation between delivery of electronic services (e-services and evaluation of public administration performance. Public sector organizations should pay attention and determine the strategies to be followed in order to increase the satisfaction of citizens and businesses in relation to delivery of electronic services. The study aims to review the demands toward progress to the competitiveness, the sustainability, efficiency and effectives in public administration that have rapidly enforced the wide reforms in the public sector, in order to modernize the initiatives to offer better electronic services for the citizens. The article aims to present that the transformation process toward providing electronic services to the citizens should be assessed continuously, in light with challenges, demands and process of globalization, in order to strengthen the capacities of public administration and make it more efficient. In this regard, the regular evaluation and measurement of the public administration performance leads toward the promotion of enhanced public services and higher level of accountability. Through receiving the e-services, citizens can save their time, can reduce the expenses and create an easier access of communication with all levels of the government.

Structural change and inter-sectoral mobility in a two-sector economy

International Nuclear Information System (INIS)

Antoci, Angelo; Galeotti, Marcello; Iannucci, Gianluca; Russu, Paolo

2015-01-01

This paper studies the dynamics of a two-sector economy (with a natural resource-dependent sector and an industrial sector) characterized by free inter-sectoral labor mobility and heterogeneity of agents (workers and entrepreneurs). In such a context, we analyze the effects of the deterioration of natural resources, caused by the production activity of both sectors, on inter-sectoral movements of the labor force (structural changes), on ecological dynamics and on the revenues of workers and entrepreneurs. As in the seminal work by Matsuyama (1992), we obtain that a low productivity of labor in the resource-dependent sector can fuel the industrialization process. However, differently from Matsuyama, in our model the industrialization process may give rise to a reduction in workers’ revenues if the contribution to environmental depletion of the industrial sector, per unit of product, is higher than that of the resource-dependent one.

Citizen Relationship Management System Users’ Contact Channel Choices: Digital Approach or Call Approach?

Directory of Open Access Journals (Sweden)

Wei-Ning Wu

2017-01-01

Full Text Available Many municipal governments adopted 311 decades ago and have advocated access equality in citizens’ use of 311. However, the role of citizens in the development and usage of 311 remains limited. Channel choices have been discussed in various types of governmental information and communication technologies (ICTs, especially when the innovative technology has just been adopted. Much has supported the idea that 311 is viewed as a method of digital civic engagement that many municipal governments adopt to maintain citizen relationship management and the capacity for government service delivery. However, we are still unclear about how citizens use it. This study applies the theory of channel expansion to examine how San Francisco residents use the 311 system, and how citizens’ technology experiences impact their 311 digital contact channel choices rather than the 311 hotline contact channel choice. In addition, we discuss major issues in citizens’ 311 contact choices, so that 311 municipal governments may draw lessons from the San Francisco experience.

Solid waste management practices under public and private sector in Lahore, Pakistan

Directory of Open Access Journals (Sweden)

Usman Ashraf

2016-10-01

Full Text Available Solid waste management (SWM practices in Lahore, provincial capital of Punjab, were privatised in 2012. This study draws a comparison of solid waste management practices by public and private sector in Lahore. The comparison is done by taking following factors in consideration; administrative structure, waste collection, street sweeping, waste storage capacity and logistics, disposal, mechanical sweeping and washing, monitoring system. Privatisation of solid waste management in Lahore is celebrated as complete success story. In contrast to this, we found the results of privatisation are mixed. Privatisation has improved some components of the system. Monitoring system has been the key innovation under private sector. It has enabled better allocation, management and channelization of available resources. Yet little to no improvement has been done in street sweeping, disposal of waste and administrative structure of waste management in the city.

Universal delivery machine - design of the Bruce and Darlington heads

International Nuclear Information System (INIS)

Gray, M.G.; Brown, R.

2003-01-01

The Universal Delivery Machine (UDM) was designed and supplied to reduce the time required to perform channel inspection services. The Bruce UDM was the first to be completed followed by Pickering and Darlington. The Bruce and Darlington machines are nearly identical. Design concepts applied include a rotating, multiple tool station magazine, a rigid chain driving telescoping rams, a common drive package, and an external support frame to meet seismic qualification requirements. (author)

Venom-derived peptides inhibiting Kir channels: Past, present, and future.

Science.gov (United States)

Doupnik, Craig A

2017-12-01

Inwardly rectifying K + (Kir) channels play a significant role in vertebrate and invertebrate biology by regulating the movement of K + ions involved in membrane transport and excitability. Yet unlike other ion channels including their ancestral K + -selective homologs, there are very few venom toxins known to target and inhibit Kir channels with the potency and selectivity found for the Ca 2+ -activated and voltage-gated K + channel families. It is unclear whether this is simply due to a lack of discovery, or instead a consequence of the evolutionary processes that drive the development of venom components towards their targets based on a collective efficacy to 1) elicit pain for defensive purposes, 2) promote paralysis for prey capture, or 3) facilitate delivery of venom components into the circulation. The past two decades of venom screening has yielded three venom peptides with inhibitory activity towards mammalian Kir channels, including the discovery of tertiapin, a high-affinity pore blocker from the venom of the European honey bee Apis mellifera. Venomics and structure-based computational approaches represent exciting new frontiers for venom peptide development, where re-engineering peptide 'scaffolds' such as tertiapin may aid in the quest to expand the palette of potent and selective Kir channel blockers for future research and potentially new therapeutics. This article is part of the Special Issue entitled 'Venom-derived Peptides as Pharmacological Tools.' Copyright © 2017 Elsevier Ltd. All rights reserved.

Multi-channel distributed coordinated function over single radio in wireless sensor networks.

Science.gov (United States)

Campbell, Carlene E-A; Loo, Kok-Keong Jonathan; Gemikonakli, Orhan; Khan, Shafiullah; Singh, Dhananjay

2011-01-01

Multi-channel assignments are becoming the solution of choice to improve performance in single radio for wireless networks. Multi-channel allows wireless networks to assign different channels to different nodes in real-time transmission. In this paper, we propose a new approach, Multi-channel Distributed Coordinated Function (MC-DCF) which takes advantage of multi-channel assignment. The backoff algorithm of the IEEE 802.11 distributed coordination function (DCF) was modified to invoke channel switching, based on threshold criteria in order to improve the overall throughput for wireless sensor networks (WSNs) over 802.11 networks. We presented simulation experiments in order to investigate the characteristics of multi-channel communication in wireless sensor networks using an NS2 platform. Nodes only use a single radio and perform channel switching only after specified threshold is reached. Single radio can only work on one channel at any given time. All nodes initiate constant bit rate streams towards the receiving nodes. In this work, we studied the impact of non-overlapping channels in the 2.4 frequency band on: constant bit rate (CBR) streams, node density, source nodes sending data directly to sink and signal strength by varying distances between the sensor nodes and operating frequencies of the radios with different data rates. We showed that multi-channel enhancement using our proposed algorithm provides significant improvement in terms of throughput, packet delivery ratio and delay. This technique can be considered for WSNs future use in 802.11 networks especially when the IEEE 802.11n becomes popular thereby may prevent the 802.15.4 network from operating effectively in the 2.4 GHz frequency band.

Trade Union Channels for Influencing European Union Policies

Directory of Open Access Journals (Sweden)

Bengt Larsson

2015-10-01

Full Text Available This paper analyzes what channels trade unions in Europe use when trying to influence European Union (EU policies. It compares and contrasts trade unions in different industrial relations regimes with regard to the degree to which they cooperate with different actors to influence EU policies, while also touching on the importance of sector differences and organizational resources. The study is based on survey data collected in 2010–2011 from unions affiliated with the European Trade Union Confederation and from below peak unions in 14 European countries. Results of the survey show that the ‘national route’ is generally the most important for trade unions in influencing EU policies in the sense that this channel is, on average, used to the highest degree. In addition, the survey delineates some important differences between trade unions in different industrial relations regimes with regard to the balance between the national route and different access points in the ‘Brussels route’.

Applying Business Process Re-Engineering to Public Sector as A New Public Management Strategy

Directory of Open Access Journals (Sweden)

Ropinder Oberoi

2013-08-01

Full Text Available The introduction of Business Process Reengineering (BPR to the public sector follows the much broader trend of New Public Management. BPR in the public sector mostly means amalgamation of business processes, computerization of various activities and removal of some unnecessary ones. BPR assimilates a radical premeditated scheme of business pro-cess reengineering and an additional progressive technique of uninterrupted process improvement with adequate information technology (IT and e-business infrastructure strategies. Public organizations have specific and exclusive features that differentiae-ate them from private sector organizations. Based on the literature review and examining of study find-ings, it is argued that a public sector organization can employ BPR to get better its process and overall organizational performance, if it (1 has accrues a collection of BPR-relevant resources and capabilities; (2 has embarked on BPR with adequate depth and breadth; (3 is developing a post-BPR complementary set of skills, systems and technologies, which are essential to further develop the organizational impact of the BPR; and (4 has successfully mitigated the effects of BPR implementation problems. In addition to its effect on administration and ser-vice delivery processes through reduction of the processing time, work steps and cost of government processes, BPR also contributes to enhancing citizen/customer and employee satisfaction, increasing organizational transparency and responsiveness which have also become an essential objective of New Public Management. Therefore, public sector BPR is emerging as an indispensable to performance of organizations in the developing economy. The essential questions addressed in this paper are: What are the scenario and impending problems of reengineering applications in the public sector? Can it be functional for the public sector in attending to frequent problems blockading bureaucracies of developed and

Supplier Selection Process Using ELECTRE I Decision Model and an Application in the Retail Sector

Directory of Open Access Journals (Sweden)

Oğuzhan Yavuz

2013-12-01

Full Text Available Supplier selection problem is one of the main topic for the today’s businesses. The supplier selection problem within the supply chain management activities is very important for the businesses, particularly operating in the retail sector. Thus, in this study, the supplier selection problem was discussed in order of importance between energy drinks suppliers of food business in the retail sector. Costs, delivery, quality and flexibility variables were used to select suppliers, and ELECTRE I Method, one of the multiple decision methods, was used to ranking suppliers according to this variables. Which suppliers are more important for the food company was determined by ranking suppliers according to computing net superior values and net inferior values. Results obtained werepresented in tables and certain steps

Further Results on Extended Delivery Time for Secondary Packet Transmission

KAUST Repository

Usman, Muneer

2017-07-10

Cognitive radio transceiver can opportunistically access the underutilized spectrum resource of primary systems for new wireless services. With interweave cognitive implementation, secondary transmission may be interrupted by primary transmission. To facilitate the packet delay analysis of such secondary transmission, we study the extended delivery time of secondary packet transmission. In particular, we derive the exact distribution function of extended delivery time of a fixed-size secondary packet with non-work-preserving strategy, where interrupted packets must be repeated. We also analyze the effect of imperfect periodic sensing, i.e., the secondary user periodically senses the spectrum for availability, with a chance of missing an available channel on a certain sensing attempt. These results complement previous work on work-preserving strategy with perfect sensing. Selected numerical and simulation results are presented for verifying the mathematical formulation.

Reconciling IWRM and water delivery in Ghana - The potential and the challenges

Science.gov (United States)

Anokye, Nana Amma; Gupta, Joyeeta

The key elements of integrated water resources management include a holistic integrated approach and the main principles of public participation, the role of gender and the notion of recognising the economic value of water. This paper investigates how these notions play out in the context of providing water to the rural communities in the Densu basin in Ghana. This investigation is based on a content analysis of the relevant policy documents and interviews with state agencies and local stakeholders. The paper concludes that there is a conflict between the IWRM goal of integrating all water uses and sectors in the management of water resources and focusing on the prioritisation of water delivery services. However, three of the IWRM principles can be used in implementing water delivery. While Ghana has adopted IWRM, it clearly prioritises water delivery. At basin level, the IWRM planning process does not take water delivery into account and water delivery is conducted independent of the IWRM process. Although the participatory and gender approaches are being implemented relatively successfully, if slowly, the ‘water as an economic good’ principle is given less priority than the notion of the human right to water as local communities pay only 5% of the capital costs of water delivery services. The impact of the rural water delivery services has been positive in the Densu basin in seven different ways; and if this helps the rural community out of the poverty trap, it may lead to economically viable water facilities in the long-term.

Knowledge translation in tri-sectoral collaborations: An exploration of perceptions of academia, industry and healthcare collaborations in innovation adoption.

Science.gov (United States)

Ii, Suzanne Sayuri; Fitzgerald, Louise; Morys-Carter, Megan M; Davie, Natasha L; Barker, Richard

2018-02-01

With the aging population and increase in chronic disease conditions, innovation to transform treatment pathways and service delivery will be necessary. The innovation adoption process however, can take 15 years before widespread adoption occurs in most healthcare systems. Current UK government policies to increase the facilitation of innovation adoption are under way. The aim of this study is to explore perceptions of tri-sectoral collaborations in the healthcare sector. The data in the study are drawn from a cross-sectional survey conducted in 2015 of professionals in academia, industry and the healthcare sectors in England, focusing on Diabetes care. Academia and healthcare respondents had the least work experience outside of their sectors compared to the industry respondents. Healthcare and academia respondents rated the industry sector less trustworthy, unethical, having different goals and less understanding of the other sectors. Industry respondents had a more positive perspective towards potential collaborators. The results from the study demonstrate greater potential challenges to tri-sectoral collaborations and the government's knowledge translation policy, due to pre-conceived notions and lack of understanding of other sectors. The purely structural approach of establishing government mandated translational networks may be insufficient without active attempts to improve collaborative relationships. Mechanisms to facilitate trust building and collaboration are proposed. Crown Copyright © 2017. Published by Elsevier B.V. All rights reserved.

Corporate Investors Increased Common Ownership In Hospitals And The Postacute Care And Hospice Sectors.

Science.gov (United States)

Fowler, Annabelle C; Grabowski, David C; Gambrel, Robert J; Huskamp, Haiden A; Stevenson, David G

2017-09-01

The sharing of investors across firms is a new antitrust focus because of its potential negative effects on competition. Historically, the ability to track common investors across the continuum of health care providers has been limited. Thus, little is known about common investor ownership structures that might exist across health care delivery systems and how these linkages have evolved over time. We used data from the Provider Enrollment, Chain, and Ownership System of the Centers for Medicare and Medicaid Services to identify common investor ownership linkages across the acute care, postacute care, and hospice sectors within the same geographic markets. To our knowledge, this study provides the first description of common investor ownership trends in these sectors. We found that the percentage of acute care hospitals having common investor ties to the postacute or hospice sectors increased from 24.6 percent in 2005 to 48.9 percent in 2015. These changes have important implications for antitrust, payment, and regulatory policies. Project HOPE—The People-to-People Health Foundation, Inc.

A CRITICAL REVIEW OF HOUSING DELIVERY IN NAIROBI: DIFFERENT ACTORS - DIFFERENT SOCIO-ECONOMIC GROUPS

Directory of Open Access Journals (Sweden)

Crispino C. Ochieng

2007-11-01

Full Text Available This research was undertaken by means of qualitative ethnographic method. The arguments in this paper underlie the important role of the different actors in private tenement housing delivery in a developing city such as Nairobi, where more than half the population is poor. In Nairobi the private tenement housing delivers both conventional as well as non-conventional housing with the majority of the poor being able to access only the later. Nonconventional housing includes the informal as well as the slum. Although still targeting the poor, with time, the majority of what started as non-conventional housing undergoes greater physical development. This process ensures access to enough affordable low-income housing. Development in housing delivery has been supported by the government through encouraging creation of relevant housing institutions, developing relevant byelaws and regulations and putting in place an appropriate framework for housing delivery. For a developing city encouraging the participation of the private sector in housing delivery for the different socio-economic groups is a sure guarantee of providing housing for a large percentage of the population.

R&D program benefits estimation: DOE Office of Electricity Delivery and Energy Reliability

Energy Technology Data Exchange (ETDEWEB)

None, None

2006-12-04

The overall mission of the U.S. Department of Energy’s Office of Electricity Delivery and Energy Reliability (OE) is to lead national efforts to modernize the electric grid, enhance the security and reliability of the energy infrastructure, and facilitate recovery from disruptions to the energy supply. In support of this mission, OE conducts a portfolio of research and development (R&D) activities to advance technologies to enhance electric power delivery. Multiple benefits are anticipated to result from the deployment of these technologies, including higher quality and more reliable power, energy savings, and lower cost electricity. In addition, OE engages State and local government decision-makers and the private sector to address issues related to the reliability and security of the grid, including responding to national emergencies that affect energy delivery. The OE R&D activities are comprised of four R&D lines: High Temperature Superconductivity (HTS), Visualization and Controls (V&C), Energy Storage and Power Electronics (ES&PE), and Distributed Systems Integration (DSI).

Public-private sector partnership in household waste management as perceived by residents in south-west Nigeria.

Science.gov (United States)

Ezebilo, Eugene E; Animasaun, Emmanuel D

2012-08-01

In most developing countries public-private sector partnership is becoming increasingly applied in household waste management service delivery especially in urban areas to reduce cost and improve effectiveness. This paper reports a study of householders' perceptions of public-private sector partnership in provision of household waste management services in Ilorin, south-west Nigeria. A multistage random sampling technique was used to select 224 households for the study. The data generated from the survey were analysed using a binary logit model. The results show that most of the respondents were of the opinion that the public-private partnership has not been able to improve household waste management services. Time taken to visit solid waste collection point, income and marital status negatively influenced their perceptions, while activities of sanitary inspectors, occupation and gender had positive influence. The public-private partnership will be more effective and sustainable if the public sector could pay more attention to performance monitoring and accountability.

Supersymmetric leptogenesis with a light hidden sector

International Nuclear Information System (INIS)

De Simone, Andrea

2010-04-01

Supersymmetric scenarios incorporating thermal leptogenesis as the origin of the observed matter-antimatter asymmetry generically predict abundances of the primordial elements which are in conflict with observations. In this paper we pro- pose a simple way to circumvent this tension and accommodate naturally ther- mal leptogenesis and primordial nucleosynthesis. We postulate the existence of a light hidden sector, coupled very weakly to the Minimal Supersymmetric Standard Model, which opens up new decay channels for the next-to-lightest supersymmetric particle, thus diluting its abundance during nucleosynthesis. We present a general model-independent analysis of this mechanism as well as two concrete realizations, and describe the relevant cosmological and astrophysical bounds and implications for this dark matter scenario. Possible experimental signatures at colliders and in cosmic-ray observations are also discussed. (orig.)

From Public to Private Sector: Motives and Explanations for Sector Switching

DEFF Research Database (Denmark)

Hansen, Jesper Rosenberg

2014-01-01

Sector switching is interesting in relation to understanding how to get and keep people working in the public sector as well as to understand public and private differences. This paper focuses on why public employees leave public organizations to work in the private sector. We use a design studying...... higher educated Danish employees who recently worked in the state, comparing those who shift job to another public organization with those who switch to the private sector. We focus on different motives for job shifts which may influence sector switching such as salary, job security, organizational...... characteristics and public service motivation....

Microneedle-mediated transdermal delivery of nanostructured lipid carriers for alkaloids from Aconitum sinomontanum.

Science.gov (United States)

Guo, Teng; Zhang, Yongtai; Li, Zhe; Zhao, Jihui; Feng, Nianping

2017-09-12

A combination method using microneedle (MN) pretreatment and nanostructured lipid carriers (NLCs) was developed to improve the transdermal delivery of therapeutics. The MN treatment of the skin and co-administration of NLCs loaded with total alkaloids isolated from Aconitum sinomontanum (AAS-NLCs) significantly increased the skin permeation of the drugs. Fluorescence imaging confirmed that MNs could provide microchannels penetrating the stratum corneum, and delivery of NLCs through the channels led to their deeper permeation. In vivo studies showed that combination of AAS-NLCs with MNs (AAS-NLCs-MN) in transdermal delivery could improve the bioavailability and maintain stable drug concentrations in the blood. Moreover, AAS-NLCs-MN showed benefits in eliminating paw swelling, decreasing inflammation and pain, and regulating immune function in adjuvant arthritis rats. After administration of AAS-NLCs-MN, no skin irritation was observed in rabbits, and electrocardiograms of rats showed improved arrhythmia. These results indicated that the dual approach combining MN insertion and NLCs has the potential to provide safe transdermal delivery and to improve the therapeutic efficacy through sustained release of AAS.

Second sector cool down

CERN Multimedia

2007-01-01

At the beginning of July, cool-down is starting in the second LHC sector, sector 4-5. The cool down of sector 4-5 may occasionally generate mist at Point 4, like that produced last January (photo) during the cool-down of sector 7-8.Things are getting colder in the LHC. Sector 7-8 has been kept at 1.9 K for three weeks with excellent stability (see Bulletin No. 16-17 of 16 April 2007). The electrical tests in this sector have got opt to a successful start. At the beginning of July the cryogenic teams started to cool a second sector, sector 4-5. At Point 4 in Echenevex, where one of the LHC’s cryogenic plants is located, preparations for the first phase of the cool-down are underway. During this phase, the sector will first be cooled to 80 K (-193°C), the temperature of liquid nitrogen. As for the first sector, 1200 tonnes of liquid nitrogen will be used for the cool-down. In fact, the nitrogen circulates only at the surface in the ...

An effective strategy of magnetic stem cell delivery for spinal cord injury therapy

Science.gov (United States)

Tukmachev, Dmitry; Lunov, Oleg; Zablotskii, Vitalii; Dejneka, Alexandr; Babic, Michal; Syková, Eva; Kubinová, Šárka

2015-02-01

Spinal cord injury (SCI) is a condition that results in significant mortality and morbidity. Treatment of SCI utilizing stem cell transplantation represents a promising therapy. However, current conventional treatments are limited by inefficient delivery strategies of cells into the injured tissue. In this study, we designed a magnetic system and used it to accumulate stem cells labelled with superparamagnetic iron oxide nanoparticles (SPION) at a specific site of a SCI lesion. The loading of stem cells with engineered SPIONs that guarantees sufficient attractive magnetic forces was achieved. Further, the magnetic system allowed rapid guidance of the SPION-labelled cells precisely to the lesion location. Histological analysis of cell distribution throughout the cerebrospinal channel showed a good correlation with the calculated distribution of magnetic forces exerted onto the transplanted cells. The results suggest that focused targeting and fast delivery of stem cells can be achieved using the proposed non-invasive magnetic system. With future implementation the proposed targeting and delivery strategy bears advantages for the treatment of disease requiring fast stem cell transplantation.Spinal cord injury (SCI) is a condition that results in significant mortality and morbidity. Treatment of SCI utilizing stem cell transplantation represents a promising therapy. However, current conventional treatments are limited by inefficient delivery strategies of cells into the injured tissue. In this study, we designed a magnetic system and used it to accumulate stem cells labelled with superparamagnetic iron oxide nanoparticles (SPION) at a specific site of a SCI lesion. The loading of stem cells with engineered SPIONs that guarantees sufficient attractive magnetic forces was achieved. Further, the magnetic system allowed rapid guidance of the SPION-labelled cells precisely to the lesion location. Histological analysis of cell distribution throughout the cerebrospinal

Constraints, challenges and prospects of public-private partnership in health-care delivery in a developing economy.

