Mandatory Class 1 Federal Areas Web Service

Data.gov (United States)

U.S. Environmental Protection Agency — This web service contains the following layers: Mandatory Class 1 Federal Area polygons and Mandatory Class 1 Federal Area labels in the United States. The polygon...

Electrical substation service-area estimation using Cellular Automata: An initial report

Energy Technology Data Exchange (ETDEWEB)

Fenwick, J.W.; Dowell, L.J.

1998-07-01

The service areas for electric power substations can be estimated using a Cellular Automata (CA) model. The CA model is a discrete, iterative process whereby substations acquire service area by claiming neighboring cells. The service area expands from a substation until a neighboring substation service area is met or the substation`s total capacity or other constraints are reached. The CA-model output is dependent on the rule set that defines cell interactions. The rule set is based on a hierarchy of quantitative metrics that represent real-world factors such as land use and population density. Together, the metrics determine the rate of cell acquisition and the upper bound for service area size. Assessing the CA-model accuracy requires comparisons to actual service areas. These actual service areas can be extracted from distribution maps. Quantitative assessment of the CA-model accuracy can be accomplished by a number of methods. Some are as simple as finding the percentage of cells predicted correctly, while others assess a penalty based on the distance from an incorrectly predicted cell to its correct service area. This is an initial report of a work in progress.

Identifying priority areas for ecosystem service management in South African grasslands.

Science.gov (United States)

Egoh, Benis N; Reyers, Belinda; Rouget, Mathieu; Richardson, David M

2011-06-01

Grasslands provide many ecosystem services required to support human well-being and are home to a diverse fauna and flora. Degradation of grasslands due to agriculture and other forms of land use threaten biodiversity and ecosystem services. Various efforts are underway around the world to stem these declines. The Grassland Programme in South Africa is one such initiative and is aimed at safeguarding both biodiversity and ecosystem services. As part of this developing programme, we identified spatial priority areas for ecosystem services, tested the effect of different target levels of ecosystem services used to identify priority areas, and evaluated whether biodiversity priority areas can be aligned with those for ecosystem services. We mapped five ecosystem services (below ground carbon storage, surface water supply, water flow regulation, soil accumulation and soil retention) and identified priority areas for individual ecosystem services and for all five services at the scale of quaternary catchments. Planning for individual ecosystem services showed that, depending on the ecosystem service of interest, between 4% and 13% of the grassland biome was required to conserve at least 40% of the soil and water services. Thirty-four percent of the biome was needed to conserve 40% of the carbon service in the grassland. Priority areas identified for five ecosystem services under three target levels (20%, 40%, 60% of the total amount) showed that between 17% and 56% of the grassland biome was needed to conserve these ecosystem services. There was moderate to high overlap between priority areas selected for ecosystem services and already-identified terrestrial and freshwater biodiversity priority areas. This level of overlap coupled with low irreplaceability values obtained when planning for individual ecosystem services makes it possible to combine biodiversity and ecosystem services in one plan using systematic conservation planning. Copyright © 2011 Elsevier Ltd. All

42 CFR 414.46 - Additional rules for payment of anesthesia services.

Science.gov (United States)

2010-10-01

... 42 Public Health 3 2010-10-01 2010-10-01 false Additional rules for payment of anesthesia services... Physicians and Other Practitioners § 414.46 Additional rules for payment of anesthesia services. (a... each anesthesia code that reflects all activities other than anesthesia time. These activities include...

7 CFR 27.11 - Area Director, Marketing Services Office; responsibility.

Science.gov (United States)

2010-01-01

... 7 Agriculture 2 2010-01-01 2010-01-01 false Area Director, Marketing Services Office... MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE COMMODITY... Regulations Administration § 27.11 Area Director, Marketing Services Office; responsibility. Subject to this...

Use of geographical information systems for delimiting health service areas in China

Directory of Open Access Journals (Sweden)

Xuechen Xiong

2017-05-01

Full Text Available With the objective of choosing a practical and valid method to delimit health service areas of regional health service centres to build a regional basic health service network, we first drew lessons from traditional geographic methods of delimiting trade areas and then applied two methods to delimit health service areas, i.e. the proximal method and the gravity method. We verified the effectiveness of these methods by an index of similarity with the aid of real in-patient data. Calculation of the similarity indices shows that health service areas delimited by the proximal method has an 87.3% similarity to the real health service area, while the gravity method gives 88.6%. Our conclusion is that both methods are suitable for delimiting health service areas at regional health service centres, but find that the proximal method is more practicable in operational terms for delimiting health service areas in region health planning.

Ecosystem services in a peri-urban protected area in Cyprus: a rapid appraisal

Directory of Open Access Journals (Sweden)

Paraskevi Manolaki

2017-10-01

Full Text Available Protected areas around the world are increasingly being recognized for their potential to protect various ecosystem services in addition to biodiversity. We carried out an ecosystem services (ES assessment at the Rizoelia National Forest Park, a biodiversity hotspot in Cyprus. For ES assessment we used TESSA v.1.1 and an ES matrix-approach to map the capacity of habitat types in the area. According to TESSA the most important ES provided by the study area are aesthetic benefits, recreation/ tourism, biodiversity, global climate regulation, and environmental education. Total Carbon stock was estimated to 14247.327 tonnes and the total number of annual visits was 14471. There were no statistically significant differences in the number of visits among visitation periods but there were statistically significant differences among National Holidays, Weekends and Weekdays. We identified that plantations had the highest capacity for most groups of services particularly where their understory comprises semi-natural habitat types rich in biodiversity. This is the first study in Cyprus which provides a preliminary quantification of ES in a protected area context using widely employed tools. The paper discusses how these findings can help decision-makers to plan direct future restoration and management actions to the benefit of a wide range of stakeholders.

Quality of community basic medical service utilization in urban and suburban areas in Shanghai from 2009 to 2014

Science.gov (United States)

Ma, Jun; Li, Shujun; Cai, Yuyang; Sun, Wei; Liu, Qiaohong

2018-01-01

Urban areas usually display better health care services than rural areas, but data about suburban areas in China are lacking. Hence, this cross-sectional study compared the utilization of community basic medical services in Shanghai urban and suburban areas between 2009 and 2014. These data were used to improve the efficiency of community health service utilization and to provide a reference for solving the main health problems of the residents in urban and suburban areas of Shanghai. Using a two-stage random sampling method, questionnaires were completed by 73 community health service centers that were randomly selected from six districts that were also randomly selected from 17 counties in Shanghai. Descriptive statistics, principal component analysis, and forecast analysis were used to complete a gap analysis of basic health services utilization quality between urban and suburban areas. During the 6-year study period, there was an increasing trend toward greater efficiency of basic medical service provision, benefits of basic medical service provision, effectiveness of common chronic disease management, overall satisfaction of community residents, and two-way referral effects. In addition to the implementation effect of hypertension management and two-way referral, the remaining indicators showed a superior effect in urban areas compared with the suburbs (Pservice utilization. Comprehensive satisfaction clearly improved as well. Nevertheless, there was an imbalance in health service utilization between urban and suburban areas. There is a need for the health administrative department to address this imbalance between urban and suburban institutions and to provide the required support to underdeveloped areas to improve resident satisfaction. PMID:29791470

Quality of community basic medical service utilization in urban and suburban areas in Shanghai from 2009 to 2014.

Science.gov (United States)

Guo, Lijun; Bao, Yong; Ma, Jun; Li, Shujun; Cai, Yuyang; Sun, Wei; Liu, Qiaohong

2018-01-01

Urban areas usually display better health care services than rural areas, but data about suburban areas in China are lacking. Hence, this cross-sectional study compared the utilization of community basic medical services in Shanghai urban and suburban areas between 2009 and 2014. These data were used to improve the efficiency of community health service utilization and to provide a reference for solving the main health problems of the residents in urban and suburban areas of Shanghai. Using a two-stage random sampling method, questionnaires were completed by 73 community health service centers that were randomly selected from six districts that were also randomly selected from 17 counties in Shanghai. Descriptive statistics, principal component analysis, and forecast analysis were used to complete a gap analysis of basic health services utilization quality between urban and suburban areas. During the 6-year study period, there was an increasing trend toward greater efficiency of basic medical service provision, benefits of basic medical service provision, effectiveness of common chronic disease management, overall satisfaction of community residents, and two-way referral effects. In addition to the implementation effect of hypertension management and two-way referral, the remaining indicators showed a superior effect in urban areas compared with the suburbs (Pservice utilization. Comprehensive satisfaction clearly improved as well. Nevertheless, there was an imbalance in health service utilization between urban and suburban areas. There is a need for the health administrative department to address this imbalance between urban and suburban institutions and to provide the required support to underdeveloped areas to improve resident satisfaction.

Selecting cost-effective areas for restoration of ecosystem services.

Science.gov (United States)

Adame, M F; Hermoso, V; Perhans, K; Lovelock, C E; Herrera-Silveira, J A

2015-04-01

Selection of areas for restoration should be based on cost-effectiveness analysis to attain the maximum benefit with a limited budget and overcome the traditional ad hoc allocation of funds for restoration projects. Restoration projects need to be planned on the basis of ecological knowledge and economic and social constraints. We devised a novel approach for selecting cost-effective areas for restoration on the basis of biodiversity and potential provision of 3 ecosystem services: carbon storage, water depuration, and coastal protection. We used Marxan, a spatial prioritization tool, to balance the provision of ecosystem services against the cost of restoration. We tested this approach in a mangrove ecosystem in the Caribbean. Our approach efficiently selected restoration areas that at low cost were compatible with biodiversity targets and that maximized the provision of one or more ecosystem services. Choosing areas for restoration of mangroves on the basis carbon storage potential, largely guaranteed the restoration of biodiversity and other ecosystem services. © 2014 Society for Conservation Biology.

THE ECONOMIC APPROACH OF ECOSYSTEM SERVICES PROVIDED BY PROTECTED AREAS

Directory of Open Access Journals (Sweden)

Cirnu Maria

2015-07-01

Full Text Available As practice shows us, at the present time ecosystem services are recognized by humanity, but unfortunately are undervalued compared to their full potential. Most of planet's ecosystems are degradated by anthropic activity of humankind. It is almost impossible to say that there are no areas affected by human activity, however, the Protected Areas are a good opportunity, so the assessing of ecosystem services in Protected Areas can be a solution to the problem of economic growth. At present, there are few consistent informations on economic value of ecosystem services in Romania, on the basis of which can be adopted some sustainable financing policies of activities in Protected Areas. The premise from which we start is that a proper management of natural capital will allow biodiversity conservation and human well-being if it find appropriate economic instruments. For this reason, studies of economic research on the contribution of those ecosystem services to the communities welfare may constitute credible means for decision-makers, demonstrating the Protected Areas importance. This paper, based on the study of international and national literature, examines the state of knowledge on the economic and environmental valences of ecosystem services. The growing interest of researchers regarding the economic valuation of ecosystem services related to Protected Areas is visible through the many studies carried out at international level. Although national scientific research relating to ecosystem services is at the beginning, concerns researchers economists and ecologists have been directed toward this recess, of ecosystem services. The reason for we should assign an economic value to ecosystem services is to ensure that their value is included actively in decision-making and is not ignored because "is still available". Briefly, the paper start with an overview of the main definition of ecosystem services. From the point of economic value view, the paper

48 CFR 1337.110-71 - Additional DOC clauses related to service contracting.

Science.gov (United States)

2010-10-01

... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Additional DOC clauses related to service contracting. 1337.110-71 Section 1337.110-71 Federal Acquisition Regulations System....110-71 Additional DOC clauses related to service contracting. (a) Insert a clause substantially...

Business Development Management and Services Area

International Nuclear Information System (INIS)

2006-01-01

The creation in ENSA of the new Business Development Management is meant to leverage ENSA's activities by taking advantage of the previous experience gained by the services area to have a much more active presence than before in both the national and international market for goods and services of the nuclear industry. The Management's activities go beyond the traditional, mature activity of large nuclear components manufacturing developed in ENSA since it was founded. This article details the activities of this new Management and its future projection. (Author)

Selecting parts for additive manufacturing in service logistics

NARCIS (Netherlands)

Knofius, Nils; van der Heijden, Matthijs C.; Zijm, Willem H.M.

2016-01-01

Purpose For more than ten years, the value of additive manufacturing (AM) for after-sales service logistics has been propagated. Today, however, only few applications are observed in practice. In this paper, possible reasons for this discrepancy are discussed and a method is developed to simplify

Selecting parts for additive manufacturing in service logistics

NARCIS (Netherlands)

Knofius, Nils; van der Heijden, Matthijs C.; Zijm, Willem H.M.

2016-01-01

Purpose – For more than ten years, the value of additive manufacturing (AM) for after-sales service logistics has been propagated. Today, however, only few applications are observed in practice. In this paper, possible reasons for this discrepancy are discussed and a method is developed to simplify

USDA Forest Service Roadless Areas: Potential Biodiversity Conservation Reserves

Directory of Open Access Journals (Sweden)

Colby Loucks

2003-12-01

Full Text Available In January 2001, approximately 23 x 106 ha of land in the U.S. National Forest System were slated to remain roadless and protected from timber extraction under the Final Roadless Conservation Rule. We examined the potential contributions of these areas to the conservation of biodiversity. Using GIS, we analyzed the concordance of inventoried roadless areas (IRAs with ecoregion-scale biological importance and endangered and imperiled species distributions on a scale of 1:24,000. We found that more than 25% of IRAs are located in globally or regionally outstanding ecoregions and that 77% of inventoried roadless areas have the potential to conserve threatened, endangered, or imperiled species. IRAs would increase the conservation reserve network containing these species by 156%. We further illustrate the conservation potential of IRAs by highlighting their contribution to the conservation of the grizzly bear (Ursos arctos, a wide-ranging carnivore. The area created by the addition of IRAs to the existing system of conservation reserves shows a strong concordance with grizzly bear recovery zones and habitat range. Based on these findings, we conclude that IRAs belonging to the U.S. Forest Service are one of the most important biotic areas in the nation, and that their status as roadless areas could have lasting and far-reaching effects for biodiversity conservation.

42 CFR 412.88 - Additional payment for new medical service or technology.

Science.gov (United States)

2010-10-01

... for new medical service or technology. (a) For discharges involving new medical services or... medical service or technology. [66 FR 46924, Sept. 7, 2001, as amended at 67 FR 50111, Aug. 1, 2002; 69 FR... 42 Public Health 2 2010-10-01 2010-10-01 false Additional payment for new medical service or...

Car drivers’ knowledge and preferences regarding additional services at parking facilities

NARCIS (Netherlands)

van der Waerden, P.J.H.J.; de Bruin - Verhoeven, M.; Rodrigues da Silva, A.N.

2017-01-01

The paper presents a study on car drivers’ knowledge and preferences regarding additional services at parking facilities. The following eight services are investigated the presence of public toilets, parking spaces for challenged people, lockers, refreshment machines, elevators, charging points for

5 CFR 3101.111 - Additional rules for United States Secret Service employees. [Reserved

Science.gov (United States)

2010-01-01

... 5 Administrative Personnel 3 2010-01-01 2010-01-01 false Additional rules for United States Secret Service employees. [Reserved] 3101.111 Section 3101.111 Administrative Personnel DEPARTMENT OF THE....111 Additional rules for United States Secret Service employees. [Reserved] ...

Identifying areas of need relative to liver disease: geographic clustering within a health service district.

Science.gov (United States)

El-Atem, Nathan; Irvine, Katharine M; Valery, Patricia C; Wojcik, Kyle; Horsfall, Leigh; Johnson, Tracey; Janda, Monika; McPhail, Steven M; Powell, Elizabeth E

2017-08-01

accessing tertiary hospital liver services are clustered within specific geographic areas. The most striking geographic clustering was seen for people living with chronic hepatitis B, in regions with a relatively high proportion of people born in Vietnam and China. In addition to ethnicity, the data show an apparent ecological association between liver disease and both socioeconomic and educational and/or occupational disadvantage. What are the implications for practitioners? Identifying where demand for clinical services arises is an important step for service planning and preparing for potential outreach programs to optimise community-based care. It is likely that outreach programs to engage and enhance primary care services in geographic areas from which the greatest demand for tertiary liver disease speciality care arises would yield greater relative return on investment than non-targeted outreach programs.

76 FR 26279 - Procurement List; Proposed Additions

Science.gov (United States)

2011-05-06

...-service area; clean and sanitize food service equipment, utensil cleaning, and dishwashing; clean pots... additions to the Procurement List. SUMMARY: The Committee is proposing to add services to the Procurement... in this notice will be required to procure the services listed below from nonprofit agencies...

47 CFR 22.228 - Cellular rural service area licenses subject to competitive bidding.

Science.gov (United States)

2010-10-01

... 47 Telecommunication 2 2010-10-01 2010-10-01 false Cellular rural service area licenses subject to... Procedures § 22.228 Cellular rural service area licenses subject to competitive bidding. Mutually exclusive initial applications for Cellular Rural Service Area licenses are subject to competitive bidding. The...

Bank customers’ satisfaction, customers’ loyalty and additional purchases of banking products and services. A case study from the Czech Republic

OpenAIRE

Chochoľáková, Anna; Gabčová, Lenka; Belás, Jaroslav; Sipko, Juraj

2015-01-01

The aim of this article was to examine and quantify 1) the dependence of additional purchases of banking products from customer loyalty and 2) dependence of bank clients’ loyalty from their satisfaction with the bank’s customer service. The respondents from our research in 2014 were divided into satisfied (loyal) and dissatisfied (disloyal) banking clients. Their attitudes in the area of loyalty and additional purchases of banking products were compared. Differences in attitudes were examined...

The prospects for ecosystem services provision in fragile states’ urban areas

OpenAIRE

Bogadi, Antonija

2018-01-01

In fragile states context of climate change vulnerability, poverty and lack of infrastructure, the ability of ecosystem services to provide for numerous human needs is indispensable. The focus of this paper is describing the prospects for ecosystem services provision in fragile states’ urban areas. This paper presents a distinct approach by analyzing actors with capacity to provide ecosystem services in urban areas: government, international partners and citizens. Using infrastructure investm...

47 CFR 22.911 - Cellular geographic service area.

Science.gov (United States)

2010-10-01

... Cellular Geographic Service Area (CGSA) of a cellular system is the geographic area considered by the FCC... application for modification of the CGSA using FCC Form 601, a depiction of what the carrier believes the CGSA... location and the locus of points where the predicted or measured median field strength finally drops to 32...

QUALITY OF PUBLIC TRANSPORTATION SERVICES IN URBAN AREA OF ORADEA

Directory of Open Access Journals (Sweden)

Silaghi Simona

2010-12-01

Full Text Available Intensification of public transport in urban areas due to increased mobility at regional and national levels, discrepancies among urban areas with same population and lack of statistical data related to performance and quality of public transport services are the main determinants of this paper. A separation line must be drawn between quality of services and performance indicators of public transport system. Service quality is a multi subjective outcome of an array of intangible variables. Service quality can be approached from four directions: consumer, vehicle performance (including the human operator, specialized company in passenger transport, and the Government (local Councils. Availability, comfort and convenience are the two main indicators that must be evaluated by citizens as being with high grades for a good quality of urban transport services. The instrument used to gather data is the preference survey.

75 FR 78939 - Senior Community Service Employment Program; Notice of Proposed Rulemaking, Additional Indicator...

Science.gov (United States)

2010-12-17

... Community Service Employment Program; Notice of Proposed Rulemaking, Additional Indicator on Volunteer Work... Senior Community Service Employment Program (SCSEP), Additional Indicator on Volunteer Work that was... number of exiting participants who enter volunteer work. The relevant Office of Management and Budget...

Access to eye health services among indigenous Australians: an area level analysis

Directory of Open Access Journals (Sweden)

Kelaher Margaret

2012-09-01

Full Text Available Abstract Background This project is a community-level study of equity of access to eye health services for Indigenous Australians. Methods The project used data on eye health services from multiple sources including Medicare Australia, inpatient and outpatient data and the National Indigenous Eye Health Survey. The analysis focused on the extent to which access to eye health services varied at an area level according to the proportion of the population that was Indigenous (very low = 0-1.0%, low = 1.1-3.0%, low medium = 3.1-6.0%, high medium = 6.1-10.0%, high = 10.1-20.0%, very high = 20 + %. The analysis of health service utilisation also took into account age, remoteness and the Socioeconomic Indices for Areas (SEIFA. Results The rate of eye exams provided in areas with very high Indigenous populations was two-thirds of the rate of eye exams for areas with very low indigenous populations. The cataract surgery rates in areas with high medium to very high Indigenous populations were less than half that reference areas. In over a third of communities with very high Indigenous populations the cataract surgery rate fell below the World Health Organization (WHO guidelines compared to a cataract surgery rate of 3% in areas with very low Indigenous populations. Conclusions There remain serious disparities in access to eye health service in areas with high Indigenous populations. Addressing disparities requires a co-ordinated approach to improving Indigenous people’s access to eye health services. More extensive take-up of existing Medicare provisions is an important step in this process. Along with improving access to health services, community education concerning the importance of eye health and the effectiveness of treatment might reduce reluctance to seek help.

A prospective audit of the impact of additional staff on the care of diabetic patients in a community podiatry service.

Science.gov (United States)

Ryan, Alexandra; Uppal, Meenakshi; Cunning, Imelda; Buckley, Claire M

2015-01-01

The purpose of this study was to evaluate the impact of the employment of additional podiatry staff on patients with diabetes attending a community-based podiatry service. An audit was conducted to evaluate the intervention of two additional podiatry staff. All patients with diabetes referred to and attending community podiatry services in a specified area in the Republic of Ireland between June 2011 and June 2012 were included. The service was benchmarked against the UK gold standard outlined in the 'Guidelines on prevention & management of foot problems in Type 2 Diabetes' by the National Institute of Clinical Excellence (NICE). Process of care measures addressed were the number of patients with diabetes receiving treatment and the waiting times of patients with diabetes from referral to initial review. An increase in the number of patients with diabetes receiving treatment was seen in all risk categories (ranging from low risk to the emergency foot). Waiting times for patients with diabetes decreased post-intervention but did not reach the targets outlined in the NICE guidelines. The average time from referral to initial review of patients with an emergency diabetic foot was 37 weeks post-intervention. NICE guidelines recommend that these patients are seen within 24 hours. During the life cycle of this audit, increased numbers of patients were treated and waiting times for patients with diabetes were reduced. An internal re-organisation of the services coincided with the commencement of the additional staff. The improvements observed were due to the effects of a combination of additional staff and service re-organisation. Efficient organisation of services is key to optimal performance. Continued efforts to improve services are required to reach the standards outlined in the NICE guidelines.

A prospective audit of the impact of additional staff on the care of diabetic patients in a community podiatry service

Directory of Open Access Journals (Sweden)

Alexandra Ryan

2015-06-01

Full Text Available Objective: The purpose of this study was to evaluate the impact of the employment of additional podiatry staff on patients with diabetes attending a community-based podiatry service. Methods: An audit was conducted to evaluate the intervention of two additional podiatry staff. All patients with diabetes referred to and attending community podiatry services in a specified area in the Republic of Ireland between June 2011 and June 2012 were included. The service was benchmarked against the UK gold standard outlined in the ‘Guidelines on prevention & management of foot problems in Type 2 Diabetes’ by the National Institute of Clinical Excellence (NICE. Process of care measures addressed were the number of patients with diabetes receiving treatment and the waiting times of patients with diabetes from referral to initial review. Results: An increase in the number of patients with diabetes receiving treatment was seen in all risk categories (ranging from low risk to the emergency foot. Waiting times for patients with diabetes decreased post-intervention but did not reach the targets outlined in the NICE guidelines. The average time from referral to initial review of patients with an emergency diabetic foot was 37 weeks post-intervention. NICE guidelines recommend that these patients are seen within 24 hours. Discussion: During the life cycle of this audit, increased numbers of patients were treated and waiting times for patients with diabetes were reduced. An internal re-organisation of the services coincided with the commencement of the additional staff. The improvements observed were due to the effects of a combination of additional staff and service re-organisation. Efficient organisation of services is key to optimal performance. Continued efforts to improve services are required to reach the standards outlined in the NICE guidelines.

Spatial Accessibility to Health Care Services: Identifying under-Serviced Neighbourhoods in Canadian Urban Areas.