Science.gov (United States)

Anyaehie, Usb; Nwakoby, Ban; Chikwendu, C; Dim, Cc; Uguru, N; Oluka, Cpi; Ogugua, C

2014-01-01

In Nigeria, concerns on the quality and financing of health-care delivery especially in the public sector have initiated reforms including support for public-private partnerships (PPP) at the Federal Ministry of Health. Likewise, Enugu State has developed a draft policy on PPP since 2005. However, non-validation and non-implementation of this policy might have led to loss of interest in the partnership. The aim of this study was to provide evidence for planning the implementation of PPP in Enugu State health system via a multi-sectoral identification of challenges, constraints and prospects. Pre-tested questionnaires were administered to 466 respondents (251 health workers and 215 community members), selected by multi-stage sampling method from nine Local Government Areas of Enugu State, Nigeria, over a study period of April 2011 to September 2011. Data from the questionnaires were collated manually and quantitative data analyzed using SPSS version 15 (Chicago, IL, USA). Only 159 (34.1%, 159/466) of all respondents actually understood the meaning of PPP though 251 (53.9%) of them had claimed knowledge of the concept. This actual understanding was higher among health workers (57.8%, 145/251) when compared with the community members (6.5%, 14/215) (P < 0.001). Post-PPP enlightenment reviews showed a more desire for PPP implementation among private health-care workers (89.4%, 101/113) and community leaders/members (55.4%, 119/215). PPP in health-care delivery in Enugu State is feasible with massive awareness, elaborate stakeholder's engagements and well-structured policy before implementation. A critical challenge will be to convince the public sector workers who are the anticipated partners to accept and support private sector participation.

Minimal spontaneously broken hidden sector and its impact on Higgs boson physics at the CERN Large Hadron Collider

International Nuclear Information System (INIS)

Schabinger, Robert; Wells, James D.

2005-01-01

Little experimental data bears on the question of whether there is a spontaneously broken hidden sector that has no Standard Model quantum numbers. Here we discuss the prospects of finding evidence for such a hidden sector through renormalizable interactions of the Standard Model Higgs boson with a Higgs boson of the hidden sector. We find that the lightest Higgs boson in this scenario has smaller rates in standard detection channels, and it can have a sizeable invisible final state branching fraction. Details of the hidden sector determine whether the overall width of the lightest state is smaller or larger than the Standard Model width. We compute observable rates, total widths and invisible decay branching fractions within the general framework. We also introduce the 'A-Higgs Model', which corresponds to the limit of a hidden sector Higgs boson weakly mixing with the Standard Model Higgs boson. This model has only one free parameter in addition to the mass of the light Higgs state and it illustrates most of the generic phenomenology issues, thereby enabling it to be a good benchmark theory for collider searches. We end by presenting an analogous supersymmetry model with similar phenomenology, which involves hidden sector Higgs bosons interacting with MSSM Higgs bosons through D-terms

The health maintenance organization strategy: a corporate takeover of health services delivery.

Science.gov (United States)

Salmon, J W

1975-01-01

This paper presents a political economic framework for viewing the social organization of the delivery of health care servies and predicting a qualitatively different institutional configuration involving the health maintenance organization. The principal forces impacting American capitalism today are leading to a fundamental restructuring for increased social efficiency of the entire social welfare sector, including the health services industry. The method to achieve this restructuring involves health policy directed at raising the contribution to the social surplus from the delivery of health care services and eventual corporate domination. The health maintenance organization conceptualization is examined with suggestions as to how the HMO strategy promoted by the state leads to this corporate takeover. The mechanism and extent of the present corporate involvement are examined and implications of health services as a social control mechanism are presented.

A method for estimating spatially variable seepage and hydrualic conductivity in channels with very mild slopes

Science.gov (United States)

Shanafield, Margaret; Niswonger, Richard G.; Prudic, David E.; Pohll, Greg; Susfalk, Richard; Panday, Sorab

2014-01-01

Infiltration along ephemeral channels plays an important role in groundwater recharge in arid regions. A model is presented for estimating spatial variability of seepage due to streambed heterogeneity along channels based on measurements of streamflow-front velocities in initially dry channels. The diffusion-wave approximation to the Saint-Venant equations, coupled with Philip's equation for infiltration, is connected to the groundwater model MODFLOW and is calibrated by adjusting the saturated hydraulic conductivity of the channel bed. The model is applied to portions of two large water delivery canals, which serve as proxies for natural ephemeral streams. Estimated seepage rates compare well with previously published values. Possible sources of error stem from uncertainty in Manning's roughness coefficients, soil hydraulic properties and channel geometry. Model performance would be most improved through more frequent longitudinal estimates of channel geometry and thalweg elevation, and with measurements of stream stage over time to constrain wave timing and shape. This model is a potentially valuable tool for estimating spatial variability in longitudinal seepage along intermittent and ephemeral channels over a wide range of bed slopes and the influence of seepage rates on groundwater levels.

The importance of business relations in the fish supply chain and export market distribution channels: the case of the Eritrean fish industry

OpenAIRE

Tsegai Habtom, Mesfin

2006-01-01

Dit proefschrift onderzoekt de visserij-sector in Eritrea. De belangrijkste vraagstukken die op dit moment in deze industrie spelen hebben betrekking op het functioneren van de supply chain en het export marketing channel. Zie: Samenvatting

The importance of business relations in the fish supply chain and export market distribution channels : the case of the Eritrean fish industry

NARCIS (Netherlands)

Tsegai Habtom, Mesfin

2006-01-01

Dit proefschrift onderzoekt de visserij-sector in Eritrea. De belangrijkste vraagstukken die op dit moment in deze industrie spelen hebben betrekking op het functioneren van de supply chain en het export marketing channel. Zie: Samenvatting

Electricity Use in the Pacific Northwest: Utility Historical Sales by Sector, 1989 and Preceding Years.

Energy Technology Data Exchange (ETDEWEB)

United States. Bonneville Power Administration.

1990-06-01

This report officially releases the compilation of regional 1989 retail customer sector sales data by the Bonneville Power Administration. This report is intended to enable detailed examination of annual regional electricity consumption. It gives statistics covering the time period 1970--1989, and also provides observations based on statistics covering the 1983--1989 time period. The electricity use report is the only information source that provides data obtained from each utility in the region based on the amount of electricity they sell to consumers annually. Data is provided on each retail customer sector: residential, commercial, industrial, direct-service industrial, and irrigation. The data specifically supports forecasting activities, rate development, conservation and market assessments, and conservation and market program development and delivery. All of these activities require a detailed look at electricity use. 25 figs., 34 tabs.

Steering healthcare service delivery: a regulatory perspective.

Science.gov (United States)

Prakash, Gyan

2015-01-01

The purpose of this paper is to explore regulation in India's healthcare sector and makes recommendations needed for enhancing the healthcare service. The literature was reviewed to understand healthcare's regulatory context. To understand the current healthcare system, qualitative data were collected from state-level officials, public and private hospital staff. A patient survey was performed to assess service quality (QoS). Regulation plays a central role in driving healthcare QoS. India needs to strengthen market and institutional co-production based approaches for steering its healthcare in which delivery processes are complex and pose different challenges. This study assesses current healthcare regulation in an Indian state and presents a framework for studying and strengthening regulation. Agile regulation should be based on service delivery issues (pull approach) rather than monitoring and sanctions based regulatory environment (push approach). Healthcare pitfalls across the world seem to follow similar follies. India's complexity and experience is useful for emerging and developed economies. The author reviewed around 70 publications and synthesised them in healthcare regulatory contexts. Patient's perception of private providers could be a key input towards steering regulation. Identifying gaps across QoS dimensions would be useful in taking corrective measures.

Cyclical absenteeism among private sector, public sector and self-employed workers.

Science.gov (United States)

Pfeifer, Christian

2013-03-01

This research note analyzes differences in the number of absent working days and doctor visits and in their cyclicality between private sector, public sector and self-employed workers. For this purpose, I used large-scale German survey data for the years 1995 to 2007 to estimate random effects negative binomial (count data) models. The main findings are as follows. (i) Public sector workers have on average more absent working days than private sector and self-employed workers. Self-employed workers have fewer absent working days and doctor visits than dependent employed workers. (ii) The regional unemployment rate is on average negatively correlated with the number of absent working days among private and public sector workers as well as among self-employed men. The correlations between regional unemployment rate and doctor visits are only significantly negative among private sector workers. Copyright © 2012 John Wiley & Sons, Ltd.

Agriculture Sectors

Science.gov (United States)

The Agriculture sectors comprise establishments primarily engaged in growing crops, raising animals, and harvesting fish and other animals. Find information on compliance, enforcement and guidance on EPA laws and regulations on the NAICS 111 & 112 sectors.

Expression of TRPV1 channels after nerve injury provides an essential delivery tool for neuropathic pain attenuation.

Directory of Open Access Journals (Sweden)

Hossain Md Zakir

Full Text Available Increased expression of the transient receptor potential vanilloid 1 (TRPV1 channels, following nerve injury, may facilitate the entry of QX-314 into nociceptive neurons in order to achieve effective and selective pain relief. In this study we hypothesized that the level of QX-314/capsaicin (QX-CAP--induced blockade of nocifensive behavior could be used as an indirect in-vivo measurement of functional expression of TRPV1 channels. We used the QX-CAP combination to monitor the functional expression of TRPV1 in regenerated neurons after inferior alveolar nerve (IAN transection in rats. We evaluated the effect of this combination on pain threshold at different time points after IAN transection by analyzing the escape thresholds to mechanical stimulation of lateral mental skin. At 2 weeks after IAN transection, there was no QX-CAP mediated block of mechanical hyperalgesia, implying that there was no functional expression of TRPV1 channels. These results were confirmed immunohistochemically by staining of regenerated trigeminal ganglion (TG neurons. This suggests that TRPV1 channel expression is an essential necessity for the QX-CAP mediated blockade. Furthermore, we show that 3 and 4 weeks after IAN transection, application of QX-CAP produced a gradual increase in escape threshold, which paralleled the increased levels of TRPV1 channels that were detected in regenerated TG neurons. Immunohistochemical analysis also revealed that non-myelinated neurons regenerated slowly compared to myelinated neurons following IAN transection. We also show that TRPV1 expression shifted towards myelinated neurons. Our findings suggest that nerve injury modulates the TRPV1 expression pattern in regenerated neurons and that the effectiveness of QX-CAP induced blockade depends on the availability of functional TRPV1 receptors in regenerated neurons. The results of this study also suggest that the QX-CAP based approach can be used as a new behavioral tool to detect

3D Printed Microtransporters: Compound Micromachines for Spatiotemporally Controlled Delivery of Therapeutic Agents.

Science.gov (United States)

Huang, Tian-Yun; Sakar, Mahmut Selman; Mao, Angelo; Petruska, Andrew J; Qiu, Famin; Chen, Xue-Bo; Kennedy, Stephen; Mooney, David; Nelson, Bradley J

2015-11-01

Functional compound micromachines are fabricated by a design methodology using 3D direct laser writing and selective physical vapor deposition of magnetic materials. Microtransporters with a wirelessly controlled Archimedes screw pumping mechanism are engineered. Spatiotemporally controlled collection, transport, and delivery of micro particles, as well as magnetic nanohelices inside microfluidic channels are demonstrated. © 2015 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

Basic directions and tools to increas investment attractiveness of the agricultural sector

Directory of Open Access Journals (Sweden)

Alexander Syomin

2013-09-01

Full Text Available The problems of the increasing of investment attractiveness of the agricultural sector of the economy are considered. The main channels of withdrawal of funds from the second sphere of agribusiness are described. It is proved that the current pricing mechanism in the agricultural violates folding proportions due to imperfections in the reproduction process of equivalence ratios, which, in turn, is the result of the monopoly of the first and third areas of agriculture relative to agriculture. The main instrument of economic relations — the price mechanism — develops, not under the influence of the classical law of «supply and demand» but under the influence and control of the monopoly structures, on one hand, the resource-producing companies, on the other hand, wholesale and retail units of AIC. Taking this into consideration, the authors formulated particular areas of scientific and practical recommendations to address the constraints to the process of attracting investment into the Russian agricultural sector.

Industry sector analysis, Mexico: Electric power production and distribution equipment. Export Trade Information

International Nuclear Information System (INIS)

Wood, J.S.; Miller, R.W.

1988-09-01

The Industry Sector Analyses (I.S.A.) for electric power production and distribution equipment contains statistical and narrative information on projected market demand, end-users, receptivity of Mexican consumers to U.S. products, the competitive situation - Mexican production, total import market, U.S. market position, foreign competition, and competitive factors, and market access - Mexican tariffs, non-tariff barriers, standards, taxes and distribution channels. The I.S.A. provides the United States industry with meaningful information regarding the Mexican market for electric power production and distribution equipment

Health sector employment growth calls for improvements in labor productivity.

Science.gov (United States)

Hofmarcher, Maria M; Festl, Eva; Bishop-Tarver, Leslie

2016-08-01

While rising costs of healthcare have put increased fiscal pressure on public finance, job growth in the health sector has had a stabilizing force on overall employment levels - not least in times of economic crises. In 2014 EU-15 countries employed 21 million people in the health and social care sector. Between 2000 and 2014 the share of employed persons in this sector rose from 9.5% to 12.5% of the total labor force in EU-15 countries. Over time labor input growth has shifted towards residential care activities and social work while labor in human health activities including hospitals and ambulatory care still comprises the major share. About half of the human health labor force works in hospital. Variation of health and social care employment is large even in countries with generally comparable institutional structures. While standard measures of productivity in health and social care are not yet comparable across countries, we argue that labor productivity of a growing health work force needs more attention. The long-term stability of the health system will require care delivery models that better utilize a growing health work force in concert with smart investments in digital infrastructure to support this transition. In light of this, more research is needed to explain variations in health and social care labor endowments, to identify effective policy measures of labor productivity enhancement including enhanced efforts to develop comparable productivity indicators in these areas. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

The role of the health care sector in the U.S. economy.

Science.gov (United States)

Foley, J

1993-10-01

This Issue Brief discusses factors that contribute to the growth of health care expenditures and the reasons that many individuals, employers, and policymakers consider health expenditures too high. In addition, it describes various industries that make up the health care delivery system and their role in the U.S. economy as employers, producers, exporters, and suppliers of research and development. The report also discusses the economic implications of rising health care expenditures for individuals, employers, and the federal government and the potential impact of proposed health care reform on the health care sector and the U.S. economy as a whole. Health care delivery industries such as pharmaceuticals and medical equipment suppliers have higher than average research and development levels, in addition to a positive balance of trade. Moreover, while the total number of jobs in the private sector declined between 1990 and 1993, the number of jobs in the relatively high paid health services sector continued to grow. In aggregate, employer spending on health care represents only 6.6 percent of total labor costs. In comparison, wages and salaries represent 83 percent of total labor costs. Consequently, the growth rate of health care expenditures has a smaller impact on the growth rate of total compensation than does the growth rate in wages and salaries. Using job multipliers developed by the U.S. Department of Commerce, it is estimated that the 18,600 health care services jobs in Rochester, Minnesota in 1993 created another 32,000 jobs in the area. Any contraction of the health care sector in cities that have a large concentration of employment in health services would result in reduced employment in restaurants, retail stores, janitorial services, and other local businesses. EBRI's simulations estimated that between 200,000 and 1.2 million workers could become unemployed as a direct result of a mandate that employers provide health benefits to their employees

Fishing for space: fine-scale multi-sector maritime activities influence fisher location choice.

Directory of Open Access Journals (Sweden)

Alex N Tidd

Full Text Available The European Union and other states are moving towards Ecosystem Based Fisheries Management to balance food production and security with wider ecosystem concerns. Fishing is only one of several sectors operating within the ocean environment, competing for renewable and non-renewable resources that overlap in a limited space. Other sectors include marine mining, energy generation, recreation, transport and conservation. Trade-offs of these competing sectors are already part of the process but attempts to detail how the seas are being utilised have been primarily based on compilations of data on human activity at large spatial scales. Advances including satellite and shipping automatic tracking enable investigation of factors influencing fishers' choice of fishing grounds at spatial scales relevant to decision-making, including the presence or avoidance of activities by other sectors. We analyse the determinants of English and Welsh scallop-dredging fleet behaviour, including competing sectors, operating in the eastern English Channel. Results indicate aggregate mining activity, maritime traffic, increased fishing costs, and the English inshore 6 and French 12 nautical mile limits negatively impact fishers' likelihood of fishing in otherwise suitable areas. Past success, net-benefits and fishing within the 12 NM predispose fishers to use areas. Systematic conservation planning has yet to be widely applied in marine systems, and the dynamics of spatial overlap of fishing with other activities have not been studied at scales relevant to fisher decision-making. This study demonstrates fisher decision-making is indeed affected by the real-time presence of other sectors in an area, and therefore trade-offs which need to be accounted for in marine planning. As marine resource extraction demands intensify, governments will need to take a more proactive approach to resolving these trade-offs, and studies such as this will be required as the evidential

Fishing for space: fine-scale multi-sector maritime activities influence fisher location choice.

Science.gov (United States)

Tidd, Alex N; Vermard, Youen; Marchal, Paul; Pinnegar, John; Blanchard, Julia L; Milner-Gulland, E J

2015-01-01

The European Union and other states are moving towards Ecosystem Based Fisheries Management to balance food production and security with wider ecosystem concerns. Fishing is only one of several sectors operating within the ocean environment, competing for renewable and non-renewable resources that overlap in a limited space. Other sectors include marine mining, energy generation, recreation, transport and conservation. Trade-offs of these competing sectors are already part of the process but attempts to detail how the seas are being utilised have been primarily based on compilations of data on human activity at large spatial scales. Advances including satellite and shipping automatic tracking enable investigation of factors influencing fishers' choice of fishing grounds at spatial scales relevant to decision-making, including the presence or avoidance of activities by other sectors. We analyse the determinants of English and Welsh scallop-dredging fleet behaviour, including competing sectors, operating in the eastern English Channel. Results indicate aggregate mining activity, maritime traffic, increased fishing costs, and the English inshore 6 and French 12 nautical mile limits negatively impact fishers' likelihood of fishing in otherwise suitable areas. Past success, net-benefits and fishing within the 12 NM predispose fishers to use areas. Systematic conservation planning has yet to be widely applied in marine systems, and the dynamics of spatial overlap of fishing with other activities have not been studied at scales relevant to fisher decision-making. This study demonstrates fisher decision-making is indeed affected by the real-time presence of other sectors in an area, and therefore trade-offs which need to be accounted for in marine planning. As marine resource extraction demands intensify, governments will need to take a more proactive approach to resolving these trade-offs, and studies such as this will be required as the evidential foundation for future

Sectoral Innovatiohn Performance in the Biotechnology Sector. Final Report. Task 1

NARCIS (Netherlands)

Enzing, C.M.; Valk, T. van der

2010-01-01

In general the biotechnology sector can be qualified as a science driven and high tech sector. This applies for both the group of biotech start-ups that are present in each of the three sub-sectors (red biotech: health/pharma, green biotech: agrifood and white biotech: chemicals) as for the red

Roles of Social Movement Organizations for Securing Workers' Safety in Korea: A Case Study of Abolition of the 30-Minute Delivery Guarantee Program in Pizza Delivery Service.

Science.gov (United States)

Park, Ji-Eun; Kim, Myoung-Hee

2016-07-01

Many restaurants in Korea maintain quick-delivery service programs to satisfy customers. This service allows delivery workers limited time to deliver, which frequently put them in danger. Most of the workers are young, work part-time, and are rarely organized into trade unions. In this article, through a case study of the social movement to abolish the 30-minute delivery guarantee program of pizza companies in Korea, we argue that social movements involving social movement organizations (SMOs) and individual citizens could serve as a means to rectify this problem. We show how the SMOs developed and expanded the movement using a framing perspective and how the general public became involved through social media. Data was collected via online searching. Interview scripts from key players of SMOs and unofficial documents they provided were also reviewed. Three SMOs primarily led the movement, successfully forming a frame that emphasized social responsibility. SMOs also utilized social media to link their standing frame with unmobilized citizens and to expand the movement. We identified contributing factors and limitations of the movement and drew lessons that could be applied to other sectors where workers are in vulnerable positions. © The Author(s) 2016.

Systematic literature review of integrated community case management and the private sector in Africa: Relevant experiences and potential next steps.

Science.gov (United States)

Awor, Phyllis; Miller, Jane; Peterson, Stefan

2014-12-01

Despite substantial investments made over the past 40 years in low income countries, governments cannot be viewed as the principal health care provider in many countries. Evidence on the role of the private sector in the delivery of health services is becoming increasingly available. In this study, we set out to determine the extent to which the private sector has been utilized in providing integrated care for sick children under 5 years of age with community-acquired malaria, pneumonia or diarrhoea. We reviewed the published literature for integrated community case management (iCCM) related experiences within both the public and private sector. We searched PubMed and Google/Google Scholar for all relevant literature until July 2014. The search terms used were "malaria", "pneumonia", "diarrhoea", "private sector" and "community case management". A total of 383 articles referred to malaria, pneumonia or diarrhoea in the private sector. The large majority of these studies (290) were only malaria related. Most of the iCCM-related studies evaluated introduction of only malaria drugs and/or diagnostics into the private sector. Only one study evaluated the introduction of drugs and diagnostics for malaria, pneumonia and diarrhoea in the private sector. In contrast, most iCCM-related studies in the public sector directly reported on community case management of 2 or more of the illnesses. While the private sector is an important source of care for children in low income countries, little has been done to harness the potential of this sector in improving access to care for non-malaria-associated fever in children within the community. It would be logical for iCCM programs to expand their activities to include the private sector to achieve higher population coverage. An implementation research agenda for private sector integrated care of febrile childhood illness needs to be developed and implemented in conjunction with private sector intervention programs.

Private sector participation in domestic waste management in informal settlements in Lagos, Nigeria.

Science.gov (United States)

Opoko, Akunnaya P; Oluwatayo, Adedapo A

2016-12-01

Lagos is one of the fastest growing cities in Africa, which is grappling with the challenges of poorly managed urbanisation. With an estimated population of about 17.5 million, solid waste management is one of the most pressing environmental challenges currently faced in the city. It is estimated that more than 9071847.4kg of urban waste is generated every day in the city. The city lacks the capacity to deal with such magnitude of waste. Consequently, the city has involved the private sector (private sector participation) in its waste management drive. This article examines the effectiveness of this public-private sector collaboration model in waste management in informal settlements in Lagos using empirical data. Major findings of the article include the irregularity of waste collection owing to a poor road network, an inadequate transport infrastructure and the desire to maximise profit, as well as poor waste handling and disposal methods by the private sector participation operators who are not chosen based on competence and capacity to perform. Another major finding is the lack of cooperation from residents evidenced in non-payment of bills and poor packaging of wastes, resulting in wastes being littered. The article concludes on the need to restructure the scheme through proper sensitisation of residents, selection of operators with demonstrable delivery capacity and provision of a well-maintained road network to facilitate access of operators to settlements. © The Author(s) 2016.

Sectoral panorama: the electric power sector in Europe

International Nuclear Information System (INIS)

Mons, L.

2003-10-01

This study takes stock on the main european markets to help the electric power companies in their decisions and investments. The first part presents the electric power sector structure in Europe. The second part is devoted to the market evolution for the different european markets (german, french, british, italian and spanish) with an analysis of the retail prices, the competition and the evolution perspectives. The third part presents the highlights in the electric power sector between 2001 and the middle of 2003. The enterprises management and strategies are presented in the fourth part. In the last part the document analyzes the financial performances of the sector and the electric power companies. (A.L.B.)

Health sector reform in Brazil: a case study of inequity.