Directory of Open Access Journals (Sweden)

Tayyab Ikram Shah

Full Text Available Urban environments can influence many aspects of health and well-being and access to health care is one of them. Access to primary health care (PHC in urban settings is a pressing research and policy issue in Canada. Most research on access to healthcare is focused on national and provincial levels in Canada; there is a need to advance current understanding to local scales such as neighbourhoods.This study examines spatial accessibility to family physicians using the Three-Step Floating Catchment Area (3SFCA method to identify neighbourhoods with poor geographical access to PHC services and their spatial patterning across 14 Canadian urban settings. An index of spatial access to PHC services, representing an accessibility score (physicians-per-1000 population, was calculated for neighborhoods using a 3km road network distance. Information about primary health care providers (this definition does not include mobile services such as health buses or nurse practitioners or less distributed services such as emergency rooms used in this research was gathered from publicly available and routinely updated sources (i.e. provincial colleges of physicians and surgeons. An integrated geocoding approach was used to establish PHC locations.The results found that the three methods, Simple Ratio, Neighbourhood Simple Ratio, and 3SFCA that produce City level access scores are positively correlated with each other. Comparative analyses were performed both within and across urban settings to examine disparities in distributions of PHC services. It is found that neighbourhoods with poor accessibility scores in the main urban settings across Canada have further disadvantages in relation to population high health care needs.The results of this study show substantial variations in geographical accessibility to PHC services both within and among urban areas. This research enhances our understanding of spatial accessibility to health care services at the neighbourhood

Utilization of Mental Health Services by Veterans Living in Rural Areas.

Science.gov (United States)

Teich, Judith; Ali, Mir M; Lynch, Sean; Mutter, Ryan

2017-06-01

There is concern that veterans living in rural areas may not be receiving the mental health (MH) treatment they need. This study uses recent national survey data to examine the utilization of MH treatment among military veterans with a MH condition living in rural areas, providing comparisons with estimates of veterans living in urban areas. Multivariable logistic regression is utilized to examine differences in MH service use by urban/rural residence, controlling for other factors. Rates of utilization of inpatient and outpatient treatment, psychotropic medication, any MH treatment, and perceived unmet need for MH care are examined. There were significant differences in MH treatment utilization among veterans by rural/urban residence. Multivariate estimates indicate that compared to veterans with a MH condition living in urban areas, veterans in rural areas had 70% lower odds of receiving any MH treatment. Veterans with a MH condition in rural areas have approximately 52% and 64% lower odds of receiving outpatient treatment and prescription medications, respectively, compared to those living in urban areas. Differences in perceived unmet need for mental health treatment were not statistically significant. While research indicates that recent efforts to improve MH service delivery have resulted in improved access to services, this study found that veterans' rates of MH treatment are lower in rural areas, compared to urban areas. Continued efforts to support the provision of behavioral health services to rural veterans are needed. Telemedicine, using rural providers to their maximum potential, and engagement with community stakeholder groups are promising approaches. © 2016 National Rural Health Association.

CITY HOTSPOT: LINKAGES BETWEEN ECOSYSTEM SERVICES AND BIODIVERSITY OF URBAN GREEN AREAS

Directory of Open Access Journals (Sweden)

Špela Železnikar

2017-01-01

Full Text Available Green areas in cities and their ecosystem services (ES offer residents various benefits. The range of services depends on biodiversity of a green space. The aim was to determine the relationship between biodiversity in different categories of green areas in the city and the ecosystem services, which appear in it. We made 108 relevés in the autumn and spring time, within nine categories of green areas in the Municipality of Ljubljana. In each category the range of ES was assessed based on field analysis and compared with literature assessed ecosystem services. Results showed that the category of forests differ from others. Other categories were similar to each other, in particular grassland categories. Also, a positive relationship linkage was found - more plant species mean more assessed ecosystem services in a specific green infrastructure category.

Financial incentives for return of service in underserved areas: a systematic review

Directory of Open Access Journals (Sweden)

Bärnighausen Till

2009-05-01

Full Text Available Abstract Background In many geographic regions, both in developing and in developed countries, the number of health workers is insufficient to achieve population health goals. Financial incentives for return of service are intended to alleviate health worker shortages: A (future health worker enters into a contract to work for a number of years in an underserved area in exchange for a financial pay-off. Methods We carried out systematic literature searches of PubMed, the Excerpta Medica database, the Cumulative Index to Nursing and Allied Health Literature, and the National Health Services Economic Evaluation Database for studies evaluating outcomes of financial-incentive programs published up to February 2009. To identify articles for review, we combined three search themes (health workers or students, underserved areas, and financial incentives. In the initial search, we identified 10,495 unique articles, 10,302 of which were excluded based on their titles or abstracts. We conducted full-text reviews of the remaining 193 articles and of 26 additional articles identified in reference lists or by colleagues. Forty-three articles were included in the final review. We extracted from these articles information on the financial-incentive programs (name, location, period of operation, objectives, target groups, definition of underserved area, financial incentives and obligation and information on the individual studies (authors, publication dates, types of study outcomes, study design, sample criteria and sample size, data sources, outcome measures and study findings, conclusions, and methodological limitations. We reviewed program results (descriptions of recruitment, retention, and participant satisfaction, program effects (effectiveness in influencing health workers to provide care, to remain, and to be satisfied with work and personal life in underserved areas, and program impacts (effectiveness in influencing health systems and health outcomes

Ecosystem services-based SWOT analysis of protected areas for conservation strategies.

Science.gov (United States)

Scolozzi, Rocco; Schirpke, Uta; Morri, Elisa; D'Amato, Dalia; Santolini, Riccardo

2014-12-15

An ecosystem services-based SWOT analysis is proposed in order to identify and quantify internal and external factors supporting or threatening the conservation effectiveness of protected areas. The proposed approach concerns both the ecological and the social perspective. Strengths and weaknesses, opportunities and threats were evaluated based on 12 selected environmental and socio-economic indicators for all terrestrial Italian protected areas, belonging to the Natura 2000 network, and for their 5-km buffer area. The indicators, used as criteria within a multi-criteria assessment, include: core area, cost-distance between protected areas, changes in ecosystem services values, intensification of land use, and urbanization. The results were aggregated for three biogeographical regions, Alpine, Continental, and Mediterranean, indicating that Alpine sites have more opportunities and strengths than Continental and Mediterranean sites. The results call attention to where connectivity and land-use changes may have stronger influence on protected areas, in particular, whereas urbanization or intensification of agriculture may hamper conservation goals of protected areas. The proposed SWOT analysis provides helpful information for a multiple scale perspective and for identifying conservation priorities and for defining management strategies to assure biodiversity conservation and ecosystem services provision. Copyright © 2014 Elsevier Ltd. All rights reserved.

Functional approach in estimation of cultural ecosystem services of recreational areas

Science.gov (United States)

Sautkin, I. S.; Rogova, T. V.

2018-01-01

The article is devoted to the identification and analysis of cultural ecosystem services of recreational areas from the different forest plant functional groups in the suburbs of Kazan. The study explored two cultural ecosystem services supplied by forest plants by linking these services to different plant functional traits. Information on the functional traits of 76 plants occurring in the forest ecosystems of the investigated area was collected from reference books on the biological characteristics of plant species. Analysis of these species and traits with the Ward clustering method yielded four functional groups with different potentials for delivering ecosystem services. The results show that the contribution of species diversity to services can be characterized through the functional traits of plants. This proves that there is a stable relationship between biodiversity and the quality and quantity of ecosystem services. The proposed method can be extended to other types of services (regulating and supporting). The analysis can be used in the socio-economic assessment of natural ecosystems for recreation and other uses.

SELECTED ASPECTS OF THE IMPLEMENTATION OF ACTIVE MARKETING CAMPAIGN TO RAISE AWARENESS AND PROMOTE PUBLIC TRANSPORT SERVICES IN RURAL AREAS

Directory of Open Access Journals (Sweden)

Katarzyna NOSAL

2016-09-01

Full Text Available The article presents selected aspects of the implementation of the EU’s SmartMove project, which aims to promote feeder public transport systems in rural areas through the implementation of an active marketing campaign (AMC. Campaigns of this type are connected with providing general and personalized information concerning the functioning of public transport services. In the article, characteristics of one of the implementation areas of the project are presented, namely, the Liszki district near Cracow. Transport services were also evaluated. In addition, selected results are presented from a survey that was conducted among residents of the area from the point of view of the implementation of the AMC. The results concerned data about the means of transport that were currently used for travelling, the knowledge of bus services, the reasons for their use and the factors that might encourage residents to use public transport

Identification of the core ecosystem services and their spatial heterogeneity in Poyang Lake area

Institute of Scientific and Technical Information of China (English)

Nana SHI; Jinyan ZHAN; Feng WU; Jifu DU

2009-01-01

According to the ecosystem assessment framework developed by the Millennium Ecosystem Assessment (MA), this paper designs an evaluation system of ecosystem services in Poyang Lake area. On the basis of relevant variables disaggregated to 1 km grid using the gridded 1 km, this paper employs factor analysis to extract a number of factors which characterize the ecosystem services of Poyang Lake area. The extracted principal component are then represented onto 1 km ×1 km grids by spatial clustering analysis to recognize and identify the minimal but consistent mapping units for ecosystem services which can be used to delimit the boundaries of ecological service zones. The research identifies ten ecosystem service zones in Poyang Lake area according to the consistent principle of core ecosystem service unit.Four kinds of core ecosystem services including supporting function, provisioning function, regulating function and cultural function are identified and represented. The research results could provide both spatially and temporally valuable decision-making information for sustainable ecosystem management in the targeted area.

AMS: Area Message Service for SLC

International Nuclear Information System (INIS)

Crane, M.; Mackenzie, R.; Millsom, D.; Zelazny, M.

1993-04-01

The Area Message Service (AMS) is a TCP/IP based messaging service currently in use at SLAC. A number of projects under development here at SLAC require and application level interface to the 4.3BSD UNIX socket level communications functions using TCP/IP over ethernet. AMS provides connection management, solicited message transfer, unsolicited message transfer, and asynchronous notification of pending messages. AMS is written completely in ANSI 'C' and is currently portable over three hardware/operating system/network manager platforms, VAX/VMS/Multinet, PC/MS-DOS/Pathworks, VME 68K/pSOS/pNA. The basic architecture is a client-server connection where either end of the interface may be the server. This allows for connections and data flow to be initiated from either end of the interface. Included in the paper are details concerning the connection management, the handling of the multi-platform code, and the implementation process

76 FR 59682 - Desert Southwest Customer Service Region-Western Area Lower Colorado Balancing Authority-Rate...

Science.gov (United States)

2011-09-27

... DEPARTMENT OF ENERGY Western Area Power Administration Desert Southwest Customer Service Region... CONTACT: Mr. Jack Murray, Rates Manager, Desert Southwest Customer Service Region, Western Area Power... Customer Service Region Network Integration Transmission Service Rate Schedules PD-NTS3 and INT-NTS3 for P...

AMS: Area Message Service for SLC

International Nuclear Information System (INIS)

Crane, M.; Mackenzie, R.; Millsom, D.; Zelazny, M.

1993-01-01

The Area Message Service (AMS) is a TCP/IP based messaging service currently in use at SLAC. A number of projects under development here at SLAC require an application level interface to the 4.3BSD UNIX socket level communications functions using TCP/IP over ethernet. AMS provides connection management, solicited message transfer, unsolicited message transfer, and asynchronous notification of pending messages. AMS is written completely in ANSI open-quote C close-quote and is currently portable over three hardware/operating system/network manager platforms, VAX/VMS/Multinet, PC/MS-DOS/Pathworks, VME 68K/pSOS/pNA. The basic architecture is a client-server connection where either end of the interface may be the server. This allows for connections and data flow to be initiated from either end of the interface. Included in the paper are details concerning the connection management, the handling of the multi-platform code, and the implementation process

Mapping optimal areas of ecosystem services potential in Vilnius (Lithuania)

Science.gov (United States)

Pereira, Paulo; Depellegrin, Daniel; Misiune, Ieva; Cerda, Artemi

2016-04-01

Maps are fundamental to understand the spatial pattern of natural and human impacts on the landscape (Brevik et al., 2016; Lavado Contador et al., 2009; Pereira et al., 2010a,b). Urban areas are subjected to an intense human pressure (Beniston et al., 2015), contributing to the degradation of the ecosystems, reducing their capacity to provide services in quality and quantity (Requier-Desjardins et al., 2011; Zhang et al., 2011). Environments that can provide a high number and quality of ecosystem services (ES) must be identified and managed correctly, since are spaces that can mitigate the impacts of human settlements and improve their quality. thus is of major importance have identify the areas that can provide better ES (Deppelegrin and Pereira, 2015). The aim of this work is to identify areas with high ES potential in Vilnius city. Here, we identified a total of 4 different land uses, agricultural areas (32.48%), water bodies (1.46%), forest and semi-natural (31.91%) areas and artificial surfaces (34.16%). CORINE land cover 2006 was used as base information to classify ES potential. The assessment of each land cover potential was carried out using expert assessment. Each land use type was ranked from 0 (no potential) to 5 (High potential). In this work the sum of total regulating, providing and cultural ES were assessed. The areas with optimal ES were the ones with the sum of all ranks equal or higher than the 3rd Quartil of each distribution. After identifying these areas, data was mapped using ArcGIS software. The results showed that on average Vilnius city has a higher potential for regulating services (20.35±15.92), followed by cultural (14.43±8.81) and providing (14.26±8.87). There was a significant correlation among the different type of services. Regulating vs cultural (0.92, p<0.001), regulating vs providing (0.72, p<0.001) and providing vs cultural (0.65, p<0.001). The results of Morans I autocorrelation index showed that regulating (Z-score: 10

High-voltage shared-service line in the Stuttgart area

Energy Technology Data Exchange (ETDEWEB)

Goerler, W; Benz, A [Technische Werke der Stadt Stuttgart A.G. (F.R. Germany)

1976-01-01

In congested areas the line construction engineer has to cope with a great variety of difficulties - amenity problems, line crossings, and road crossings. The authors describe the prerequisites for and the construction of a HV shared-service line of approx. 25 km in the congested area of Stuttgart, where several three-phase and single- phase a.c. systems are run on one set of pylons.

Scheduling Additional Train Unit Services on Rail Transit Lines

OpenAIRE

Zhibin Jiang; Yuyan Tan; Özgür Yalçınkaya

2014-01-01

This paper deals with the problem of scheduling additional train unit (TU) services in a double parallel rail transit line, and a mixed integer programming (MIP) model is formulated for integration strategies of new trains connected by TUs with the objective of obtaining higher frequencies in some special sections and special time periods due to mass passenger volumes. We took timetable scheduling and TUs scheduling as an integrated optimization model with two objectives: minimizing travel ti...

75 FR 71513 - Senior Community Service Employment Program; Notice of Proposed Rulemaking, Additional Indicator...

Science.gov (United States)

2010-11-23

... additional performance indicator for volunteer work. The Proposed Rule adds a new additional indicator to... Program; Notice of Proposed Rulemaking, Additional Indicator on Volunteer Work; Proposed Rule #0;#0... work in the Senior Community Service Employment Program (SCSEP). Specifically, this rule proposes to...

5 CFR 8301.104 - Additional rules for employees of the Food Safety and Inspection Service.

Science.gov (United States)

2010-01-01

... Food Safety and Inspection Service. 8301.104 Section 8301.104 Administrative Personnel DEPARTMENT OF....104 Additional rules for employees of the Food Safety and Inspection Service. Any employee of the Food Safety and Inspection Service not otherwise required to obtain approval for outside employment under...

78 FR 78398 - Notice and Request for Comments: LSC merger of the migrant service areas in Texas, Arkansas...

Science.gov (United States)

2013-12-26

... LEGAL SERVICES CORPORATION Notice and Request for Comments: LSC merger of the migrant service... Services Corporation. ACTION: Notice and Request for Comments--LSC merger of the migrant service areas in... Alabama migrant service areas. Grants for these individual service areas have been awarded to Texas Rio...

49 CFR 40.331 - To what additional parties must employers and service agents release information?

Science.gov (United States)

2010-10-01

... service agents release information? 40.331 Section 40.331 Transportation Office of the Secretary of... Release of Information § 40.331 To what additional parties must employers and service agents release information? As an employer or service agent you must release information under the following circumstances...

47 CFR 22.912 - Service area boundary extensions.

Science.gov (United States)

2010-10-01

... cellular market or in the Gulf of Mexico Coastal Zone (GMCZ), to allow one or more SAB extensions into the... of the cellular market boundary, but within the service area as calculated using the methods of § 22... section, SABs may be extended into adjacent cellular markets if such extensions are de minimis, are...

Benefits of restoring ecosystem services in urban areas

Science.gov (United States)

T. Elmqvist; H. Setala; S.N. Handel; S. van der Ploeg; J. Aronson; J.N. Blignaut; E. Gomez-Baggethun; D.J. Nowak; J. Kronenberg; R. de Groot

2015-01-01

Cities are a key nexus of the relationship between people and nature and are huge centers of demand for ecosystem services and also generate extremely large environmental impacts. Current projections of rapid expansion of urban areas present fundamental challenges and also opportunities to design more livable, healthy and resilient cities (e.g. adaptation to climate...

Extending Service Area of IEEE 802.11 Ad Hoc Networks

Science.gov (United States)

Choi, Woo-Yong

2012-06-01

According to the current IEEE 802.11 wireless LAN standards, IEEE 802.11 ad hoc networks have the limitation that all STAs (Stations) are in the one-hop transmission range of each other. In this paper, to alleviate the limitation of IEEE 802.11 ad hoc networks we propose the efficient method for selecting the most appropriate pseudo AP (Access Point) from among the set of ad hoc STAs and extending the service area of IEEE 802.11 ad hoc networks by the pseudo AP's relaying the internal traffic of IEEE 802.11 ad hoc networks. Numerical examples show that the proposed method significantly extends the service area of IEEE 802.11 ad hoc networks.

Field services experiences

International Nuclear Information System (INIS)

Colflesh, J.A.; Kruse, P.W.; Merluzzi, R.A.

1985-01-01

Combustion Engineering (C-E) is a large diversified manufacturer of products and services for the energy field. At this time, C-E has supplied the nuclear steam supply systems for eleven operating nuclear power plants with two additional units currently undergoing start-up testing. The focus of C-E's commitment in the nuclear power plant services area is the Nuclear Services organization within the Nuclear Power Systems Division. The Nuclear Services organization provides services on a timely cost efficient basis; and dedicates resources to developing new products and services which are truly responsive to the needs of operating power plants world wide. In the paper, C-E's capabilities and experience in the field of nuclear services are described. Highlighted are our capabilities in the areas of transition management services, operating services and engineering services

Sustainable sewerage servicing options for peri-urban areas with failing septic systems.

Science.gov (United States)

Sharma, A K; Tjandraatmadja, G; Grant, A L; Grant, T; Pamminger, F

2010-01-01

The provision of water and wastewater services to peri-urban areas faces very different challenges to providing services to cities. Sustainable solutions for such areas are increasingly being sought, in order to solve the environmental and health risks posed by failing septic systems. These solutions should have the capability to reduce potable water demand, provide fit for purpose reuse options, and minimise impacts on the local and global environment. A methodology for the selection of sustainable sewerage servicing systems and technologies is presented in this paper. This paper describes the outcomes of applying this methodology to a case study in rural community near Melbourne, Australia, and describes the economic and environmental implications of various sewerage servicing options. Applying this methodology has found that it is possible to deliver environmental improvements at a lower community cost, by choosing servicing configurations not historically used by urban water utilities. The selected solution is currently being implemented, with the aim being to generate further transferable learnings for the water industry.

Metropolitian area network services comprised of virtual local area networks running over hybrid fiber-coax and asynchronous transfer mode technologies

Science.gov (United States)

Biedron, William S.

1995-11-01

Since 1990 there has been a rapid increase in the demand for communication services, especially local and wide area network (LAN/WAN) oriented services. With the introduction of the DFB laser transmitter, hybrid-fiber-coax (HFC) cable plant designs, ATM transport technologies and rf modems, new LAN/WAN services can now be defined and marketed to residential and business customers over existing cable TV systems. The term metropolitan area network (MAN) can be used to describe this overall network. This paper discusses the technical components needed to provision these services as well as provides some perspectives on integration issues. Architecture at the headend and in the backbone is discussed, as well as specific service definitions and the technology issues associated with each. The TCP/IP protocol is suggested as a primary protocol to be used throughout the MAN.

Consolidated progress report for 1976 on nuclear data activities in the NDS service area

International Nuclear Information System (INIS)

1977-10-01

A consolidated progress report for 1976 prepared for countries in the NDS service area. It is intended to encourage a closer relationship between Member States and provide for a wider circulation of unpublished progress reports from countries within the Nuclear Data Section service area

Big Area Additive Manufacturing of High Performance Bonded NdFeB Magnets

NARCIS (Netherlands)

Li, L; Tirado, A.; Nlebedim, I.C.; Rios, O.; Post, B.; Kunc, V.; Lowden, R.R.; Lara-Curzio, E.; Fredette, R.; Ormerod, J.; Lograsso, T.A.; Paranthaman, M.P.

2016-01-01

Additive manufacturing allows for the production of complex parts with minimum material waste, offering an effective technique for fabricating permanent magnets which frequently involve critical rare earth elements. In this report, we demonstrate a novel method - Big Area Additive Manufacturing

Customer satisfaction with mobile operators’ services in Lithuanian rural areas

OpenAIRE

Pilelienė, Lina; Grigaliūnaitė, Viktorija

2017-01-01

In tough competitive conditions of Lithuanian mobile services market, customer satisfaction becomes one of the most important factors for customer retention and attraction. Lithuanian mobile market can be described as being in a maturity stage of its life-cycle: the prices and services of different mobile operators are quite similar. However, the network coverage and signal strength differs – main differences can be observed in rural areas of the country. Therefore, the scientific...

Electric Service Areas, Electric Servic Area - given to us from GA power and Planters Electric - distributed by the EMA Director, Val Ashcraft, Published in 2008, 1:2400 (1in=200ft) scale, Effingham County Government.

Data.gov (United States)

NSGIC Local Govt | GIS Inventory — Electric Service Areas dataset current as of 2008. Electric Servic Area - given to us from GA power and Planters Electric - distributed by the EMA Director, Val...

Serviceability criteria for buildings in mine subsidence area -- Adjustment to Eurocodes

International Nuclear Information System (INIS)

Kawulok, M.; Sulimowski, Z.

1994-01-01

Due to ground deformations caused by underground mining, building structures in mining areas are frequently subjected to considerable deformations and damage to the finishing and structural elements. As a consequence, serviceable values of such structures are distinctly diminished, and in extreme cases, seriously damaged structures may be exempted from further service. These problems are not duly represented in the existing building standard codes. It is also important to determine relationship between damage stage and value of the building, and hence the strategy for reconstruction or renovation works. The paper presents proposals concerning serviceability criteria of building structures in mining areas, in terms of basic standard requirements valid in building in Poland, as well as proposals of Eurocodes. Building structures under consideration have been divided into structures designed to resist mining influences and existing structures, not adapted to conform to these influences at the design and erection stages

76 FR 56482 - Notice and Request For Comments: LSC Elimination of the West Virginia Migrant Service Area...

Science.gov (United States)

2011-09-13

... Migrant Service Area Beginning January 1, 2012 AGENCY: Legal Services Corporation. ACTION: Notice and Request for Comments. SUMMARY: The Legal Services Corporation will eliminate the West Virginia migrant service area, i.e., MWV effective January 1, 2012, because any eligible migrant population in West...

Wide-area service water information management system; Koiki suido joho kanri system

Energy Technology Data Exchange (ETDEWEB)

NONE

2000-01-10

A wide-area service water system is required to be more resistant to emergency situations, e.g., drought and hazards, and meet consumers' diversifying needs in each area, while stably supplying water at ordinary times by utilizing purification plants located in places within its system and piping networks in the water area. Fuji Electric is providing information management systems for wide-area service water systems, developed based on the company's abundant system know-hows accumulated for a long time and latest techniques. They are characterized by (1) Web monitoring, aided by an intranet system, (2) high-speed data transmission by a digital transmission system, (3) open network environments, and (4) emergency calling of the staff, and management of stock materials. The system allows to monitor operating conditions within the area on real time, needless to say, and business administration with civil minimum taken into consideration, e.g., stabilizing water quality by coordinating the purification plants within the system. (translated by NEDO)

Service design: a review of methods and techniques inthe point of view of service operations management area

Directory of Open Access Journals (Sweden)

Noel Torres Júnior

2013-11-01

Full Text Available As in many developing countries, the service sector in Brazil is responsible for generating income and employment for a significant portion of the population. Due to this economic relevance, service organizations are faced with an increasingly demanding and competitive market. This demand greater innovation and business planning. Despite this, the process of service development remains a relatively unexplored subject in the literature. Several issues regarding the planning and management remain without clear ideas or propositions that guide their appropriate treatment. The result of this situation, the methods and techniques that help design the services are not properly disseminated. These are scattered through the literature of operations management services. Given this framework, the light of a review of the literature and concerning the elements that compose the service project according to the works of Machuca, Zamora-Gonzalez and Aguilar-Escobar (2007 and Edvardsson (1997, the present work points and examine the methods and techniques suggested by many authors and works on the area of Service Operations. It was found that the knowledge about the methods and techniques is diffuse. This knowledge is concentrated on the design process and determining the location of services.

An exploratory study of services marketing in global markets: major areas of inquiry for the health care services industry.

Science.gov (United States)

Young, S; Erdem, S A

1996-01-01

It has been stated that one of the major challenges for the international marketer is the design of an efficient strategy for marketing services to international markets. This paper reviews some of the issues associated with services marketing in global markets along with the basic variables of service industries. An exploratory assessment of the health care services industry results in a list composed of several inquiry areas which should be examined by multinational companies. It is hoped that the review of the issues raised in this paper provides a basis for decision making and further research.

Free preconceptual screening examination service in rural areas of Hubei Province, China in 2012.

Science.gov (United States)

Li, Cui-ling; Zhao, Kai; Li, Hui; Farah, Omar Ibrahim; Wang, Jiao-jiao; Sun, Rong-ze; Zhang, Hui-ping

2014-01-01

This work aims to collect and summarize the outcomes on free preconceptual screening examination in rural areas of Hubei Province in 2012. Moreover, this review promotes further understanding of the status of this activity to provide the Family Planning Commission valid scientific data upon which to construct effective policies. Couples, who complied with the family planning policy and were the residents in agricultural areas or lived in a local rural area for more than six months, were encouraged to participate in the free preconceptual screening examination service provided by the Hubei Provincial Population and Family Planning Commission. This service included 19 screening tests. All the data, including forms, manuals, and test results, were collected from 1 January 2012 to 31 December 2012 in rural areas in Hubei Province. A total of 497,860 individuals participated in the free preconceptual screening examination service, with a coverage rate of 97.1%. 4.0% and 4.8% of the participants exhibited with abnormal blood levels of ALT and creatinine, respectively; 0.36% of the participants tested positive for syphilis; 0.44% and 3.6% of the female participants tested positive for Neisseria gonorrhoeae and Chlamydia trachomatis, respectively; and 0.84% and 1.8% of the female participants tested positive for cytomegalovirus (IgM) and Toxoplasma gondii (IgM), respectively. After risk assessment, 59,935 participants might have high-risk of adverse pregnancy outcomes. In 2012, the prevalence of birth defects among the parturient who participated in the preconceptual screening examination service was 0.04%, while the prevalence was 0.08% among those who did not participate in the service. Preconceptual screening examination service may help to address the risk factors that can lead to adverse pregnancy outcome. More studies on the relationship between preconceptual screening examination service and prevalence of birth defect or other adverse pregnancy outcomes should be

Use of demand for and spatial flow of ecosystem services to identify priority areas

NARCIS (Netherlands)

Verhagen, Willem; Kukkala, Aija S.; Moilanen, Atte; van Teeffelen, Astrid J.A.; Verburg, Peter H.

2017-01-01

Policies and research increasingly focus on the protection of ecosystem services (ESs) through priority-area conservation. Priority areas for ESs should be identified based on ES capacity and ES demand and account for the connections between areas of ES capacity and demand (flow) resulting in areas

Assessing the additional impact of Process Recovery Communications on Customer Outcomes: A Comprehensive Service Recovery Approach

OpenAIRE

Y. VAN VAERENBERGH; B. LARIVIÈRE; I. VERMEIR

2009-01-01

Purpose – Services recoveries following service failures not only imply customer recovery opportunities in which customer-company relationships can be restored, they can also result in process improvements (i.e. process recoveries in literature). This paper seeks to identify the additional impact of process recoveries on four customer outcome variables (satisfaction with service recovery, overall satisfaction, repurchase intent and word-of-mouth) by communicating these improvements back to th...

Climate Change Impacts on Ecosystem Services in High Mountain Areas: A Literature Review

Directory of Open Access Journals (Sweden)

Ignacio Palomo

2017-05-01

Full Text Available High mountain areas are experiencing some of the earliest and greatest impacts of climate change. However, knowledge on how climate change impacts multiple ecosystem services that benefit different stakeholder groups remains scattered in the literature. This article presents a review of the literature on climate change impacts on ecosystem services benefiting local communities and tourists in high mountain areas. Results show a lack of studies focused on the global South, especially where there are tropical glaciers, which are likely to be the first to disappear. Climate change impacts can be classified as impacts on food and feed, water availability, natural hazards regulation, spirituality and cultural identity, aesthetics, and recreation. In turn, climate change impacts on infrastructure and accessibility also affect ecosystem services. Several of these impacts are a direct threat to the lives of mountain peoples, their livelihoods and their culture. Mountain tourism is experiencing abrupt changes too. The magnitude of impacts make it necessary to strengthen measures to adapt to climate change in high mountain areas.

Ecosystem services in European protected areas: Ambiguity in the views of scientists and managers?

Directory of Open Access Journals (Sweden)

Christiaan Hummel

Full Text Available Protected Areas are a key component of nature conservation. They can play an important role in counterbalancing the impacts of ecosystem degradation. For an optimal protection of a Protected Area it is essential to account for the variables underlying the major Ecosystem Services an area delivers, and the threats upon them. Here we show that the perception of these important variables differs markedly between scientists and managers of Protected Areas in mountains and transitional waters. Scientists emphasise variables of abiotic and biotic nature, whereas managers highlight socio-economic, cultural and anthropogenic variables. This indicates fundamental differences in perception. To be able to better protect an area it would be advisable to bring the perception of scientists and managers closer together. Intensified and harmonised communication across disciplinary and professional boundaries will be needed to implement and improve Ecosystem Service oriented management strategies in current and future Protected Areas.

Ecosystem services in European protected areas: Ambiguity in the views of scientists and managers?

Science.gov (United States)

Provenzale, Antonello; van der Meer, Jaap; Wijnhoven, Sander; Nolte, Arno; Poursanidis, Dimitris; Janss, Guyonne; Jurek, Matthias; Andresen, Magnus; Poulin, Brigitte; Kobler, Johannes; Beierkuhnlein, Carl; Honrado, João; Razinkovas, Arturas; Stritih, Ana; Bargmann, Tessa; Ziemba, Alex; Bonet-García, Francisco; Adamescu, Mihai Cristian; Janssen, Gerard; Hummel, Herman

2017-01-01

Protected Areas are a key component of nature conservation. They can play an important role in counterbalancing the impacts of ecosystem degradation. For an optimal protection of a Protected Area it is essential to account for the variables underlying the major Ecosystem Services an area delivers, and the threats upon them. Here we show that the perception of these important variables differs markedly between scientists and managers of Protected Areas in mountains and transitional waters. Scientists emphasise variables of abiotic and biotic nature, whereas managers highlight socio-economic, cultural and anthropogenic variables. This indicates fundamental differences in perception. To be able to better protect an area it would be advisable to bring the perception of scientists and managers closer together. Intensified and harmonised communication across disciplinary and professional boundaries will be needed to implement and improve Ecosystem Service oriented management strategies in current and future Protected Areas. PMID:29140983

Ecosystem services in European protected areas: Ambiguity in the views of scientists and managers?

Science.gov (United States)

Hummel, Christiaan; Provenzale, Antonello; van der Meer, Jaap; Wijnhoven, Sander; Nolte, Arno; Poursanidis, Dimitris; Janss, Guyonne; Jurek, Matthias; Andresen, Magnus; Poulin, Brigitte; Kobler, Johannes; Beierkuhnlein, Carl; Honrado, João; Razinkovas, Arturas; Stritih, Ana; Bargmann, Tessa; Ziemba, Alex; Bonet-García, Francisco; Adamescu, Mihai Cristian; Janssen, Gerard; Hummel, Herman

2017-01-01

Protected Areas are a key component of nature conservation. They can play an important role in counterbalancing the impacts of ecosystem degradation. For an optimal protection of a Protected Area it is essential to account for the variables underlying the major Ecosystem Services an area delivers, and the threats upon them. Here we show that the perception of these important variables differs markedly between scientists and managers of Protected Areas in mountains and transitional waters. Scientists emphasise variables of abiotic and biotic nature, whereas managers highlight socio-economic, cultural and anthropogenic variables. This indicates fundamental differences in perception. To be able to better protect an area it would be advisable to bring the perception of scientists and managers closer together. Intensified and harmonised communication across disciplinary and professional boundaries will be needed to implement and improve Ecosystem Service oriented management strategies in current and future Protected Areas.

Spatial planning for a green economy: National-level hydrologic ecosystem services priority areas for Gabon.

Science.gov (United States)

Goldstein, Joshua Howard; Tallis, Heather; Cole, Aaron; Schill, Steven; Martin, Erik; Heiner, Michael; Paiz, Marie-Claire; Aldous, Allison; Apse, Colin; Nickel, Barry

2017-01-01

Rapidly developing countries contain both the bulk of intact natural areas and biodiversity, and the greatest untapped natural resource stocks, placing them at the forefront of "green" economic development opportunities. However, most lack scientific tools to create development plans that account for biodiversity and ecosystem services, diminishing the real potential to be sustainable. Existing methods focus on biodiversity and carbon priority areas across large geographies (e.g., countries, states/provinces), leaving out essential services associated with water supplies, among others. These hydrologic ecosystem services (HES) are especially absent from methods applied at large geographies and in data-limited contexts. Here, we present a novel, spatially explicit, and relatively simple methodology to identify countrywide HES priority areas. We applied our methodology to the Gabonese Republic, a country undergoing a major economic transformation under a governmental commitment to balance conservation and development goals. We present the first national-scale maps of HES priority areas across Gabon for erosion control, nutrient retention, and groundwater recharge. Priority sub-watersheds covered 44% of the country's extent. Only 3% of the country was identified as a priority area for all HES simultaneously, highlighting the need to conserve different areas for each different hydrologic service. While spatial tradeoffs occur amongst HES, we identified synergies with two other conservation values, given that 66% of HES priority areas intersect regions of above average area-weighted (by sub-watersheds) total forest carbon stocks and 38% intersect with terrestrial national parks. Considering implications for development, we identified HES priority areas overlapping current or proposed major roads, forestry concessions, and active mining concessions, highlighting the need for proactive planning for avoidance areas and compensatory offsets to mitigate potential conflicts

Spatial planning for a green economy: National-level hydrologic ecosystem services priority areas for Gabon.

Directory of Open Access Journals (Sweden)

Joshua Howard Goldstein

Full Text Available Rapidly developing countries contain both the bulk of intact natural areas and biodiversity, and the greatest untapped natural resource stocks, placing them at the forefront of "green" economic development opportunities. However, most lack scientific tools to create development plans that account for biodiversity and ecosystem services, diminishing the real potential to be sustainable. Existing methods focus on biodiversity and carbon priority areas across large geographies (e.g., countries, states/provinces, leaving out essential services associated with water supplies, among others. These hydrologic ecosystem services (HES are especially absent from methods applied at large geographies and in data-limited contexts. Here, we present a novel, spatially explicit, and relatively simple methodology to identify countrywide HES priority areas. We applied our methodology to the Gabonese Republic, a country undergoing a major economic transformation under a governmental commitment to balance conservation and development goals. We present the first national-scale maps of HES priority areas across Gabon for erosion control, nutrient retention, and groundwater recharge. Priority sub-watersheds covered 44% of the country's extent. Only 3% of the country was identified as a priority area for all HES simultaneously, highlighting the need to conserve different areas for each different hydrologic service. While spatial tradeoffs occur amongst HES, we identified synergies with two other conservation values, given that 66% of HES priority areas intersect regions of above average area-weighted (by sub-watersheds total forest carbon stocks and 38% intersect with terrestrial national parks. Considering implications for development, we identified HES priority areas overlapping current or proposed major roads, forestry concessions, and active mining concessions, highlighting the need for proactive planning for avoidance areas and compensatory offsets to mitigate

DOPA, a Digital Observatory for Protected Areas including Monitoring and Forecasting Services

Science.gov (United States)

Dubois, Gregoire; Hartley, Andrew; Peedell, Stephen; de Jesus, Jorge; Ó Tuama, Éamonn; Cottam, Andrew; May, Ian; Fisher, Ian; Nativi, Stefano; Bertrand, Francis

2010-05-01

The Digital Observatory for Protected Areas (DOPA) is a biodiversity information system currently developed as an interoperable web service at the Joint Research Centre of the European Commission in collaboration with other international organizations, including GBIF, UNEP-WCMC, Birdlife International and RSPB. DOPA is designed to assess the state and pressure of Protected Areas (PAs) and to prioritize them accordingly, in order to support decision making and fund allocation processes. To become an operational web service allowing the automatic monitoring of protected areas, DOPA needs to be able to capture the dynamics of spatio-temporal changes in habitats and anthropogenic pressure on PAs as well as the changes in the species distributions. Because some of the most valuable natural ecosystems and species on the planet cover large areas making field monitoring methods very difficult for a large scale assessment, the automatic collection and processing of remote sensing data are processes at the heart of the problem. To further be able to forecast changes due to climate change, DOPA has to rely on an architecture that enables it to communicate with the appropriate modeling web services. The purpose of this presentation is to present the architecture of the DOPA with special attention to e-Habitat, its web processing service designed for assessing the irreplaceability of habitats as well as for the modeling of habitats under different climate change scenarios. The use of open standards for spatial data and of open source programming languages for the development of the core functionalities of the system are expected to encourage the participation of the scientific community beyond the current partnerships and to favour the sharing of such an observatory which could be installed at any other location. Acknowledgement: Part of this work is funded under the 7th Framework Programme by the EuroGEOSS (www.eurogeoss.eu) project of the European Commission. The views

Perspectives of self-direction: a systematic review of key areas contributing to service users' engagement and choice-making in self-directed disability services and supports.

Science.gov (United States)

Lakhani, Ali; McDonald, Donna; Zeeman, Heidi

2018-05-01

Self-directed disability support policies aim to encourage greater choice and control for service users in terms of the health and social care they receive. The proliferation of self-directed disability support policies throughout the developed world has resulted in a growing amount of research exploring the outcomes for service users, and their families and carers. Our understanding of the issues faced by people with disabilities, particularly how they make health and social care decisions and the key areas that determine their engagement with service providers within a self-directed environment is limited. A synthesis of research is timely and can provide knowledge for service users and health and social care support providers to ensure their successful participation. A systematic review guided by the PRISMA approach explored (i) the key areas determining service users' engagement with self-directed disability services and supports, and (ii) how service users make informed decisions about providers. In October 2014 and April 2016, three databases - MEDLINE, CINAHL and Web of Science - were searched for research and review articles. Eighteen sources met the search criteria. Findings were mapped into either: key areas determining service user engagement, or service users' informed decision-making. Findings concerning key areas determining engagement fell into three themes - personal responsibility for budgeting, personalised approaches, and a cultural shift in practice and delivery among service providers. Findings about decision-making yielded two themes - supporting informed decision-making and inhibiting informed decision-making. Literature suggests that self-directed models of care may provide service users with increased control over the services that they receive. Increased control for some service users and their families requires independent external decision-making support, particularly around the domains of budgeting, planning and hiring. Future research

Ecosystem services in European protected areas: Ambiguity in the views of scientists and managers?

NARCIS (Netherlands)

Hummel, C.; Provenzale, A.; Van der Meer, J.; Wijnhoven, S.; Nolte, A.; Poursanidis, D.; Janss, G.; Jurek, M.; Andresen, M.; Poulin, B.; Kobler, J.; Beierkuhnlein, C.; Honrado, J.; Razinkovas, A.; Stritih, A.; Bargmann, T.; Ziemba, A.; Bonet-García, F.; Adamescu, M.C.; Janssen, G.; Hummel, H.

2017-01-01

Protected Areas are a key component of nature conservation. They can play an important role in counterbalancing the impacts of ecosystem degradation. For an optimal protection of a Protected Area it is essential to account for the variables underlying the major Ecosystem Services an area delivers,

Free preconceptual screening examination service in rural areas of Hubei Province, China in 2012.

Directory of Open Access Journals (Sweden)

Cui-ling Li

Full Text Available OBJECTIVE: This work aims to collect and summarize the outcomes on free preconceptual screening examination in rural areas of Hubei Province in 2012. Moreover, this review promotes further understanding of the status of this activity to provide the Family Planning Commission valid scientific data upon which to construct effective policies. METHODS: Couples, who complied with the family planning policy and were the residents in agricultural areas or lived in a local rural area for more than six months, were encouraged to participate in the free preconceptual screening examination service provided by the Hubei Provincial Population and Family Planning Commission. This service included 19 screening tests. All the data, including forms, manuals, and test results, were collected from 1 January 2012 to 31 December 2012 in rural areas in Hubei Province. RESULTS: A total of 497,860 individuals participated in the free preconceptual screening examination service, with a coverage rate of 97.1%. 4.0% and 4.8% of the participants exhibited with abnormal blood levels of ALT and creatinine, respectively; 0.36% of the participants tested positive for syphilis; 0.44% and 3.6% of the female participants tested positive for Neisseria gonorrhoeae and Chlamydia trachomatis, respectively; and 0.84% and 1.8% of the female participants tested positive for cytomegalovirus (IgM and Toxoplasma gondii (IgM, respectively. After risk assessment, 59,935 participants might have high-risk of adverse pregnancy outcomes. In 2012, the prevalence of birth defects among the parturient who participated in the preconceptual screening examination service was 0.04%, while the prevalence was 0.08% among those who did not participate in the service. CONCLUSION: Preconceptual screening examination service may help to address the risk factors that can lead to adverse pregnancy outcome. More studies on the relationship between preconceptual screening examination service and prevalence of

Savannah River Plant engineering and design history. Volume 4: 300/700 Areas & general services and facilities

Energy Technology Data Exchange (ETDEWEB)

1957-01-01

The primary function of the 300 Area is the production and preparation of the fuel and target elements required for the 100 Area production reactors. Uranium slugs and lithium-aluminium alloy control and blanket rods are prepared in separate structures. Other facilities include a test pile, a physics assembly laboratory, an office and change house, an electrical substation, and various service facilities such as rail lines, roads, sewers, steam and water distribution lines, etc. The 700 Area contains housing and facilities for plant management, general plant services, and certain technical activities. The technical buildings include the Main Technical Laboratory, the Waste Concentration Building, the Health Physics Headquarters, and the Health Physics Calibration building. Sections of this report describe the following: development of the 300-M Area; selection and description of process; design of main facilities of the 300 Area; development of the 700-A Area; design of the main facilities of the 700 Area; and general services and facilities, including transportation, plant protection, waste disposal and drainage, site work, pilot plants, storage, and furniture and fixtures.

The role of service areas in the optimization of FSS orbital and frequency assignments

Science.gov (United States)

Levis, C. A.; Wang, C.-W.; Yamamura, Y.; Reilly, C. H.; Gonsalvez, D. J.

1986-01-01

An implicit relationship is derived which relates the topocentric separation of two satellites required for a given level of single-entry protection to the separation and orientation of their service areas. The results are presented explicitly for circular beams and topocentric angles. A computational approach is given for elliptical beams and for use with longitude and latitude variables. It is found that the geocentric separation depends primarily on the service area separation, secondarily on a parameter which characterizes the electrical design, and only slightly on the mean orbital position of the satellites. Both linear programming and mixed integer programming algorithms are implemented. Possible objective function choices are discussed, and explicit formulations are presented for the choice of the sum of the absolute deviations of the orbital locations from some prescribed 'ideal' location set. A test problem involving six service areas is examined with results that are encouraging with respect to applying the linear programming procedure to larger scenarios.

Traveler information services in rural tourism areas : appendix A, tourist intercept surveys

Science.gov (United States)

2000-06-30

This document presents documentation regarding tourist intercept surveys for traveler information services in rural areas. It documents data collection functions and information dissemination functions, and provides an interpretive description of tra...

Utilization of health care services in rural and urban areas: a ...

African Journals Online (AJOL)

2014-06-02

Jun 2, 2014 ... related problem, being consumer-oriented with diverse dimensions ... The order of importance of the factors is need, enabling, predisposing and health services. 11 variables .... influence utilization behavior, they have the advantage of reminding .... area and also from the researcher's personal knowledge.

Availability and Utilization of Anganwadi Services in an Adopted Urban Area of Wardha

Directory of Open Access Journals (Sweden)

Bhagat VM

2016-01-01

Full Text Available Background - The ICDS is world’s largest community-based child nutrition and development programme aimed at holistic development of children (0-6 years, expectant and nursing mothers through the Anganwadi centers (AWC. Improvement in nutritional and health status of their beneficiaries to prevent morbidities and mortalities due to malnutrition is one of the important objectives of ICDS. Objectives: To determine the availability and extent of utilization of AWC services by the beneficiaries, and to study factors influencing utilization and reasons for non/under utilization. Methodology: A community based cross-sectional study conducted in three well defined adopted urban field practice areas of a rural tertiary health care facility in Wardha, Maharashtra. A cluster comprising of 40 households was identified in each area to provide 140 study participants. Epi-info-3.7.1 for univariate and SYSTAT-12 used for multivariate analysis. Results: Overall 89.29% of beneficiaries utilized one or more services of AWC. Working women and those with lower socio-economic status had significantly and independently lower/non utilization of AWC services. Conclusions: Most of the study participants were aware and utilized the services of AWC. Among the women not utilizing the services; the reasons for non-utilization need to be addressed for optimal utilization of AWCs.

Welfare service in rural areas

DEFF Research Database (Denmark)

Nørgaard, Helle

Many rural municipalities are challenged due to overall population decline and demographic changes and thus need to make adjustment to municipal services. Demographic profiles are central for assessing both needs, place bound resources and development potential of individual localities.Assessment......Many rural municipalities are challenged due to overall population decline and demographic changes and thus need to make adjustment to municipal services. Demographic profiles are central for assessing both needs, place bound resources and development potential of individual localities.......Assessment of development potential for individual localities using a place-based approach is in line with EU policies for rural development thereby setting a competitive framework for local development. This paper addresses place bound approaches in relation to service adjustment and discusses how local resources...... and place bound potentials are identified and how they are addressed in plans for future development. The paper draws on a study on service adjustments in rural municipalities in Denmark examining how service adjustments e.g. closing of local schools are decided, how they are managed by rural communities...

34 CFR 645.13 - What additional services do Upward Bound Math and Science Centers provide and how are they...

Science.gov (United States)

2010-07-01

... 34 Education 3 2010-07-01 2010-07-01 false What additional services do Upward Bound Math and... Program? § 645.13 What additional services do Upward Bound Math and Science Centers provide and how are... provided under § 645.11(b), an Upward Bound Math and Science Center must provide— (1) Intensive instruction...

77 FR 22663 - Asian Longhorned Beetle; Additions to Quarantined Areas in Massachusetts

Science.gov (United States)

2012-04-17

...-0128] Asian Longhorned Beetle; Additions to Quarantined Areas in Massachusetts AGENCY: Animal and Plant... adopting as a final rule, without change, an interim rule that amended the Asian longhorned beetle (ALB... INFORMATION: Background The Asian longhorned beetle (ALB, Anoplophora glabripennis), an insect native to China...

Effects of a dedicated regional psychiatric emergency service on boarding of psychiatric patients in area emergency departments.