Science.gov (United States)

Almeida, C; Travassos, C; Porto, S; Labra, M E

2000-01-01

Health sector reform in Brazil built the Unified Health System according to a dense body of administrative instruments for organizing decentralized service networks and institutionalizing a complex decision-making arena. This article focuses on the equity in health care services. Equity is defined as a principle governing distributive functions designed to reduce or offset socially unjust inequalities, and it is applied to evaluate the distribution of financial resources and the use of health services. Even though in the Constitution the term "equity" refers to equal opportunity of access for equal needs, the implemented policies have not guaranteed these rights. Underfunding, fiscal stress, and lack of priorities for the sector have contributed to a progressive deterioration of health care services, with continuing regressive tax collection and unequal distribution of financial resources among regions. The data suggest that despite regulatory measures to increase efficiency and reduce inequalities, delivery of health care services remains extremely unequal across the country. People in lower income groups experience more difficulties in getting access to health services. Utilization rates vary greatly by type of service among income groups, positions in the labor market, and levels of education.

Access to Power: Governance and Development in the Pakistani Electrical Power Sector

Science.gov (United States)

Naqvi, Ijlal

This dissertation explores governance in Pakistan through a study of the state-run electrical power sector. At both the micro and macro level, the Pakistani power sector provides a lens into the heart of the Pakistani state and its governance institutions. This ethnographic and historical study offers an in-depth look at state operations in a developing country, situates the current Pakistani power crisis in a larger context of continuity through periods of dictatorship and democracy, and suggests how efforts to make state service delivery more responsive to citizens might be reconceived. A historical review of the Pakistani power sector establishes first and foremost that the current crisis is the product of longer-term processes for which the policy solutions currently being proposed (with the support of international donors and multilateral lenders) are inadequate. Depoliticized attempts at power sector reform have little to offer in light of the pervasively informal and negotiated nature of the fragmented Pakistani state. The institutions of power sector governance are mutually constituted by the formal rules and the informal---personal relationships, language, violence, money, and power. These rules of the game are as relevant to relations within and between public sector organizations as they are to the engagement of citizens with their state. The same rules apply at the margins of the state---informal squatter settlements---as at the core, though the resources brought to bear and the resultant outcomes are different. The internal incoherence of this state underscores the limitations of formal rules in determining outcomes, and the poor prospects for reform efforts that focus exclusively on the formal aspects of governance. To proactively engage with the question of political will leads away from top-down policy perspectives and counter to the depoliticizing tendencies that currently shape policy reforms. Instead, an energized and informed local participation

Monetary Policy Transmission and Firms’ Investment: Evidence From the Manufacturing Sector of Pakistan

Directory of Open Access Journals (Sweden)

Arslan Majeed

2017-12-01

Full Text Available This study explores the effects of monetary policy on firms’ business fixed investment spending through the interest rate and broad credit channels of monetary policy transmission mechanism in Pakistan. Due to the problem of endogeneity, Generalized Method of Moments (GMM two step estimation technique is applied on neo-classical investment model by using disaggregated firm level data of manufacturing sector of Pakistan over the period 1974-2010. The results suggest the relevance of both the interest rate and broad credit channels in Pakistan. Firms’ investment found to be negatively affected by the monetary contraction while positively influenced by cash flow and the sales. Small firms explored to be more sensitive to the monetary tightening as compared to large firms indicating that monetary policy exerts heterogeneous effects. Results highlight the importance of considering the financial conditions of the firms in formulation of monetary policy.

The neutralino sector in the U(1)-extended supersymmetric standard model

Energy Technology Data Exchange (ETDEWEB)

Choi, S.Y. [Chonbuk National Univ., Jeonju (Korea). Dept. of Physics and RIPC]|[Deutsches Elektronen-Synchrotron (DESY), Hamburg (Germany); Haber, H.E. [California Univ., Santa Cruz, CA (United States). SCIPP; Kalinowski, J. [Warsaw Univ. (Poland). Inst. of Theoretical Physics; Zerwas, P.M. [Deutsches Elektronen-Synchrotron (DESY), Hamburg (Germany)]|[California Univ., Santa Cruz, CA (United States). SCIPP

2006-12-15

Motivated by grand unified theories and string theories we analyze the general structure of the neutralino sector in the USSM, an extension of the Minimal Supersymmetric Standard Model that involves a broken extra U(1) gauge symmetry. This supersymmetric U(1)-extended model includes an Abelian gauge superfield and a Higgs singlet superfield in addition to the standard gauge and Higgs superfields of the MSSM. The interactions between the MSSM fields and the new fields are in general weak and the mixing is small, so that the coupling of the two subsystems can be treated perturbatively. As a result, the mass spectrum and mixing matrix in the neutralino sector can be analyzed analytically and the structure of this 6-state system is under good theoretical control. We describe the decay modes of the new states and the impact of this extension on decays of the original MSSM neutralinos, including radiative transitions in cross-over zones. Production channels in cascade decays at the LHC and pair production at e{sup +}e{sup -} colliders are also discussed. (orig.)

Channelling and electromagnetic radiation of channelling particles

International Nuclear Information System (INIS)

Kalashnikov, N.

1983-01-01

A brief description is presented of the channelling of charged particles between atoms in the crystal lattice. The specificities are discussed of the transverse motion of channelling particles as are the origin and properties of quasi-characteristic radiation of channelling particles which accompany transfers from one band of permissible energies of the transverse motion of channelling particles to the other. (B.S.)

Applications of covalent organic frameworks (COFs): From gas storage and separation to drug delivery

Institute of Scientific and Technical Information of China (English)

Ming-Xue Wu; Ying-Wei Yang

2017-01-01

Covalent organic frameworks (COFs) are an emerging class of porous covalent organic structures whose backbones were composed of light elements (B,C,N,O,Si) and linked by robust covalent bonds to endow such material with desirable properties,i.e.,inherent porosity,well-defined pore aperture,ordered channel structure,large surface area,high stability,and multi-dimension.As expected,the abovementioned properties of COFs broaden the applications of this class of materials in various fields such as gas storage and separation,catalysis,optoelectronics,sensing,small molecules adsorption,and drug delivery.In this review,we outlined the synthesis of COFs and highlighted their applications ranging from the initial gas storage and separation to drug delivery.

Targeting Potassium Channels for Increasing Delivery of Imaging Agents and Therapeutics to Brain Tumors

OpenAIRE

Nagendra Sanyasihally Ningaraj; Divya eKhaitan

2013-01-01

Every year in the US, 20,000 new primary and nearly 200,000 metastatic brain tumor cases are reported. The cerebral microvessels/ capillaries that form the blood–brain barrier (BBB) not only protect the brain from toxic agents in the blood but also pose a significant hindrance to the delivery of small and large therapeutic molecules. Different strategies have been employed to circumvent the physiological barrier posed by blood-brain tumor barrier (BTB). Studies in our laboratory have identifi...

Sectoral Innovation Watch Biotechnology Sector. Final sector report

NARCIS (Netherlands)

Enzing, C.

2011-01-01

Biotechnology has evolved from a single set of technologies in the mid 1970s into a full grown technological field that is the driving force in innovation processes in many industrial sectors (pharmaceutical, medical, agriculture, food, chemical, environment, instruments). Nowadays, biotechnology is

Process Evaluation of Communitisation Programme in Public Sector Health Facilities, Mokokchung District, Nagaland, 2015.

Science.gov (United States)

Tushi, Aonungdok; Kaur, Prabhdeep

2017-01-01

Public sector health facilities were poorly managed due to a history of conflict in Nagaland, India. Government of Nagaland introduced "Nagaland Communitisation of Public Institutions and Services Act" in 2002. Main objectives of the evaluation were to review the functioning of Health Center Managing Committees (HCMCs), deliver health services in the institutions managed by HCMC, identify strengths as well as challenges perceived by HCMC members in the rural areas of Mokokchung district, Nagaland. The evaluation was made using input, process and output indicators. A doctor, the HCMC Chairman and one member from each of the three community health centers (CHC) and four primary health centers (PHC) were surveyed using a semi-structured questionnaire and an in-depth interview guide. Proportions for quantitative data were computed and key themes from the same were identified. Overall; the infrastructure, equipment and outpatient/inpatient service availability was satisfactory. There was a lack of funds and shortage of doctors, drugs as well as laboratory facilities. HCMCs were in place and carried out administrative activities. HCMCs felt ownership, mobilized community contributions and managed human resources. HCMC members had inadequate funds for their transport and training. They faced challenges in service delivery due to political interference and lack of adequate human, material, financial resources. Communitisation program was operational in the district. HCMC members felt the ownership of health facilities. Administrative, political support and adequate funds from the government are needed for effective functioning of HCMCs and optimal service delivery in public sector facilities.

Peptide and protein delivery using new drug delivery systems.

Science.gov (United States)

Jain, Ashish; Jain, Aviral; Gulbake, Arvind; Shilpi, Satish; Hurkat, Pooja; Jain, Sanjay K

2013-01-01

Pharmaceutical and biotechnological research sorts protein drug delivery systems by importance based on their various therapeutic applications. The effective and potent action of the proteins/peptides makes them the drugs of choice for the treatment of numerous diseases. Major research issues in protein delivery include the stabilization of proteins in delivery devices and the design of appropriate target-specific protein carriers. Many efforts have been made for effective delivery of proteins/peptidal drugs through various routes of administrations for successful therapeutic effects. Nanoparticles made of biodegradable polymers such as poly lactic acid, polycaprolactone, poly(lactic-co-glycolic acid), the poly(fumaric-co-sebacic) anhydride chitosan, and modified chitosan, as well as solid lipids, have shown great potential in the delivery of proteins/peptidal drugs. Moreover, scientists also have used liposomes, PEGylated liposomes, niosomes, and aquasomes, among others, for peptidal drug delivery. They also have developed hydrogels and transdermal drug delivery systems for peptidal drug delivery. A receptor-mediated delivery system is another attractive strategy to overcome the limitation in drug absorption that enables the transcytosis of the protein across the epithelial barrier. Modification such as PEGnology is applied to various proteins and peptides of the desired protein and peptides also increases the circulating life, solubility and stability, pharmacokinetic properties, and antigenicity of protein. This review focuses on various approaches for effective protein/peptidal drug delivery, with special emphasis on insulin delivery.

Twin screw wet granulation: Binder delivery.

Science.gov (United States)

Saleh, Mohammed F; Dhenge, Ranjit M; Cartwright, James J; Hounslow, Michael J; Salman, Agba D

2015-06-20

The effects of three ways of binder delivery into the twin screw granulator (TSG) on the residence time, torque, properties of granules (size, shape, strength) and binder distribution were studied. The binder distribution was visualised through the transparent barrel using high speed imaging as well as quantified using offline technique. Furthermore, the effect of binder delivery and the change of screw configuration (conveying elements only and conveying elements with kneading elements) on the surface velocity of granules across the screw channel were investigated using particle image velocimetry (PIV). The binder was delivered in three ways; all solid binder incorporated with powder mixture, 50% of solid binder mixed with powder mixture and 50% mixed with water, all the solid binder dissolved in water. Incorporation of all solid binder with powder mixture resulted in the relatively longer residence time and higher torque, narrower granule size distribution, more spherical granules, weaker big-sized granules, stronger small-sized granules and better binder distribution compared to that in other two ways. The surface velocity of granules showed variation from one screw to another as a result of uneven liquid distribution as well as shown a reduction while introducing the kneading elements into the screw configuration. Copyright © 2015. Published by Elsevier B.V.

Bedforms, Channel Formation, and Flow Stripping in the Navy Fan, Offshore Baja California

Science.gov (United States)

Carvajal, C.; Paull, C. K.; Caress, D. W.; Fildani, A.; Lundsten, E. M.; Anderson, K.; Maier, K. L.; McGann, M.; Gwiazda, R.; Herguera, J. C.

2017-12-01

Deep-sea fans store some of the largest volumes of siliciclastic sediment in marine basins. These sandy accumulations record the history of sediment transfer from land to sea, serving as direct records of the geologic history of the continents. Despite their importance, deep-sea fans are difficult to study due to their remote locations in thousands of meters of water depth. In addition, deep-sea fans have a low relief, and geomorphological changes important for the evolution of the fan are often too subtle to be adequately resolved by 3D seismic data or surface-ship bathymetry. To improve our understanding of deep-sea fans, an autonomous underwater vehicle (AUV) was used to acquire high-resolution bathymetry and sub-bottom CHIRP profiles in the proximal sectors of the Navy Fan, offshore Baja California. A remotely operated vehicle was also used to acquire vibracores. The 1-m grid resolution bathymetry shows the seafloor geomorphology in extreme detail revealing different kinds of bedforms, which in combination with the vibracores help to interpret the sedimentary processes active during the Holocene. Morphological elements in the survey area include a main channel, numerous scours, an incipient channel, sediment waves, and a fault escarpment. Several of the scours are interpreted to result from flow stripping at a bend in the main channel. Along high gradient sectors (e.g. > 1o), the scours form bedforms with an erosionally truncated headwall immediately followed down-dip by an upflow accreting sedimentary bulge. These bedforms, the presence of clean sands in the scours and the high gradients suggest that these scours are net-erosional cyclic steps. Scours seem to coalesce along the sediment transport direction to form an incipient channel with abundant rip-up clast gravels. Elsewhere in the survey area, scours are elongated and intimately associated with sediment waves. The acquired dataset illustrates that deep-sea fans may show a variety of processes and

Information needs, preferred educational messages and channel of delivery, and opinion on strategies to promote organ donation: a multicultural perspective.

Science.gov (United States)

Wong, L P

2010-10-01

This study assessed the information needs, preferred educational messages and channels of delivery, as well as opinions on strategies to promote organ donation. It aimed to provide insight into a culturally sensitive public education campaign to encourage organ donation in diverse ethnic communities in Asia, namely the Malays, Chinese and Indians. A total of 17 focus group discussions with 105 participants were conducted between September and December 2008. The participants were members of the general public aged 18 to 60 years, who were recruited through convenient sampling in the Klang Valley area of Malaysia. Across ethnic groups, there was a general concern about the mistreatment of the deceased's body in the organ procurement process. The Chinese and Indian participants wanted assurance that the body would be treated with respect and care. The Muslims wanted assurance that the handling of a Muslim's body would follow the rules and regulations of the Islamic faith. The most important information requested by the Muslim participants was whether cadaveric donation is permissible in Islam. A lack of national public education and promotion of organ donation was noted. All the three ethnic groups, especially the Malays, required community and religious leaders for support, encouragement and involvement, as sociocultural influences play a significant role in the willingness to donate organs. The pronounced ethnic differences in information needs suggest that culturally sensitive public educational messages are required. Organ donation and transplantation organisations should work closely with community and religious organisations to address the sociocultural barriers identified.

Reliable Ant Colony Routing Algorithm for Dual-Channel Mobile Ad Hoc Networks

Directory of Open Access Journals (Sweden)

YongQiang Li

2018-01-01

Full Text Available For the problem of poor link reliability caused by high-speed dynamic changes and congestion owing to low network bandwidth in ad hoc networks, an ant colony routing algorithm, based on reliable path under dual-channel condition (DSAR, is proposed. First, dual-channel communication mode is used to improve network bandwidth, and a hierarchical network model is proposed to optimize the dual-layer network. Thus, we reduce network congestion and communication delay. Second, a comprehensive reliable path selection strategy is designed, and the reliable path is selected ahead of time to reduce the probability of routing restart. Finally, the ant colony algorithm is used to improve the adaptability of the routing algorithm to changes of network topology. Simulation results show that DSAR improves the reliability of routing, packet delivery, and throughput.

Economic Multipliers and Sectoral Linkages: Ghana and the New Oil Sector

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Dennis Nchor

2016-01-01

Full Text Available The study seeks to assess the structure of the economy of Ghana in terms of changes in the economic structure before and after the production of oil in commercial quantities. This is viewed with regards to economic multipliers, sectoral interdependence and trade concentration. The results show that changes occurred with regards to multipliers and sectoral interdependence. The output multipliers of most sectors have declined. The results also show that the agricultural sector experienced an initial decline in its growth while industry experienced an increase. The performance of the services sector was relatively stable for the period covered by the study. There is a decline in the level of trade concentration though on a whole the concentration index is still high. The study employed input-output modeling techniques and the data was obtained from the Ghana statistical service and the World Development Indicators.

Models of public-private engagement for health services delivery and financing in Southern Africa: a systematic review.

Science.gov (United States)

Whyle, Eleanor Beth; Olivier, Jill

2016-12-01

In low- and middle-income countries (LMICs), the private sector-including international donors, non-governmental organizations, for-profit providers and traditional healers-plays a significant role in health financing and delivery. The use of the private sector in furthering public health goals is increasingly common. By working with the private sector through public -: private engagement (PPE), states can harness private sector resources to further public health goals. PPE initiatives can take a variety of forms and understanding of these models is limited. This paper presents the results of a Campbell systematic literature review conducted to establish the types and the prevalence of PPE projects for health service delivery and financing in Southern Africa. PPE initiatives identified through the review were categorized according to a PPE typology. The review reveals that the full range of PPE models, eight distinct models, are utilized in the Southern African context. The distribution of the available evidence-including significant gaps in the literature-is discussed, and key considerations for researchers, implementers, and current and potential PPE partners are presented. It was found that the literature is disproportionately representative of PPE initiatives located in South Africa, and of those that involve for-profit partners and international donors. A significant gap in the literature identified through the study is the scarcity of information regarding the relationship between international donors and national governments. This information is key to strengthening these partnerships, improving partnership outcomes and capacitating recipient countries. The need for research that disaggregates PPE models and investigates PPE functioning in context is demonstrated. © The Author 2016. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

The impact of retail-sector delivery of artemether-lumefantrine on malaria treatment of children under five in Kenya: a cluster randomized controlled trial.

Directory of Open Access Journals (Sweden)

Beth P Kangwana

2011-05-01

Full Text Available It has been proposed that artemisinin-based combination therapy (ACT be subsidised in the private sector in order to improve affordability and access. This study in western Kenya aimed to evaluate the impact of providing subsidized artemether-lumefantrine (AL through retail providers on the coverage of prompt, effective antimalarial treatment for febrile children aged 3-59 months.We used a cluster-randomized, controlled design with nine control and nine intervention sublocations, equally distributed across three districts in western Kenya. Cross-sectional household surveys were conducted before and after the delivery of the intervention. The intervention comprised provision of subsidized packs of paediatric ACT to retail outlets, training of retail outlet staff, and community awareness activities. The primary outcome was defined as the proportion of children aged 3-59 months reporting fever in the past 2 weeks who started treatment with AL on the same day or following day of fever onset. Data were collected using structured questionnaires and analyzed based on cluster-level summaries, comparing control to intervention arms, while adjusting for other covariates. Data were collected on 2,749 children in the target age group at baseline and 2,662 at follow-up. 29% of children experienced fever within 2 weeks before the interview. At follow-up, the percentage of children receiving AL on the day of fever or the following day had risen by 14.6% points in the control arm (from 5.3% [standard deviation (SD: 3.2%] to 19.9% [SD: 10.0%] and 40.2% points in the intervention arm (from 4.7% [SD: 3.4%] to 44.9% [SD: 11.7%]. The percentage of children receiving AL was significantly greater in the intervention arm at follow-up, with a difference between the arms of 25.0% points (95% confidence interval [CI]: 14.1%, 35.9%; unadjusted p = 0.0002, adjusted p = 0.0001. No significant differences were observed between arms in the proportion of caregivers who sought

Utilization of institutional delivery service and associated factors in Bench Maji zone, Southwest Ethiopia: community based, cross sectional study.

Science.gov (United States)

Tadele, Niguse; Lamaro, Tafesse

2017-02-01

At the end of Millennium development goals, Ethiopia was included among 10 countries which constitutes about 59% of maternal deaths due to complications of pregnancy and/or childbirth every year globally. Institutional delivery, which is believed to contribute in reduction of maternal mortality is still low. Hence this study was conducted in order to assess utilization of institutional delivery and related factors in Bench Maji zone, Southwest Ethiopia. Cross sectional study was employed from September 1st - 30th, 2015 in Bench Maji Zone, Southwest Ethiopia where 765 mothers who deliver 2 years preceding the study provided data for this research. Data were collected by enumerators who were trained. In addition to descriptive statistics, binary and multivariate logistic regression analyses were performed. Statistical significance was considered at a p-value delivery which was significant. In Bench Maji Zone institutional delivery was shown to be comparatively good compared to other studies in the region and in Ethiopia in general even though it is below the health sector transformation plan of Ethiopia which aimed to increase deliveries attended by skilled health personnel to 95%. Empowering women, increasing awareness about institutional delivery and proper scaling up of antenatal care services which is an entry point for institutional delivery are recommended.

Evaluating sustainable logistics for Local Food Systems and using colaboration as a tool for rationnalization in the retail-wholesale sector: A case study in the Nord-Pas de Calais region, France

OpenAIRE

Duault, Agathe

2015-01-01

Localizing the organic food system is a key element for sustaining the development of organic agriculture globally. Local Food Systems (LFS) are often attributed to having advantages but their economic, ecological and social performances are questioned mainly due to low logistics rationalization. The organic retail-wholesale sector is particularly affected by logistics problems (low-volume delivery, and numerous delivery points). This study evaluates collaboration as a tool for logistic ratio...

Bupivacaine inhibits large conductance, voltage- and Ca2+- activated K+ channels in human umbilical artery smooth muscle cells

Science.gov (United States)

Martín, Pedro; Enrique, Nicolás; Palomo, Ana R. Roldán; Rebolledo, Alejandro; Milesi, Veronica

2012-01-01

Bupivacaine is a local anesthetic compound belonging to the amino amide group. Its anesthetic effect is commonly related to its inhibitory effect on voltage-gated sodium channels. However, several studies have shown that this drug can also inhibit voltage-operated K+ channels by a different blocking mechanism. This could explain the observed contractile effects of bupivacaine on blood vessels. Up to now, there were no previous reports in the literature about bupivacaine effects on large conductance voltage- and Ca2+-activated K+ channels (BKCa). Using the patch-clamp technique, it is shown that bupivacaine inhibits single-channel and whole-cell K+ currents carried by BKCa channels in smooth muscle cells isolated from human umbilical artery (HUA). At the single-channel level bupivacaine produced, in a concentration- and voltage-dependent manner (IC50 324 µM at +80 mV), a reduction of single-channel current amplitude and induced a flickery mode of the open channel state. Bupivacaine (300 µM) can also block whole-cell K+ currents (~45% blockage) in which, under our working conditions, BKCa is the main component. This study presents a new inhibitory effect of bupivacaine on an ion channel involved in different cell functions. Hence, the inhibitory effect of bupivacaine on BKCa channel activity could affect different physiological functions where these channels are involved. Since bupivacaine is commonly used during labor and delivery, its effects on umbilical arteries, where this channel is highly expressed, should be taken into account. PMID:22688134

Improving the effectiveness of service delivery in the public healthcare sector: the case of ophthalmology services in Malaysia.