Science.gov (United States)

Zeller, Scott; Calma, Nicole; Stone, Ashley

2014-02-01

Mental health patients boarding for long hours, even days, in United States emergency departments (EDs) awaiting transfer for psychiatric services has become a considerable and widespread problem. Past studies have shown average boarding times ranging from 6.8 hours to 34 hours. Most proposed solutions to this issue have focused solely on increasing available inpatient psychiatric hospital beds, rather than considering alternative emergency care designs that could provide prompt access to treatment and might reduce the need for many hospitalizations. One suggested option has been the "regional dedicated emergency psychiatric facility," which serves to evaluate and treat all mental health patients for a given area, and can accept direct transfers from other EDs. This study sought to assess the effects of a regional dedicated emergency psychiatric facility design known at the "Alameda Model" on boarding times and hospitalization rates for psychiatric patients in area EDs. Over a 30-day period beginning in January 2013, 5 community hospitals in Alameda County, California, tracked all ED patients on involuntary mental health holds to determine boarding time, defined as the difference between when they were deemed stable for psychiatric disposition and the time they were discharged from the ED for transfer to the regional psychiatric emergency service. Patients were also followed to determine the percentage admitted to inpatient psychiatric units after evaluation and treatment in the psychiatric emergency service. In a total sample of 144 patients, the average boarding time was approximately 1 hour and 48 minutes. Only 24.8% were admitted for inpatient psychiatric hospitalization from the psychiatric emergency service. The results of this study indicate that the Alameda Model of transferring patients from general hospital EDs to a regional psychiatric emergency service reduced the length of boarding times for patients awaiting psychiatric care by over 80% versus

A CoAP-Based Network Access Authentication Service for Low-Power Wide Area Networks: LO-CoAP-EAP

Directory of Open Access Journals (Sweden)

Dan Garcia-Carrillo

2017-11-01

Full Text Available The Internet-of-Things (IoT landscape is expanding with new radio technologies. In addition to the Low-Rate Wireless Personal Area Network (LR-WPAN, the recent set of technologies conforming the so-called Low-Power Wide Area Networks (LP-WAN offers long-range communications, allowing one to send small pieces of information at a reduced energy cost, which promotes the creation of new IoT applications and services. However, LP-WAN technologies pose new challenges since they have strong limitations in the available bandwidth. In general, a first step prior to a smart object being able to gain access to the network is the process of network access authentication. It involves authentication, authorization and key management operations. This process is of vital importance for operators to control network resources. However, proposals for managing network access authentication in LP-WAN are tailored to the specifics of each technology, which could introduce interoperability problems in the future. In this sense, little effort has been put so far into providing a wireless-independent solution for network access authentication in the area of LP-WAN. To fill this gap, we propose a service named Low-Overhead CoAP-EAP (LO-CoAP-EAP, which is based on previous work designed for LR-WPAN. LO-CoAP-EAP integrates the use of Authentication, Authorization and Accounting (AAA infrastructures and the Extensible Authentication Protocol (EAP protocol. For this integration, we use the Constrained Application Protocol (CoAP to design a network authentication service independent of the type of LP-WAN technology. LO-CoAP-EAP represents a trade-off between flexibility, wireless technology independence, scalability and performance in LP-WAN.

A CoAP-Based Network Access Authentication Service for Low-Power Wide Area Networks: LO-CoAP-EAP.

Science.gov (United States)

Garcia-Carrillo, Dan; Marin-Lopez, Rafael; Kandasamy, Arunprabhu; Pelov, Alexander

2017-11-17

The Internet-of-Things (IoT) landscape is expanding with new radio technologies. In addition to the Low-Rate Wireless Personal Area Network (LR-WPAN), the recent set of technologies conforming the so-called Low-Power Wide Area Networks (LP-WAN) offers long-range communications, allowing one to send small pieces of information at a reduced energy cost, which promotes the creation of new IoT applications and services. However, LP-WAN technologies pose new challenges since they have strong limitations in the available bandwidth. In general, a first step prior to a smart object being able to gain access to the network is the process of network access authentication. It involves authentication, authorization and key management operations. This process is of vital importance for operators to control network resources. However, proposals for managing network access authentication in LP-WAN are tailored to the specifics of each technology, which could introduce interoperability problems in the future. In this sense, little effort has been put so far into providing a wireless-independent solution for network access authentication in the area of LP-WAN. To fill this gap, we propose a service named Low-Overhead CoAP-EAP (LO-CoAP-EAP), which is based on previous work designed for LR-WPAN. LO-CoAP-EAP integrates the use of Authentication, Authorization and Accounting (AAA) infrastructures and the Extensible Authentication Protocol (EAP) protocol. For this integration, we use the Constrained Application Protocol (CoAP) to design a network authentication service independent of the type of LP-WAN technology. LO-CoAP-EAP represents a trade-off between flexibility, wireless technology independence, scalability and performance in LP-WAN.

Assessment of the Ecosystem Services Capacity in Natural Protected Areas for Biodiversity Conservation

Science.gov (United States)

Ronchi, Silvia; Salata, Stefano

2017-10-01

Recently, in Italy, a legislative proposal has been set to reform the role and the functions of natural protected areas promoting their aggregation (or the abolition) pursuing a better efficiency for their administration and economic saving. The system of natural protected areas is composed of different conservation levels: there are the Natural parks, established in the ‘80 by national or regional institution for the safeguard of natural elements, the Natura 2000 -Habitat 92/43/CEE promoted by European Union, with conservation measures for maintaining or restoring habitats and species of Communitarian interest, and the local parks of supra-municipal interest (namely PLIS) created by single municipalities or their aggregation aimed at limiting the soil sealing process. The hierarchical level of protection has determined differences in the management of the areas which leads to various approaches and strategies for biodiversity conservation and integrity. In order to assess strengths and weaknesses of the legislative initiative, the new management framework should be designed, considering the ecosystem characteristics of each natural protected area to define the future opportunities and critics, rather than, in the extreme case, remove the level of protection due to the absence of valuable ecosystem conditions. The paper provides an operative support to better apply the legislative proposal investigating the dynamics that affect all protected areas using the land take process as a major threat to biodiversity conservation in natural zones. The land take process is explored using the Land Use Change analysis (LUCa) as a possible way to determine the impact and the environmental effects of land transitions. LUCa is also useful to determine the loss of protected zones capacity to support Ecosystem Services. Finally, the assessment of the Ecosystem Services Capacity (ESC) index expresses the ability of each LULC to provide ES and, in particular, the Ecological

Estimation and Evaluation of Future Demand and Supply of Healthcare Services Based on a Patient Access Area Model

Directory of Open Access Journals (Sweden)

Shunsuke Doi

2017-11-01

Full Text Available Accessibility to healthcare service providers, the quantity, and the quality of them are important for national health. In this study, we focused on geographic accessibility to estimate and evaluate future demand and supply of healthcare services. We constructed a simulation model called the patient access area model (PAAM, which simulates patients’ access time to healthcare service institutions using a geographic information system (GIS. Using this model, to evaluate the balance of future healthcare services demand and supply in small areas, we estimated the number of inpatients every five years in each area and compared it with the number of hospital beds within a one-hour drive from each area. In an experiment with the Tokyo metropolitan area as a target area, when we assumed hospital bed availability to be 80%, it was predicted that over 78,000 inpatients would not receive inpatient care in 2030. However, this number would decrease if we lowered the rate of inpatient care by 10% and the average length of the hospital stay. Using this model, recommendations can be made regarding what action should be undertaken and by when to prevent a dramatic increase in healthcare demand. This method can help plan the geographical resource allocation in healthcare services for healthcare policy.

Assessment of pharmacists' delivery of public health services in rural and urban areas in Iowa and North Dakota.

Science.gov (United States)

Scott, David M; Strand, Mark; Undem, Teri; Anderson, Gabrielle; Clarens, Andrea; Liu, Xiyuan

2016-01-01

The profession of pharmacy is expanding its involvement in public health, but few studies have examined pharmacists' delivery of public health services. To assess Iowa and North Dakota pharmacists' practices, frequency of public health service delivery, level of involvement in achieving the essential services of public health, and barriers to expansion of public health services in rural and urban areas. This study implemented an on-line survey sent to all pharmacists currently practicing pharmacy in Iowa and North Dakota. Overall, 602 valid responses were analyzed, 297 in rural areas and 305 in urban areas. Three practice settings (chain stores [169, 28.2%], independent community pharmacies [162, 27.0%], and hospital pharmacies [156, 26.0%]) comprised 81.2% of the sample. Both chain and independent community pharmacists were more commonly located in rural areas than in urban areas (PDakota. These findings should be interpreted to be primarily due to differences in the role of the rural pharmacist and the quest for certain opportunities that rural pharmacists are seeking.

[Organization of occupational therapeutic service, dynamics and structure of occupational morbidity in Krasnoyarsk area].

Science.gov (United States)

Tereshchenko, Iu A; Zakharinskaia, O N

2010-01-01

The authors present organizational and functional structure of occupational therapeutic service in Krasnoyarsk area, major functional divisions of the territorial occupational therapeutic center and their activities. The article covers analysis of changes in levels and structure of occupational morbidity, defines main ways to optimize occupational therapeutic service for the territorial workers.

Area-socioeconomic disparities in mental health service use among children involved in the child welfare system.

Science.gov (United States)

Kim, Minseop; Garcia, Antonio R; Yang, Shuyan; Jung, Nahri

2018-06-01

Relying on data from a nationally representative sample of youth involved in the child welfare system (CWS) in 1999-2000 (the National Survey of Child and Adolescent Well-Being, Cohort 1) and 2008-2009 (Cohort 2), this study implemented a diverse set of disparity indicators to estimate area-socioeconomic disparities in mental health (MH) services use and changes in area-socioeconomic disparities between the two cohorts. Our study found that there are area-socioeconomic disparities in MH service use, indicating that the rates of MH service use among youth referred to the CWS differ by area-socioeconomic positions defined by county-level poverty rates. We also found that area-socioeconomic disparities increased over time. However, the magnitude of the increase varied widely across disparity measures, suggesting that there are different conclusions about the trend and magnitude of area-socioeconomic disparities, depending upon which disparity measures are implemented. A greater understanding of the methodological differences among disparity measures is warranted, which will in turn impact how interventions are designed to reduce socioeconomic disparities among children in the CWS. Copyright © 2018. Published by Elsevier Ltd.

Traveler information services in rural tourism areas : appendix C, observations at tourist interactions with kiosks

Science.gov (United States)

2000-06-30

This report presents a series of observations of tourists' experiences with kiosks providing traveler information services at rural tourism areas. The kiosks were assessed in five areas: reliability visibility, usability, usefulness, and adaptability...

Analysis of the quality of wastewater from the service stations located in the operative area of Helsinki Region Environmental Services Authority

OpenAIRE

Dahal, Karna

2012-01-01

The objective of this thesis was to analyse the data of pollutant parameters for waste water from the service stations situated in the operative area of the Viikinmäki and Suomenoja WWTPs in the Helsinki Region Environmental Services Authority (HSY). The main reason for this analysis was that HSY wanted to know about the quality of waste water discharged from the service stations into the influent of its WWTPs. The number of cars used in Finland is increasing day by day; hence, au...

Treatment of wastewater from service areas at motorways

Directory of Open Access Journals (Sweden)

Makowska Małgorzata

2016-12-01

Full Text Available This paper deals with wastewater treatment systems placed in motorway service areas (MSAs. In the years 2008-2009 eight of such facilities installed on the stretch of the A2 motorway between Poznań and Nowy Tomyśl were examined and analyzed. The system consists of a septic tank, a submerged aerated biofilter and an outflow filter. The volume of traffic on the highway was analyzed, the amount of water use was measured and peak factors were calculated. On this basis it was concluded that the inflows to the wastewater treatment systems in many cases exceeded the nominal design values.

78 FR 1166 - Service Rules for the Advanced Wireless Services in the H Block-Implementing Section 6401 of the...

Science.gov (United States)

2013-01-08

.... We see no reason to diverge from the reasoning in the AWS Sixth Report and Order. Accordingly, we... alternative proposal. 2. Service Area 19. Geographic Area Licensing: We propose to adopt a geographic area... would likely be deployed in these bands. Additionally, geographic-area licensing is consistent with the...

Flexible quality of service model for wireless body area sensor networks.

Science.gov (United States)

Liao, Yangzhe; Leeson, Mark S; Higgins, Matthew D

2016-03-01

Wireless body area sensor networks (WBASNs) are becoming an increasingly significant breakthrough technology for smart healthcare systems, enabling improved clinical decision-making in daily medical care. Recently, radio frequency ultra-wideband technology has developed substantially for physiological signal monitoring due to its advantages such as low-power consumption, high transmission data rate, and miniature antenna size. Applications of future ubiquitous healthcare systems offer the prospect of collecting human vital signs, early detection of abnormal medical conditions, real-time healthcare data transmission and remote telemedicine support. However, due to the technical constraints of sensor batteries, the supply of power is a major bottleneck for healthcare system design. Moreover, medium access control (MAC) needs to support reliable transmission links that allow sensors to transmit data safely and stably. In this Letter, the authors provide a flexible quality of service model for ad hoc networks that can support fast data transmission, adaptive schedule MAC control, and energy efficient ubiquitous WBASN networks. Results show that the proposed multi-hop communication ad hoc network model can balance information packet collisions and power consumption. Additionally, wireless communications link in WBASNs can effectively overcome multi-user interference and offer high transmission data rates for healthcare systems.

Traveler information services in rural tourism areas : appendix D, system/historical data analysis

Science.gov (United States)

2000-06-30

This document presents information regarding data collection and dissemination functions for traveler information services in rural areas. It documents data collection functions and information dissemination functions, and provides an interpretive de...

Mapping ecosystem service indicators in a Great Lakes estuarine Area of Concern

Science.gov (United States)

Estuaries provide multiple ecosystem services from which humans benefit. Currently, thirty-six Great Lakes estuaries in the United States and Canada are designated as Areas of Concern (AOCs) due to a legacy of chemical contamination, degraded habitat, and non-point-source polluti...

Assessment of pharmacists’ delivery of public health services in rural and urban areas in Iowa and North Dakota

Science.gov (United States)

Scott, David M.; Strand, Mark; Undem, Teri; Anderson, Gabrielle; Clarens, Andrea; Liu, Xiyuan

2016-01-01

Background: The profession of pharmacy is expanding its involvement in public health, but few studies have examined pharmacists’ delivery of public health services. Objective: To assess Iowa and North Dakota pharmacists’ practices, frequency of public health service delivery, level of involvement in achieving the essential services of public health, and barriers to expansion of public health services in rural and urban areas. Methods: This study implemented an on-line survey sent to all pharmacists currently practicing pharmacy in Iowa and North Dakota. Results: Overall, 602 valid responses were analyzed, 297 in rural areas and 305 in urban areas. Three practice settings (chain stores [169, 28.2%], independent community pharmacies [162, 27.0%], and hospital pharmacies [156, 26.0%]) comprised 81.2% of the sample. Both chain and independent community pharmacists were more commonly located in rural areas than in urban areas (PDakota. These findings should be interpreted to be primarily due to differences in the role of the rural pharmacist and the quest for certain opportunities that rural pharmacists are seeking. PMID:28042356

Administrative Strategies of School Management Effectiveness, Buriram Office of Primary Educational Service Area 4

Directory of Open Access Journals (Sweden)

Khanintipparat Prommaraj

2017-09-01

Full Text Available The objectives of this research were 1 to study the current and the expected Conditions of school management effectiveness, Buriram Office of Primary Educational Service Area 4 and 2 to construct administrative strategies of such schools. Eighty of directors, board chairpersons, teachers and parents were sampled. The instruments for data collection were 5-level rating scale questionnaires with the IOC value between 0.60–1.00 and the reliability value of 0.88 and in-depth interview forms. Quantitative data were analyzed by computer and qualitative data were inductively analyzed. The findings were as follows: 1. The current conditions school management effectiveness, Buriram Office of Primary Educational Service Area 4 was moderate while the expected conditions was high. By means of expected condition can be listed from high to low were atmosphere and environment management, administration, learning management and participation. 2. Strategies for effective management of schools under the Office of Educational Service Area 4 consists of four elementary Bachelor’s strategy is the first strategic development, management efficiency. 2 learners develop strategies to meet educational standards. Strategy 3: create an atmosphere and environment conducive to development. Strategy 4 and the joint cooperation of network.

Strategies of Pre-Service Primary School Teachers for Solving Addition Problems with Negative Numbers

Science.gov (United States)

Almeida, Rut; Bruno, Alicia

2014-01-01

This paper analyses the strategies used by pre-service primary school teachers for solving simple addition problems involving negative numbers. The findings reveal six different strategies that depend on the difficulty of the problem and, in particular, on the unknown quantity. We note that students use negative numbers in those problems they find…

Characterizing the influence of transportation infrastructure on Emergency Medical Services (EMS) in urban area-A case study of Seoul, South Korea.

Science.gov (United States)

Cho, Jungwoo; You, Myoungsoon; Yoon, Yoonjin

2017-01-01

In highly urbanized area where traffic condition fluctuates constantly, transportation infrastructure is one of the major contributing factors to Emergency Medical Service (EMS) availability and patient outcome. In this paper, we assess the impact of traffic fluctuation to the EMS first response availability in urban area, by evaluating the k-minute coverage under 21 traffic scenarios. The set of traffic scenarios represents the time-of-day and day-of-week effects, and is generated by combining road link speed information from multiple historical speed databases. In addition to the k-minute area coverage calculation, the k-minute population coverage is also evaluated for every 100m by 100m grid that partitions the case study area of Seoul, South Korea. In the baseline case of traveling at the speed limit, both the area and population coverage reached nearly 100% when compared to the five-minute travel time national target. Employing the proposed LoST (Loss of Serviceability due to Traffic) index, which measures coverage reduction in percentage compared to the baseline case, we find that the citywide average LoST for area and population coverage are similar at 34.2% and 33.8%. However, district-wise analysis reveals that such reduction varies significantly by district, and the magnitude of area and population coverage reduction is not always proportional. We conclude that the effect of traffic variation is significant to successful urban EMS first response performance, and regional variation is evident among local districts. Complexity in the urban environment requires a more adaptive approach in public health resource management and EMS performance target determination.

Influence of small amounts of additives on gas hold-up, bubble size, and interfacial area

NARCIS (Netherlands)

Cents, A. H. G.; Jansen, D. J. W.; Brilman, D. W. F.; Versteeg, G. F.

2005-01-01

The gas-liquid interfacial area, which is determined by the gas hold-up and the Sauter mean bubble diameter, determines the production rate in many industrial processes. The effect of additives on this interfacial area is, especially in multiphase systems (gas-liquid-solid, gas-liquid-liquid), often

Influence of psychiatric morbidity and sociodemographic determinants on use of service in a catchment area in the city of São Paulo, Brazil.

Science.gov (United States)

Andrade, Laura Helena; Viana, Maria Carmen; Tófoli, Luis Fernando Farah; Wang, Yuan-Pang

2008-01-01

Recent population-based studies in Latin American and the Caribbean (LAC) countries brought evidence of the growing burden of mental illness in this region. The objective of this study is to examine determinants of health service utilization by individuals with psychiatric disorders in a defined area in the city of São Paulo, Brazil. Data were derived from São Paulo Catchment Area Study (SP-ECA), a cross-sectional household prevalence survey, based on a representative adult sample (N=1,464) living in two defined boroughs. The psychiatric diagnosis was assessed through the CIDI 1.1 interview, yielding ICD-10 diagnoses. The past-month use of health services--for general medical (GM) care and mental health (MH) care sectors--was investigated in their relationship with sociodemographic features, insurance coverage, GM conditions, and psychiatric morbidity. Nearly one-third (32.2%) of the total sample used health services in the last month: 29.0% attended GM care and 7.8% used MH care. Logistic regression models showed that being female, older than 60 years, having private insurance coverage, and presence of psychiatric morbidity increased the level GM care seeking in the total sample. For those with 12-month psychiatric disorders, the determinants for GM sector use were female gender, age 45-59 years old, and private insurance coverage, whereas separated, divorced, or widowed women had the highest odds (OR 9.9; 95% CI: 2.7-36.5) for using MH service. Low-income people were less likely to seek MH services. The major contribution of this article is to underscore the impact of MH on health care systems, in a LAC country where service use information is scarce. The main finding is that inequalities in the access to MH care occurred, with low-income people having less likelihood of receiving treatment for their mental disorder. Access to health service in this catchment area reflected the great degree of deregulation and lack of integration. Additional efforts should

[2011 after-service customer satisfaction survey of monitoring devices in Shanghai area].

Science.gov (United States)

Wang, Lijun; Li, Bin; Qian, Jianguo; Cao, Shaoping; He, Dehua; Zheng, Yunxin

2013-01-01

In 2011, Shanghai Medical Equipment Management Quality Control Center launched the fifth after-sale service satisfaction survey for medical devices in Shanghai area. There are 8 classes medical devices involving in the survey. This paper demonstrates the investigation results of monitoring devices which are from different manufacturers.

Hospital Service Area File

Data.gov (United States)

U.S. Department of Health & Human Services — This file is derived from the calendar year inpatient claims data. The records contain number of discharges, length of stay, and total charges summarized by provider...

Ashland Area Support Substation Project

International Nuclear Information System (INIS)

1992-06-01

The Bonneville Power Administration (BPA) provides wholesale electric service to the City of Ashland (the City) by transferring power over Pacific Power ampersand Light Company's (PP ampersand L) 115-kilovolt (kV) transmission lines and through PP ampersand L's Ashland and Oak Knoll Substations. The City distributes power over a 12.5-kV system which is heavily loaded during winter peak periods and which has reached the limit of its ability to serve peak loads in a reliable manner. Peak loads under normal winter conditions have exceeded the ratings of the transformers at both the Ashland and Oak Knoll Substations. In 1989, the City modified its distribution system at the request of PP ampersand L to allow transfer of three megawatts (MW's) of electric power from the overloaded Ashland Substation to the Oak Knoll Substation. In cooperation with PP ampersand L, BPA installed a temporary 6-8 megavolt-amp (MVA) 115-12.5-kV transformer for this purpose. This additional transformer, however, is only a temporary remedy. BPA needs to provide additional, reliable long-term service to the Ashland area through additional transformation in order to keep similar power failures from occurring during upcoming winters in the Ashland area. The temporary installation of another 20-MVA mobile transformer at the Ashland Substation and additional load curtailment are currently being studied to provide for sustained electrical service by the peak winter period 1992. Two overall electrical plans-of-service are described and evaluated in this report. One of them is proposed for action. Within that proposed plan-of-service are location options for the substation. Note that descriptions of actions that may be taken by the City of Ashland are based on information provided by them

Developing an Implementation Guideline to International Standard School for Schools under Secondary Educational Service Area Office 25

Directory of Open Access Journals (Sweden)

Worawut Poltree

2017-09-01

Full Text Available The objectives of developing an implementation guideline to international standard school for schools under secondary educational service area office 25 were ; 1 to study present and problem an implementation guideline to international standard school for schools under secondary educational service area office 25 and 2 to develop an implementation guideline to international standard school for schools under secondary educational service area office 25. There were 68 samples ; administrators, deputy administrators, head of quality management systems, and academic teachers by purposive sampling. The tools used to collect the data were the five level scale questionnaire and structured interviews. Data were analyzed using mean, standard deviation, and descriptive analysis. The researcher set the research by 2 phase. The first phase educated present and problem an implementation guideline to international standard school for schools under secondary educational service area office 25. The research was assessed feasibility of developing an implementation guideline to international standard school for schools under secondary educational service area office 25 by 5 experts. The research results were: 1. The present and problem an implementation guideline to international standard school for schools under secondary educational service area office 25 found that the overall present were at the high level and each one was at the high level. The overall problem were at the low and each one was at the moderate 2 aspects ; The leadership and the focus on personnel. Then it was at the low level. 2. Developing an implementation guideline to international standard school for schools under secondary educational service area office 25 found that 1 the leadership had set with the vision, values, performance of the school’s senior leadership, including good governance of the school, implementation of the ethics law, and responsibility for the community, 2 strategic

Area health education centers and health science library services.

Science.gov (United States)

West, R T; Howard, F H

1977-07-01

A study to determine the impact that the Area Health Education Center type of programs may have on health science libraries was conducted by the Extramural Programs, National Library of Medicine, in conjunction with a contract awarded by the Bureau of Health Manpower, Health Resources Administration, to develop an inventory of the AHEC type of projects in the United States. Specific study tasks included a review of these programs as they relate to library and information activities, on-site surveys on the programs to define their needs for library services and information, and a categorization of library activities. A major finding was that health science libraries and information services are generally not included in AHEC program planning and development, although information and information exchange is a fundamental part of the AHEC type of programs. This study suggests that library inadequacies are basically the result of this planning failure and of a lack of financial resources; however, many other factors may be contributory. The design and value of library activities for these programs needs explication.

Utility of Big Area Additive Manufacturing (BAAM) For The Rapid Manufacture of Customized Electric Vehicles

Energy Technology Data Exchange (ETDEWEB)

Love, Lonnie J [ORNL

2015-08-01

This Oak Ridge National Laboratory (ORNL) Manufacturing Development Facility (MDF) technical collaboration project was conducted in two phases as a CRADA with Local Motors Inc. Phase 1 was previously reported as Advanced Manufacturing of Complex Cyber Mechanical Devices through Community Engagement and Micro-manufacturing and demonstrated the integration of components onto a prototype body part for a vehicle. Phase 2 was reported as Utility of Big Area Additive Manufacturing (BAAM) for the Rapid Manufacture of Customized Electric Vehicles and demonstrated the high profile live printing of an all-electric vehicle using ONRL s Big Area Additive Manufacturing (BAAM) technology. This demonstration generated considerable national attention and successfully demonstrated the capabilities of the BAAM system as developed by ORNL and Cincinnati, Inc. and the feasibility of additive manufacturing of a full scale electric vehicle as envisioned by the CRADA partner Local Motors, Inc.

Characterizing the influence of transportation infrastructure on Emergency Medical Services (EMS in urban area-A case study of Seoul, South Korea.

Directory of Open Access Journals (Sweden)

Jungwoo Cho

Full Text Available In highly urbanized area where traffic condition fluctuates constantly, transportation infrastructure is one of the major contributing factors to Emergency Medical Service (EMS availability and patient outcome. In this paper, we assess the impact of traffic fluctuation to the EMS first response availability in urban area, by evaluating the k-minute coverage under 21 traffic scenarios. The set of traffic scenarios represents the time-of-day and day-of-week effects, and is generated by combining road link speed information from multiple historical speed databases. In addition to the k-minute area coverage calculation, the k-minute population coverage is also evaluated for every 100m by 100m grid that partitions the case study area of Seoul, South Korea. In the baseline case of traveling at the speed limit, both the area and population coverage reached nearly 100% when compared to the five-minute travel time national target. Employing the proposed LoST (Loss of Serviceability due to Traffic index, which measures coverage reduction in percentage compared to the baseline case, we find that the citywide average LoST for area and population coverage are similar at 34.2% and 33.8%. However, district-wise analysis reveals that such reduction varies significantly by district, and the magnitude of area and population coverage reduction is not always proportional. We conclude that the effect of traffic variation is significant to successful urban EMS first response performance, and regional variation is evident among local districts. Complexity in the urban environment requires a more adaptive approach in public health resource management and EMS performance target determination.

Health services - needs of the elderly in two black urban areas of the ...

African Journals Online (AJOL)

1991-04-20

Apr 20, 1991 ... ledge of health and other services by black elderly persons in two townships in the Cape ... people live) and open areas were not included in the sampling plan. .... Khayelitsha are generally less well iriformed on these matters.

Trends in marketing library services in urban areas: A case study of ...

African Journals Online (AJOL)

This article presents the findings of a study that was undertaken in Kampala City, Uganda, in nine libraries belonging to the private sector, government, academic and diplomatic- related institutions. The aim of the study was to establish trends in marketing library services in urban areas with a view to identify marketing ...

Service provider perceptions of telerehabilitation as an additional service delivery option within an Australian neurosurgical and orthopaedic physiotherapy screening clinic: A qualitative study.

Science.gov (United States)

Cottrell, Michelle A; Hill, Anne J; O'Leary, Shaun P; Raymer, Maree E; Russell, Trevor G

2017-12-01

The Neurosurgical & Orthopaedic Physiotherapy Screening Clinic and Multidisciplinary Service (N/OPSC&MDS) originated as a complementary, non-surgical pathway for patients referred to public neurosurgical and orthopaedic specialist services. Patient access to the N/OPSC&MDS could potentially be improved with the implementation of telerehabilitation as an additional method of service delivery. To evaluate service provider's views on (1) current barriers to patients' accessing N/OPSC & MD services, and (2) the implementation of telerehabilitation within the N/OPSC&MDS. Qualitative descriptive study design. Healthcare providers (n = 26) were recruited from six N/OPSC&MD services located throughout Queensland, Australia. Semi-structured interviews were conducted to explore service providers' views with respect to existing barriers to patients accessing the N/OPSC&MDS, and if telerehabilitation could be feasibly adopted to address current barriers. Template analysis resulted in six themes: (1) barriers to some patients' accessing current N/OPSC&MD services are complex & multifaceted; (2) telerehabilitation could improve patient access to appropriate management for their musculoskeletal condition; (3) telerehabilitation may have limitations when compared to face-to-face healthcare; (4) the delivery of telerehabilitation needs to be flexible; (5) perceived barriers, and (6) facilitators to the successful implementation of telerehabilitation within the N/OPSC&MDS. This study represents a critical step in determining the readiness of service providers for the implementation of telerehabilitation within the N/OPSC&MDS. Although cautious, service providers are overall accepting of the implementation of telerehabilitation, acknowledging that it could eliminate several current barriers, subsequently achieving more equitable access to the service. Crown Copyright © 2017. Published by Elsevier Ltd. All rights reserved.

Marketing plan for establishment of a sport shop with sport accesories sale and additional services

OpenAIRE

Trakalová, Aneta

2011-01-01

Purpose of bachelor study is marketing plan for establishment of a sport shop with sport accesories sale and additional services. Suggested marketing process will respect supply and competition analysis and individual target groups trends of prospective customers. Lay-out of target market is oriented on marketing strategy and financial plan forming.

Reform in the dental services area in Romania – objective necessity or second option

Directory of Open Access Journals (Sweden)

Cristian UŢĂ

2011-09-01

Full Text Available The article herein deals with a topic of current interest, not only because the latest economic and social phenomena within the context of globalized crisis in the world, but also from the perspective of the evolution and specific processes in the medical area in Romania. The writer accomplishes a journey into the various medical systems in national economies, by analyzing the features of each type of system and the opportunity for a ‘capitalist’ vision related to the healthcare services in general. The dental medical services share a series of characteristics that help them be better defined from the point of view of provider-customer relation. Thus, it becomes evident that, for Romania, the process initiated in 2006 meaning liberalization of practicing the dental doctor profession represents a natural way of developing the market specific to such services. From this perspective, this issue targets the mentalities level only – to impose quality standards on the market and to witness the offer-demand balance, both deriving from the specific nature itself of the dental services. The involvement of the authorities at Health Department into developing a health insurance policy in the dental field and the support of the private initiative in the underserved areas are the main targets of the ‘reform’.

Hydrologic performance of bioretention in an expressway service area.

Science.gov (United States)

Gao, Jianping; Pan, Junkui; Hu, Ning; Xie, Chengzuo

2018-04-01

Bioretention can be an effective measure for stormwater treatment. However, there is a lack of systematic analysis of the impact of bioretention design parameters on hydrologic performance. Herein, SWMM and RECARGA models were applied to generate the typical annual rainfall runoff and simulate the water balance of the bioretention system in an expressway service area. The purpose of the investigation was to identify key design parameters for the bioretention system and delineate the priorities in developing the design. Results showed that the average groundwater recharge ratios for bioretention basins with and without an underdrain were 58.29% and 92.27%, respectively, the average overflow ratios were 4.13% and 4.19%, the average evapotranspiration ratios were 4.48% and 4.47%, and the average outflow ratio for bioretention with an underdrain was 33.94%. The ratio of the bioretention area to drainage area, and the saturated infiltration rates of planting soil and native soil were the main factors influencing water balance, while the underdrain diameter and gravel layer depth exerted little effect. Based on the impact analysis, multivariate nonlinear regression models of runoff reduction rate for two types of bioretention basin were established, which both exhibited high determination coefficients and acceptable Nash-Sutcliffe coefficients.

Process Modeling and Validation for Metal Big Area Additive Manufacturing

Energy Technology Data Exchange (ETDEWEB)

Simunovic, Srdjan [ORNL; Nycz, Andrzej [ORNL; Noakes, Mark W. [ORNL; Chin, Charlie [Dassault Systemes; Oancea, Victor [Dassault Systemes

2017-05-01

Metal Big Area Additive Manufacturing (mBAAM) is a new additive manufacturing (AM) technology based on the metal arc welding. A continuously fed metal wire is melted by an electric arc that forms between the wire and the substrate, and deposited in the form of a bead of molten metal along the predetermined path. Objects are manufactured one layer at a time starting from the base plate. The final properties of the manufactured object are dependent on its geometry and the metal deposition path, in addition to depending on the basic welding process parameters. Computational modeling can be used to accelerate the development of the mBAAM technology as well as a design and optimization tool for the actual manufacturing process. We have developed a finite element method simulation framework for mBAAM using the new features of software ABAQUS. The computational simulation of material deposition with heat transfer is performed first, followed by the structural analysis based on the temperature history for predicting the final deformation and stress state. In this formulation, we assume that two physics phenomena are coupled in only one direction, i.e. the temperatures are driving the deformation and internal stresses, but their feedback on the temperatures is negligible. The experiment instrumentation (measurement types, sensor types, sensor locations, sensor placements, measurement intervals) and the measurements are presented. The temperatures and distortions from the simulations show good correlation with experimental measurements. Ongoing modeling work is also briefly discussed.

Designing financial-incentive programmes for return of medical service in underserved areas: seven management functions

Directory of Open Access Journals (Sweden)

Bärnighausen Till

2009-06-01

Full Text Available Abstract In many countries worldwide, health worker shortages are one of the main constraints in achieving population health goals. Financial-incentive programmes for return of service, whereby participants receive payments in return for a commitment to practise for a period of time in a medically underserved area, can alleviate local and regional health worker shortages through a number of mechanisms. First, they can redirect the flow of those health workers who would have been educated without financial incentives from well-served to underserved areas. Second, they can add health workers to the pool of workers who would have been educated without financial incentives and place them in underserved areas. Third, financial-incentive programmes may improve the retention in underserved areas of those health workers who participate in a programme, but who would have worked in an underserved area without any financial incentives. Fourth, the programmes may increase the retention of all health workers in underserved areas by reducing the strength of some of the reasons why health workers leave such areas, including social isolation, lack of contact with colleagues, lack of support from medical specialists and heavy workload. We draw on studies of financial-incentive programmes and other initiatives with similar objectives to discuss seven management functions that are essential for the long-term success of financial-incentive programmes: financing (programmes may benefit from innovative donor financing schemes, such as endowment funds, international financing facilities or compensation payments; promotion (programmes should use tested communication channels in order to reach secondary school graduates and health workers; selection (programmes may use selection criteria to ensure programme success and to achieve supplementary policy goals; placement (programmes should match participants to areas in order to maximize participant satisfaction and

Designing financial-incentive programmes for return of medical service in underserved areas: seven management functions.

Science.gov (United States)

Bärnighausen, Till; Bloom, David E

2009-06-26

In many countries worldwide, health worker shortages are one of the main constraints in achieving population health goals. Financial-incentive programmes for return of service, whereby participants receive payments in return for a commitment to practise for a period of time in a medically underserved area, can alleviate local and regional health worker shortages through a number of mechanisms. First, they can redirect the flow of those health workers who would have been educated without financial incentives from well-served to underserved areas. Second, they can add health workers to the pool of workers who would have been educated without financial incentives and place them in underserved areas. Third, financial-incentive programmes may improve the retention in underserved areas of those health workers who participate in a programme, but who would have worked in an underserved area without any financial incentives. Fourth, the programmes may increase the retention of all health workers in underserved areas by reducing the strength of some of the reasons why health workers leave such areas, including social isolation, lack of contact with colleagues, lack of support from medical specialists and heavy workload. We draw on studies of financial-incentive programmes and other initiatives with similar objectives to discuss seven management functions that are essential for the long-term success of financial-incentive programmes: financing (programmes may benefit from innovative donor financing schemes, such as endowment funds, international financing facilities or compensation payments); promotion (programmes should use tested communication channels in order to reach secondary school graduates and health workers); selection (programmes may use selection criteria to ensure programme success and to achieve supplementary policy goals); placement (programmes should match participants to areas in order to maximize participant satisfaction and retention); support (programmes

How do migratory species add ecosystem service value to wilderness? Calculating the spatial subsidies provided by protected areas

Science.gov (United States)

Lopez-Hoffman, Laura; Semmens, Darius J.; Diffendorfer, Jay

2013-01-01

Species that migrate through protected and wilderness areas and utilize their resources, deliver ecosystem services to people in faraway locations. The mismatch between the areas that most support a species and those areas where the species provides most benefits to society can lead to underestimation of the true value of protected areas such as wilderness. We present a method to communicate the “off-site” value of wilderness and protected areas in providing habitat to migratory species that, in turn, provide benefits to people in distant locations. Using northern pintail ducks (Anas acuta) as an example, the article provides a method to estimate the amount of subsidy – the value of the ecosystem services provided by a migratory species in one area versus the cost to support the species and its habitat elsewhere.

Leaching Functions from the Outer Metropolitan Zones (Trade, Services - Increasing Peripherality of Small Towns and Rural Areas

Directory of Open Access Journals (Sweden)

Krystian Heffner

2015-01-01

Full Text Available Intensive spatial processes taking place around metropolitan areas leads to many economic, structural and social changes in their surroundings. The small towns and rural areas located in the outer zone of metropolitan areas are most affected by this functional changes. In the outer zone of a big urban canters appears a lot of new competing possibilities on the labor market and a comprehensive commercial, service and cultural offer to smaller centres. One of the most competitive advantage of the metropolitan zones becomes modern shopping centres being established in the most accessible places, providing a comprehensive shopping-services and even cultural-recreational offer.

A PROGRAM OF ADULT EDUCATION FOR THE MARSHALL COUNTY HIGH SCHOOL SERVICE AREA, LEWISBURG, TENNESSEE.

Science.gov (United States)

BARNES, JOHN O., JR.

THE NEED FOR AN ADULT EDUCATION PROGRAM IN THE MARSHALL COUNTY (TENNESSEE) HIGH SCHOOL SERVICE AREA WAS STUDIED THROUGH QUESTIONNAIRES COMPLETED BY 207 ADULTS, EXAMINATION OF SCHOOL AND GOVERNMENT RECORDS, AND PERSONAL INTERVIEWS. IT WAS FOUND THAT OVER HALF OF THE AREA RESIDENTS WERE NOT HIGH SCHOOL GRADUATES, AND THAT MANY ADULTS DESIRED MORE…

Assessing the Local Need for Family and Child Care Services: A Small Area Utilization Analysis.

Science.gov (United States)

Percy, Andrew; Carr-Hill, Roy; Dixon, Paul; Jamison, James Q.

2000-01-01

Describes study of administrative data from Northern Ireland on the costs of family and child care services, using small area utilization modeling, to derive a new set of needs indicators that could be used within the family and child care capitation funding formula. Argues that small area utilization modeling produces a fairer and more equitable…

Impact of service provision platforms on maternal and newborn health in conflict areas and their acceptability in Pakistan: a systematic review.

Science.gov (United States)

Lassi, Zohra S; Aftab, Wafa; Ariff, Shabina; Kumar, Rohail; Hussain, Imtiaz; Musavi, Nabiha B; Memon, Zahid; Soofi, Sajid B; Bhutta, Zulfiqar A

2015-01-01

Various models and strategies have been implemented over the years in different parts of the world to improve maternal and newborn health (MNH) in conflict affected areas. These strategies are based on specific needs and acceptability of local communities. This paper has undertaken a systematic review of global and local (Pakistan) information from conflict areas on platforms of health service provision in the last 10 years and information on acceptability from local stakeholders on effective models of service delivery; and drafted key recommendations for improving coverage of health services in conflict affected areas. The literature search revealed ten studies that described MNH service delivery platforms. The results from the systematic review showed that with utilisation of community outreach services, the greatest impacts were observed in skilled birth attendance and antenatal consultation rates. Facility level services, on the other hand, showed that labour room services for an internally displaced population (IDP) improved antenatal care coverage, contraceptive prevalence rate and maternal mortality. Consultative meetings and discussions conducted in Quetta and Peshawar (capitals of conflict affected provinces) with relevant stakeholders revealed that no systematic models of MNH service delivery, especially tailored for conflict areas, are available. During conflict, even previously available services and infrastructure suffered due to various barriers specific to times of conflict and unrest. A number of barriers that hinder MNH services were discussed. Suggestions for improving MNH services in conflict areas were also laid down by participants. The review identified some important steps that can be undertaken to mitigate the effects of conflict on MNH services, which include: improve provision and access to infrastructure and equipment; development and training of healthcare providers; and advocacy at different levels for free access to healthcare

V-shaped resonators for addition of broad-area laser diode arrays

Science.gov (United States)

Liu, Bo; Liu, Yun; Braiman, Yehuda Y.

2012-12-25

A system and method for addition of broad-area semiconductor laser diode arrays are described. The system can include an array of laser diodes, a V-shaped external cavity, and grating systems to provide feedback for phase-locking of the laser diode array. A V-shaped mirror used to couple the laser diode emissions along two optical paths can be a V-shaped prism mirror, a V-shaped stepped mirror or include multiple V-shaped micro-mirrors. The V-shaped external cavity can be a ring cavity. The system can include an external injection laser to further improve coherence and phase-locking.

Provision of oncology services in remote rural areas: a Scottish perspective.

Science.gov (United States)

Smith, S M; Campbell, N C

2004-05-01

There is a paucity of research into rural health care services. In particular little is known about the provision of specialist cancer services for patients who live in remote rural areas of the UK. This study set out to investigate current models of medical and clinical oncology care in Scotland. A national survey with key health professionals was conducted to identify rural oncology schemes currently in operation. Detailed quantitative data about the schemes together with qualitative data on how health professionals view current models of care were collected by a computer-assisted telephone survey. Schemes that currently provide outpatient and chemotherapy oncology services for remote rural patients fell into three categories: central clinics (5); shared care outreach clinics with chemotherapy provision (11); and shared care outreach clinics without chemotherapy provision (7). All radiotherapy was conducted at central clinics (5). Widely varying practices in delivery of cancer care were found across the country. The main issues for professionals about current models of care involved expertise, travelling and accessibility (for patients), communication and expansion of the rural service. Nation-wide consistency in cancer care has still to be achieved. Travelling for treatment was seen to take its toll on all patients but particularly for the very remote, elderly and poor. Most professionals believe that an expansion of rural services would be of benefit to these patients. It is clear, however, that the proper infrastructure needs to be in place in terms of local expertise, ensured quality of care, and good communication links with cancer centres before this could happen.

Ante natal care services utilization, delivery practices and factors affecting them in tribal area of North Maharashtra

Directory of Open Access Journals (Sweden)

Sachin S Mumbare

2011-01-01

Full Text Available Background: Utilization of Ante natal care (ANC services is poor in the tribal areas, causing increased maternal morbidity and mortality. Objective: This study was carried out to find out ANC services utilization, delivery practices and factors affecting them in a tribal area of North Maharashtra in Nashik district. Design: Cross-sectional study. Materials and Methods: The study was carried out in two tribal blocks of Nashik district. Cluster sampling technique was used. 210 mothers in the selected clusters, who had delivered within last 1 year, were interviewed. Information about the ANC services utilization and place of delivery was recorded. Relevant socio-demographic data were also collected. Results: Adequate ANC services utilization was found to be 64.76%. Home deliveries were 34.29% and home deliveries conducted by untrained persons were 15.24%. Conclusion: The utilization of ANC services and deliveries at health centers were significantly associated with education of the women and their spouses, and the socioeconomic status of the family. Main reasons for inadequate utilization of ANC services were financial, unawareness about ANC services, etc. Place of delivery was associated with the type of the family. Traditional practices were the most common reason for conducting the deliveries at home.

Catchment areas for public transport

DEFF Research Database (Denmark)

Andersen, Jonas Lohmann Elkjær; Landex, Alex

2008-01-01

In the planning of public transport catchment areas of stops are often included to estimate potential number of travellers. There are different approaches to GIS-based catchment area analyses depending on the desired level of detail. The Circular Buffer approach is the fundamental, but also....../from stations. The article also shows how the refinement of the Service Area approach with additional time resistance results in smaller catchment areas when the feeder routes cross stairs. It is concluded that GIS-based catchment area analyses are a multiple decision support tool for planning of public...... transport where the level of detail can be suited to the purpose....

Traveler information services in rural tourism areas : appendix B, qualitative interviews and focus groups

Science.gov (United States)

2000-06-30

This report documents results from surveys which were conducted for qualitatively assessing the use of traveler information services in rural areas. The focus of the surveys was to identify those factors which influence travel planning and thus impro...

A study on the relationship between carbon budget and ecosystem service in urban areas according to urbanization

Science.gov (United States)

Lee, S. J.; Lee, W. K.

2017-12-01

The study on the analysis of carbon storage capacity of urban green spaces with increasing urban forest. Modern cities have experienced rapid economic development since Industrial Revolution in the 18th century. The rapid economic growth caused an exponential concentration of population to the cities and decrease of green spaces due to the conversion of forest and agricultural lands to build-up areas with rapid urbanization. As green areas including forests, grasslands, and wetlands provide diverse economic, environmental, and cultural benefits, the decrease of green areas might be a huge loss. Also, the process of urbanization caused pressure on the urban environment more than its natural capacity, which accelerates global climate change. This study tries to see the relations between carbon budget and ecosystem services according to the urbanization. For calculating carbon dynamics, this study used VISIT(Vegetation Integrated Simulator for trace gases) model. And the value that ecosystem provides is explained with the concept of ecosystem service and calculated by InVEST model. Study sites are urban and peri-urban areas in Northeast Asia. From the result of the study, the effect of the urbanization can be understood in regard to carbon storage and ecosystem services.

Economic value of ecosystem services in Protected Landscape Areas n the Czech Republic

Czech Academy of Sciences Publication Activity Database

Daněk, Jan; Vačkář, David; Lorencová, Eliška

2017-01-01

Roč. 10, 1-2 (2017), s. 99-112 ISSN 1803-2451 R&D Projects: GA MŠk(CZ) LO1415 Institutional support: RVO:67179843 Keywords : ecosystem services * economic valuation * Protected Landscape Areas * forest ecosystems Subject RIV: EH - Ecology, Behaviour OBOR OECD: Environmental sciences (social aspects to be 5.7)

Developing the Conflicts Management Model for School Administrators of Secondary School under the Office of Secondary Educational Service Area 20

Directory of Open Access Journals (Sweden)

Pornpan Ruangrit

2017-09-01

Full Text Available This study aimed to 1 investigate the cause of conflict which in the secondary schools under the Secondary School under the Office of Secondary Educational Service Area 20, 2 study the conflict management method which administrators applied in Secondary School under the Office of Secondary Educational Service Area 20, and 3 develop conflict management model for Secondary School under the Office of Secondary Educational Service Area 20. The participants were 115 school administrators (44 school directors and 71 deputy directors which were selected by random sampling technique. The research instruments included a questionnaire, which reliability value was 0.97, and an interview schedule that were administered to the respondents. The data were analyzed by frequency, percentage, mean, and standard deviation. The result of the study showed that: 1. the causes of conflict in Secondary School under the Office of Secondary Educational Service Area 20 in overall was at the high level with the mean of 4.21, the internal conflict was at the high level with the mean of 4.22, and the external conflict was at the high level with the mean of 4.19. 2. Overall, conflict management method used by administrators in Secondary School under the Office of Secondary Educational Service Area 20was at a high level. Considering each aspect, the compromising method was the highest level at 4.48. 3. Developing conflict management model in Secondary School under the Office of Secondary Educational Service Area 20 were the collaboration and making understand method. These should be used for conflict management to achieve the success and to reach the standard which including responsibility, accountability, equality, teamwork, and communication competence.

Will available bit rate (ABR) services give us the capability to offer virtual LANs over wide-area ATM networks?

Science.gov (United States)

Ferrandiz, Ana; Scallan, Gavin

1995-10-01

The available bit rate (ABR) service allows connections to exceed their negotiated data rates during the life of the connections when excess capacity is available in the network. These connections are subject to flow control from the network in the event of network congestion. The ability to dynamically adjust the data rate of the connection can provide improved utilization of the network and be a valuable service to end users. ABR type service is therefore appropriate for the transmission of bursty LAN traffic over a wide area network in a manner that is more efficient and cost effective than allocating bandwdith at the peak cell rate. This paper describes the ABR service and discusses if it is realistic to operate a LAN like service over a wide area using ABR.