Science.gov (United States)

Foo, Chee Yoong; Lim, Ka Keat; Sivasampu, Sheamini; Dahian, Kamilah Binti; Goh, Pik Pin

2015-08-28

Rising demand of ophthalmology care is increasingly straining Malaysia's public healthcare sector due to its limited human and financial resources. Improving the effectiveness of ophthalmology service delivery can promote national policy goals of population health improvement and system sustainability. This study examined the performance variation of public ophthalmology service in Malaysia, estimated the potential output gain and investigated several factors that might explain the differential performance. Data for 2011 and 2012 on 36 ophthalmology centres operating in the Ministry of Health hospitals were used in this analysis. We first consulted a panel of ophthalmology service managers to understand the production of ophthalmology services and to verify the production model. We then assessed the relative performance of these centres using Data Envelopment Analysis (DEA). Efficiency scores (ES) were decomposed into technical, scale, and congestion component. Potential increase in service output was estimated. Sensitivity analysis of model changes was performed and stability of the result was assessed using bootstrap approach. Second stage Tobit regression was conducted to determine if hospital type, availability of day services and population characteristics were related to the DEA scores. In 2011, 33% of the ophthalmology centres were found to have ES > 1 (mean ES = 1.10). Potential output gains were 10% (SE ± 2.92), 7.4% (SE ± 2.06), 6.9% (SE ± 1.97) if the centres could overcome their technical, scale and congestion inefficiencies. More centres moved to the performance frontier in 2012 (mean ES = 1.07), with lower potential output gain. The model used has good stability. Robustness checks show that the DEA correctly identified low performing centres. Being in state hospital was significantly associated with better performance. Using DEA to benchmarking service performance of ophthalmology care could provide insights for policy

The Extent to Which Universities Have Embraced Technology in Service Delivery: A Comparative Study of NUST (Zimbabwe) and University of Venda (RSA)

Science.gov (United States)

Khumalo, Njabulo Bruce; Baloyi, Charity

2018-01-01

Information Communication Technologies have greatly impacted the education sector over the years leading to electronic service delivery. Universities all over the world are embracing Information Communication Technologies especially the internet, creating websites, making use of web 2.0 applications, that is, social networks and moving their…

Paleocene Wilcox cross-shelf channel-belt history and shelf-margin growth: Key to Gulf of Mexico sediment delivery

Science.gov (United States)

Zhang, Jinyu; Steel, Ronald; Ambrose, William

2017-12-01

Shelf margins prograde and aggrade by the incremental addition of deltaic sediments supplied from river channel belts and by stored shoreline sediment. This paper documents the shelf-edge trajectory and coeval channel belts for a segment of Paleocene Lower Wilcox Group in the northern Gulf of Mexico based on 400 wireline logs and 300 m of whole cores. By quantitatively analyzing these data and comparing them with global databases, we demonstrate how varying sediment supply impacted the Wilcox shelf-margin growth and deep-water sediment dispersal under greenhouse eustatic conditions. The coastal plain to marine topset and uppermost continental slope succession of the Lower Wilcox shelf-margin sediment prism is divided into eighteen high-frequency ( 300 ky duration) stratigraphic sequences, and further grouped into 5 sequence sets (labeled as A-E from bottom to top). Sequence Set A is dominantly muddy slope deposits. The shelf edge of Sequence Sets B and C prograded rapidly (> 10 km/Ma) and aggraded modestly ( 80 m/Ma) characterizes Sequence Sets D and E, which is associated with smaller (9-10 m thick on average) and isolated channel belts. This stratigraphic trend is likely due to an upward decreasing sediment supply indicated by the shelf-edge progradation rate and channel size, as well as an upward increasing shelf accommodation indicated by the shelf-edge aggradation rate. The rapid shelf-edge progradation and large rivers in Sequence Sets B and C confirm earlier suggestions that it was the early phase of Lower Wilcox dispersal that brought the largest deep-water sediment volumes into the Gulf of Mexico. Key factors in this Lower Wilcox stratigraphic trend are likely to have been a very high initial sediment flux to the Gulf because of the high initial release of sediment from Laramide catchments to the north and northwest, possibly aided by modest eustatic sea-level fall on the Texas shelf, which is suggested by the early, flat shelf-edge trajectory, high

El sector productivo The productive sector

Directory of Open Access Journals (Sweden)

Encarna Santolaria

2004-05-01

Full Text Available El crecimiento del sector servicios en detrimento del sector primario, la flexibilidad del mercado laboral y la progresiva incorporación de la mujer a dicho mercado son los cambios más destacados del sector productivo español en los últimos 25 años. Las mujeres en España presentan tasas de desempleo, trabajo temporal y a tiempo parcial mucho mayores que los hombres. Además, las condiciones de acceso al mercado de trabajo y las condiciones en las que éste se desempeña están también muy relacionadas con la clase social. Las mujeres cubren la escasez de servicios públicos destinados al cuidado de las criaturas pequeñas y de las personas mayores o dependientes, y realizan una labor de cuidadoras informales sin reconocimiento social, lo cual les impide el acceso a un puesto de trabajo o su mantenimiento y limita de forma decisiva las posibilidades de desarrollo y progreso profesional. Todo ello indica una clara diferencia con respecto a los hombres en cuanto a la frecuencia de contratos temporales y de tiempo parcial, así como en la segregación laboral, tanto horizontal como vertical. Estos aspectos de segregación son más evidentes en las mujeres de clases sociales menos privilegiadas, en las que se concentran las peores condiciones de acceso al mercado laboral y de trabajo. En España es imprescindible llevar a cabo políticas que ofrezcan servicios que permitan compatibilizar la vida laboral y familiar en condiciones de mayor equidad, tanto en razón de género como de clase social.In the last 25 years, the production sector in Spain has undergone important changes. Among these changes, the important growth of the services sector at the expense of the primary sector, the increasing flexibility of the labour market, and the rise in the female workforce could be considered as the most relevant ones. Spanish women have higher rates of unemployment, temporary jobs and part time contracts than Spanish men. Moreover, job access and work

The Role of Conjoining (Tie) Channels in Lowland Floodplain Development and Lake Infilling

Science.gov (United States)

Rowland, J. C.; Dietrich, W. E.; Day, G.; Lepper, K.; Wilson, C. J.

2003-12-01

In simple models of lowland river systems, water and sediment enter the main stem via tributary and secondary channels and are only redistributed to the floodplain during overbank and crevasse splay events. Along numerous river systems across the globe, however, water and sediment are regularly exchanged between the river and off river water bodies via stable, narrow channels. These channels, known as tie channels on the Fly River in Papua New Guinea and batture channels along the lower Mississippi, are largely overlooked but important components of floodplain sediment dispersal where they exist. These channels become pathways of sediment dispersal to the floodplain system when elevated river stages force sediment-laden flows into the off-river water bodies. On the Fly River, it is estimated that about 50% of the sediment delivery to the floodplain is via these channels, and along low gradient tributary channels during flood driven flow reversals. During low flow, tie channels serve to drain the floodplain. With the outgoing flows, large amounts sediment can be carried and lost to the floodplain; floodplain lakes progressively infill with sediment as the mouth of these channels steadily prograde lakeward. These lake deposits not only become significant stratigraphic components of floodplains (traditionally referred to as clay plugs), but are important local sinks recording hundreds to thousands of years of river history. As with all sinks, the proper interpretation of these stratigraphic records requires understanding the processes by which sediment is delivered to the sink and how these processes alter the paleohydraulic and climatic signals of interest. We have conducted field investigations of conjoining channels in Papua New Guinea (the Fly and Strickland Rivers), Louisiana (Raccourci Old River ~ 65 km upriver of Baton Rouge) and Alaska (Birch Creek). These field investigations include extensive surveys of both cross and along channel morphological trends

Displaced/re-worked rhodolith deposits infilling parts of a complex Miocene multistorey submarine channel: A case history from the Sassari area (Sardinia, Italy)

Science.gov (United States)

Murru, Marco; Bassi, Davide; Simone, Lucia

2015-08-01

In the Sassari area (north-western Sardinia, Italy), the Miocene Porto Torres sub-basin sequences represent the complex multistorey mixed carbonate-siliciclastic submarine feature called the Sassari Channel. During the late Burdigalian-early Serravallian, repeated terrigenous supplies from uplifted Paleozoic crystalline substrata fed the Sassari Channel system by means of turbidity and locally hyper-concentrated turbidity flows. Shelfal areas were the source of terrigenous clasts, but open shelf rhodalgal/foramol carbonate areas were very productive and largely also contributed to the channel infilling. Re-worked sands and skeletal debris were discontinuously re-sedimented offshore as pure terrigenous, mixed and/or carbonate deposits. Major sediment supply was introduced between the latest Burdigalian and the start of the middle Langhian, during which a large amount of carbonate, mixed and siliciclastic sediments reached the Porto Torres Basin (Sassari Channel I). Contributions from shallow proximal source areas typify the lower intervals (Unit A) in marginal sectors of the channel. Upward, these evolve into autochthonous rhodolith deposits, winnowed by strong currents in relatively shallow well lit settings within a complex network of narrow tidally-controlled channels (Unit D) locally bearing coral assemblages. Conversely, re-sedimented rhodoliths from the Units B and C accumulated under conditions of higher turbidity. In deeper parts of the channel taxonomically diversified rhodoliths point to the mixing of re-deposited skeletal components from different relatively deep bathmetric settings. In the latest early Langhian, major re-sedimentation episodes, resulting in large prograding bodies (Unit D), triggered by repeated regression pulses in a frame of persistent still stand. During these episodes photophile assemblages dwelled in the elevated margin sectors of the channel. A significant latest early Langhian drop in relative sea-level resulted in impressive mass

Delivery presentations

Science.gov (United States)

Pregnancy - delivery presentation; Labor - delivery presentation; Occiput posterior; Occiput anterior; Brow presentation ... The mother can walk, rock, and try different delivery positions during labor to help encourage the baby ...

The French nuclear sector. Situation and predictions 2018 - Sectoral and competitive analysis

International Nuclear Information System (INIS)

2017-01-01

This document comprises two reports. A first one, published and updated three times a year, and a second one which is a yearly publication. The first one, based on an analysis of market perspectives and of actor strategies, proposes a synthesis on the consequences of the evolution of the economic environment, on major trends noticed for the nuclear sector, and on predictable evolutions. It proposes the most recent data regarding the activities of more than 100 firms belonging to the sector (notably in terms of electric power production, of turnover for firms specialised in nuclear maintenance or in the fuel cycle). It highlights recent events for companies of the sector: takeovers, investments, restructuring, introduction of new products, and so on. It proposes a sector-based dashboard which contains all the critical figures useful to analyse the sector situation (activity determining factors, key figures for the sector and its environment). The annual report proposes a general presentation of the sector (determining factors of the activity, operated nuclear plants in the world, nuclear power production in the world, uranium production and consumption in the world, maintenance and improvement expenses on nuclear plants, electric power consumption and shares in power generation by different sources in France), an analysis of the evolution of the sector activity (trends, indicators, financial performance of actors in the maintenance of nuclear plants), an overview of important issues for the profession (growth issue despite the maturity of the French market, implications of intensification of foreign competition, of higher safety requirements, and of a decrease of nuclear energy profitability), and an analysis of the sector economic structure (turnovers, personnel, position of France among world exporters, equipment export structure, key figures for nuclear maintenance). The last part proposes presentations of 20 French actors and data and information sheets for 10

An Effective Channel Allocation Scheme to Reduce Co-Channel and Adjacent Channel Interference for WMN Backhaul

International Nuclear Information System (INIS)

Abbasi, S.; Ismaili, I.A.; Khuhawar, F.Y.

2016-01-01

Two folded work presents channel allocation scheme sustaining channel orthogonality and channel spacing to reduce CCI (Co-Channel Interference) and ACI (Adjacent Channel Interference) for inter flow of an intra-flow link. Proposed scheme as a part of radio resource allocation is applied on infrastructure based backhaul of wireless mesh network using directional antennas. The proposed approach is applied separately on 2.4 and 5GHz bands. Interference of connectivity graph is modelled by strongly connected directed graph and greedy algorithms are used for channel allocation. We have used OPNET Modeller suite to simulate network models for this research. The proposed arrangement reduces the channel interference and increases system throughput. In this research, the influence of channel is computed in terms of network throughput and delay. (author)

Spatiotemporal closure of fractional laser-ablated channels imaged by optical coherence tomography and reflectance confocal microscopy

DEFF Research Database (Denmark)

Banzhaf, Christina A.; Wind, Bas S.; Mogensen, Mette

2016-01-01

Background and Objective Optical coherence tomography (OCT) and reflectance confocal microscopy (RCM) offer high-resolution optical imaging of the skin, which may provide benefit in the context of laser-assisted drug delivery. We aimed to characterize postoperative healing of ablative fractional...... laser (AFXL)-induced channels and dynamics in their spatiotemporal closure using in vivo OCT and RCM techniques. Study design/Materials and Methods The inner forearm of healthy subjects (n = 6) was exposed to 10,600 nm fractional CO2 laser using 5 and 25% densities, 120 μm beam diameter, 5, 15, and 25 m......J/microbeam. Treatment sites were scanned with OCT to evaluate closure of AFXL-channels and RCM to evaluate subsequent re-epithelialization. Results OCT and RCM identified laser channels in epidermis and upper dermis as black, ablated tissue defects surrounded by characteristic hyper-and hyporeflective zones. OCT imaged...

The challenges of good governance in the aquatic animal health sector.

Science.gov (United States)

Kahn, S; Mylrea, G; Yaacov, K Bar

2012-08-01

Animal health is fundamental to efficient animal production and, therefore, to food security and human health. This holds true for both terrestrial and aquatic animals. Although partnership between producers and governmental services is vital for effective animal health programmes, many key activities are directly carried out by governmental services. Noting the need to improve the governance of such services in many developing countries, the World Organisation for Animal Health (OIE), using the OIE Tool for the Evaluation of Performance of Veterinary Services, conducts assessments of Veterinary Services and Aquatic Animal Health Services (AAHS) to help strengthen governance and support more effective delivery of animal health programmes. While good governance and the tools to improve governance in the aquatic animal sector are largely based on the same principles as those that apply in the terrestrial animal sector, there are some specific challenges in the aquatic sector that have a bearing on the governance of services in this area. For example, the aquaculture industry has experienced rapid growth and the use of novel species is increasing; there are important gaps in scientific knowledge on diseases of aquatic animals; there is a need for more information on sustainable production; the level of participation of the veterinary profession in aquatic animal health is low; and there is a lack of standardisation in the training of aquatic animal health professionals. Aquaculture development can be a means of alleviating poverty and hunger in developing countries. However, animal diseases, adverse environmental impacts and food safety risks threaten to limit this development. Strengthening AAHS governance and, in consequence, aquatic animal health programmes, is the best way to ensure a dynamic and sustainable aquaculture sector in future. This paper discusses the specific challenges to AAHS governance and some OIE initiatives to help Member Countries to address

Occupational health profile of workers employed in the manufacturing sector of India.

Science.gov (United States)

Suri, Shivali; Das, Ranjan

2016-01-01

The occupational health scenario of workers engaged in the manufacturing sector in India deserves attention for their safety and increasing productivity. We reviewed the status of the manufacturing sector, identified hazards faced by workers, and assessed the existing legislations and healthcare delivery mechanisms. From October 2014 to March 2015, we did a literature review by manual search of pre-identified journals, general electronic search, electronic search of dedicated websites/databases and personal communication with experts of occupational health. An estimated 115 million workers are engaged in the manufacturing sector, though the Labour Bureau takes into account only one-tenth of them who work in factories registered with the government. Most reports do not mention the human capital employed neither their quality of life, nor occupational health services available. The incidence of accidents were documented till 2011, and industry-wise break up of data is not available. Occupational hazards reported include hypertension, stress, liver disease, diabetes, tuberculosis, eye/ hearing problems, cancers, etc. We found no studies for manufacturing industries in glass, tobacco, computer and allied products, etc. The incidence of accidents is decreasing but the proportion of fatalities is increasing. Multiple legislations exist which cover occupational health, but most of these are old and have not been amended adequately to reflect the present situation. There is a shortage of manpower and occupational health statistics for dealing with surveillance, prevention and regulation in this sector. There is an urgent need of a modern occupational health legislation and an effective machinery to enforce it, preferably through intersectoral coordination between the Employees' State Insurance Corporation, factories and state governments. Occupational health should be integrated with the general health services.

Public Sector Expatriate Managers:

DEFF Research Database (Denmark)

Fenner, Charles, R., Jr.; Selmer, Jan

2008-01-01

Although public sector expatriates are becoming increasingly common, research on them is very limited. There is reason to believe that the situation for expatriates from the public sector may be different than for those from the private sector. This study investigated U.S. Department of Defense a...

Industry sector analysis, Mexico: Oil and gas field machinery and equipment. Export Trade Information

International Nuclear Information System (INIS)

1990-04-01

The Industry Sector Analyses (I.S.A.) for oil and gas field machinery and equipment contains statistical and narrative information on projected market demand, end-users, receptivity of Mexican consumers to U.S. products, the competitive situation - Mexican production, total import market, U.S. market position, foreign competition, and competitive factors, and market access - Mexican tariffs, non-tariff barriers, standards, taxes and distribution channels. The I.S.A. provides the United States industry with meaningful information regarding the Mexican market for oil and gas field machinery and equipment

The application of Markov decision process with penalty function in restaurant delivery robot

Science.gov (United States)

Wang, Yong; Hu, Zhen; Wang, Ying

2017-05-01

As the restaurant delivery robot is often in a dynamic and complex environment, including the chairs inadvertently moved to the channel and customers coming and going. The traditional Markov decision process path planning algorithm is not save, the robot is very close to the table and chairs. To solve this problem, this paper proposes the Markov Decision Process with a penalty term called MDPPT path planning algorithm according to the traditional Markov decision process (MDP). For MDP, if the restaurant delivery robot bumps into an obstacle, the reward it receives is part of the current status reward. For the MDPPT, the reward it receives not only the part of the current status but also a negative constant term. Simulation results show that the MDPPT algorithm can plan a more secure path.

Liquidity and the business cycle: Empirical evidence from the Greek banking sector

Directory of Open Access Journals (Sweden)

Vogiazas Sophocles

2013-01-01

Full Text Available In the aftermath of the global financial turmoil the negative market sentiment and the challenging macroeconomic environment in Greece have severely affected the banking sector, which faces funding and liquidity challenges, deteriorating asset quality, and weakening profitability. This paper aims to investigate how banks’ liquidity interacted with solvency and the business cycle during the period 2004-2010. To this end a panel of 17 Greek banks is utilized which, in conjunction with cointegrating techniques and one-way static and dynamic panel models, explores the presence and the strength of the relationship between banks’ liquidity and the business cycle, while allowing for the role of banks’ solvency. Addressing the liquidity risk of the Greek banking sector and the liquidity-solvency nexus remains largely an uncharted area. The results generated provide clear-cut evidence on the linkages between banks’ market liquidity and the business cycle, as reflected in the real GDP and the effective exchange rate. Yet the results display a transmission channel that runs from banks’ solvency to liquidity and from country risk to bank risk.

Pump-to-Wheels Methane Emissions from the Heavy-Duty Transportation Sector.

Science.gov (United States)

Clark, Nigel N; McKain, David L; Johnson, Derek R; Wayne, W Scott; Li, Hailin; Akkerman, Vyacheslav; Sandoval, Cesar; Covington, April N; Mongold, Ronald A; Hailer, John T; Ugarte, Orlando J

2017-01-17

Pump-to-wheels (PTW) methane emissions from the heavy-duty (HD) transportation sector, which have climate change implications, are poorly documented. In this study, methane emissions from HD natural gas fueled vehicles and the compressed natural gas (CNG) and liquefied natural gas (LNG) fueling stations that serve them were characterized. A novel measurement system was developed to quantify methane leaks and losses. Engine related emissions were characterized from twenty-two natural gas fueled transit buses, refuse trucks, and over-the-road (OTR) tractors. Losses from six LNG and eight CNG stations were characterized during compression, fuel delivery, storage, and from leaks. Cryogenic boil-off pressure rise and pressure control venting from LNG storage tanks were characterized using theoretical and empirical modeling. Field and laboratory observations of LNG storage tanks were used for model development and evaluation. PTW emissions were combined with a specific scenario to view emissions as a percent of throughput. Vehicle tailpipe and crankcase emissions were the highest sources of methane. Data from this research are being applied by the authors to develop models to forecast methane emissions from the future HD transportation sector.

A Methodology for Evaluating User Perceptions of the Delivery of ICT Services: a comparative study of six UK local authorities

Directory of Open Access Journals (Sweden)

Les Worrall

2000-11-01

Full Text Available Evaluating and managing the effective delivery of ICT services is an issue that has been brought into sharper relief recently. This has been particularly prevalent in the UK public sector where the growing emphasis on formalised client-contractor relationships, outsourcing and benchmarking (both between local authorities and between local authorities and private sector organisations has meant that the definition of service standards and agreeing performance criteria has attracted considerable practitioner attention. This research is based on 295 interviews conducted in six UK local authorities. The investigation used both gap analysis and perceptual mapping techniques to develop an understanding of the aspects of ICT service delivery that users' value most in conjunction with an assessment of how well they perceive their ICT department is performing on these criteria. The paper exposes considerable differences in the relative performance of the six local authorities from both the gap analysis and the perceptual mapping elements of the investigation. The methodology is shown to provide an effective way of identifying key performance issues from the user perspective and benchmarking service performance across organisations.

The Consumers Characteristics Analysis of Low Temperature Home Delivery

Directory of Open Access Journals (Sweden)

Shu-Fang Lai

2013-01-01

Full Text Available Because of technological advancements and the popularity of the Internet, online shopping has become an important shopping channel for consumers. Because people increasingly eat out, more consumers shop online, and food products are collected from convenience stores, or frozen food home delivery services are used. This study used questionnaire surveys to analyze the consumption habits of residents who shop online for frozen foods in the urban areas of northern Taiwan (Taipei City and New Taipei City. We distributed and collected 548 questionnaires, of which 484 were valid. Descriptive statistics, a chi-square test, and logistics regression analysis were used to analyze consumer characteristics, as well as important influential factors. The research results indicated that most online shoppers were women, and the top 3 factors influencing their purchasing decisions were freshness, delivery convenience, and ordering convenience. Participants in the age group of 40-49 years old, living in the urban area of New Taipei City, without junior college education, and with less than 10,000 NTD monthly incomes, were less likely to purchase frozen foods using low-temperature logistics services.

Achieving growth within the UK's Domestic Energy Efficiency Retrofitting Services sector, practitioner experiences and strategies moving forward

International Nuclear Information System (INIS)

Gooding, Luke; Gul, Mehreen S.

2017-01-01

The adoption of the UK Green Deal policy provided an unprecedented change within the policy arena of domestic retrofit. Government financial support present within previous policy regimes was reduced and private industry was enlisted to provide finance, delivery mechanisms and management schemes for national domestic low carbon retrofit. Consequently, the Energy Efficiency Retrofit Services (EERS) sector needed to grow capacity and deliver retrofit at a larger scale. This research focuses on assessing the present EERS sector industry and its strategy to increase retrofit activity. This paper provides findings from on the ground interviews with UK EERS sector practitioners with relation to their experience of working with the Green Deal, and also their suggested strategies progressing forward now the Green Deal is no longer operational. Key findings suggest that UK EERS sector practitioners were unprepared to professionally deal with the expectation of the Green Deal, in terms of business administration and also dealing with the policy itself. Moving forward an emphasis is suggested which focused on training, to enable an increase in EERS sector capabilities, and to also enable an improvement of the quality and variety of work completed. Additionally, findings detail the requirement for enhanced communication between clients and policy administrators, to increase clarity in policy implementation and stakeholder expectation. - Highlights: • Assessment of Green Deal from supply chain perspective. • Highlighting of strategies utilised by retrofit practitioners to implement policy. • Indication of possible routes forward for domestic retrofit policy.

Multi-sectoral action for child safety-a European study exploring implicated sectors.