Areas control of a nuclear medicine service; Controle de áreas de um serviço de medicina nuclear

Energy Technology Data Exchange (ETDEWEB)

Silva, Islane C.S.; Silva, Iasmim M.S.; Júnior, Cláudio L.R.; Silva, Isvânia S.; Gonzalez, Kethyllém M.; Melo, Francisca A. [Universidade Federal de Pernambuco (UFPE), Recife, PE (Brazil). Dept. de Energia Nuclear; Vieira, Wilson J.; Lopes Filho, Ferdinand de J. [Instituto Federal de Educação, Ciência e Tecnologia de Pernambuco (IFPE), Recife, PE (Brazil); Lima, Fernando R.A. [Centro Regional de Ciências Nucleares do Nordeste (CRCN-NE/CNEN), Recife, PE (Brazil)

2017-07-01

The measurement of the exposure rate of the sectors of a nuclear medicine service (NMS), with the purpose of establishing safety to the service workers and the public, classifying the areas according to the monitoring is presented. Following the studies on the classifications of the areas of a Nuclear Medicine service provided by the category regulatory standard, 3.05 CNEN-NN, measures were taken in all sectors of the NMS in order to classify the areas in: Free, controlled and supervised according to with the exposure level. As a measurement instrument, a Geiger-Muller counter of the digital type was used. The results obtained show a correlation with the Brazilian norm satisfactorily, referring to the exposure rate of the studied SMN sectors.

26 CFR 1.132-2 - No-additional-cost services.

Science.gov (United States)

2010-04-01

... traveling on a space-available basis are merely incidental to the primary service being provided (i.e., air transportation). Similarly, maid service provided to hotel employees renting hotel rooms on a space-available.... Assume that a commercial airline permits its employees to take personal flights on the airline at no...

Utilization of health care services in rural and urban areas: a determinant factor in planning and managing health care delivery systems.

Science.gov (United States)

Oladipo, Jimoh Ayanda

2014-06-01

Disparities in use of healthcare services between rural and urban areas have been empirically attributed to several factors. This study explores the existence of this disparity and its implication for planning and managing healthcare delivery systems. The objectives determine the relative importance of the various predisposing, enabling, need and health services factors on utilization of health services; similarity between rural and urban areas; and major explanatory variables for utilization. A four-stage model of service utilization was constructed with 31 variables under appropriate model components. Data is collected using cross-sectional sample survey of 1086 potential health services consumers in selected health facilities and resident milieu via questionnaire. Data is analyzed using factor analysis and cross tabulation. The 4-stage model is validated for the aggregate data and data for the rural areas with 3-stage model for urban areas. The order of importance of the factors is need, enabling, predisposing and health services. 11 variables are found to be powerful predictors of utilization. Planning of different categories of health care facilities in different locations should be based on utilization rates while proper management of established facilities should aim to improve health seeking behavior of people.

Influence of Waste Glass Powder Addition on the Pore Structure and Service Properties of Cement Mortars

Directory of Open Access Journals (Sweden)

José Marcos Ortega

2018-03-01

Full Text Available At present, reusing waste constitutes an important challenge in order to reach a more sustainable environment. The cement industry is an important pollutant industrial sector. Therefore, the reduction of its CO2 emissions is now a popular topic of study. One way to lessen those emissions is partially replacing clinker with other materials. In this regard, the reuse of waste glass powder as a clinker replacement could be possible. This is a non-biodegradable residue that permanently occupies a large amount of space in dumping sites. The aim of this work is to study the long-term effects (400 days of the addition of waste glass powder on the microstructure and service properties of mortars that incorporate up to 20% of this addition as clinker replacement. The microstructure has been characterised using the non-destructive impedance spectroscopy technique and mercury intrusion porosimetry. Furthermore, differential thermal analysis was also performed. Compressive strength and both steady-state and non-steady-state chloride diffusion coefficients have also been determined. Considering the obtained results, mortars with 10% and 20% waste glass powder showed good service properties until 400 days, similar to or even better than those made with ordinary Portland cement without additions, with the added value of contributing to sustainability.

77 FR 23114 - Modification, Revocation and Establishment of Air Traffic Service Routes; Windsor Locks Area; CT

Science.gov (United States)

2012-04-18

... Traffic Service Routes; Windsor Locks Area; CT AGENCY: Federal Aviation Administration (FAA), DOT. ACTION... coordinate for one point in the description of area navigation (RNAV) route T-300. DATES: Effective date 0901... action under 1 CFR part 51, subject to the annual revision of FAA Order 7400.9 and publication of...

Electrical safety in health care area

International Nuclear Information System (INIS)

Amer, G.M.

2011-01-01

An electrical safety in health care area is necessary to protect patients and staff from potential electrical hazards.Functional, accurate and safe clinical equipment is an essential requirement in the provision of health services. Well-maintained equipment will give clinicians greater confidence in the reliability of its performance and contribute to a high standard of client care. Clinical equipment, like all health services, requires annual or periodic servicing of medical equipment. In addition to planned servicing and preventative maintenance, there may be the unexpected failure of medical (and other) equipment, necessitating repair. In general, clinical equipment that has an electrical power source and has direct contact with the client must be serviced as a first priority. In this presentation, a review of the main concepts related to the electrical safety in health area,theinternational standard, the distribution of electric power in hospital and protection against shockwill be introduced. Protection system in hospital will be presented in its two ways: inpower distribution in hospitaland inbiomedical equipment design,finally the optimum maintenance technology and safety tests in health care areawill presented also.

[Multi-scenario simulation and prediction of ecosystem services as affected by urban expansion: A case study in coastal area of Tianjin, North China].

Science.gov (United States)

Huang, Huan-Chun; Yun, Ying-Xia; Miao, Zhan-Tang; Hao, Cui; Li, Hong-yuan

2013-03-01

Based on the modified Logistic-CA model, and taking the coastal area of Tianjin as a case, this paper simulated the spatial evolution patterns of ecosystem services as affected by the urban expansion in 2011-2020 under the scenarios of historical extrapolation, endogenous development, and exogenous development. Overall, the total ecosystem services of the study area under the three scenarios were generally the same, and the functional region with the lowest level ecosystem services had the identical spatial pattern. However, the spatial evolution patterns of the ecosystem services of the study area under the three scenarios had a great difference. The functional regions with lower-level ecosystem services grew in a cross-shaped pattern, with the Tanggu downtown as a center, and finally formed a full connectivity area along the Haihe River and coastal zone.

Addressing service delivery in rural areas through deployment of information and communication technology platforms

CSIR Research Space (South Africa)

Foko, Thato E

2017-05-01

Full Text Available deployment of ICT Platforms in the rural areas. The contribution of ICT Platform adds to the important notion of access which enhances service delivery. This is seen through the Technology Acceptance Models used in this paper. The main research methodology...

Web Based Rapid Mapping of Disaster Areas using Satellite Images, Web Processing Service, Web Mapping Service, Frequency Based Change Detection Algorithm and J-iView

Science.gov (United States)

Bandibas, J. C.; Takarada, S.

2013-12-01

Timely identification of areas affected by natural disasters is very important for a successful rescue and effective emergency relief efforts. This research focuses on the development of a cost effective and efficient system of identifying areas affected by natural disasters, and the efficient distribution of the information. The developed system is composed of 3 modules which are the Web Processing Service (WPS), Web Map Service (WMS) and the user interface provided by J-iView (fig. 1). WPS is an online system that provides computation, storage and data access services. In this study, the WPS module provides online access of the software implementing the developed frequency based change detection algorithm for the identification of areas affected by natural disasters. It also sends requests to WMS servers to get the remotely sensed data to be used in the computation. WMS is a standard protocol that provides a simple HTTP interface for requesting geo-registered map images from one or more geospatial databases. In this research, the WMS component provides remote access of the satellite images which are used as inputs for land cover change detection. The user interface in this system is provided by J-iView, which is an online mapping system developed at the Geological Survey of Japan (GSJ). The 3 modules are seamlessly integrated into a single package using J-iView, which could rapidly generate a map of disaster areas that is instantaneously viewable online. The developed system was tested using ASTER images covering the areas damaged by the March 11, 2011 tsunami in northeastern Japan. The developed system efficiently generated a map showing areas devastated by the tsunami. Based on the initial results of the study, the developed system proved to be a useful tool for emergency workers to quickly identify areas affected by natural disasters.

Scoping the context of programs and services for maintaining wellness of older people in rural areas of Indonesia.

Science.gov (United States)

Kadar, K S; McKenna, L; Francis, K

2014-09-01

Ageing and problems concerning the aged are an increasing and concerning reality in developing and underdeveloped countries such as Indonesia. Improving service quality is important to promote and maintain wellness of older persons, especially in rural areas. To explore programs and services offered to the elderly in a rural area of Indonesia to support them in promoting and maintaining their wellness. To describe roles and practices of health professionals and teams responsible for delivering services to older people. Action research was used with mixed method data collection (interview and survey). Results demonstrated that activities related to the elderly health programs were limited due to budget and facilities. Practices of health staff for elderly in the community focused on intervention tasks, rather than prevention. Lack of available information on the range of programs and services implemented in Indonesia for the elderly in community settings was a limitation of this study. Programs and services for older people have been implemented in Indonesia. However, these do not yet meet their needs, especially in rural areas. There is a need for greater focus on health promotion and illness prevention. Findings contribute to development of international knowledge in community health nursing, as these issues may not be only relevant to Indonesia. It is timely for governments, including in Indonesia, to evaluate health workforce needs in the community and appropriate educational qualifications for delivering optimal health services for older people. © 2014 International Council of Nurses.

Restoring ecosystem functions and services by overcoming soil threats - The case of Mt. Hekla area in Iceland

Science.gov (United States)

Thorsson, Johann; Petursdottir, Thorunn

2015-04-01

Soils are one of the main fundamental bodies of terrestrial ecosystems. Soil functions contribute substantially to the ecosystem services humans and all other living beings depend on. Current soil threats are in most cases related to anthropogenic impacts and derived environmental pressures. For instance, overexploitation has in many cases damaged ecosystem resilience, affected current equilibrium and caused severe soil degradation. The resulting dysfunctional ecosystems are incapable of providing necessary ecosystem services. In such cases ecosystem restoration is necessary to restore ecosystem functions and ecological succession. The Mt. Hekla area in Iceland is an example of land suffering from accelerated erosion amplified by anthropogenic impacts. The area is 900 km2 located in South Iceland in the vicinity of the volcano Mt. Hekla. Today over 40% of the area is classified as eroded but historical documents indicate that vast part of the area were fertile and vegetated at the time of settlement, 1100 years ago; hence was able to withstand the geological disturbances occurring prior to the arrival of man as is obvious from the pristine woody patches still remaining. Severe soil degradation followed the large-scale deforestation and overgrazing that took place within the area. The initial land degradation event is considered to have occurred in the 11th century, but has been ongoing since then in several episodes. The Þjórsá glacial river flows through the area and carries enormous amounts of sediments every year. After the deforestation, the ecosystem resilience was damaged and the land left exposed to the elements. Eventually large scale wind erosion started, followed with water erosion and increased impact of freeze-thaw processes. The Soil Conservation Service of Iceland started working in the area in the early 20th century and land reclamation operations have been ongoing until this day. Considerable successes have been made as is manifested in the fact

Quantifying causal mechanisms to determine how protected areas affect poverty through changes in ecosystem services and infrastructure

Science.gov (United States)

Ferraro, Paul J.; Hanauer, Merlin M.

2014-01-01

To develop effective environmental policies, we must understand the mechanisms through which the policies affect social and environmental outcomes. Unfortunately, empirical evidence about these mechanisms is limited, and little guidance for quantifying them exists. We develop an approach to quantifying the mechanisms through which protected areas affect poverty. We focus on three mechanisms: changes in tourism and recreational services; changes in infrastructure in the form of road networks, health clinics, and schools; and changes in regulating and provisioning ecosystem services and foregone production activities that arise from land-use restrictions. The contributions of ecotourism and other ecosystem services to poverty alleviation in the context of a real environmental program have not yet been empirically estimated. Nearly two-thirds of the poverty reduction associated with the establishment of Costa Rican protected areas is causally attributable to opportunities afforded by tourism. Although protected areas reduced deforestation and increased regrowth, these land cover changes neither reduced nor exacerbated poverty, on average. Protected areas did not, on average, affect our measures of infrastructure and thus did not contribute to poverty reduction through this mechanism. We attribute the remaining poverty reduction to unobserved dimensions of our mechanisms or to other mechanisms. Our study empirically estimates previously unidentified contributions of ecotourism and other ecosystem services to poverty alleviation in the context of a real environmental program. We demonstrate that, with existing data and appropriate empirical methods, conservation scientists and policymakers can begin to elucidate the mechanisms through which ecosystem conservation programs affect human welfare. PMID:24567397

Land use pattern, socio-economic development, and assessment of their impacts on ecosystem service value: study on natural wetlands distribution area (NWDA) in Fuzhou city, southeastern China.

Science.gov (United States)

Cai, Yuan-Bin; Zhang, Hao; Pan, Wen-Bin; Chen, Yan-Hong; Wang, Xiang-Rong

2013-06-01

This paper quantifies the allocation of ecosystem services value (ESV) associated with land use pattern and qualitatively examined impacts of land use changes and socio-economic factors on spatiotemporal variation of ESV in the Natural Wetland Distribution Area (NWDA), Fuzhou city, China. The results showed that total ESV of the study area decreased from 4,332.16 × 10(6) RMB Yuan in 1989 to 3,697.42 × 10(6) RMB Yuan in 2009, mainly due to the remarkable decreases in cropland (decreased by 55.3 %) and wetland (decreased by 74.2 %). Forest, water, and wetland played major roles in providing ecosystem services, accounting for over 90 % of the total ESV. Based on time series Landsat TM/ETM+ imagery, geographic information system, and historical data, analysis of the spatiotemporal variation of ESV from 1989 to 2009 was performed. It indicated that rapid expansion of urban areas along the Minjiang River resulted in significant changes in land use types, leading to a dramatic decline in ecosystem services. Meanwhile, because of land scarcity and unique ecosystem functions, the emergency of wetland and cropland protection in built-up area has become an urgent task of local authorities to the local government. Furthermore, there was still a significant negative correlation between ESV of cropland and wetland and the GDP. The results suggest that future planning of land use pattern should control encroachment of urban areas into cropland and wetland in addition to scientific and rational policies towards minimizing the adverse effects of urbanization.

Integrating Biodiversity and Ecosystem Services in the Post-2015 Development Agenda: Goal Structure, Target Areas and Means of Implementation

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Paul L. Lucas

2013-12-01

Full Text Available The United Nations’ discussions on defining a new set of post-2015 development goals focus on poverty eradication and sustainable development. Biodiversity and ecosystem services are essential for poverty eradication, which is also one of the foundations of the Strategic Plan for Biodiversity of the Convention on Biological Diversity (CBD. Based on an assessment of current proposals of goals and targets, and a quantitative pathway analysis to meet long term biodiversity and food security goals, this paper discusses how biodiversity and ecosystem services can be integrated into a broad set of goals and targets, and concludes with relevant target areas and means of implementation for which specific targets need to be defined. Furthermore, it responds to the call of the CBD to consider the Strategic Plan for Biodiversity and the related Aichi biodiversity targets in the post-2015 development agenda. The paper’s analysis identifies three overlapping but also supplemental ways to integrate biodiversity and ecosystem services in the post-2015 agenda: integrated goals, goals addressing earth system functioning and goals addressing environmental limits. It further concludes seven target areas to be included under the goals to address biodiversity and ecosystem services in the context of food and agriculture: access to food, demand for agricultural products, sustainable intensification, ecosystem fragmentation, protected areas, essential ecosystem services and genetic diversity. The Strategic Plan for Biodiversity provides a good basis for integrating biodiversity and ecosystem services in the post-2015 development agenda. Many Aichi targets address the proposed target areas and the means of implementation discussed, while they need to be complemented with targets that specifically address human well-being, as well as institutions and governance.

GIS-based Approaches to Catchment Area Analyses of Mass Transit

DEFF Research Database (Denmark)

Andersen, Jonas Lohmann Elkjær; Landex, Alex

2009-01-01

Catchment area analyses of stops or stations are used to investigate potential number of travelers to public transportation. These analyses are considered a strong decision tool in the planning process of mass transit especially railroads. Catchment area analyses are GIS-based buffer and overlay...... analyses with different approaches depending on the desired level of detail. A simple but straightforward approach to implement is the Circular Buffer Approach where catchment areas are circular. A more detailed approach is the Service Area Approach where catchment areas are determined by a street network...... search to simulate the actual walking distances. A refinement of the Service Area Approach is to implement additional time resistance in the network search to simulate obstacles in the walking environment. This paper reviews and compares the different GIS-based catchment area approaches, their level...

76 FR 56730 - Determination of Pest-Free Areas in Australia; Request for Comments

Science.gov (United States)

2011-09-14

... Health Inspection Service [Docket No. APHIS-2011-0088] Determination of Pest-Free Areas in Australia... additional areas as pest- free areas for Mediterranean fruit fly (Ceratitis capitata) or Queensland fruit fly... in our regulations for recognition as pest-free areas. We are making that determination, as well as...

Relationship intention and satisfaction following service recovery: The mediating role of perceptions of service recovery in the cell phone industry

Directory of Open Access Journals (Sweden)

L Kruger

2015-11-01

Full Text Available In an industry characterised by fierce competition, cell phone network providers find it increasingly difficult to retain their customers after service failure. It is therefore essential for cell phone network providers to offer effective service recovery when they attempt to restore customer satisfaction following service failure. As it has been argued that relationships between customers and service providers should be considered a key determinant of the service recovery required to restore post-recovery attitudes and behavioural intentions, the purpose of this study was to determine the relationships between South African cell phone customers’ relationship intentions, their perceptions of service recovery and their satisfaction following service recovery. Personal in-home interviews were conducted to collect data from 605 cell phone customers residing in the Johannesburg metropolitan area. In addition to the significant positive relationships found between cell phone users’ relationship intentions, perceived service recovery and satisfaction after service recovery, this study found that perceived service recovery played a mediating role in the relationship between relationship intention and satisfaction following service recovery. The study concludes that, although a direct relationship exists between relationship intention and satisfaction following service recovery, perceived service recovery plays an additional indirect complementary role in this relationship. It is recommended that, in addition to focusing their relationship efforts on customers with relationship intentions, cell phone network providers also offer positively perceived service recovery to these customers, as this would lead to greater satisfaction following service recovery.

[Socioeconomic indicators and oral health services in an underprivileged area of Brazil].

Science.gov (United States)

Palmier, Andréa Clemente; Andrade, Danielle Alves; Campos, Ana Cristina Viana; Abreu, Mauro Henrique Nogueira Guimarães; Ferreira, Efigênia Ferreira

2012-07-01

To evaluate the association between the proportion of tooth extractions, socioeconomic indicators, and the availability of oral health services in an underprivileged area of Brazil. An ecological study was carried out in 52 municipalities in the state of Minas Gerais, Brazil. The socioeconomic indicators employed were criteria for health care resources allocation, municipal human development index, Theil index, Gini coefficient, and sanitation conditions. Concerning the availability of oral health services, the following were considered: number of inhabitants, number of dental surgeons living in the city, number of dentists working in the public services, and number of municipal oral health care teams. The utilization of oral health services was evaluated using the indicators recommended by the Health Ministry's Basic Care Package (Pacto da Atencão Básica in Portuguese) and the number of procedures carried out in the primary care setting. The 17 variables assessed were grouped into factorial components, which were then analyzed in terms of their relationship with the dependent variable, tooth extractions. The following six components explained 73.5% of the overall variance: socioeconomic conditions, social inequality, Basic Care Package indicators, number of procedures carried out, ratio of dentists to inhabitants, and coverage of the Family Health Strategy. Inequalities in income distribution (P = 0.031) and coverage by the Family Health Strategy (P = 0.015) contributed significantly to explain the difference in the proportion of tooth extractions in the different municipalities under study. The dental loss observed in the region is largely explained by socioeconomic factors and aspects related to the organization of oral health services.

76 FR 1337 - Asian Longhorned Beetle; Additions to Quarantined Areas in Massachusetts and New York

Science.gov (United States)

2011-01-10

.... APHIS-2009-0014] Asian Longhorned Beetle; Additions to Quarantined Areas in Massachusetts and New York... rule. SUMMARY: We are adopting as a final rule, without change, an interim rule that amended the Asian..., MD 20737-1231; (301) 734-5705. SUPPLEMENTARY INFORMATION: Background The Asian longhorned beetle (ALB...

Development of a Web-based tool to collect and display water system customer service areas for public health action.

Science.gov (United States)

Wong, Michelle; Wolff, Craig; Collins, Natalie; Guo, Liang; Meltzer, Dan; English, Paul

2015-01-01

Significant illness is associated with biological contaminants in drinking water, but little is known about health effects from low levels of chemical contamination in drinking water. To examine these effects in epidemiological studies, the sources of drinking water of study populations need to be known. The California Environmental Health Tracking Program developed an online application that would collect data on the geographic location of public water system (PWS) customer service areas in California, which then could be linked to demographic and drinking water quality data. We deployed the Water Boundary Tool (WBT), a Web-based geospatial crowdsourcing application that can manage customer service boundary data for each PWS in California and can track changes over time. We also conducted a needs assessment for expansion to other states. The WBT was designed for water system operators, local and state regulatory agencies, and government entities. Since its public launch in 2012, the WBT has collected service area boundaries for about 2300 individual PWS, serving more than 90% of the California population. Results of the needs assessment suggest interest and utility for deploying such a tool among states lacking statewide PWS service area boundary data. Although the WBT data set is incomplete, it has already been used for a variety of applications, including fulfilling legislatively mandated reporting requirements and linking customer service areas to drinking water quality data to better understand local water quality issues. Development of this tool holds promise to assist with outbreak investigations and prevention, environmental health monitoring, and emergency preparedness and response.

[Psycho-oncology care in rural areas : Results from a cross-sectional survey on the utilisation of community-based psychosocial support services].

Science.gov (United States)

Haun, Markus W; Sklenarova, Halina; Zimmermann-Schlegel, Verena; Herzog, Wolfgang; Hartmann, Mechthild

2018-01-01

Clinically relevant distress and unmet psychosocial needs frequently occur in the course of cancer diseases. Particularly for thinly populated rural areas in Germany rates of distressed patients and uptake of community-based psycho-oncology services are unknown. Determination of a) the proportion of cancer patients with psychosocial distress and unmet needs and b) the utilisation of community-based psycho-oncology services in thinly populated rural areas. Prospective cross-sectional study of 229 cancer patients (colon, breast, prostate cancer) living in thinly populated rural areas. Indicators for clinically relevant distress and utilisation of psychosocial services were assessed by applying screening instruments. We conducted descriptive and multivariate analyses. More than one third of all cancer patients (39.3%) in thinly populated areas exhibited clinically relevant distress. However, only 15.6% of distressed patients consulted community-based psycho-oncology services. Most frequently, medical or psychological psychotherapists were contacted. Information deficits of patients and attending physicians alongside dispositional factors emerged as the main reasons for non-utilisation. This study presents first data on psycho-oncology care in rural areas in Germany stratifying the degree of urbanisation in line with the standards of the European Commission. Concerning limitations, we only accounted for structural service coverage, leaving aside other indicators for socio-spatial deprivation.

LITTER PRODUCTION AND NUTRIENT ADDITION IN ATLANTIC FOREST AREAS IN SANTA MARIA DE JETIBÁ, ES

Directory of Open Access Journals (Sweden)

Geângelo Petene Calvi

2009-09-01

Full Text Available This study was accomplished on Espíndula Farm, Santa Maria de Jetibá (ES, with the objective of evaluating the litter and nutrients deposition in areas with different succession stadiums. Two areas were selected with different vegetable coverings, defined as: (SF Secondary Forest, with about 25 ha of area, corresponding to an old area of cassava cultivation with about 50 years in process of ecological succession and where today there is a secondary forest and an Old Secondary Forest (OSF corresponding to a forest area that has just been submitted to a selective wood extraction for use of the farm itself. In each one of vegetal areas, approximately 0.1 ha was delimited and in these ten conical collectors were randomized distributed. The litter collections were accomplished monthly from November 2003 to October 2005. After drying, the material was stratified and the total contributed and the contribution of the different fractions, and the nutritious addition were evaluated. It was not verified significant differences among the total of litter deposited among the areas, being the highest production values observed in the summer, 5.70 Mg ha-1 (SF and 5.73 Mg ha-1(OSF, possibly due to the winds and rain mechanical action. The fraction of higher contribution was the foliar, corresponding to 74.62% for the SF area and 69.46% for the OSF area

Unmet needs for comprehensive services in outpatient addiction treatment.