Science.gov (United States)

Scholtes, Beatrice; Schröder-Bäck, Peter; Förster, Katharina; MacKay, Morag; Vincenten, Joanne; Brand, Helmut

2017-06-01

Injury to children in Europe, resulting in both death and disability, constitutes a significant burden on individuals, families and society. Inequalities between high and low-income countries are growing. The World Health Organisation Health 2020 strategy calls for inter-sectoral collaboration to address injury in Europe and advocates the whole of government and whole of society approaches to wicked problems. In this study we explore which sectors (e.g. health, transport, education) are relevant for four domains of child safety (intentional injury, water, road and home safety). We used the organigraph methodology, originally developed to demonstrate how organizations work, to describe the governance of child safety interventions. Members of the European Child Safety Alliance, working in the field of child safety in 24 European countries, drew organigraphs of evidence-based interventions. They included the different actors involved and the processes between them. We analyzed the organigraphs by counting the actors presented and categorizing them into sectors using a pre-defined analysis framework. We received 44 organigraphs from participants in 24 countries. Twenty-seven sectors were identified across the four domains. Nine of the 27 identified sectors were classified as 'core sectors' (education, health, home affairs, justice, media, recreation, research, social/welfare services and consumers). This study reveals the multi-sectoral nature of child safety in practice. It provides information for stakeholders working in child safety to help them implement inter-sectoral child safety interventions taking a whole-of-government and whole-of-society approach to health governance. © The Author 2017. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

Development and Demonstration of the Open Automated Demand Response Standard for the Residential Sector

Energy Technology Data Exchange (ETDEWEB)

Herter, Karen; Rasin, Josh; Perry, Tim

2009-11-30

The goal of this study was to demonstrate a demand response system that can signal nearly every customer in all sectors through the integration of two widely available and non- proprietary communications technologies--Open Automated Demand Response (OpenADR) over lnternet protocol and Utility Messaging Channel (UMC) over FM radio. The outcomes of this project were as follows: (1) a software bridge to allow translation of pricing signals from OpenADR to UMC; and (2) a portable demonstration unit with an lnternet-connected notebook computer, a portfolio of DR-enabling technologies, and a model home. The demonstration unit provides visitors the opportunity to send electricity-pricing information over the lnternet (through OpenADR and UMC) and then watch as the model appliances and lighting respond to the signals. The integration of OpenADR and UMC completed and demonstrated in this study enables utilities to send hourly or sub-hourly electricity pricing information simultaneously to the residential, commercial and industrial sectors.

Torus sector handling system

International Nuclear Information System (INIS)

Grisham, D.L.

1981-01-01

A remote handling system is proposed for moving a torus sector of the accelerator from under the cryostat to a point where it can be handled by a crane and for the reverse process for a new sector. Equipment recommendations are presented, as well as possible alignment schemes. Some general comments about future remote-handling methods and the present capabilities of existing systems will also be included. The specific task to be addressed is the removal and replacement of a 425 to 450 ton torus sector. This requires a horizontal movement of approx. 10 m from a normal operating position to a point where its further transport can be accomplished by more conventional means (crane or floor transporter). The same horizontal movement is required for reinstallation, but a positional tolerance of 2 cm is required to allow reasonable fit-up for the vacuum seal from the radial frames to the torus sector. Since the sectors are not only heavy but rather tall and narrow, the transport system must provide a safe, stable, and repeatable method fo sector movement. This limited study indicates that the LAMPF-based method of transporting torus sectors offers a proven method of moving heavy items. In addition, the present state of the art in remote equipment is adequate for FED maintenance

Energy use and life cycle greenhouse gas emissions of drones for commercial package delivery

OpenAIRE

Stolaroff, Joshuah K.; Samaras, Constantine; O’Neill, Emma R.; Lubers, Alia; Mitchell, Alexandra S.; Ceperley, Daniel

2018-01-01

The use of automated, unmanned aerial vehicles (drones) to deliver commercial packages is poised to become a new industry, significantly shifting energy use in the freight sector. Here we find the current practical range of multi-copters to be about 4 km with current battery technology, requiring a new network of urban warehouses or waystations as support. We show that, although drones consume less energy per package-km than delivery trucks, the additional warehouse energy required and the lo...

Industrial innovation and intra sectoral and inter sectoral technology diffusion; Innovacion industrial y difusion tecnological intrasectorial e intersectorial

Energy Technology Data Exchange (ETDEWEB)

Serrano Domingo, G.; Cabrera Borras, B.; Requena Silvente, F.

2012-07-01

This paper examines whether sectoral backward and forward linkages can generate positive externalises in sectoral innovation through diffusion of technological knowledge, both across countries within a sector or across sectors within a country. Using a sample of 14 OECD countries and 12 sectors over the period 1995-2005 we find that forward linkages enhance sectoral innovation. Intra sectoral slipovers are important among sectors and countries with low-to-medium R an D intensity while inter sectoral slipovers have a major impact on sectors with high R and D intensity. (Author)

Towards improvement of ethics in the public sector in Zimbabwe

Directory of Open Access Journals (Sweden)

Daniel Chigudu

2015-03-01

Full Text Available In Zimbabwe reports of abuse of public office have manifested in various forms resulting in public outcry; poor service delivery, and government losing millions of dollars. This study aims to undertake a reflective inquiry on the ethical conduct in the Zimbabwean public sector through content and process analysis in order to provide intervention mechanisms to the problem. Statistical analysis of corruption level is made to benefit the study. Results indicated some legislative gaps and an incapacitated Anti-Corruption Commission which has been unable to execute its mandate fully. Most senior public officials and politicians appear to have too much power and authority with no checks and balances in place. Practical implications of the widespread unethical practices call for the government to plug the glaring legislative gaps; take stern measures against offenders; empowering the Anti-Corruption Commission; term limits for senior public officials as well as for political appointments; and motivating political will to uphold ethical leadership. The recommendations will open a window for the Zimbabwean government and administrators to view how some advanced economies have propped up ethical behaviour in the public sector. It is the way to go for ailing economies like Zimbabwe. The paper demonstrated the importance of ethical awareness in another political and economic setting-Zimbabwe.

Transdermal drug delivery

Science.gov (United States)

Prausnitz, Mark R.; Langer, Robert

2009-01-01

Transdermal drug delivery has made an important contribution to medical practice, but has yet to fully achieve its potential as an alternative to oral delivery and hypodermic injections. First-generation transdermal delivery systems have continued their steady increase in clinical use for delivery of small, lipophilic, low-dose drugs. Second-generation delivery systems using chemical enhancers, non-cavitational ultrasound and iontophoresis have also resulted in clinical products; the ability of iontophoresis to control delivery rates in real time provides added functionality. Third-generation delivery systems target their effects to skin’s barrier layer of stratum corneum using microneedles, thermal ablation, microdermabrasion, electroporation and cavitational ultrasound. Microneedles and thermal ablation are currently progressing through clinical trials for delivery of macromolecules and vaccines, such as insulin, parathyroid hormone and influenza vaccine. Using these novel second- and third-generation enhancement strategies, transdermal delivery is poised to significantly increase impact on medicine. PMID:18997767

Governance and Public Sector Transformation in South Africa: Reporting and Providing Assurance on Service Delivery Information

OpenAIRE

Mariaan Roos

2012-01-01

Reporting on performance was legislatively established in South Africa in terms of the Public Finance Management Act, Act 1 of 1999, section 40 (3)(a). The auditing of the reported information was legislated in the Public Audit Act, Act 25 of 2004, section 20(2) (c). The objectives of the article are firstly to provide an overview of the development and application of the reporting and secondly providing assurance on service delivery information and thirdly to reflect on challenges to the imp...

Process evaluation of communitisation programme in public sector health facilities, Mokokchung district, Nagaland, 2015

Directory of Open Access Journals (Sweden)

Aonungdok Tushi

2017-01-01

Full Text Available Background: Public sector health facilities were poorly managed due to a history of conflict in Nagaland, India. Government of Nagaland introduced “Nagaland Communitisation of Public Institutions and Services Act” in 2002. Main objectives of the evaluation were to review the functioning of Health Center Managing Committees (HCMCs, deliver health services in the institutions managed by HCMC, identify strengths as well as challenges perceived by HCMC members in the rural areas of Mokokchung district, Nagaland. Materials and Methods: The evaluation was made using input, process and output indicators. A doctor, the HCMC Chairman and one member from each of the three community health centers (CHC and four primary health centers (PHC were surveyed using a semi-structured questionnaire and an in-depth interview guide. Proportions for quantitative data were computed and key themes from the same were identified. Results: Overall; the infrastructure, equipment and outpatient/inpatient service availability was satisfactory. There was a lack of funds and shortage of doctors, drugs as well as laboratory facilities. HCMCs were in place and carried out administrative activities. HCMCs felt ownership, mobilized community contributions and managed human resources. HCMC members had inadequate funds for their transport and training. They faced challenges in service delivery due to political interference and lack of adequate human, material, financial resources. Conclusions: Communitisation program was operational in the district. HCMC members felt the ownership of health facilities. Administrative, political support and adequate funds from the government are needed for effective functioning of HCMCs and optimal service delivery in public sector facilities.

INTRODUCTION OF A SECTORAL APPROACH TO TRANSPORT SECTOR FOR POST-2012 CLIMATE REGIME

Directory of Open Access Journals (Sweden)

Atit TIPPICHAI

2009-01-01

Full Text Available Recently, the concept of sectoral approaches has been discussed actively under the UNFCCC framework as it could realize GHG mitigations for the Kyoto Protocol and beyond. However, most studies have never introduced this approach to the transport sector explicitly or analyzed its impacts quantitatively. In this paper, we introduce a sectoral approach which aims to set sector-specific emission reduction targets for the transport sector for the post-2012 climate regime. We suppose that developed countries will commit to the sectoral reduction target and key developing countries such as China and India will have the sectoral no-lose targets — no penalties for the failure to meet targets but the right to sell exceeding reductions — for the medium term commitment, i.e. 2013–2020. Six scenarios of total CO2 emission reduction target in the transport sector in 2020, varying from 5% to 30% reductions from the 2005 level are established. The paper preliminarily analyzes shares of emission reductions and abatement costs to meet the targets for key developed countries including the USA, EU-15, Russia, Japan and Canada. To analyze the impacts of the proposed approach, we generate sectoral marginal abatement cost (MAC curves by region through extending a top-down economic model, namely the AIM/CGE model. The total emission reduction targets are analyzed against the developed MAC curves for the transport sector in order to obtain an equal marginal abatement cost which derives optimal emission reduction for each country and minimizes total abatement cost. The results indicate that the USA will play a crucial role in GHG mitigations in the transport sector as it is most responsible for emission reductions (i.e. accounts for more than 70% while Japan will least reduce (i.e. accounts for about 3% for all scenarios. In the case of a 5% reduction, the total abatement is equal to 171.1 MtCO2 with a total cost of 1.61 billion USD; and in the case of a 30

Interest in Health Behavior Intervention Delivery Modalities Among Cancer Survivors: A Cross-Sectional Study

OpenAIRE

Martin, Emily C; Basen-Engquist, Karen; Cox, Matthew G; Lyons, Elizabeth J; Carmack, Cindy L; Blalock, Janice A; Demark-Wahnefried, Wendy

2016-01-01

Background Effective, broad-reaching channels are important for the delivery of health behavior interventions in order to meet the needs of the growing population of cancer survivors in the United States. New technology presents opportunities to increase the reach of health behavior change interventions and therefore their overall impact. However, evidence suggests that older adults may be slower in their adoption of these technologies than the general population. Survivors? interest for more...

Assisted Vaginal Delivery

Science.gov (United States)

... Education & Events Advocacy For Patients About ACOG Assisted Vaginal Delivery Home For Patients Search FAQs Assisted Vaginal ... Vaginal Delivery FAQ192, February 2016 PDF Format Assisted Vaginal Delivery Labor, Delivery, and Postpartum Care What is ...

Impact analysis of leading sub sector on basic sector to regional income in Siak Regency, Riau Province

Science.gov (United States)

Astuti, P.; Nugraha, I.; Abdillah, F.

2018-02-01

During this time Siak regency only known as oil producing regency in Riau province, but based on the vision of spatial planning Siak’s regency in 2031 there was a shift from petroleum towards to other sectors such as agribusiness, agroindustry and tourism. The purpose of this study was to identify the sector base, the leading subsectors and shift with their characteristics and to identify the leading subsectors development priority. The method used in this research consisted of the method of Location Quotient (LQ, Shift Share, and Overlay method). The research results were used Location Quotient (LQ) to identify sector’s base in Siak regency based on the document of PDRB. The sector’s refers to the constant prices year of 2000 were mining and quarrying sector (2.25). The sector’s base using document of PDRB at constant prices 2000 without oil and gas sector was the agricultural sector with a value of LQ was 2,45. The leading sub sector in the Siak regency with mining and quarrying sector was oil and gas (1.02) and leading sub sector without oil and gas sector was the plantation sector (1.48) and forestry sector (1.73). Overlay analysis results shown that agriculture sector as a sector base and plantation and forestry as a leading sub sector has positive value and categorize as progressive and competitiveness. Because of that, this leading sub sector gets high priority to developing.

Energy sector alliances

International Nuclear Information System (INIS)

McQuade, Owen

1998-09-01

Contains Executive Summary and Chapters on: A changing energy sector; Rationale for the joint venture, merger or acquisition; Mergers, acquisitions and joint ventures by sector; The joint venture process; Key factors for success; Financing the venture; Case studies; The future outlook. (Author)

Single-channel kinetics of BK (Slo1 channels

Directory of Open Access Journals (Sweden)

Yanyan eGeng

2015-01-01

Full Text Available Single-channel kinetics has proven a powerful tool to reveal information about the gating mechanisms that control the opening and closing of ion channels. This introductory review focuses on the gating of large conductance Ca2+- and voltage-activated K+ (BK or Slo1 channels at the single-channel level. It starts with single-channel current records and progresses to presentation and analysis of single-channel data and the development of gating mechanisms in terms of discrete state Markov (DSM models. The DSM models are formulated in terms of the tetrameric modular structure of BK channels, consisting of a central transmembrane pore-gate domain (PGD attached to four surrounding transmembrane voltage sensing domains (VSD and a large intracellular cytosolic domain (CTD, also referred to as the gating ring. The modular structure and data analysis shows that the Ca2+ and voltage dependent gating considered separately can each be approximated by 10-state two-tiered models with 5 closed states on the upper tier and 5 open states on the lower tier. The modular structure and joint Ca2+ and voltage dependent gating are consistent with a 50 state two-tiered model with 25 closed states on the upper tier and 25 open states on the lower tier. Adding an additional tier of brief closed (flicker states to the 10-state or 50-state models improved the description of the gating. For fixed experimental conditions a channel would gate in only a subset of the potential number of states. The detected number of states and the correlations between adjacent interval durations are consistent with the tiered models. The examined models can account for the single-channel kinetics and the bursting behavior of gating. Ca2+ and voltage activate BK channels by predominantly increasing the effective opening rate of the channel with a smaller decrease in the effective closing rate. Ca2+ and depolarization thus activate by mainly destabilizing the closed states.

Cross-sector Innovation

DEFF Research Database (Denmark)

Würtz Jessen, Søren; Linnet, Andreas; Tscherning, Rasmus Wiinstedt

2013-01-01

The aim of this handbook is to help improve your opportunities for getting started on innovative and business development projects that reach beyond your own sector, commonly known as ’Cross-sector innovation’, or ’Cross innovation’ for short. We believe that there is a need for an easily read...... innovation handbook that can reach out to all sectors and potential partners whose point of departure, language use and understanding of customers is often very different to that of businesses. These differences constitute a resource for business development. If exploited they can lead to new ways of doing...... things and help us breakaway from the lull of the modes of expression and methods ‘customarily’ employed in business development. The handbook focuses on the interaction of “traditional’ businesses and sectors that belong to those known as the creative and the experience industries, i.e. designers...

The lending channel and budget balance: empirical evidences from Central and Eastern European economies

Directory of Open Access Journals (Sweden)

Bogdan-Gabriel MOINESCU

2013-03-01

Full Text Available The study aims to deepen the analysis on the indirect dependence of government budget balance on private sector credit flow in the countries of Central and Eastern Europe. The added value of this approach consists of two elements. First, the analysis suggests developing the traditional analytical framework of assessing risks to public finance stability by including second round effects of negative fiscal impulses on credit to private sector during recession periods. Second, the study provides empirical evidence on the importance of economic growth transmission channel for the impact of credit accelerator effects on primary deficit. At the same time, nonperforming loans channel proved to be insignificant, especially in relation to the persistency of last year’s budget deficit and the effects of budget allocations pro-cyclicality. However, loan portfolio quality seems to be more relevant in the case of public debt service, through its influence on the evolution of the yield on long-term government securities that is closely related to sovereign risk premium. Nevertheless, strengthening the financial safety net by the introduction of resolution funds will most probably break the link investors saw between credit portfolio quality and the impending increase in budget spending. This expected development across not only CEE countries, but at the EU level also, will facilitate the isolation of sovereign risk premium from non-performing loans’ dynamics.

Factors Affecting Husband Participation in Antenatal Care Attendance and Delivery

Science.gov (United States)

Rumaseuw, R.; Berliana, S. M.; Nursalam, N.; Efendi, F.; Pradanie, R.; Rachmawati, P. D.; Aurizki, G. E.

2018-02-01

The government has implemented several programs to prevent and reduce a mother’s mortality rate by enhancing active role of the family. The most responsible family member on maintaining the pregnancy and delivery process is the husband. The husband must be active to take care of his wife. Active participation of the husband in accompanying his wife during pregnancy and the delivery process is one of the substantial factors, which helps the husband to take decisions related to the health of his wife. This study aimed to identify variables and its trends, which significantly affect a husband’s participation in accompanying his wife during pregnancy and the delivery process. The data used in this study was from an Indonesian Demographic Health Survey 2012. The study used binary logistic regression as the analysis method. The result showed as many as 8,237 husbands accompanied their wife in antenatal care and the delivery process. The significant variables affecting the husband participation are the age of the wife, the education of wife, the education of the husband, the occupational status of the wife and the husband, the number of children, pregnancy status, and residency region. The possibility for a husband to accompany his wife is larger in several factors, such as the wife being between the ages of 21 - 35 years old, a husband who minimally graduated from junior high school, a working husband, as well as a wife, and the number of children less than and equal to two and the expected pregnancy. The government should consider those factors to create policy related women’s health and integrate the factors into various sectors.

Design decisions in the front office - back office issue: A Study of Trade-offs in the Financial Services Sector

OpenAIRE

Zomerdijk, L.G.

2005-01-01

This dissertation presents the results of a research study that involved the development of a framework that provides insight in and so supports design decisions regarding front office and back office activities in service delivery processes. Building on the evidence from five case studies in the financial services sector, three design decisions have been elaborated. They are the definition of front office and back office activities, the decoupling decisions and organizational arrangements. T...

Baryon interactions from lattice QCD with physical masses —S = -3 sector: Ξ∑ and Ξ∑-Λ∑—

Science.gov (United States)

Ishii, Noriyoshi; Aoki, Sinya; Doi, Takumi; Gongyo, Shinya; Hatsuda, Tetsuo; Ikeda, Yoichi; Inoue, Takashi; Iritani, Takumi; Miyamoto, Takaya; Nemura, Hidekatsu; Sasaki, Kenji

2018-03-01

Hyperon-nucleon and hyperon-hyperon interactions are important in studying the properties of hypernuclei in hypernuclear physics. However, unlike the nucleons which are quite stable, hyperons are unstable so that the direct scattering experiments are difficult, which leads to the large uncertainty in the phenomenological determination of hyperon potentials. In this talk, we use the gauge configurations generated at the (almost) physical point (mπ = 146 MeV) on a huge spatial volume (8:1fm)4 to present our latest result on the hyperon-hyperon potentials in S = -3 sector (Ξ∑ single channel and Ξ∑- ΞΛ; coupled channel) from the Nambu-Bethe-Salpeter wave functions based on the HAL QCD method with improved statistics.

Mobile Phone Health Applications for the Federal Sector.

Science.gov (United States)

Burrows, Christin S; Weigel, Fred K

2016-01-01

As the US healthcare system moves toward a mobile care model, mobile phones will play a significant role in the future of healthcare delivery. Today, 90% of American adults own a mobile phone and 64% own a smartphone, yet many healthcare organizations are only beginning to explore the opportunities in which mobile phones can improve and streamline care. After searching Google Scholar, the Association for Computing Machinery Database, and PubMed for articles related to mobile phone health applications and cell phone text message health, we selected articles and studies related to the application of mobile phones in healthcare. From our initial review, we identified the potential application areas and continued to refine our search, identifying a total of 55 articles for additional review and analysis. From the literature, we identified 3 main themes for mobile phone implementation in improving healthcare: primary, preventive, and population health. We recommend federal health leaders pursue the value and potential in these areas; not only because 90% of Americans already own mobile phones, but also because mobile phone integration can provide substantial access and potential cost savings. From the positive findings of multiple studies in primary, preventive, and population health, we propose a 5-year federal implementation plan to integrate mobile phone capabilities into federal healthcare delivery. Our proposal has the potential to improve access, reduce costs, and increase patient satisfaction, therefore changing the way the federal sector delivers healthcare by 2021.

Role of Manufacturing Sector and Trade, Hotel, Restaurant Sector In East Java’s Economy: Input Output Analysis

Directory of Open Access Journals (Sweden)

Anggari Marya Kresnowati

2016-11-01

Full Text Available This study aimed to (1 analyze the relationship the manufacturing sector and the trade, hotel, and restaurant sector with other sectors in East Java, (2 to analyze the economic impact caused the two sectors based on the multiplier effect, (3 and analyze the economic impact caused by these two sectors if there additional investment funds. This study uses data analysis input output 2010 East Java 19x19 aggregation sector.The results indicate that base metals subsector has the highest linkages to other sectors. Based on household income multiplier effect, trade subsector has the greatest multiplier. Employment multiplier in trade and industrial sectors are in medium rank. This is indicates that the labor has been absorbed well in both sectors. The output multiplier effect, subsector non-metal goods, except petroleum and coal has the highest multiplier. The last, according to the analysis of investment injection simulations Input-Output East Java in 2010, subsector other processing industries has a best value added. Overall, the manufacturing sector has a better influence to East Java's economy than trade, hotel, and restaurant sector.

Classification and sedimentary characteristics of lacustrine hyperpycnal channels: Triassic outcrops in the south Ordos Basin, central China

Science.gov (United States)

Xian, Benzhong; Wang, Junhui; Gong, Chenglin; Yin, Yu; Chao, Chuzhi; Liu, Jianping; Zhang, Guodong; Yan, Qi

2018-06-01

Subaquatic channels are known as active conduits for the delivery of terrigenous sediments into related marine and lacustrine basins, as well as important targets for hydrocarbon exploration. Compared to submarine channels, lacustrine subaqueous channels created by hyperpycnal flows are understudied. Using well-exposed outcrops collected from three different locations in the southern Ordos Basin, central China, morphologies and architecture of a channelized hyperpycnal system were studied and classified. Six facies associations represent sedimentary processes from strong erosion by bedload dominated hyperpycnal flows, to transitional deposition jointly controlled by bedload and suspended-load dominated hyperpycnal flows, finally to deposition from suspended-load dominated hyperpycnal flows. On the basis of channel morphologies, infilling sediments and sedimentary processes, the documented channels can be classified into four main categories, which are erosional, bedload dominated, suspended-load dominated, and depositional channels. In very proximal and very distal locations, erosional channels and depositional channels serve as two end-members, while in middle areas, bedload-dominated channels and suspended-load dominated channels are transitional types. Erosional channels, as a response to strong erosion from bedload dominated hyperpycnal flows on upper slope, were mainly filled by mud interbedded with thin sand beds. As flow energy decreases, bedload dominated channels develop on middle slopes, which are characterized mainly by under- to balanced sediment infillings with cross-bedded sandstones and/or minor massive sandstones. Compared to bedload dominated channels, suspended-load dominated channels mainly develop in deeper water, and were filled mainly by massive or planar-laminated sandstones. Depositional channels, as a response to suspended-load dominated hyperpycnal flows in deep-water areas, are characterized by thin-medium bed classical turbidites with

Do elections matter for private-sector healthcare management in Brazil? An analysis of municipal health policy.

Science.gov (United States)

McGregor, Alecia J; Siqueira, Carlos Eduardo; Zaslavsky, Alan M; Blendon, Robert J

2017-07-12

This study analyzed several political determinants of increased private-sector management in Brazilian health care. In Brazil, the poor depend almost exclusively on the public Unified Health System (the SUS), which remains severely underfunded. Given the overhead costs associated with privately contracted health services, increased private management is one driver of higher expenditures in the system. Although left parties campaign most vocally in support of greater public control of the SUS, the extent to which their stated positions translate into health care policy remains untested. Drawing on multiple publicly available data sources, we used linear regression to analyze how political party-in-power and existing private sector health care contracting affect the share of privately managed health care services and outsourcing in municipalities. Data from two election periods-2004 to 2008 and 2008 to 2012-were analyzed. Our findings showed that although private sector contracting varies greatly across municipalities, this variation is not systematically associated with political party in power. This suggests that electoral politics plays a relatively minor role in municipal-level health care administration. Existing levels of private sector management appear to have a greater effect on the public-private makeup of the Brazilian healthcare system, suggesting a strong role of path dependence in the evolution of Brazilian health care delivery. Despite campaign rhetoric asserting distinct positions on privatization in the SUS, factors other than political party in power have a greater effect on private-sector health system management at the municipal-level in Brazil. Given the limited effect of elections on this issue, strengthening participatory bodies such as municipal health councils may better enfranchise citizens in the fundamental debate over public and private roles in the health care sector.

Introducing a model of cardiovascular prevention in Nairobi's slums by integrating a public health and private-sector approach: the SCALE-UP study

Directory of Open Access Journals (Sweden)

Steven van de Vijver

2013-10-01

Full Text Available Introduction: Cardiovascular disease (CVD is a leading cause of death in sub-Saharan Africa (SSA, with annual deaths expected to increase to 2 million by 2030. Currently, most national health systems in SSA are not adequately prepared for this epidemic. This is especially so in slum settlements where access to formal healthcare and resources is limited. Objective: To develop and introduce a model of cardiovascular prevention in the slums of Nairobi by integrating public health and private sector approaches. Study design: Two non-profit organizations that conduct public health research, Amsterdam Institute for Global Health and Development (AIGHD and African Population and Health Research Center (APHRC, collaborated with private-sector Boston Consulting Group (BCG to develop a service delivery package for CVD prevention in slum settings. A theoretic model was designed based on the integration of public and private sector approaches with the focus on costs and feasibility. Results: The final model includes components that aim to improve community awareness, a home-based screening service, patient and provider incentives to seek and deliver treatment specifically for hypertension, and adherence support. The expected outcomes projected by this model could prove potentially cost effective and affordable (1 USD/person/year. The model is currently being implemented in a Nairobi slum and is closely followed by key stakeholders in Kenya including the Ministry of Health, the World Health Organization (WHO, and leading non-governmental organizations (NGOs. Conclusion: Through the collaboration of public health and private sectors, a theoretically cost-effective model was developed for the prevention of CVD and is currently being implemented in the slums of Nairobi. If results are in line with the theoretical projections and first impressions on the ground, scale-up of the service delivery package could be planned in other poor urban areas in Kenya by

Introducing a model of cardiovascular prevention in Nairobi's slums by integrating a public health and private-sector approach: the SCALE-UP study.

Science.gov (United States)

van de Vijver, Steven; Oti, Samuel; Tervaert, Thijs Cohen; Hankins, Catherine; Kyobutungi, Catherine; Gomez, Gabriela B; Brewster, Lizzy; Agyemang, Charles; Lange, Joep

2013-10-21

Cardiovascular disease (CVD) is a leading cause of death in sub-Saharan Africa (SSA), with annual deaths expected to increase to 2 million by 2030. Currently, most national health systems in SSA are not adequately prepared for this epidemic. This is especially so in slum settlements where access to formal healthcare and resources is limited. To develop and introduce a model of cardiovascular prevention in the slums of Nairobi by integrating public health and private sector approaches. Two non-profit organizations that conduct public health research, Amsterdam Institute for Global Health and Development (AIGHD) and African Population and Health Research Center (APHRC), collaborated with private-sector Boston Consulting Group (BCG) to develop a service delivery package for CVD prevention in slum settings. A theoretic model was designed based on the integration of public and private sector approaches with the focus on costs and feasibility. The final model includes components that aim to improve community awareness, a home-based screening service, patient and provider incentives to seek and deliver treatment specifically for hypertension, and adherence support. The expected outcomes projected by this model could prove potentially cost effective and affordable (1 USD/person/year). The model is currently being implemented in a Nairobi slum and is closely followed by key stakeholders in Kenya including the Ministry of Health, the World Health Organization (WHO), and leading non-governmental organizations (NGOs). Through the collaboration of public health and private sectors, a theoretically cost-effective model was developed for the prevention of CVD and is currently being implemented in the slums of Nairobi. If results are in line with the theoretical projections and first impressions on the ground, scale-up of the service delivery package could be planned in other poor urban areas in Kenya by relevant policymakers and NGOs.

Self-nanoemulsifying drug delivery systems for oral insulin delivery

DEFF Research Database (Denmark)

Li, Ping; Tan, Angel; Prestidge, Clive A

2014-01-01

This study aims at evaluating the combination of self-nanoemulsifying drug delivery systems (SNEDDS) and enteric-coated capsules as a potential delivery strategy for oral delivery of insulin. The SNEDDS preconcentrates, loaded with insulin-phospholipid complex at different levels (0, 2.5 and 10% w...

Transdermal drug delivery

OpenAIRE

Prausnitz, Mark R.; Langer, Robert

2008-01-01

Transdermal drug delivery has made an important contribution to medical practice, but has yet to fully achieve its potential as an alternative to oral delivery and hypodermic injections. First-generation transdermal delivery systems have continued their steady increase in clinical use for delivery of small, lipophilic, low-dose drugs. Second-generation delivery systems using chemical enhancers, non-cavitational ultrasound and iontophoresis have also resulted in clinical products; the ability ...

Hydrogel Design for Supporting Neurite Outgrowth and Promoting Gene Delivery to Maximize Neurite Extension

Science.gov (United States)

Shepard, Jaclyn A.; Stevans, Alyson C.; Holland, Samantha; Wang, Christine E.; Shikanov, Ariella; Shea, Lonnie D.

2012-01-01

Hydrogels capable of gene delivery provide a combinatorial approach for nerve regeneration, with the hydrogel supporting neurite outgrowth and gene delivery inducing the expression of inductive factors. This report investigates the design of hydrogels that balance the requirements for supporting neurite growth with those requirements for promoting gene delivery. Enzymatically-degradable PEG hydrogels encapsulating dorsal root ganglia explants, fibroblasts, and lipoplexes encoding nerve growth factor were gelled within channels that can physically guide neurite outgrowth. Transfection of fibroblasts increased with increasing concentration of Arg-Gly-Asp (RGD) cell adhesion sites and decreasing PEG content. The neurite length increased with increasing RGD concentration within 10% PEG hydrogels, yet was maximal within 7.5% PEG hydrogels at intermediate RGD levels. Delivering lipoplexes within the gel produced longer neurites than culture in NGF-supplemented media or co-culture with cells exposed to DNA prior to encapsulation. Hydrogels designed to support neurite outgrowth and deliver gene therapy vectors locally may ultimately be employed to address multiple barriers that limit regeneration. PMID:22038654

SECTORAL SHARES AND ECONOMIC GROWTH

DEFF Research Database (Denmark)

Ahmad, Nisar; Naveed, Amjad; Naz, Amber

2013-01-01

believe that structural change is an unimportant side effect of the economic development. On the contrary, economists associated with the World Bank and some others posit that growth is brought about by the changes in sectoral composition. The objective of this study is to empirically test...... the relationship between sectoral shares and economic growth by using the panel data for 20 developed countries. The results of the granger causality suggest that both services and agriculture sectors do granger cause economic growth, whereas industrial sector does not granger cause growth. Reverse causality does...... not hold for any of the three sectors. The results of Barro and Non-Barro regressions along with the set of control variables have suggested that services sector is negatively affecting growth, whereas both industrial and agriculture shares are positively affect economic growth....

[Synopsis about the hypothesis of "information channel" of channel-collateral system].

Science.gov (United States)

Chang, Xi-Lang

2008-10-01

The author of the present paper founded a theorem about the "incompleteness of single channel structure" (nerve, blood vessel, lymphatic, interspace, aperture, etc.) through quantitative and qualitative analysis about the economic information channel in the human body, which eliminates the probability of single channel structure in the information channel of channel (meridian)-collateral system. After comprehensive analysis on the current researches, the author puts forward a neodoxy, i.e., the body "information channel" structure of the channel-collateral system, mainly follows the distribution regularity of systemic statistics, and is not a single specific entity; various layers of the information channel in the main stems of the channel-collaterals are composed of optimized structure tissues. Hence, the structure of this information channel of channel-collateral system is an overall-optimized, sequential and compatible systemic structure. From this neodoxy, the author brings forward a working principle of channel-collaterals, which is supported theoretically by bio-auxology. The longitudinal distribution of the main stems of meridian-collaterals is considered to result from that in the process of the animal evolution, in the animals moving forward, the microscopic complicated movement of intracorporeal information and energy molecules is related to the forward macroscopic and non-uniform movement of organism in trans-measure. Its impulse and kinetic momentum forms a main vector in the longitudinal direction of the body (the direction of the main stem of channel-collaterals). In order to adapt to and utilize natural regularities, the main stems of the channel-collaterals gradually differentiate and evolve in the living organism, forming a whole system. The "hypothesis of biological origin of channel-collateral system" and "that of information channel of the channel-collaterals in the body" constitute a relatively complete theoretical system framework.

Country clustering applied to the water and sanitation sector: a new tool with potential applications in research and policy.

Science.gov (United States)

Onda, Kyle; Crocker, Jonny; Kayser, Georgia Lyn; Bartram, Jamie

2014-03-01

The fields of global health and international development commonly cluster countries by geography and income to target resources and describe progress. For any given sector of interest, a range of relevant indicators can serve as a more appropriate basis for classification. We create a new typology of country clusters specific to the water and sanitation (WatSan) sector based on similarities across multiple WatSan-related indicators. After a literature review and consultation with experts in the WatSan sector, nine indicators were selected. Indicator selection was based on relevance to and suggested influence on national water and sanitation service delivery, and to maximize data availability across as many countries as possible. A hierarchical clustering method and a gap statistic analysis were used to group countries into a natural number of relevant clusters. Two stages of clustering resulted in five clusters, representing 156 countries or 6.75 billion people. The five clusters were not well explained by income or geography, and were distinct from existing country clusters used in international development. Analysis of these five clusters revealed that they were more compact and well separated than United Nations and World Bank country clusters. This analysis and resulting country typology suggest that previous geography- or income-based country groupings can be improved upon for applications in the WatSan sector by utilizing globally available WatSan-related indicators. Potential applications include guiding and discussing research, informing policy, improving resource targeting, describing sector progress, and identifying critical knowledge gaps in the WatSan sector. Copyright © 2013 Elsevier GmbH. All rights reserved.

Channel box

International Nuclear Information System (INIS)

Tanabe, Akira.

1993-01-01

In a channel box of a BWR type reactor, protruding pads are disposed in axial position on the lateral side of a channel box opposing to a control rod and facing the outer side portion of the control rod in a reactor core loaded state. In the initial loading stage of fuel assemblies, channel fasteners and spacer pads are abutted against each other in the upper portion between the channel boxes sandwiching the control rod therebetween. Further, in the lower portion, a gap as a channel for the movement of the control rod is ensured by the support of fuel support metals. If the channel box is bent toward the control rod along with reactor operation, the pads are abutted against each other to always ensure the gap through which the control rod can move easily. Further, when the pads are brought into contact with each other, the bending deformation of the channel box is corrected by urging to each other. Thus, the control rod can always be moved smoothly to attain reactor safety operation. (N.H.)

Unionism Comes to the Public Sector

OpenAIRE

Richard B. Freeman

1984-01-01

This paper argues that public sector labor relations is best understood in a framework that focuses on unions' ability to shift demand curves rather than to raise wages, as is the case in the private sector. It reviews the public sector labor relations literature and finds that: (i) public sector unionism has flourished as a result of changes in laws; (2) the effects of public sector unions on wages are likely to have been underestimated; (3) public sector unions have a somewhat different eff...

Sectoral Innovation Watch Food and Drinks Sector. Final Sector Report

NARCIS (Netherlands)

Leis, M.; Gijsbers, G.; Zee, F. van der

2011-01-01

The food and drinks manufacturing industry is a diverse and complex sector. There are ample possibilities for performance improvement and innovation in the food and drinks industry as well as a variety of challenges ranging from a lack of financial and human resources, fragmented consumer interests

Intracellular Delivery of Nanomaterials via an Inertial Microfluidic Cell Hydroporator.

Science.gov (United States)

Deng, Yanxiang; Kizer, Megan; Rada, Miran; Sage, Jessica; Wang, Xing; Cheon, Dong-Joo; Chung, Aram J

2018-04-11

The introduction of nanomaterials into cells is an indispensable process for studies ranging from basic biology to clinical applications. To deliver foreign nanomaterials into living cells, traditionally endocytosis, viral and lipid nanocarriers or electroporation are mainly employed; however, they critically suffer from toxicity, inconsistent delivery, and low throughput and are time-consuming and labor-intensive processes. Here, we present a novel inertial microfluidic cell hydroporator capable of delivering a wide range of nanomaterials to various cell types in a single-step without the aid of carriers or external apparatus. The platform inertially focuses cells into the channel center and guides cells to collide at a T-junction. Controlled compression and shear forces generate transient membrane discontinuities that facilitate passive diffusion of external nanomaterials into the cell cytoplasm while maintaining high cell viability. This hydroporation method shows superior delivery efficiency, is high-throughput, and has high controllability; moreover, its extremely simple and low-cost operation provides a powerful and practical strategy in the applications of cellular imaging, biomanufacturing, cell-based therapies, regenerative medicine, and disease diagnosis.

Recent innovations in last mile deliveries. In : Non-technological Innovations for Sustainable Transport: Four Transport Case Studies

OpenAIRE

MORGANTI, Eléonora; DABLANC, Laetitia

2014-01-01

In cities and metropolitan areas, last mile deliveries are a key factor contributing to local economic vitality, urban life quality and attractiveness of urban communities. However, the freight transport sector is responsible for negative impacts, mainly with regards to congestion, CO2 emissions and air and noise pollution. In order to improve efficiency and reduce adverse impacts, private companies as well as city planners and policy makers have designed initiatives to promote urban logistic...

Polar cap flow channel events: spontaneous and driven responses

Directory of Open Access Journals (Sweden)

P. E. Sandholt

2010-11-01

Full Text Available We present two case studies of specific flow channel events appearing at the dusk and/or dawn polar cap boundary during passage at Earth of interplanetary (IP coronal mass ejections (ICMEs on 10 January and 25 July 2004. The channels of enhanced (>1 km/s antisunward convection are documented by SuperDARN radars and dawn-dusk crossings of the polar cap by the DMSP F13 satellite. The relationship with Birkeland currents (C1–C2 located poleward of the traditional R1–R2 currents is demonstrated. The convection events are manifest in ground magnetic deflections obtained from the IMAGE (International Monitor for Auroral Geomagnetic Effects Svalbard chain of ground magnetometer stations located within 71–76° MLAT. By combining the ionospheric convection data and the ground magnetograms we are able to study the temporal behaviour of the convection events. In the two ICME case studies the convection events belong to two different categories, i.e., directly driven and spontaneous events. In the 10 January case two sharp southward turnings of the ICME magnetic field excited corresponding convection events as detected by IMAGE and SuperDARN. We use this case to determine the ground magnetic signature of enhanced flow channel events (the NH-dusk/By<0 variant. In the 25 July case a several-hour-long interval of steady southwest ICME field (Bz<0; By<0 gave rise to a long series of spontaneous convection events as detected by IMAGE when the ground stations swept through the 12:00–18:00 MLT sector. From the ground-satellite conjunction on 25 July we infer the pulsed nature of the polar cap ionospheric flow channel events in this case. The typical duration of these convection enhancements in the polar cap is 10 min.

Mobile banking: New trend in the contemporary banking sector

Directory of Open Access Journals (Sweden)

Sanader Dušica

2014-01-01

Full Text Available In the late 1990s and early 2000s, banking has undergone and is still undergoing some considerable changes, adjusting itself to the new circumstances and challenges in its environment. Modern information technologies have granted an opportunity to banks to expand their operations and adjust their offer of products and services, placing them through the new communication channels. The increasing reliance on mobile devices, especially the so-called smart phones, has facilitated the development of a new form of banking, known as mobile banking. Mobile banking is a specific channel of electronic banking, enabling clients to communicate with the bank via mobile devices. The bank's products and services are, thus, available to the clients at any time and at any place, and the banking sector is expected to perfectly understand the needs of today's clients, before implementing mobile banking. The research in this paper focuses on mobile banking, as a segment of electronic banking, which has developed under the influence of modern information technologies. The paper elaborates on the main characteristics of mobile banking, its advantages, but also its drawbacks that the banks and their clients are facing in the process of its utilization (or its implementation in practice. Moreover, the paper presents the trends of using mobile banking in the world and in Serbia, along with the tendencies for developing new services.

Health worker experiences of and movement between public and private not-for-profit sectors-findings from post-conflict Northern Uganda.

Science.gov (United States)

Namakula, Justine; Witter, Sophie; Ssengooba, Freddie

2016-05-05

. This article adds to our understanding, particularly for mid-level cadres, and highlights the need to ensure balanced health labour market incentives which take into account not only the changing context but also needs at different points in individuals' life cycles and across all core service delivery sectors.

The emerging fourth sector

OpenAIRE

Friis, Andreas

2009-01-01

The Fourth Sector is a new phenomenon related to dual social and financial value creation, until now not clearly defined with crisp sectoral boundaries and an operationalized definition. The phenomenon is getting increased attention in media, conferences, business schools and by organizations all over the world, and this study intends to explain the macroenvironmental changes that led to the rise of the fourth sector, describe new trends of social value creation in the private ...

Replacement of the Pumps for Fuel Channel Cooling Circuit of the Maria Research Reactor

Energy Technology Data Exchange (ETDEWEB)

Krzysztoszek, G.; Mieleszczenko, W.; Moldysz, A. [National Centre for Nuclear Research, Otwock–Świerk (Poland)

2014-08-15

The high flux Maria research reactor is operated by the National Centre for Nuclear Research in Świerk. It is a pool type reactor with pressurized fuel channels located in the beryllium matrix. According to the Global Threat Reduction Initiative programme our goal is to convert the Maria reactor from HEU to LEU fuel. Hydraulic losses in the new LEU fuel produced by CERCA are about 30% higher than the existing HEU fuel of type MR-6. For the MR-6 fuel were installed four two speed pumps. These pumps performed the function of the main circulations pumps during reactor operation with residual pumping power provided by emergency pumps. In the new system four main pumps will be used for circulating coolant while the reactor is operation with three auxiliary pumps for decay heat removal after reactor shutdown, meaning that the conversion of Maria research reactor will be possible after increasing flow in the primary cooling circuit of the fuel channels. The technical design of replacement of the pumps in the primary fuel channel cooling circuit was finished in April 2011 and accepted by the Safety Committee. After delivery of the new pumps we are planning to upgrade the primary fuel channel cooling circuit during October–November 2012. (author)

Private sector participation in the electricity sector : potential and critical issues

International Nuclear Information System (INIS)

Dunsky, I.

2006-01-01

This presentation discussed the development of infrastructure in the electricity sector with particular reference to public-private partnerships and project finance. Emerging markets that encourage private-sector investment were presented along with recommendations to negotiate power purchase agreements involving small-scale hydroelectric power; a thermal power plant at Suroit, Quebec; and, wind energy in Quebec's Gaspe Peninsula. Interconnection to the provincial power grid was also reviewed with reference to the risk faced by the promoters of a project in terms of project design, construction, financing, production and maintenance. The risks faced by Hydro-Quebec were also discussed along with risk allocations between the private and public sectors. tabs., figs

Regional transport sector mitigation options

Energy Technology Data Exchange (ETDEWEB)

Zhou, Peter [EECG Consultants, Gaborone (Botswana)

1998-10-01

The rationale for conducting climate change mitigation studies in the transport sector is on the premise that: The transport sector is the second largest consumer of fossil fuels in the region; The regional transport sector is an area with high opportunity for infrastructural development under UNFCCC financial mechanism; The regional transport sector is crucial in the SADC region for trade and coupled with the Trade Protocol will play a major role in development hence the need to make it efficient in terms of energy demand and provision of services; The sector offers many mitigation options but with a challenge to evaluate their energy saving and GHG saving potential and yet there is need to quantify possible emission reduction for possible future emission trading. This is also a sector with potential to qualify for financing through Clean Development Mechanism (CDM) recently stipulated in the Kyoto Protocol. (au)

Regional transport sector mitigation options

International Nuclear Information System (INIS)

Zhou, Peter

1998-01-01

The rationale for conducting climate change mitigation studies in the transport sector is on the premise that: The transport sector is the second largest consumer of fossil fuels in the region; The regional transport sector is an area with high opportunity for infrastructural development under UNFCCC financial mechanism; The regional transport sector is crucial in the SADC region for trade and coupled with the Trade Protocol will play a major role in development hence the need to make it efficient in terms of energy demand and provision of services; The sector offers many mitigation options but with a challenge to evaluate their energy saving and GHG saving potential and yet there is need to quantify possible emission reduction for possible future emission trading. This is also a sector with potential to qualify for financing through Clean Development Mechanism (CDM) recently stipulated in the Kyoto Protocol. (au)

Digital Transformation and Disruption of the Health Care Sector: Internet-Based Observational Study.

Science.gov (United States)

Herrmann, Maximilian; Boehme, Philip; Mondritzki, Thomas; Ehlers, Jan P; Kavadias, Stylianos; Truebel, Hubert

2018-03-27

Digital innovation, introduced across many industries, is a strong force of transformation. Some industries have seen faster transformation, whereas the health care sector only recently came into focus. A context where digital corporations move into health care, payers strive to keep rising costs at bay, and longer-living patients desire continuously improved quality of care points to a digital and value-based transformation with drastic implications for the health care sector. We tried to operationalize the discussion within the health care sector around digital and disruptive innovation to identify what type of technological enablers, business models, and value networks seem to be emerging from different groups of innovators with respect to their digital transformational efforts. From the Forbes 2000 and CBinsights databases, we identified 100 leading technology, life science, and start-up companies active in the health care sector. Further analysis identified projects from these companies within a digital context that were subsequently evaluated using the following criteria: delivery of patient value, presence of a comprehensive and distinctive underlying business model, solutions provided, and customer needs addressed. Our methodological approach recorded more than 400 projects and collaborations. We identified patterns that show established corporations rely more on incremental innovation that supports their current business models, while start-ups engage their flexibility to explore new market segments with notable transformations of established business models. Thereby, start-ups offer higher promises of disruptive innovation. Additionally, start-ups offer more diversified value propositions addressing broader areas of the health care sector. Digital transformation is an opportunity to accelerate health care performance by lowering cost and improving quality of care. At an economic scale, business models can be strengthened and disruptive innovation models

Ion channeling

International Nuclear Information System (INIS)

Erramli, H.; Blondiaux, G.