Science.gov (United States)

Pringle, Janice L; Emptage, Nicholas P; Hubbard, Robert L

2006-04-01

Many addiction treatment patients suffer from health and psychosocial problems in addition to substance misuse at the time of their treatment entry. Outpatient treatment programs have attempted to address these problems by providing or facilitating access to comprehensive health and social services. Nevertheless, previous research have suggested high levels of unmet needs for these services in the addiction treatment population. Using data from a large study on community-based outpatient addiction treatment, this article provides additional information on levels of unmet service needs and the relationship between need and receipt of services during treatment. Our results suggest extremely high levels of unmet needs for a wide variety of health and psychosocial services. Specifically, the data suggest that unmet service needs may be far more prevalent than previous estimates and that addiction treatment populations in rural areas may be particularly disadvantaged.

High performance poly(etherketoneketone) (PEKK) composite parts fabricated using Big Area Additive Manufacturing (BAAM) processes

Energy Technology Data Exchange (ETDEWEB)

Kunc, Vlastimil [ORNL; Kishore, Vidya [ORNL; Chen, Xun [ORNL; Ajinjeru, Christine [ORNL; Duty, Chad [University of Tennessee (UTK) and Oak Ridge National Laboratory (ORNL); Hassen, Ahmed A [ORNL

2016-09-01

ORNL collaborated with Arkema Inc. to investigate poly(etherketoneketone) (PEKK) and its composites as potential feedstock material for Big Area Additive Manufacturing (BAAM) system. In this work thermal and rheological properties were investigated and characterized in order to identify suitable processing conditions and material flow behavior for BAAM process.

Women's maternity care needs and related service models in rural areas: A comprehensive systematic review of qualitative evidence.

Science.gov (United States)

Hoang, Ha; Le, Quynh; Ogden, Kathryn

2014-12-01

Understanding the needs of rural women in maternity care and service models available to them is significant for the development of effective policies and the sustainability of rural communities. Nevertheless, no systematic review of studies addressing these needs has been conducted. To synthesise the best available evidence on the experiences of women's needs in maternity care and existing service models in rural areas. Literature search of ten electronic databases, digital theses, and reference lists of relevant studies applying inclusion/exclusion criteria was conducted. Selected papers were assessed using standardised critical appraisal instruments from JBI-QARI. Data extracted from these studies were synthesised using thematic synthesis. 12 studies met the inclusion criteria. There were three main themes and several sub-themes identified. A comprehensive set of the maternity care expectations of rural women was reported in this review including safety (7), continuity of care (6) and quality of care (6), and informed choices needs (4). In addition, challenges in accessing maternity services also emerged from the literature such as access (6), risk of travelling (9) and associated cost of travel (9). Four models of maternity care examined in the literature were medically led care (5), GP-led care (4), midwifery-led care (7) and home birth (6). The systematic review demonstrates the importance of including well-conducted qualitative studies in informing the development of evidence-based policies to address women's maternity care needs and inform service models. Synthesising the findings from qualitative studies offers important insight for informing effective public health policy. Copyright © 2014 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

The Implementation of TTG Book Service Done By Community Library in Rural Area

Directory of Open Access Journals (Sweden)

Pawit Muhammad Yusup

2016-06-01

Full Text Available The problem of poverty in rural areas cannot be separated from the following aspects: poverty, lack of education facilities, low level of entrepreneurial skills, health, lack of learning facilities, population distribution, infrastructure and facilities are inadequate, access to information, and other aspects that are still limited. The Village Library and Community Library as part of the affordable infrastructure and learning facilities are, not yet available in every village. This study tried to introduce pilot models Appropriate Technology Implementation Services Book through Rural Libraries and the community library to a number of poor people in the village. The result could contribute in improving the skills of a number of rural poor in entrepreneurship-based reading. This service models can be applied in other similar villages.

Assessment of Coastal Ecosystem Services for Conservation Strategies in South Korea.

Science.gov (United States)

Chung, Min Gon; Kang, Hojeong; Choi, Sung-Uk

2015-01-01

Despite the fact that scientific and political consideration for ecosystem services has dramatically increased over the past decade, few studies have focused on marine and coastal ecosystem services for conservation strategies. We used an ecosystem services approach to assess spatial distributions of habitat risks and four ecosystem services (coastal protection, carbon storage, recreation, and aesthetic quality), and explored the tradeoffs among them in coastal areas of South Korea. Additionally, we analyzed how the social and ecological characteristics in coastal areas interact with conservation and development policies by using this approach. We found strong negative associations between the habitat risks and ecosystem services (aquaculture, carbon storage, recreation, and aesthetic quality) across the coastal counties. Our results showed that the intensity of the habitat risks and the provision of ecosystem services were significantly different between reclamation-dominated and conservation-dominated counties, except for coastal vulnerability. A generalized linear model suggested that reclamation projects were dependent on economic efficiency, whereas demographic pressures and habitat conditions influenced the designation of protected areas at a county level. The ecosystem services approach provided guidelines to achieve both sustainable development and environment conservation. By using the approach, we can select the priority areas for developments while we can minimize the degradation of biodiversity and ecosystem services. As cultural ecosystem services are evenly distributed throughout coastal areas of South Korea, decision makers may employ them to improve the conditions of coastal wetlands outside of protected areas.

Assessment of Coastal Ecosystem Services for Conservation Strategies in South Korea

Science.gov (United States)

Chung, Min Gon; Kang, Hojeong; Choi, Sung-Uk

2015-01-01

Despite the fact that scientific and political consideration for ecosystem services has dramatically increased over the past decade, few studies have focused on marine and coastal ecosystem services for conservation strategies. We used an ecosystem services approach to assess spatial distributions of habitat risks and four ecosystem services (coastal protection, carbon storage, recreation, and aesthetic quality), and explored the tradeoffs among them in coastal areas of South Korea. Additionally, we analyzed how the social and ecological characteristics in coastal areas interact with conservation and development policies by using this approach. We found strong negative associations between the habitat risks and ecosystem services (aquaculture, carbon storage, recreation, and aesthetic quality) across the coastal counties. Our results showed that the intensity of the habitat risks and the provision of ecosystem services were significantly different between reclamation-dominated and conservation-dominated counties, except for coastal vulnerability. A generalized linear model suggested that reclamation projects were dependent on economic efficiency, whereas demographic pressures and habitat conditions influenced the designation of protected areas at a county level. The ecosystem services approach provided guidelines to achieve both sustainable development and environment conservation. By using the approach, we can select the priority areas for developments while we can minimize the degradation of biodiversity and ecosystem services. As cultural ecosystem services are evenly distributed throughout coastal areas of South Korea, decision makers may employ them to improve the conditions of coastal wetlands outside of protected areas. PMID:26221950

Hybrid Terrestrial-Satellite DVB/IP Infrastructure in Overlay Constellations for Triple-Play Services Access in Rural Areas

Directory of Open Access Journals (Sweden)

E. Pallis

2010-01-01

Full Text Available This paper discusses the convergence of digital broadcasting and Internet technologies, by elaborating on the design, implementation, and performance evaluation of a hybrid terrestrial/satellite networking infrastructure, enabling triple-play services access in rural areas. At local/district level, the paper proposes the exploitation of DVB-T platforms in regenerative configurations for creating terrestrial DVB/IP backhaul between the core backbone (in urban areas and a number of intermediate communication nodes distributed within the DVB-T broadcasting footprint (in rural areas. In this way, triple play services that are available at the core backbone, are transferred via the regenerative DVB-T/IP backhaul to the entire district and can be accessed by rural users via the corresponding intermediate node. On the other hand, at regional/national level, the paper proposes the exploitation of a satellite interactive digital video broadcasting platform (DVB S2/RCS as an overlay network that interconnects the regenerative DVB-T/IP platforms, as well as individual users, and services providers, to each other. Performance of the proposed hybrid terrestrial/satellite networking environment is validated through experimental tests that were conducted under real transmission/reception conditions (for the terrestrial segment and via simulation experiments (for the satellite segment at a prototype network infrastructure.

Big Area Additive Manufacturing of High Performance Bonded NdFeB Magnets

Science.gov (United States)

Li, Ling; Tirado, Angelica; Nlebedim, I. C.; Rios, Orlando; Post, Brian; Kunc, Vlastimil; Lowden, R. R.; Lara-Curzio, Edgar; Fredette, Robert; Ormerod, John; Lograsso, Thomas A.; Paranthaman, M. Parans

2016-10-01

Additive manufacturing allows for the production of complex parts with minimum material waste, offering an effective technique for fabricating permanent magnets which frequently involve critical rare earth elements. In this report, we demonstrate a novel method - Big Area Additive Manufacturing (BAAM) - to fabricate isotropic near-net-shape NdFeB bonded magnets with magnetic and mechanical properties comparable or better than those of traditional injection molded magnets. The starting polymer magnet composite pellets consist of 65 vol% isotropic NdFeB powder and 35 vol% polyamide (Nylon-12). The density of the final BAAM magnet product reached 4.8 g/cm3, and the room temperature magnetic properties are: intrinsic coercivity Hci = 688.4 kA/m, remanence Br = 0.51 T, and energy product (BH)max = 43.49 kJ/m3 (5.47 MGOe). In addition, tensile tests performed on four dog-bone shaped specimens yielded an average ultimate tensile strength of 6.60 MPa and an average failure strain of 4.18%. Scanning electron microscopy images of the fracture surfaces indicate that the failure is primarily related to the debonding of the magnetic particles from the polymer binder. The present method significantly simplifies manufacturing of near-net-shape bonded magnets, enables efficient use of rare earth elements thus contributing towards enriching the supply of critical materials.

Human resources for health: task shifting to promote basic health service delivery among internally displaced people in ethnic health program service areas in eastern Burma/Myanmar

Directory of Open Access Journals (Sweden)

Sharon Low

2014-09-01

Full Text Available Background: Burma/Myanmar was controlled by a military regime for over 50 years. Many basic social and protection services have been neglected, specifically in the ethnic areas. Development in these areas was led by the ethnic non-state actors to ensure care and the availability of health services for the communities living in the border ethnic-controlled areas. Political changes in Burma/Myanmar have been ongoing since the end of 2010. Given the ethnic diversity of Burma/Myanmar, many challenges in ensuring health service coverage among all ethnic groups lie ahead. Methods: A case study method was used to document how existing human resources for health (HRH reach the vulnerable population in the ethnic health organizations’ (EHOs and community-based organizations’ (CBHOs service areas, and their related information on training and services delivered. Mixed methods were used. Survey data on HRH, service provision, and training were collected from clinic-in-charges in 110 clinics in 14 Karen/Kayin townships through a rapid-mapping exercise. We also reviewed 7 organizational and policy documents and conducted 10 interviews and discussions with clinic-in-charges. Findings: Despite the lack of skilled medical professionals, the EHOs and CBHOs have been serving the population along the border through task shifting to less specialized health workers. Clinics and mobile teams work in partnership, focusing on primary care with some aspects of secondary care. The rapid-mapping exercise showed that the aggregate HRH density in Karen/Kayin state is 2.8 per 1,000 population. Every mobile team has 1.8 health workers per 1,000 population, whereas each clinic has between 2.5 and 3.9 health workers per 1,000 population. By reorganizing and training the workforce with a rigorous and up-to-date curriculum, EHOs and CBHOs present a viable solution for improving health service coverage to the underserved population. Conclusion: Despite the chronic conflict in

Human resources for health: task shifting to promote basic health service delivery among internally displaced people in ethnic health program service areas in eastern Burma/Myanmar.

Science.gov (United States)

Low, Sharon; Tun, Kyaw Thura; Mhote, Naw Pue Pue; Htoo, Saw Nay; Maung, Cynthia; Kyaw, Saw Win; Shwe Oo, Saw Eh Kalu; Pocock, Nicola Suyin

2014-01-01

Burma/Myanmar was controlled by a military regime for over 50 years. Many basic social and protection services have been neglected, specifically in the ethnic areas. Development in these areas was led by the ethnic non-state actors to ensure care and the availability of health services for the communities living in the border ethnic-controlled areas. Political changes in Burma/Myanmar have been ongoing since the end of 2010. Given the ethnic diversity of Burma/Myanmar, many challenges in ensuring health service coverage among all ethnic groups lie ahead. A case study method was used to document how existing human resources for health (HRH) reach the vulnerable population in the ethnic health organizations' (EHOs) and community-based organizations' (CBHOs) service areas, and their related information on training and services delivered. Mixed methods were used. Survey data on HRH, service provision, and training were collected from clinic-in-charges in 110 clinics in 14 Karen/Kayin townships through a rapid-mapping exercise. We also reviewed 7 organizational and policy documents and conducted 10 interviews and discussions with clinic-in-charges. Despite the lack of skilled medical professionals, the EHOs and CBHOs have been serving the population along the border through task shifting to less specialized health workers. Clinics and mobile teams work in partnership, focusing on primary care with some aspects of secondary care. The rapid-mapping exercise showed that the aggregate HRH density in Karen/Kayin state is 2.8 per 1,000 population. Every mobile team has 1.8 health workers per 1,000 population, whereas each clinic has between 2.5 and 3.9 health workers per 1,000 population. By reorganizing and training the workforce with a rigorous and up-to-date curriculum, EHOs and CBHOs present a viable solution for improving health service coverage to the underserved population. Despite the chronic conflict in Burma/Myanmar, this report provides evidence of the substantive

Additions and corrections to the bibliography of geologic studies, Columbia Plateau (Columbia River Besalt) and adjacent Areas, in Idaho, 1980

International Nuclear Information System (INIS)

Strowd, W.

1980-01-01

This bibliography is an update to Idaho Bureau of Mines and Geology Open-File Report 78-6, Bibliography of Geological Studies, Columbia Plateau (Columbia River Basalt Group) and adjacent areas in Idaho (also known as Rockwell Hanford Operations' contractor report RHO-BWI-C-44). To keep the original document current, this additions and corrections report was prepared for the Basalt Waste Isolation Project of Rockwell Hanford Operations. This update is supplementary; therefore, references cited in the original document have not been included here. What is included are materials that have become available since the original publication and pertinent literature that had originally been overlooked. Accompany this updated bubliography are index maps that show locations of geologic studies and geochemical petrographic, remanent paleomagnetic, and radiometric age-dated sites within the Columbia River Basalt Group field within Idaho; also identified are archeological sites, test wells, mines, quarries, and other types of excavations. References on the index maps are keyed to the bibliography and cover the Spokane, Pullman, Hamilton, Grangeville, Elk City, Baker, Boise, and Jordan Valley Army Map Service two-degree quadrangles

Social constructions of environmental services in a rapidly densifying peri-urban area under dual governance in Durban, South Africa

Directory of Open Access Journals (Sweden)

Catherine Sutherland

2016-12-01

Full Text Available Background: Biodiversity plays a critical role in improving the quality of life and resilience of poor urban communities in Durban. Objectives: However, the rapid densification that is taking place in the ‘rural periphery’ of the city is impacting significantly on the integrity of ecosystems, which provide valuable ecosystem services. It is also changing the relations between people and the environment. Mzinyathi and eSkebheni, in the north-west of Durban, are peri-urban areas located on Ingonyama Trust land and hence they are governed by both the traditional authority and the eThekwini Municipality. The settlement pattern is changing rapidly here as middle and upper income residents move into the area, changing the way of life from being rural and ‘traditional’ to urban and ‘modern’. Method: This paper focused on the nexus of rapid urban growth, dual governance systems, biodiversity loss and cultural change in these two areas. It adopted a qualitative methodology and social constructivist approach. Data on the value of environmental services in the area was collected through interviewing the traditional authority, provincial and municipal planners and environmentalists, and household members. Results: The paper revealed that environmental services are constructed in multiple ways within a particular socio-historical and political context, that they have value to peri-urban communities, and that their function and use is changing as a result of the ‘modernisation’ of the area. The impact of the dual governance system and traditional land allocation process on environmental services is significant. This has implications for long term sustainability, for the quality of life of peri-urban residents and for planning and urban governance.

Accessibility, affordability and use of health services in an urban area in South Africa.

Science.gov (United States)

Stellenberg, Ethelwynn L

2015-03-10

Inequalities in healthcare between population groups of South Africa existed during the apartheid era and continue to exist both between and within many population groups. Accessibility and affordability of healthcare is a human right. The aim of the study was to explore and describe accessibility, affordability and the use of health services by the mixed race (coloured) population in the Western Cape, South Africa. A cross-sectional descriptive, non-experimental study with a quantitative approach was applied. A purposive convenient sample of 353 participants (0.6%) was drawn from a population of 63 004 economically-active people who lived in the residential areas as defined for the purpose of the study. All social classes were represented. The hypothesis set was that there is a positive relationship between accessibility, affordability and the use of health services. A pilot study was conducted which also supported the reliability and validity of the study. Ethics approval was obtained from the University of Stellenbosch and informed consent from respondents. A questionnaire was used to collect the data. The hypothesis was accepted. The statistical association between affordability (p = < 0.01), accessibility (p = < 0.01) and the use of health services was found to be significant using the Chi-square (χ²) test. The study has shown how affordability and accessibility may influence the use of healthcare services. Accessibility is not only the distance an individual must travel to reach the health service point but more so the utilisation of these services. Continuous Quality Management should be a priority in healthcare services, which should be user-friendly.

Creating Protected Areas on Public Lands: Is There Room for Additional Conservation?

Directory of Open Access Journals (Sweden)

Rodrigo A Arriagada

Full Text Available Most evaluations of the effectiveness of PAs have relied on indirect estimates based on comparisons between protected and unprotected areas. Such methods can be biased when protection is not randomly assigned. We add to the growing literature on the impact of PAs by answering the following research questions: What is the impact of Chilean PAs on deforestation which occurred between 1986 and 2011? How do estimates of the impact of PAs vary when using only public land as control units? We show that the characteristics of the areas in which protected and unprotected lands are located differ significantly. To satisfactorily estimate the effects of PAs, we use matching methods to define adequate control groups, but not as in previous research. We construct control groups using separately non-protected private areas and non-protected public lands. We find that PAs avoid deforestation when using unprotected private lands as valid controls, however results show no impact when the control group is based only on unprotected public land. Different land management regimes, and higher levels of enforcement inside public lands may reduce the opportunity to add additional conservation benefits when the national systems for PAs are based on the protection of previously unprotected public lands. Given that not all PAs are established to avoid deforestation, results also admit the potential for future studies to include other outcomes including forest degradation (not just deforestation, biodiversity, wildlife, primary forests (not forests in general, among others.

Creating Protected Areas on Public Lands: Is There Room for Additional Conservation?

Science.gov (United States)

Arriagada, Rodrigo A; Echeverria, Cristian M; Moya, Danisa E

2016-01-01

Most evaluations of the effectiveness of PAs have relied on indirect estimates based on comparisons between protected and unprotected areas. Such methods can be biased when protection is not randomly assigned. We add to the growing literature on the impact of PAs by answering the following research questions: What is the impact of Chilean PAs on deforestation which occurred between 1986 and 2011? How do estimates of the impact of PAs vary when using only public land as control units? We show that the characteristics of the areas in which protected and unprotected lands are located differ significantly. To satisfactorily estimate the effects of PAs, we use matching methods to define adequate control groups, but not as in previous research. We construct control groups using separately non-protected private areas and non-protected public lands. We find that PAs avoid deforestation when using unprotected private lands as valid controls, however results show no impact when the control group is based only on unprotected public land. Different land management regimes, and higher levels of enforcement inside public lands may reduce the opportunity to add additional conservation benefits when the national systems for PAs are based on the protection of previously unprotected public lands. Given that not all PAs are established to avoid deforestation, results also admit the potential for future studies to include other outcomes including forest degradation (not just deforestation), biodiversity, wildlife, primary forests (not forests in general), among others.

Predictors of Language Service Availability in U.S. Hospitals

Directory of Open Access Journals (Sweden)

Melody K. Schiaffino

2014-10-01

Full Text Available Background Hispanics comprise 17% of the total U.S. population, surpassing African-Americans as the largest minority group. Linguistically, almost 60 million people speak a language other than English. This language diversity can create barriers and additional burden and risk when seeking health services. Patients with Limited English Proficiency (LEP for example, have been shown to experience a disproportionate risk of poor health outcomes, making the provision of Language Services (LS in healthcare facilities critical. Research on the determinants of LS adoption has focused more on overall cultural competence and internal managerial decision-making than on measuring LS adoption as a process outcome influenced by contextual or external factors. The current investigation examines the relationship between state policy, service area factors, and hospital characteristics on hospital LS adoption. Methods We employ a cross-sectional analysis of survey data from a national sample of hospitals in the American Hospital Association (AHA database for 2011 (N= 4876 to analyze hospital characteristics and outcomes, augmented with additional population data from the American Community Survey (ACS to estimate language diversity in the hospital service area. Additional data from the National Health Law Program (NHeLP facilitated the state level Medicaid reimbursement factor. Results Only 64%of hospitals offered LS. Hospitals that adopted LS were more likely to be not-for-profit, in areas with higher than average language diversity, larger, and urban. Hospitals in above average language diverse counties had more than 2-fold greater odds of adopting LS than less language diverse areas [Adjusted Odds Ratio (AOR: 2.26, P< 0.01]. Further, hospitals with a strategic orientation toward diversity had nearly 2-fold greater odds of adopting LS (AOR: 1.90, P< 0.001. Conclusion Our findings support the importance of structural and contextual factors as they relate to

A time-dependent vehicle routing problem in the service area of intermodal terminals

OpenAIRE

Braekers, K.; Caris, A.; Janssens, G.K.

2013-01-01

This paper deals with the operational planning of drayage operations in the service area of intermodal container terminals. Drayage operations refer to the full truckload container transpot activities that take place on a regional scale around these terminals. They involve the transport of loaded and empty containers between container terminals, container depots, consignees and shippers. Drayage operations are mostly performed by truck and constitute a large part of total costs of an intermo...

Negotiation and Monitoring of Service Level Agreements

Science.gov (United States)

Quillinan, Thomas B.; Clark, Kassidy P.; Warnier, Martijn; Brazier, Frances M. T.; Rana, Omer

Service level agreements (SLAs) provide a means to define specific Quality of Service (QoS) guarantees between providers and consumers of services. Negotiation and definition of these QoS characteristics is an area of significant research. However, defining the actions that take place when an agreement is violated is a topic of more recent focus. This paper discusses recent advances in this field and propose some additional features that can help both consumers and producers during the enactment of services. These features include the ability to (re)negotiate penalties in an agreement, and specifically focuses on the renegotiation of penalties during enactment to reflect ongoing violations.

Impact of Service Quality of House Wedding Events on the Service Value and Satisfaction

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Kim Soungyeon

2014-01-01

Full Text Available With the current popularity of the newly emerged house wedding events (HWE, this study aims to investigate the impact of service quality of house wedding events on service value and satisfaction of customers. Based on literature review, two main components of HWE service quality attributes were selected: physical service and human service. For service value, three components were chosen: social, aesthetic, and monetary value. The study conducted self-administered questionnaire survey from July 1st to August 31st 2013 targeting 300 male and female over age 20 with experiences of participating in HWE held in Seoul metropolitan areas. The final valid samples were 267 copies. Frequency analysis, exploratory factor analysis, reliability analysis and regression analysis were conducted on the collected data. The result of this study showed a significant positive impact of HWE’s service quality, which in turn influence satisfaction. In addition, the study found the direct impact of HWE’s service quality on customer satisfaction. Based on the results, this study also discussed practical implications.