1994-01-01

Channeling phenomenon was predicted, many years ago, by stark. The first channeling experiments were performed in 1963 by Davies and his coworkers. Parallely Robinson and Oen have investigated this process by simulating trajectories of ions in monocrystals. This technique has been combined with many methods like Rutherford Backscattering Spectrometry (R.B.S.), Particles Induced X-rays Emission (P.I.X.E) and online Nuclear Reaction (N.R.A.) to localize trace elements in the crystal or to determine crystalline quality. To use channeling for material characterization we need data about the stopping power of the incident particle in the channeled direction. The ratios of channeled to random stopping powers of silicon for irradiation in the direction have been investigated and compared to the available theoretical results. We describe few applications of ion channeling in the field of materials characterization. Special attention is given to ion channeling combined with Charged Particle Activation Analysis (C.P.A.A.) for studying the behaviour of oxygen atoms in Czochralski silicon lattices under the influence of internal gettering and in different gaseous atmospheres. Association between ion channeling and C.P.A.A was also utilised for studying the influence of the growing conditions on concentration and position of carbon atoms at trace levels in the MOVPE Ga sub (1-x) Al sub x lattice. 6 figs., 1 tab., 32 refs. (author)

Channel characteristics and coordination in three-echelon dual-channel supply chain

Science.gov (United States)

Saha, Subrata

2016-02-01

We explore the impact of channel structure on the manufacturer, the distributer, the retailer and the entire supply chain by considering three different channel structures in radiance of with and without coordination. These structures include a traditional retail channel and two manufacturer direct channels with and without consistent pricing. By comparing the performance of the manufacturer, the distributer and the retailer, and the entire supply chain in three different supply chain structures, it is established analytically that, under some conditions, a dual channel can outperform a single retail channel; as a consequence, a coordination mechanism is developed that not only coordinates the dual channel but also outperforms the non-cooperative single retail channel. All the analytical results are further analysed through numerical examples.

Conceptualizing the impacts of dual practice on the retention of public sector specialists - evidence from South Africa.

Science.gov (United States)

Ashmore, John; Gilson, Lucy

2015-01-19

'Dual practice', or multiple job holding, generally involves public sector-based health workers taking additional work in the private sector. This form of the practice is purported to help retain public health care workers in low and middle-income countries' public sectors through additional wage incentives. There has been little conceptual or empirical development of the relationship between dual practice and retention. This article helps begin to fill this gap, drawing on empirical evidence from a qualitative study focusing on South African specialists. Fifty-one repeat, in-depth interviews were carried out with 28 doctors (predominantly specialists) with more than one job, in one public and one private urban hospital. Findings suggest dual practice can impact both positively and negatively on specialists' intention to stay in the public sector. This is through multiple conceptual channels including those previously identified in the literature such as dual practice acting as a 'stepping stone' to private practice by reducing migration costs. Dual practice can also lead specialists to re-evaluate how they compare public and private jobs, and to overworking which can expedite decisions on whether to stay in the public sector or leave. Numerous respondents undertook dual practice without official permission. The idea that dual practice helps retain public specialists in South Africa may be overstated. Yet banning the practice may be ineffective, given many undertake it without permission in any case. Regulation should be better enforced to ensure dual practice is not abused. The conceptual framework developed in this article could form a basis for further qualitative and quantitative inquiry.

Sectoral Innovation Watch Retail and Wholesale Trade Sector. Final sector report

NARCIS (Netherlands)

Schaffers, H.; Rubalcaba, L.; Merino, F.; Giesecke, S.; Schaper-Rinkel, P.; Velsing, E.J.; Montalvo, C.

2011-01-01

The retail and wholesale trade sector traditionally is considered as a poor innovator. Innovation is seen as driven mostly by applications of information and communication technology (ICT). This report adopts a more comprehensive definition of innovation than the traditional one, taking into account

MONETARY TRANSMISSION CHANNELS IN ROMANIA – THE CREDIT CHANNEL

Directory of Open Access Journals (Sweden)

Magdalena RĂDULESCU

2009-12-01

Full Text Available The theoretical – intuitive analysis applied to the segment of monetary transmission evidences the fact that forming the traditional monetary impulses transmission channels are in a starting phase due to the long financial non – intermediary process which Romanian economy had known. In these conditions, the exchange rate channel, and also NBR currency purchases was, for a long time, an important way through which monetary authorities actions influenced macro economical behaviors. But starting with 2000, it is observed a credit channel reactivation and, especially, interest rate channel. Anyhow, the credit channel continues to be undermined by the existence of liquidity surplus within the system, by the phenomena of substitution of national currency credit with currency credits, and also moral hazardous displays. Albeit some of these phenomena also affect the interest rate channel, its role in sending monetary policy impulses is in a continuous progress. Apparently, it acts by way of nominal interest rates, their real level seeming less relevant. Once with remaking the two traditional channels, the companies and households balance is configured and consolidated, which shall potentate in the future the efficiency of the monetary policy. This paper analyses the credit channel in Romania, through an unrestricted VAR analysis.. It shows the responses of exchange rate, inflation rate, GDP, interest rate, imports and exports to a shock on non-governmental credit

Do sector-specific shocks explain aggregate fluctuations?

DEFF Research Database (Denmark)

Busato, Francesco; Girardi, Alessandro; Argentiero, Amedeo

-sector productivity fluctuations.(ii) Cross-sector technology shocks have very little explanatory power on productivity andemployment, while cross-sector non-technology shocks explain more than 60 percent of employmentthat is reallocated across sector; this suggests that the shocks’ transmission mechanism....... Thenon-durable sector may follow a standard RBC model, while the durable sector should incorporateconsumption habit formation....

Human rights in the energy sector: where are we going?

Energy Technology Data Exchange (ETDEWEB)

Wright, Jim [KBC Advanced Technologies, Surrey (United Kingdom)

2012-07-01

There is considerable guidance and tools to avoid and remediate adverse Human Rights impacts; Environmental Impact Assessment (EIA), specific Human Right Impact Assessments or stand alone assessments across the whole spectrum of Human Rights. However the oil and gas sector has yet to address Human Rights risks in a comprehensive manner. In 2011 the Special Representative of the Secretary-General issued Guiding Principles (GP) to implement the United Nations 'Protect, Respect and Remedy' Framework. A survey of Human Rights performance against GP16 by the largest International Oil Companies (IOCs) and National Oil Companies (NOCs) shows a dichotomy with most (93%) of IOCs having a Human Rights Policy, approved at the highest level and available via the www to the general public (compliant with GP16) whilst 27% of NOCs have a Policy, of which, 9% are GP16 compliant. When service companies are included, only 23% are GP16 compliant. Only 8% provide Human Rights training. Human Rights in 41% of new projects are assessed via an EIA process, 18% via a specific Human Rights process, and 41% do not focus on Human Rights at all. Most companies do not have a Human Rights grievance mechanism. Whilst the IOCs are performing well the rest of the oil and gas sector, including the NOCs and service companies, are under-performing. The apparent reliance on the EIA process to Protect, Respect and Remedy Human Rights may be inadequate as the delivery of EIA is: still heavily biased toward environment compared to social and health impacts; they are time consuming and the Human Rights landscape can change during the EIA process; and the EIA disclosure process may expose vulnerable people to abuse. The oil and gas sector needs to address the record of poor compliance and develop and integrate some of the widely available Human rights tools. (author)

ZnO-channel thin-film transistors: Channel mobility

International Nuclear Information System (INIS)

Hoffman, R.L.

2004-01-01

ZnO-channel thin-film transistor (TFT) test structures are fabricated using a bottom-gate structure on thermally oxidized Si; ZnO is deposited via RF sputtering from an oxide target, with an unheated substrate. Electrical characteristics are evaluated, with particular attention given to the extraction and interpretation of transistor channel mobility. ZnO-channel TFT mobility exhibits severe deviation from that assumed by ideal TFT models; mobility extraction methodology must accordingly be recast so as to provide useful insight into device operation. Two mobility metrics, μ avg and μ inc , are developed and proposed as relevant tools in the characterization of nonideal TFTs. These mobility metrics are employed to characterize the ZnO-channel TFTs reported herein; values for μ inc as high as 25 cm2/V s are measured, comprising a substantial increase in ZnO-channel TFT mobility as compared to previously reported performance for such devices

Perceptions of the Third Sector

NARCIS (Netherlands)

Bekkers, R.H.F.P.; Brink Lund, A.

2014-01-01

How do citizens in Europe view third sector organizations? How can differences in perceptions of the third sector among citizens in Europe be explained? And how is the third sector assessed therein with regard to its contribution to social innovation? Based on the limited scope of the evidence

Disguising quantum channels by mixing and channel distance trade-off

International Nuclear Information System (INIS)

Fung, Chi-Hang Fred; Chau, H F

2014-01-01

We consider the reverse problem of the distinguishability of two quantum channels, which we call the disguising problem. Given two quantum channels, the goal here is to make the two channels identical by mixing with some other channels with minimal mixing probabilities. This quantifies how much one channel can disguise as the other. In addition, the possibility to trade-off between the two mixing probabilities allows one channel to be more preserved (less mixed) at the expense of the other. We derive lower- and upper-bounds of the trade-off curve and apply them to a few example channels. Optimal trade-off is obtained in one example. We relate the disguising problem and the distinguishability problem by showing that the former can lower and upper bound the diamond norm. We also show that the disguising problem gives an upper-bound on the key generation rate in quantum cryptography. (paper)

Development of slew-rate-limited time-over-threshold (ToT) ASIC for a multi-channel silicon-based ion detector

Science.gov (United States)

Uenomachi, M.; Orita, T.; Shimazoe, K.; Takahashi, H.; Ikeda, H.; Tsujita, K.; Sekiba, D.

2018-01-01

High-resolution Elastic Recoil Detection Analysis (HERDA), which consists of a 90o sector magnetic spectrometer and a position-sensitive detector (PSD), is a method of quantitative hydrogen analysis. In order to increase sensitivity, a HERDA system using a multi-channel silicon-based ion detector has been developed. Here, as a parallel and fast readout circuit from a multi-channel silicon-based ion detector, a slew-rate-limited time-over-threshold (ToT) application-specific integrated circuit (ASIC) was designed, and a new slew-rate-limited ToT method is proposed. The designed ASIC has 48 channels and each channel consists of a preamplifier, a slew-rate-limited shaping amplifier, which makes ToT response linear, and a comparator. The measured equivalent noise charges (ENCs) of the preamplifier, the shaper, and the ToT on no detector capacitance were 253±21, 343±46, and 560±56 electrons RMS, respectively. The spectra from a 241Am source measured using a slew-rate-limited ToT ASIC are also reported.

Bureaucratic reform, informal sector and welfare

OpenAIRE

Chaudhuri, Sarbajit; Mandal, Biswajit

2012-01-01

In this paper we formulate a three-sector general equilibrium model where one sector produces a service or good used as an intermediate input in two other sectors. Intermediate input here resembles bureaucratic (in)efficiency/control, red-tapism etc. in light of these concerns we introduce informal sector where wage is determined through competitive mechanism. We show that informal wage must go up if bureaucratic efficiency increases in general or if informal sector becomes less prone to bure...

Agricultural sector

International Nuclear Information System (INIS)

Ainul Hayati Daud; Hazmimi Kasim

2010-01-01

The applications of nuclear technology in agriculture sector cover the use of the technology at every aspects of agricultural activity, starting from the seed to harvesting as well as the management of plantations itself. In this sector, a total of 55 entities comprising 17 public agencies and 38 private companies were selected for the study. Almost all, 91 % of them are located in Peninsular Malaysia; the rest operates in Sabah and Sarawak. The findings of the study in the public agencies and private companies are presented in the next sections. (author)

A SHORT ANALISIS OF THE ECONOMICAL PERFORMANCE IN ROMANIAN TV SECTOR

Directory of Open Access Journals (Sweden)

Burtic Daniel

2015-07-01

Full Text Available Preparing for the future, it is essential to understand the flux of the bytes. In the digital world, mass-media market will be different: the receivers will be able to access not only 50 TV channels but 5.000 or maybe even 50.000! The audience rate will be known for each TV show as well as the hosts rating and what other offers there are for the same product segment in the other part of the world. The divergences about the audience survey determined by the advertisement price list will be gone because in the digital system we will be aware every moment of the audience rate. Mass-media consumers will be able to make their own program schedule, chosen from an almost unlimited number of possible offers and available choices. In July 2015, Romania will change the analogic TV emission system with the digital one. We are trying to analyze in this paper work if the economic actors that operate the TV sector in Romanian media market, are ready for this change. Apparently this change is not simple and without risks. Even though it may be expensive, it can be the only surviving solution for all the companies part of this sector.

Responsible leader behavior in health sectors.

Science.gov (United States)

Longest, Beaufort

2017-02-06

Purpose The purpose of this paper is to expand attention to responsible leader behavior in the world's health sectors by explaining how this concept applies to health sectors, considering why health sector leaders should behave responsibly, reviewing how they can do so, and asserting potential impact through an applied example. Design/methodology/approach This paper is a viewpoint, reflecting conceptualizations rooted in leadership literature which are then specifically applied to health sectors. A definition of responsible leader behavior is affirmed and applied specifically in health sectors. Conceptualizations and viewpoints about practice of responsible leader behavior in health sectors and potential consequences are then discussed and asserted. Findings Leadership failures and debacles found in health, but more so in other sectors, have led leadership researchers to offer insights, many of them empirical, into the challenges of leadership especially by more clearly delineating responsible leader behavior. Practical implications Much of what has been learned in the research about responsible leader behavior offers pathways for health sector leaders to more fully practice responsible leadership. Social implications This paper asserts and provides a supporting example that greater levels of responsible leader behavior in health sectors hold potentially important societal benefits. Originality/value This paper is the first to apply emerging conceptualizations and early empirical findings about responsible leader behavior specifically to leaders in health sectors.

Compound Wiretap Channels

Directory of Open Access Journals (Sweden)

Kramer Gerhard

2009-01-01

Full Text Available Abstract This paper considers the compound wiretap channel, which generalizes Wyner's wiretap model to allow the channels to the (legitimate receiver and to the eavesdropper to take a number of possible states. No matter which states occur, the transmitter guarantees that the receiver decodes its message and that the eavesdropper is kept in full ignorance about the message. The compound wiretap channel can also be viewed as a multicast channel with multiple eavesdroppers, in which the transmitter sends information to all receivers and keeps the information secret from all eavesdroppers. For the discrete memoryless channel, lower and upper bounds on the secrecy capacity are derived. The secrecy capacity is established for the degraded channel and the semideterministic channel with one receiver. The parallel Gaussian channel is further studied. The secrecy capacity and the secrecy degree of freedom ( are derived for the degraded case with one receiver. Schemes to achieve the for the case with two receivers and two eavesdroppers are constructed to demonstrate the necessity of a prefix channel in encoder design. Finally, the multi-antenna (i.e., MIMO compound wiretap channel is studied. The secrecy capacity is established for the degraded case and an achievable is given for the general case.

ATP Release Channels

Directory of Open Access Journals (Sweden)

Akiyuki Taruno

2018-03-01

Full Text Available Adenosine triphosphate (ATP has been well established as an important extracellular ligand of autocrine signaling, intercellular communication, and neurotransmission with numerous physiological and pathophysiological roles. In addition to the classical exocytosis, non-vesicular mechanisms of cellular ATP release have been demonstrated in many cell types. Although large and negatively charged ATP molecules cannot diffuse across the lipid bilayer of the plasma membrane, conductive ATP release from the cytosol into the extracellular space is possible through ATP-permeable channels. Such channels must possess two minimum qualifications for ATP permeation: anion permeability and a large ion-conducting pore. Currently, five groups of channels are acknowledged as ATP-release channels: connexin hemichannels, pannexin 1, calcium homeostasis modulator 1 (CALHM1, volume-regulated anion channels (VRACs, also known as volume-sensitive outwardly rectifying (VSOR anion channels, and maxi-anion channels (MACs. Recently, major breakthroughs have been made in the field by molecular identification of CALHM1 as the action potential-dependent ATP-release channel in taste bud cells, LRRC8s as components of VRACs, and SLCO2A1 as a core subunit of MACs. Here, the function and physiological roles of these five groups of ATP-release channels are summarized, along with a discussion on the future implications of understanding these channels.

Sector Information Data Set

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — Fishing sectors were established in the Greater Atlantic region in 2010 under catch share management initiatives. Sector data kept at GARFO is mostly a collection of...

Public sector pay in the UK

OpenAIRE

Cribb, Jonathan; Emmerson, Carl; Sibieta, Luke

2014-01-01

This report looks at trends in public sector pay and compares these with what has been happening in the private sector. We start by analysing the overall levels of public and private sector pay, including how they have evolved over recent years and the differences after accounting for the different composition of the public and private sector workforces. We then examine how the difference between pay in the public and private sector varies across different groups of workers and areas of the c...

Sectoral Innovation Foresight. Electrical and Optical Equipment Sector. Final report. Task 2

NARCIS (Netherlands)

Broek, T. van den; Giessen, A.M. van der

2010-01-01

The goal of this study is to highlight possible future developments of importance to the electrical and optical (E&O) equipment sector, paying particular importance to ‘radical’ changes and discussing policy options and future scenarios. The electrical & optical equipment sector plays a vital role

Leading sector development in Muaro Jambi District

Directory of Open Access Journals (Sweden)

Muhammad Safri

2017-09-01

Full Text Available Efforts to improve economic development and economic growth of Muaro Jambi Regency is a must. Efforts to increase economic development and economic growth can occur, if local governments are able to determine or identify priority sectors or become a base sector. Given the importance of determining and defining the right and correct strategy in the development of leading economic sectors/bases, it is necessary to conduct further study related to the development of leading sector policy in Muaro Jambi Regency. Analysis tools that are used are LQ (Location Quotient and SWOT analysis. The results of the analysis found that of there are three sectors that are the main sector or base in Muaro Jambi Regency, namely agriculture, livestock, plantation, fishery and forestry sector, mining and quarrying sector and manufacturing industry sector. Strategies that can be done in order to maintain and develop the sector and sub-sectors/recommended base there are several alternative strategies that combine internal environmental conditions and external environment Muaro Jambi Regency is S - O (power against opportunities, S - T (power against threats W - O (weakness to opportunity and W - T (weakness to threat. Keywords: Location Quotient, SWOT Analysis, Base Sector

Estuarine abandoned channel sedimentation rates record peak fluvial discharge magnitudes

Science.gov (United States)

Gray, A. B.; Pasternack, G. B.; Watson, E. B.

2018-04-01

Fluvial sediment deposits can provide useful records of integrated watershed expressions including flood event magnitudes. However, floodplain and estuarine sediment deposits evolve through the interaction of watershed/marine sediment supply and transport characteristics with the local depositional environment. Thus extraction of watershed scale signals depends upon accounting for local scale effects on sediment deposition rates and character. This study presents an examination of the balance of fluvial sediment dynamics and local scale hydro-geomorphic controls on alluviation of an abandoned channel in the Salinas River Lagoon, CA. A set of three sediment cores contained discrete flood deposits that corresponded to the largest flood events over the period of accretion from 1969 to 2007. Sedimentation rates scaled with peak flood discharge and event scale sediment flux, but were not influenced by longer scale hydro-meteorological activities such as annual precipitation and water yield. Furthermore, the particle size distributions of flood deposits showed no relationship to event magnitudes. Both the responsiveness of sedimentation and unresponsiveness of particle size distributions to hydro-sedimentological event magnitudes appear to be controlled by aspects of local geomorphology that influence the connectivity of the abandoned channel to the Salinas River mainstem. Well-developed upstream plug bar formation precluded the entrainment of coarser bedload into the abandoned channel, while Salinas River mouth conditions (open/closed) in conjunction with tidal and storm surge conditions may play a role in influencing the delivery of coarser suspended load fractions. Channel adjacent sediment deposition can be valuable records of hydro-meteorological and sedimentological regimes, but local depositional settings may dominate the character of short term (interdecadal) signatures.

Governance and Public Sector Transformation in South Africa: Reporting and Providing Assurance on Service Delivery Information

Directory of Open Access Journals (Sweden)

Mariaan Roos

2012-12-01

Full Text Available Reporting on performance was legislatively established in South Africa in terms of the Public Finance Management Act, Act 1 of 1999, section 40 (3(a. The auditing of the reported information was legislated in the Public Audit Act, Act 25 of 2004, section 20(2 (c. The objectives of the article are firstly to provide an overview of the development and application of the reporting and secondly providing assurance on service delivery information and thirdly to reflect on challenges to the implementation thereof in South Africa. The aim through deploying these set objectives is to formulate possible future considerations for improved governance. As central part of the methodology, review of literature on reporting and audit of non-financialwas conducted. The research included scrutiny of the different philosophies and approaches adopted by different countries to the reporting and providing assurance on service delivery information. In this respect, the research reflects a comparative element. In South Africa the Auditor-General adopted a phasing-in approach. The development of the audit approach and audit procedures has reached a stable stage, nine years after the initial process started. The audit of performance information now forms an integral part of the regularity audit process. The analysis of audit findings of the period under study indicates a considerable improvement once initiated, but stagnation persists in subsequent years. Numerous challenges remain around the application of performance reporting in South Africa including non-compliance, the lack of sufficient and appropriate audit evidence, inconsistencies between the various strategic documents and the need to improve the usefulness of performance information. In conclusion the article proposes some steps to address the challenges.

Spark Channels

Energy Technology Data Exchange (ETDEWEB)

Haydon, S. C. [Department of Physics, University of New England, Armidale, NSW (Australia)

1968-04-15

A brief summary is given of the principal methods used for initiating spark channels and the various highly time-resolved techniques developed recently for studies with nanosecond resolution. The importance of the percentage overvoltage in determining the early history and subsequent development of the various phases of the growth of the spark channel is discussed. An account is then given of the recent photographic, oscillographic and spectroscopic investigations of spark channels initiated by co-axial cable discharges of spark gaps at low [{approx} 1%] overvoltages. The phenomena observed in the development of the immediate post-breakdown phase, the diffuse glow structure, the growth of the luminous filament and the final formation of the spark channel in hydrogen are described. A brief account is also given of the salient features emerging from corresponding studies of highly overvolted spark gaps in which the spark channel develops from single avalanche conditions. The essential differences between the two types of channel formation are summarized and possible explanations of the general features are indicated. (author)

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....

Towards a Better Health Care Delivery System: The Tamil Nadu model.

Science.gov (United States)

Parthasarathi, R; Sinha, S P

2016-01-01

The Tamil Nadu model of public health is renowned for its success in providing quality health services at an affordable cost especially to the rural people. Tamil Nadu is the only state with a distinctive public health cadre in the district level and also the first state to enact a Public Health Act in 1939. Tamil Nadu has gained significant ground in the various aspects of health in the last few decades largely because of the significant reforms in its health sector which dates back to 1980s which saw rigorous expansion of rural health infrastructure in the state besides deployment of thousands of multipurpose health workers as village health nurses in rural areas. Effective implementation of Universal Immunization Programme, formation of Tamil Nadu Medical Services Corporation for regulating the drug procurement and promoting generic drugs, early incorporation of indigenous system of medicine into health care service, formulation of a health policy in 2003 by the state with special emphasis on low-income, disadvantaged communities alongside efficient implementation of The Tamil Nadu Health Systems Project (TNHSP) are the major factors which contributed for the success of the state. The importance of good political commitment and leadership in the health gains of the state warrants special mention. Moreover, the economic growth of the state, improved literacy rate, gender equality, and lowered fertility rate in the last few decades and contributions from the private sector have their share in the public health success of the state. In spite of some flaws and challenges, the Tamil Nadu Model remains the prototype health care delivery system in resource-limited settings which can be emulated by other states also toward a better health care delivery system.

Towards a better health care delivery system: The Tamil Nadu model

Directory of Open Access Journals (Sweden)

R Parthasarathi

2016-01-01

Full Text Available The Tamil Nadu model of public health is renowned for its success in providing quality health services at an affordable cost especially to the rural people. Tamil Nadu is the only state with a distinctive public health cadre in the district level and also the first state to enact a Public Health Act in 1939. Tamil Nadu has gained significant ground in the various aspects of health in the last few decades largely because of the significant reforms in its health sector which dates back to 1980s which saw rigorous expansion of rural health infrastructure in the state besides deployment of thousands of multipurpose health workers as village health nurses in rural areas. Effective implementation of Universal Immunization Programme, formation of Tamil Nadu Medical Services Corporation for regulating the drug procurement and promoting generic drugs, early incorporation of indigenous system of medicine into health care service, formulation of a health policy in 2003 by the state with special emphasis on low-income, disadvantaged communities alongside efficient implementation of The Tamil Nadu Health Systems Project (TNHSP are the major factors which contributed for the success of the state. The importance of good political commitment and leadership in the health gains of the state warrants special mention. Moreover, the economic growth of the state, improved literacy rate, gender equality, and lowered fertility rate in the last few decades and contributions from the private sector have their share in the public health success of the state. In spite of some flaws and challenges, the Tamil Nadu Model remains the prototype health care delivery system in resource-limited settings which can be emulated by other states also toward a better health care delivery system.

Interdelivery weight gain and risk of cesarean delivery following a prior vaginal delivery.

Science.gov (United States)

Dude, Annie M; Lane-Cordova, Abbi D; Grobman, William A

2017-09-01

Approximately one third of all deliveries in the United States are via cesarean. Previous research indicates weight gain during pregnancy is associated with an increased risk of cesarean delivery. It remains unclear, however, whether and to what degree weight gain between deliveries (ie, interdelivery weight gain) is associated with cesarean delivery in a subsequent pregnancy following a vaginal delivery. The objective of the study was to determine whether interdelivery weight gain is associated with an increased risk of intrapartum cesarean delivery following a vaginal delivery. This was a case-control study of women who had 2 consecutive singleton births of at least 36 weeks' gestation between 2005 and 2016, with a vaginal delivery in the index pregnancy. Women were excluded if they had a contraindication to a trial of labor (eg, fetal malpresentation or placenta previa) in the subsequent pregnancy. Maternal characteristics and delivery outcomes for both pregnancies were abstracted from the medical record. Maternal weight gain between deliveries was measured as the change in body mass index at delivery. Women who underwent a subsequent cesarean delivery were compared with those who had a repeat vaginal delivery using χ 2 statistics for categorical variables and Student t tests or analysis of variance for continuous variables. Multivariable logistic regression was used to determine whether interdelivery weight gain remained independently associated with intrapartum cesarean delivery after adjusting for potential confounders. Of 10,396 women who met eligibility criteria and had complete data, 218 (2.1%) had a cesarean delivery in the subsequent pregnancy. Interdelivery weight gain was significantly associated with cesarean delivery and remained significant in multivariable analysis for women with a body mass index increase of at least 2 kg/m 2 (adjusted odds ratio, 1.53, 95% confidence interval, 1.03-2.27 for a body mass index increase of 2 kg/m 2 to gained 2 kg

Relational differences in interpersonal communication during third sector and public sector work

DEFF Research Database (Denmark)

Frederiksen, Dennis Jim

-going establishment and negotiation of interpersonal relations always takes place (Madsen, 1996). Using pragmatic speech act theory (Alrø & Kristiansen, 2006; Searle, 1969; Vagle, Sandvik, & Svennevig, 1993), the aim is to gain insight into the relation building in the two types of work and to show how micro level...... 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...

Staff and bed distribution in public sector mental health services in the Eastern Cape Province, South Africa

Directory of Open Access Journals (Sweden)

Kiran Sukeri

2014-11-01

Full Text Available Background. The Eastern Cape Province of South Africa is a resource-limited province with a fragmented mental health service.  Objective. To determine the current context of public sector mental health services in terms of staff and bed distribution, and how this corresponds to the population distribution in the province. Method. In this descriptive cross-sectional study, an audit questionnaire was submitted to all public sector mental health facilities. Norms and indicators were calculated at provincial and district level. This article investigates staff and bed distribution only. Results. Results demonstrated that within the province, only three of its seven districts have acute beds above the national baseline norm requirement of 13/100 000. The private mental health sector provides approximately double the number of medium- to long-stay beds available in the public sector. Only two regions have staff/population ratios above the baseline norm of 20/100 000. However, there are significant differences in this ratio among specific staff categories. There is an inequitable distribution of resources between the eastern and western regions of the province. When compared with the western regions, the eastern regions have poorer access to mental health facilities, human resources and non-governmental organisations.  Conclusion. Owing to the inequitable distribution of resources, the provincial authorities urgently need to develop an equitable model of service delivery. The province has to address the absence of a reliable mental health information system.

Joint source/channel coding of scalable video over noisy channels

Energy Technology Data Exchange (ETDEWEB)

Cheung, G.; Zakhor, A. [Department of Electrical Engineering and Computer Sciences University of California Berkeley, California94720 (United States)

1997-01-01

We propose an optimal bit allocation strategy for a joint source/channel video codec over noisy channel when the channel state is assumed to be known. Our approach is to partition source and channel coding bits in such a way that the expected distortion is minimized. The particular source coding algorithm we use is rate scalable and is based on 3D subband coding with multi-rate quantization. We show that using this strategy, transmission of video over very noisy channels still renders acceptable visual quality, and outperforms schemes that use equal error protection only. The flexibility of the algorithm also permits the bit allocation to be selected optimally when the channel state is in the form of a probability distribution instead of a deterministic state. {copyright} {ital 1997 American Institute of Physics.}

Compound Wiretap Channels

Directory of Open Access Journals (Sweden)

Shlomo Shamai (Shitz

2009-01-01

Full Text Available This paper considers the compound wiretap channel, which generalizes Wyner's wiretap model to allow the channels to the (legitimate receiver and to the eavesdropper to take a number of possible states. No matter which states occur, the transmitter guarantees that the receiver decodes its message and that the eavesdropper is kept in full ignorance about the message. The compound wiretap channel can also be viewed as a multicast channel with multiple eavesdroppers, in which the transmitter sends information to all receivers and keeps the information secret from all eavesdroppers. For the discrete memoryless channel, lower and upper bounds on the secrecy capacity are derived. The secrecy capacity is established for the degraded channel and the semideterministic channel with one receiver. The parallel Gaussian channel is further studied. The secrecy capacity and the secrecy degree of freedom (s.d.o.f. are derived for the degraded case with one receiver. Schemes to achieve the s.d.o.f. for the case with two receivers and two eavesdroppers are constructed to demonstrate the necessity of a prefix channel in encoder design. Finally, the multi-antenna (i.e., MIMO compound wiretap channel is studied. The secrecy capacity is established for the degraded case and an achievable s.d.o.f. is given for the general case.

eDelivery

Data.gov (United States)

US Agency for International Development — eDelivery provides the electronic packaging and delivery of closed and complete OPM investigation files to government agencies, including USAID, in a secure manner....

Sectoral patterns versus firm-level heterogeneity - The dynamics of eco-innovation strategies in the automotive sector

DEFF Research Database (Denmark)

Faria, Lourenco; Andersen, Maj Munch

2017-01-01

analysis using patent data from 1965 to 2012. Our findings suggest a process of co-evolution of firms' strategies and indicate that strong sectoral-specific patterns of eco-innovation are present in this sector from the mid-2000s onwards. For fuel cells technologies, however, we observe the formation......This paper sheds light on some important but underestimated elements of green industrial dynamics: the evolution of firms' eco-innovation strategies and activities within a sector. While eco-innovation sectoral case studies have taken place before, our analysis is distinct in investigating the rate......, direction and extent of eco-innovation in the automotive sector, represented here by the main automakers, in order to identify possibly sectoral-specific patterns in firms' strategies, as opposed to divergent strategic behaviors, grounded on evolutionary economic theory. We conduct a two-step empirical...

Higgs Portal into Hidden Sectors

CERN Multimedia

CERN. Geneva

2007-01-01

Several attractive theoretical ideas suggest the existence of one or more 'hidden sectors' consisting of standard model singlet fields, some of which may not be too heavy. There is a profound reason to think that the Higgs sector might provide the first access to these hidden sectors. This scenario could affect Higgs phenomenology in drastic ways.

Türkiye’de Sektörel Banka Kredilerinin Gelişimi: Bir Zaman Serisi Analizi(The Development in Sectoral Bank Loans For Turkey: A Time-Series Analysis

Directory of Open Access Journals (Sweden)

Seval MUTLU ÇAMOĞLU

2012-01-01

Full Text Available Cash loans used by sectors are important indicators to observe the situations of economics activities, especially in economic crises periods. This study focuses on the evolution and behavior of the credit market in Turkish financial sector the periods of 1999 – 2010. Recently, the perception of the credit market’s importance in understanding many macroeconomic and financial problems has been changing. The main reason is the acknowledgment of the credit market as a key factor in understanding the transmission channels and of monetary policy. Turkish credit market is still in the stage of growth. In order to analyse the behavior of cash loans by economics activity is used Granger causality test and Johansen cointegration analysis. According to the causality analysis, the findings indicate bilateral relationship between reel credit stock and cash loans used by real estate and building sector. Morever, there are statistically significant long-run relationship between reel credit stock and cash loans used by some important sector in Turkey.

Aid and sectoral growth

DEFF Research Database (Denmark)

Selaya, Pablo; Thiele, Rainer

2010-01-01

This article examines empirically the proposition that aid to poor countries is detrimental for external competitiveness, giving rise to Dutch disease type effects. At the aggregate level, aid is found to have a positive effect on growth. A sectoral decomposition shows that the effect is (i......) significant and positive in the tradable and the nontradable sectors, and (ii) equally strong in both sectors. The article thus provides no empirical support for the hypothesis that aid reduces external competitiveness in developing countries. A possible reason for this finding is the existence of large idle...

Canada's hydrogen energy sector

International Nuclear Information System (INIS)

Kimmel, T.B.

2009-01-01

Canada produces the most hydrogen per capita of any Organization of Economic Cooperation and Development (OECD) country. The majority of this hydrogen is produced by steam methane reforming for industrial use (predominantly oil upgrading and fertilizer production). Canada also has a world leading hydrogen and fuel cell sector. This sector is seeking new methods for making hydrogen for its future energy needs. The paper will discuss Canada's hydrogen and fuel cell sector in the context of its capabilities, its demonstration and commercialization activities and its stature on the world stage. (author)

Biodegradable microsphere-mediated cell perforation in microfluidic channel using femtosecond laser

Science.gov (United States)

Ishii, Atsuhiro; Ariyasu, Kazumasa; Mitsuhashi, Tatsuki; Heinemann, Dag; Heisterkamp, Alexander; Terakawa, Mitsuhiro

2016-05-01

The use of small particles has expanded the capability of ultrashort pulsed laser optoinjection technology toward simultaneous treatment of multiple cells. The microfluidic platform is one of the attractive systems that has obtained synergy with laser-based technology for cell manipulation, including optoinjection. We have demonstrated the delivery of molecules into suspended-flowing cells in a microfluidic channel by using biodegradable polymer microspheres and a near-infrared femtosecond laser pulse. The use of polylactic-co-glycolic acid microspheres realized not only a higher optoinjection ratio compared to that with polylactic acid microspheres but also avoids optical damage to the microfluidic chip, which is attributable to its higher optical intensity enhancement at the localized spot under a microsphere. Interestingly, optoinjection ratios to nucleus showed a difference for adhered cells and suspended cells. The use of biodegradable polymer microspheres provides high throughput optoinjection; i.e., multiple cells can be treated in a short time, which is promising for various applications in cell analysis, drug delivery, and ex vivo gene transfection to bone marrow cells and stem cells without concerns about residual microspheres.

Industrial sector

International Nuclear Information System (INIS)

Ainul Hayati Daud; Hazmimi Kasim

2010-01-01

The industrial sector is categorized as related to among others, the provision of technical and engineering services, supply of products, testing and troubleshooting of parts, systems and industrial plants, quality control and assurance as well as manufacturing and processing. A total of 161 entities comprising 47 public agencies and 114 private companies were selected for the study in this sector. The majority of the public agencies, 87 %, operate in Peninsular Malaysia. The remainders were located in Sabah and Sarawak. The findings of the study on both public agencies and private companies are presented in subsequent sections of this chapter. (author)

Fluid escape structures in the Graham Bank region (Sicily Channel, Central Mediterranean) revealing volcanic and neotectonic activity.

Science.gov (United States)

Spatola, Daniele; Pennino, Valentina; Basilone, Luca; Interbartolo, Francesco; Micallef, Aaron; Sulli, Attilio; Basilone, Walter

2016-04-01

In the Sicily Channel, (Central Mediterranean), two geodynamic processes overlap each other, the Maghrebides-Apennines accretionary prism and the Sicily Channel rift. Moreover, the northwestern sector (Banks sector) is characterised by an irregular seafloor morphology linked to the recent volcanic and tectonic activity.In order to discriminate the role exerted by both the processes in the morphostructural setting of the area we used a dataset of both high and very high resolution single-channel and multi-channel profiles, acquired in the frame of the RITMARE project respectively with CHIRP and sparker, and airgun sources, and high resolution (5 m cell) morpho-bathymetric data. The data allowed us to identify and characterise two areas where different geological features (sedimentary and volcanic) are prevailing. They present fluid escaping evidence, which often appears to be active and generating different types of morphologies (both positive and negative). In the western sector we recognised pockmarks at water depths of 195 to 317 m, with diameters from 25 to 580 m, depths from 1.3 to 15 m, and slope up to 23°. They show sub-circular shape in plan-view and reflectors with upward concavity in cross section, and are oriented along a NW-SE trend.The CHIRP and multichannel profiles highlight fluids that affect the Plio-Quaternary succession, especially in areas where the top surface of the Messinian succession is shallower. Conversely, wipe-out acoustic facies were recognised in proximity of: i) extensional faults of Mesozoic age with NW-SE trend; ii) dip/strike slip faults of Cenozoic age with NW-SE, N-S and about NNE-SSW trends, and iii) extensional neo-tectonic faults with NW-SE and NNW-SSE trends. We cannot exclude that they could feed the shallower reservoir producing a mixing between the two. In the eastern sector we recognised a cluster of volcanoes composed of seven cone-shaped structures (SCV1-7), pertaining to a wide area known as Graham Bank. A detailed

Methane emissions from sugarcane vinasse storage and transportation systems: Comparison between open channels and tanks

Science.gov (United States)

Oliveira, Bruna Gonçalves; Carvalho, João Luís Nunes; Chagas, Mateus Ferreira; Cerri, Carlos Eduardo Pellegrino; Cerri, Carlos Clemente; Feigl, Brigitte Josefine

2017-06-01

Over the last few years the brazilian sugarcane sector has produced an average of 23.5 million liters of ethanol annually. This scale of production generates large amounts of vinasse, which depending on the manner that is disposed, can result significant greenhouse gas emissions. This study aimed to quantify the methane (CH4) emissions associated with the two most widespread systems of vinasse storage and transportation used in Brazil; open channel and those comprising of tanks and pipes. Additionally, a laboratory incubation study was performed with the aim of isolating the effects of vinasse, sediment and the interaction between these factors on CH4 emissions. We observed significant differences in CH4 emissions between the sampling points along the channels during both years of evaluation (2012-2013). In the channel system, around 80% of CH4 emissions were recorded from uncoated sections. Overall, the average CH4 emission intensity was 1.36 kg CO2eq m-3 of vinasse transported in open channels, which was 620 times higher than vinasse transported through a system of tanks and closed pipes. The laboratory incubation corroborated field results, suggesting that vinasse alone does not contribute significant emissions of CH4. Higher CH4 emissions were observed when vinasse and sediment were incubated together. In summary, our findings demonstrate that CH4 emissions originate through the anaerobic decomposition of organic material deposited on the bottom of channels and tanks. The adoption of coated channels as a substitute to uncoated channels offers the potential for an effective and affordable means of reducing CH4 emissions. Ultimately, the modernization of vinasse storage and transportation systems through the adoption of tank and closed pipe systems will provide an effective strategy for mitigating CH4 emissions generated during the disposal phase of the sugarcane ethanol production process.

Abelian hidden sectors at a GeV

International Nuclear Information System (INIS)

Morrissey, David E.; Poland, David; Zurek, Kathryn M.

2009-01-01

We discuss mechanisms for naturally generating GeV-scale hidden sectors in the context of weak-scale supersymmetry. Such low mass scales can arise when hidden sectors are more weakly coupled to supersymmetry breaking than the visible sector, as happens when supersymmetry breaking is communicated to the visible sector by gauge interactions under which the hidden sector is uncharged, or if the hidden sector is sequestered from gravity-mediated supersymmetry breaking. We study these mechanisms in detail in the context of gauge and gaugino mediation, and present specific models of Abelian GeV-scale hidden sectors. In particular, we discuss kinetic mixing of a U(1) x gauge force with hypercharge, singlets or bi-fundamentals which couple to both sectors, and additional loop effects. Finally, we investigate the possible relevance of such sectors for dark matter phenomenology, as well as for low- and high-energy collider searches.

UAV Delivery Monitoring System

Directory of Open Access Journals (Sweden)

San Khin Thida

2018-01-01

Full Text Available UAV-based delivery systems are increasingly being used in the logistics field, particularly to achieve faster last-mile delivery. This study develops a UAV delivery system that manages delivery order assignments, autonomous flight operation, real time control for UAV flights, and delivery status tracking. To manage the delivery item assignments, we apply the concurrent scheduler approach with a genetic algorithm. The present paper describes real time flight data based on a micro air vehicle communication protocol (MAVLink. It also presents the detailed hardware components used for the field tests. Finally, we provide UAV component analysis to choose the suitable components for delivery in terms of battery capacity, flight time, payload weight and motor thrust ratio.

Two-sector disequilibrium growth

NARCIS (Netherlands)

J.G.M. van Marrewijk (Charles); J.B.L.M. Verbeek (Jos)

1994-01-01

textabstractWe investigate the effects of (i) profit distribution to either laborers or capital-owners, (ii) sector-specific or efficient rationing schemes, and (iii) government consumption in a two-sector disequilibrium growth model with sluggish real wage rate adjustment (which affects capital

The Healthcare and Public Health Sector Challenges and Strategies to Conducting Sector Wide Assessments

OpenAIRE

Meyer, Harry

2008-01-01

Our Healthcare and Public Health (HPH) sector is vast, complex and essential to virtually all other sectors of our nation’s infrastructure. Without a healthy workforce modern society quickly grinds to a halt. The often messy networks of healthcare providers, insurance companies, emergency departments, pharmaceutical manufactures and other equally important actors are bound together in fragile alliances to maintain and restore basic health. Thus the HPH sector becomes an important cog in the w...

Innovation and the English National Health Service: a qualitative study of the independent sector treatment centre programme.

Science.gov (United States)

Turner, Simon; Allen, Pauline; Bartlett, Will; Pérotin, Virginie

2011-08-01

Over the past two decades, an international trend of exposing public health services to different forms of economic organisation has emerged. In the English National Health Service (NHS), care is currently provided through a quasi-market including 'diverse' providers from the private and third sector. The predominant scheme through which private sector companies have been awarded NHS contracts is the Independent Sector Treatment Centre (ISTC) programme. ISTCs were designed to produce innovative models of service delivery for elective care and stimulate innovation among incumbent NHS providers. This paper investigates these claims using qualitative data on the impact of an ISTC upon a local health economy (LHE) composed of NHS organisations in England. Using the case of elective orthopaedic surgery, we conducted semi-structured interviews with senior managers from incumbent NHS providers and an ISTC in 2009. We show that ISTCs exhibit a different relationship with frontline clinicians because they counteract the power of professional communities associated with the NHS. This has positive and negative consequences for innovation. ISTCs have introduced new routines unencumbered by the extant norms of professional communities, but they appear to represent weaker learning environments and do not reproduce cooperation across organisational boundaries to the same extent as incumbent NHS providers. Copyright © 2011 Elsevier Ltd. All rights reserved.

Developing Sustainable Urban Water-Energy Infrastructures: Applying a Multi-Sectoral Social-Ecological-Infrastructural Systems (SEIS) Framework

Science.gov (United States)

Ramaswami, A.

2016-12-01

Urban infrastructure - broadly defined to include the systems that provide water, energy, food, shelter, transportation-communication, sanitation and green/public spaces in cities - have tremendous impact on the environment and on human well-being (Ramaswami et al., 2016; Ramaswami et al., 2012). Aggregated globally, these sectors contribute 90% of global greenhouse gas (GHG) emissions and 96% of global water withdrawals. Urban infrastructure contributions to such impacts are beginning to dominate. Cities are therefore becoming the action arena for infrastructure transformations that can achieve high levels of service delivery while reducing environmental impacts and enhancing human well-being. Achieving sustainable urban infrastructure transitions requires: information about the engineered infrastructure, and its interaction with the natural (ecological-environmental) and the social sub-systems In this paper, we apply a multi-sector, multi-scalar Social-Ecological-Infrastructural Systems framework that describes the interactions among biophysical engineered infrastructures, the natural environment and the social system in a systems-approach to inform urban infrastructure transformations. We apply the SEIS framework to inform water and energy sector transformations in cities to achieve environmental and human health benefits realized at multiple scales - local, regional and global. Local scales address pollution, health, wellbeing and inequity within the city; regional scales address regional pollution, scarcity, as well as supply risks in the water-energy sectors; global impacts include greenhouse gas emissions and climate impacts. Different actors shape infrastructure transitions including households, businesses, and policy actors. We describe the development of novel cross-sectoral strategies at the water-energy nexus in cities, focusing on water, waste and energy sectors, in a case study of Delhi, India. Ramaswami, A.; Russell, A.G.; Culligan, P.J.; Sharma, K

Medicine Delivery Device with Integrated Sterilization and Detection

Science.gov (United States)

Shearn, Michael J.; Greer, Harold F.; Manohara, Harish

2013-01-01

or identification of the medicine itself. This constrained volume that is located immediately prior to delivery into a patient, ensures that the medicine delivery device is inherently sterile. An additional benefit to integrating a high-surface-area template within the fluid channel of a medicine delivery device is that one can envision a number of different functional coatings that could facilitate the capture and analysis of either microbial contaminants or the medicine itself. For example, one could attach antibodies or some other binding agent with a specific affinity to the silicon nanotip template. Once a target molecule or microbe is bound to the high-surface- area template, one could use an optical analytical technique such as fluorescence or adsorption to determine the identity and potentially the concentration of the species of interest. By illuminating the bound species from the back, it may also be possible to probe only the molecules with an evanescent wave, making detection of the species from the front side of the device much simpler.

Outcome of deliveries in healthy but obese women: obesity and delivery outcome

Directory of Open Access Journals (Sweden)

Kaplan-Sturk Rebecka

2013-02-01