Problems and Guidelines of Strategy Implementation in Basic Educational Institutions under the Supervision of KhonKaen Primary Educational Service Area Office 4

Directory of Open Access Journals (Sweden)

Sasiwan Tonkanya

2016-09-01

the appropriateness and feasibility of the guidelines. In addition, there were 1 set of the structured interview and 1 set of semi-structured interview. The statistics used for data analysis were percentage, mean, and standard deviation. 100 percent of the experts stated that the guidelines for strategy implementation in basic educational institutions under Khonkaen Primary Educational Service Area Office 4 were appropriate and feasible. The research results are as follows: 1. The overall and individual aspects of the problems of strategy implementations in basic educational institutions under Khonkaen Primary Educational Service Area Office 4 were rated at high level. The aspects with the highest mean were structure of the organization, potential of the organization, environment and organizational culture, and monitoring, controlling and evaluation, respectively. For the aspects with the lowest mean, there were purposes, mission specification, and assignation and the allocation of resources. 2. The guidelines for strategy implementations in basic educational institutions under Khonkaen Primary Educational Service Area Office 4 were composed of the followings. 1 Staff and communities take part in the operation, collaborate, and discover perfect operational directions ; 2 they understand, review, analyze for strengths and weaknesses, improve, and choose appropriate strategies for the context of the school ; 3 administrative structures are adjusted for clear, flexible, and self-regulating management ; 4 staff are promoted and encouraged to further their education and attend trainings in order to improve the working standards ; 5 authorized people coordinate with the community and external organizations for local skilled personnel to help with the development ; 6 funds, technology media, and equipment necessary for the development of the organization are raised once a year from the community or independent entities ; 7 leaders create working awareness and become good

A spatial assessment of ecosystem services in Europe - Phase II

DEFF Research Database (Denmark)

Maes, Joachim; Hauck, Jennifer; Paracchini,, Maria Luisa

forests several times per year and they expressed their willingness to pay to continue doing so. The visitor statistics that were used in this study confirmed the usefulness of the ROS approach (Recreation Opportunity Spectrum) to identify areas in terms of their accessibility and potential to provide......, mapping and valuation. Linking the maps of ecosystem service supply to monetary valuation allowed an analysis of the expected impact of policy measures on benefits derived from ecosystem services. The recreation case, which Marianne participated in, presents evidence that millions of people visited...... recreation services. In addition, PRESS-2 presents a spatial analysis of city population density and green urban areas....

Calculation of climate factors as an additional criteria to determine agriculturally less favoured areas

Directory of Open Access Journals (Sweden)

Tjaša POGAČAR

2016-04-01

Full Text Available Climate factors that are proposed to determine agriculturally less favoured areas (LFA in Slovenia were analyzed for the period 1981–2010. Following the instructions of European Commission prepared by Joint Research Centre (JRC 30-years averages of low air temperatures criteria (the vegetation period duration and sums of effective air temperatures and aridity criteria (aridity index AI have to be calculated. Calculations were additionally done using Slovenian Environment Agency (ARSO method, which is slightly different when determining temperature thresholds. Only hilly areas are below the LFA low air temperatures threshold with the lowest located meteorological station in Rateče. According to aridity criteria no area in Slovenia is below the threshold, so meteorological water balance was also examined. Average water balance in the period 1981–2010 was in most of locations lower than in the period 1971–2000. Climate change impacts are already expressed as trend presence in time series of studied variables, so it is recommended to calculate trends and take them into account or to perform regular iterations of calculations.

Additive Manufacturing of Biomaterials, Tissues, and Organs.

Science.gov (United States)

Zadpoor, Amir A; Malda, Jos

2017-01-01

The introduction of additive manufacturing (AM), often referred to as three-dimensional (3D) printing, has initiated what some believe to be a manufacturing revolution, and has expedited the development of the field of biofabrication. Moreover, recent advances in AM have facilitated further development of patient-specific healthcare solutions. Customization of many healthcare products and services, such as implants, drug delivery devices, medical instruments, prosthetics, and in vitro models, would have been extremely challenging-if not impossible-without AM technologies. The current special issue of the Annals of Biomedical Engineering presents the latest trends in application of AM techniques to healthcare-related areas of research. As a prelude to this special issue, we review here the most important areas of biomedical research and clinical practice that have benefited from recent developments in additive manufacturing techniques. This editorial, therefore, aims to sketch the research landscape within which the other contributions of the special issue can be better understood and positioned. In what follows, we briefly review the application of additive manufacturing techniques in studies addressing biomaterials, (re)generation of tissues and organs, disease models, drug delivery systems, implants, medical instruments, prosthetics, orthotics, and AM objects used for medical visualization and communication.

Big Area Additive Manufacturing of High Performance Bonded NdFeB Magnets.

Science.gov (United States)

Li, Ling; Tirado, Angelica; Nlebedim, I C; Rios, Orlando; Post, Brian; Kunc, Vlastimil; Lowden, R R; Lara-Curzio, Edgar; Fredette, Robert; Ormerod, John; Lograsso, Thomas A; Paranthaman, M Parans

2016-10-31

Additive manufacturing allows for the production of complex parts with minimum material waste, offering an effective technique for fabricating permanent magnets which frequently involve critical rare earth elements. In this report, we demonstrate a novel method - Big Area Additive Manufacturing (BAAM) - to fabricate isotropic near-net-shape NdFeB bonded magnets with magnetic and mechanical properties comparable or better than those of traditional injection molded magnets. The starting polymer magnet composite pellets consist of 65 vol% isotropic NdFeB powder and 35 vol% polyamide (Nylon-12). The density of the final BAAM magnet product reached 4.8 g/cm 3 , and the room temperature magnetic properties are: intrinsic coercivity H ci  = 688.4 kA/m, remanence B r  = 0.51 T, and energy product (BH) max  = 43.49 kJ/m 3 (5.47 MGOe). In addition, tensile tests performed on four dog-bone shaped specimens yielded an average ultimate tensile strength of 6.60 MPa and an average failure strain of 4.18%. Scanning electron microscopy images of the fracture surfaces indicate that the failure is primarily related to the debonding of the magnetic particles from the polymer binder. The present method significantly simplifies manufacturing of near-net-shape bonded magnets, enables efficient use of rare earth elements thus contributing towards enriching the supply of critical materials.

MPLS for metropolitan area networks

CERN Document Server

Tan, Nam-Kee

2004-01-01

METROPOLITAN AREA NETWORKS AND MPLSRequirements of Metropolitan Area Network ServicesMetropolitan Area Network OverviewThe Bandwidth DemandThe Metro Service Provider's Business ApproachesThe Emerging Metro Customer Expectations and NeedsSome Prevailing Metro Service OpportunitiesService Aspects and RequirementsRoles of MPLS in Metropolitan Area NetworksMPLS PrimerMPLS ApplicationsTRAFFIC ENGINEERING ASPECTS OF METROPOLITAN AREA NETWORKSTraffic Engineering ConceptsNetwork CongestionHyper Aggregation ProblemEasing CongestionNetwork ControlTactical versus Strategic Traffic EngineeringIP/ATM Overl

Contribution of Cultural Ecosystem Services to Natural Capital in the coastal area of Civitavecchia (Latium, Italy)

Science.gov (United States)

Marcelli, Marco; Madonia, Alice; Tofani, Anna; Molino, Chiara; Manfredi Frattarelli, Francesco

2017-04-01

Natural Capital evaluation is emerging as a fundamental tool to support the management of natural resources. Indeed, the achievement of the compatibility among their multiple uses, often in conflict in coastal areas, is a priority to avoid the increasing undesirable effects which threat both ecosystems and human health and well-being. It represents the scientific basis for actions needed to enhance the conservation and sustainable use of those systems and their contribution to human well-being. Furthermore the Millennium Ecosystem Assessment (called by Kofi Annan in 2000), assessed the consequences of ecosystem change for human well-being, and in particular, the analysis method has been centered on the linkages between "ecosystem services" and human well-being. This "Ecosystem Approach" allows to evaluate the consequences of ecosystems changes on human well-being through the assessment of the Ecosystem Services (ES), which are defined as "the benefits that people obtain from ecosystems". These include provisioning services (food, water, timber, etc.), regulating services (climate, floods, disease, etc.); cultural services (recreational, aesthetic and spiritual benefits) and supporting services (soil formation, photosynthesis, nutrient cycling, etc.) Also the reference guidelines for European Environmental Policy (Marine Strategy Framework Directive 2008/56 / EC - MSFD; Maritime Spatial Planning Directive 2014/89 / EC - MSP) are based on the principle of the Ecosystem Approach to define the monitoring criteria of marine and maritime space management ecosystems. The assessment of ES provided by Natural Capital cannot overlook the integration of ecological data with economic and socio-cultural ones, since they are considered as the direct and indirect contributions to human well-being provided by ecosystems. Cultural Ecosystem Services (CES), often omitted in the cost-benefit impact studies, has been receiving increasing interest from the scientific community in order

Economic valuation of the ecosystem services provided by a protected area in the Brazilian Cerrado: application of the contingent valuation method.

Science.gov (United States)

Resende, F M; Fernandes, G W; Andrade, D C; Néder, H D

2017-11-01

Considering that the economic valuation of ecosystem services is a useful approach to support the conservation of natural areas, we aimed to estimate the monetary value of the benefits provided by a protected area in southeast Brazil, the Serra do Cipó National Park. We calculated the visitor's willingness to pay to conserve the ecosystems of the protected area using the contingent valuation method. Located in a region under intense anthropogenic pressure, the Serra do Cipó National Park is mostly composed of rupestrian grassland ecosystems, in addition to other Cerrado physiognomies. We conducted a survey consisting of 514 interviews with visitors of the region and found that the mean willingness to pay was R$ 7.16 year-1, which corresponds to a total of approximately R$ 716,000.00 year-1. We detected that per capita income, the household size, the level of interest in environmental issues and the place of origin influenced the likelihood that individuals are willing to contribute to the conservation of the park, as well as the value of the stated willingness to pay. This study conveys the importance of conserving rupestrian grassland and other Cerrado physiognomies to decision makers and society.

Applying Quality Function Deployment Model in Burn Unit Service Improvement.

Science.gov (United States)

Keshtkaran, Ali; Hashemi, Neda; Kharazmi, Erfan; Abbasi, Mehdi

2016-01-01

Quality function deployment (QFD) is one of the most effective quality design tools. This study applies QFD technique to improve the quality of the burn unit services in Ghotbedin Hospital in Shiraz, Iran. First, the patients' expectations of burn unit services and their priorities were determined through Delphi method. Thereafter, burn unit service specifications were determined through Delphi method. Further, the relationships between the patients' expectations and service specifications and also the relationships between service specifications were determined through an expert group's opinion. Last, the final importance scores of service specifications were calculated through simple additive weighting method. The findings show that burn unit patients have 40 expectations in six different areas. These expectations are in 16 priority levels. Burn units also have 45 service specifications in six different areas. There are four-level relationships between the patients' expectations and service specifications and four-level relationships between service specifications. The most important burn unit service specifications have been identified in this study. The QFD model developed in the study can be a general guideline for QFD planners and executives.

Web-based Analysis Services Report

CERN Document Server

AUTHOR|(CDS)2108758; Canali, Luca; Grancher, Eric; Lamanna, Massimo; McCance, Gavin; Mato Vila, Pere; Piparo, Danilo; Moscicki, Jakub; Pace, Alberto; Brito Da Rocha, Ricardo; Simko, Tibor; Smith, Tim; Tejedor Saavedra, Enric; CERN. Geneva. IT Department

2017-01-01

Web-based services (cloud services) is an important trend to innovate end-user services while optimising the service operational costs. CERN users are constantly proposing new approaches (inspired from services existing on the web, tools used in education or other science or based on their experience in using existing computing services). In addition, industry and open source communities have recently made available a large number of powerful and attractive tools and platforms that enable large scale data processing. “Big Data” software stacks notably provide solutions for scalable storage, distributed compute and data analysis engines, data streaming, web-based interfaces (notebooks). Some of those platforms and tools, typically available as open source products, are experiencing a very fast adoption in industry and science such that they are becoming “de facto” references in several areas of data engineering, data science and machine learning. In parallel to users' requests, WLCG is considering to c...

Analysis of additional hotel services in the international luxury hotels – a case-study from Budapest

Directory of Open Access Journals (Sweden)

Juhász-Dóra Katalin

2017-07-01

Full Text Available The investigation of additional services from the aspect of local embeddedness is a novelty in the academic literature related to the tourism and hotel industry. The primary function of hotels is to provide accommodation and other services for the hotel-guests. Secondarily, they may also offer complementary-services and a community space for the city-residents and for non-hotel guests. Due to the globalization, the change in the consumer behaviour and global firms, the question of location and local resources are becoming more and more significant especially in the case of international hotel chains. The international hotel company is a member of a hotel market at a specific location, and it is surrounded by a sociological environment, local people, culture and traditions which have an impact on the competitiveness of the hotel. The author explains the results with the application of the multidimensional scaling model, finding answers for the questions in which ways the local embeddedness can have an effect on the competitiveness of a hotel based on a case-study carried out in a five-star hotel (member of an international chain of Budapest in 2016.

Marketing activities in the area of micronization services

Directory of Open Access Journals (Sweden)

Sołtysik Barbara

2016-12-01

Full Text Available Under conditions of constantly growing competition, what is becoming a key problem is keeping the previously acquired clients. Their trust in the provider and regularly repeated purchases are an expression of the efficiency of marketing activities conducted by companies. What is becoming a measure of success is the satisfaction and loyalty of buyers. Companies spend a lot of money to attract clients and the competition keeps trying to take away their clients. A lost client means not just the loss of a future order – this is the loss of revenues equal to the value of all products which a particular buyer could purchase in his entire life. On top of that comes the cost of acquiring new client to replace the old one. TARP research shows that the cost of acquiring a new client is five times higher than the cost of pleasing an existing client (Kotler, 2006. In the publication the significance of the relations with the client are discussed with regard to efficient marketing strategy. Moreover, the results of client satisfaction surveys and market analysis taking into consideration the revenues from sale of services in the area of micronization are presented.

Career Services at Colleges and Universities: A 30-Year Replication Study

Science.gov (United States)

Vinson, Bonita M.; Reardon, Robert C.; Bertoch, Sara C.

2014-01-01

This study examines career planning programs and career services offices at colleges and universities in the United States as viewed by senior student affairs officers (SSAOs). Findings from a 1979 study of career services offices (CSOs) were compared to the current findings. Additionally, new areas of research were examined in order to provide…

Making the Invisible of Learning Visible: Pre-Service Teachers Identify Connections between the Use of Literacy Strategies and Their Content Area Assessment Practices

Science.gov (United States)

Mitton-Kukner, Jennifer; Orr, Anne Murray

2014-01-01

In this paper we describe four ways secondary pre-service teachers appeared to be developing assessment practices during field experience, after taking a content area literacy course. This paper arises from a multi-year study exploring pre-service and beginning content area teachers' use of literacy strategies in teaching mathematics, science, and…

Community health worker in hard-to-reach rural areas of Myanmar: filling primary health care service gaps.

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Sommanustweechai, Angkana; Putthasri, Weerasak; Nwe, Mya Lay; Aung, Saw Thetlya; Theint, Mya Min; Tangcharoensathien, Viroj; Wynn, San Shway

2016-10-21

Myanmar is classified as critical shortage of health workforce. In responses to limited number of trained health workforce in the hard-to-reach and remote areas, the MOH trained the Community Health Worker (CHW) as health volunteers serving these communities on a pro bono basis. This study aimed to assess the socio-economic profiles, contributions of CHW to primary health care services and their needs for supports to maintain their quality contributions in rural hard to reach areas in Myanmar. In 2013, cross-sectional census survey was conducted on all three groups of CHW classified by their training dates: (1) prior to 2000, (2) between 2000 and 2011, and (3) more recently trained in 2012, who are still working in 21 townships of 17 states and regions in Myanmar, using a self-administered questionnaire survey in the Burmese language. The total 715 CHWs from 21 townships had completely responded to the questionnaire. CHWs were trained to support the work of midwives in the sub-centres and health assistant and midwives in rural health centres (RHCs) such as community mobilization for immunization, advocates of safe water and sanitation, and general health education and health awareness for the citizens. CHWs were able to provide some of the services by themselves, such as treatment of simple illnesses, and they provided services to 62 patients in the last 6 months. Their contributions to primary health care services were well accepted by the communities as they are geographically and culturally accessible. However, supports from the RHC were inadequate in particular technical supervision, as well as replenishment of CHW kits and financial support for their work and transportation. In practice, 6 % of service provided by CHWs was funded by the community and 22 % by the patients. The CHW's confidence in providing health services was positively associated with their age, education, and more recent training. A majority of them intended to serve as a CHW for more than

Ecological Security and Ecosystem Services in Response to Land Use Change in the Coastal Area of Jiangsu, China

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Caiyao Xu

2016-08-01

Full Text Available Urbanization, and the resulting land use/cover change, is a primary cause of the degradation of coastal wetland ecosystems. Reclamation projects are seen as a way to strike a balance between socioeconomic development and maintenance of coastal ecosystems. Our aim was to understand the ecological changes to Jiangsu’s coastal wetland resulting from land use change since 1977 by using remote sensing and spatial analyses. The results indicate that: (1 The area of artificial land use expanded while natural land use was reduced, which emphasized an increase in production-orientated land uses at the expense of ecologically important wetlands; (2 It took 34 years for landscape ecological security and 39 years for ecosystem services to regain equilibrium. The coastal reclamation area would recover ecological equilibrium only after a minimum of 30 years; (3 The total ecosystem service value decreased significantly from $2.98 billion per year to $2.31 billion per year from 1977 to 2014. Food production was the only one ecosystem service function that consistently increased, mainly because of government policy; (4 The relationship between landscape ecological security and ecosystem services is complicated, mainly because of the scale effect of landscape ecology. Spatial analysis of changing gravity centers showed that landscape ecological security and ecosystem service quality became better in the north than the south over the study period.

Incorporation of Socio-Economic Features' Ranking in Multicriteria Analysis Based on Ecosystem Services for Marine Protected Area Planning.

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Michelle E Portman

Full Text Available Developed decades ago for spatial choice problems related to zoning in the urban planning field, multicriteria analysis (MCA has more recently been applied to environmental conflicts and presented in several documented cases for the creation of protected area management plans. Its application is considered here for the development of zoning as part of a proposed marine protected area management plan. The case study incorporates specially-explicit conservation features while considering stakeholder preferences, expert opinion and characteristics of data quality. It involves the weighting of criteria using a modified analytical hierarchy process. Experts ranked physical attributes which include socio-economically valued physical features. The parameters used for the ranking of (physical attributes important for socio-economic reasons are derived from the field of ecosystem services assessment. Inclusion of these feature values results in protection that emphasizes those areas closest to shore, most likely because of accessibility and familiarity parameters and because of data biases. Therefore, other spatial conservation prioritization methods should be considered to supplement the MCA and efforts should be made to improve data about ecosystem service values farther from shore. Otherwise, the MCA method allows incorporation of expert and stakeholder preferences and ecosystem services values while maintaining the advantages of simplicity and clarity.

[Impacts of land use change on ecosystem services in the agricultural area of North China Plain: A case study of Shangqiu City, Henan Province, China.

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Liu, Ya Ru; Wang, Cong; Yan, Li Jiao

2018-05-01

Under the rapid urbanization, quantitatively assessing the impacts of land use and cover change (LUCC) on ecosystem service is of great significance for regional ecological environment construction. Based on the land use maps of Shangqiu City (as the typical agricultural area of North China Plain) in the year of 1990, 2005 and 2015, the spatio-temporal dynamics of land use and ecosystem service were analyzed, and the impacts of LUCC on ecosystem services was quantified with the impact assessment model. The results showed that, from 1990 to 2015, farmland and construction land area, which covered more than 95% of the total area of the research area, changed the most in quantity as -104.38 and 201.59 km 2 respectively, while forestland, grassland and water area changed the most by 79.3%, -73.7% and -24.2%, respectively. The total value of ecosystem service continuously decreased by 1.005 billion yuan, among which the value of hydrolo-gical regulation service suffered the most. The value of ecosystem service (ESV) presented an increasing trend in the west and a decreasing trend in the east. Extending from the center of the city to the outside, the value of ecosystem services was "high-low-high" in the east to west direction. The rate of farmland and water area contributed more than 95% to the total ecosystem service value, which had the greatest impact. The main drivers for the changes of land use and ESV in Shangqiu were population pressure, economic growth, regional policy, and urban planning. In the urban and rural development planning of Shangqiu City, more attention should be paid to the protection of na-tural resources and rational adjustment of the land use structure to realize sustainable development based on the harmony of economy, society and environment.

Complete Bouguer gravity and aeromagnetic maps of the Rattlesnake Roadless Area, Missoula County, Montana

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Kulik, Dolores M.

1986-01-01

The Rattlesnake Roadless Area was identified by the U.S. Forest Service as a possible addition to the Wilderness System.  This 120 square mile area is north of Missoula, Mont. (see index map); Rattlesnake Creek forms the major drainage to the south.

Feasibility of using Big Area Additive Manufacturing to Directly Manufacture Boat Molds

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Post, Brian K. [ORNL; Chesser, Phillip C. [ORNL; Lind, Randall F. [ORNL; Sallas, Matthew R. [ORNL; Love, Lonnie J. [ORNL

2018-01-01

The goal of this project was to explore the feasibility of using Big Area Additive Manufacturing (BAAM) to directly manufacture a boat mold without the need for coatings. All prior tooling projects with BAAM required the use to thick coatings to overcome the surface finish limitations of the BAAM process. While the BAAM process significantly lowers the cost of building the mold, the high cost element rapidly became the coatings (cost of the material, labor on coating, and finishing). As an example, the time and cost to manufacture the molds for the Wind Turbine project with TPI Composites Inc. and the molds for the submarine project with Carderock Naval Warfare Systems was a fraction of the time and cost of the coatings. For this project, a catamaran boat hull mold was designed, manufactured, and assembled with an additional 0.15” thickness of material on all mold surfaces. After printing, the mold was immediately machined and assembled. Alliance MG, LLC (AMG), the industry partner of this project, experimented with mold release agents on the carbon-fiber reinforced acrylonitrile butadiene styrene (CF ABS) to verify that the material can be directly used as a mold (rather than needing a coating). In addition, for large molds (such as the wind turbine mold with TPI Composites Inc.), the mold only provided the target surface. A steel subframe had to be manufactured to provide structural integrity. If successful, this will significantly reduce the time and cost necessary for manufacturing large resin infusion molds using the BAAM process.

Synthesis and characterization of high-surface-area millimeter-sized silica beads with hierarchical multi-modal pore structure by the addition of agar

Energy Technology Data Exchange (ETDEWEB)

Han, Yosep; Choi, Junhyun [Department of Mineral Resources and Energy Engineering, Chonbuk National University, 567 Baekje-daero, Deokjin-gu, Jeonju-si, Jeollabuk-do 561–756 (Korea, Republic of); Tong, Meiping, E-mail: tongmeiping@iee.pku.edu.cn [The Key Laboratory of Water and Sediment Sciences, Ministry of Education, College of Environmental Sciences and Engineering, Peking University, Beijing 100871 (China); Kim, Hyunjung, E-mail: kshjkim@jbnu.ac.kr [Department of Mineral Resources and Energy Engineering, Chonbuk National University, 567 Baekje-daero, Deokjin-gu, Jeonju-si, Jeollabuk-do 561–756 (Korea, Republic of)

2014-04-01

Millimeter-sized spherical silica foams (SSFs) with hierarchical multi-modal pore structure featuring high specific surface area and ordered mesoporous frameworks were successfully prepared using aqueous agar addition, foaming and drop-in-oil processes. The pore-related properties of the prepared spherical silica (SSs) and SSFs were systematically characterized by field emission-scanning electron microscopy (FE-SEM), transmission electron microscopy (TEM), small-angle X-ray diffraction (SAXRD), Hg intrusion porosimetry, and N{sub 2} adsorption–desorption isotherm measurements. Improvements in the BET surface area and total pore volume were observed at 504 m{sup 2} g{sup −1} and 5.45 cm{sup 3} g{sup −1}, respectively, after an agar addition and foaming process. Despite the increase in the BET surface area, the mesopore wall thickness and the pore size of the mesopores generated from the block copolymer with agar addition were unchanged based on the SAXRD, TEM, and BJH methods. The SSFs prepared in the present study were confirmed to have improved BET surface area and micropore volume through the agar loading, and to exhibit interconnected 3-dimensional network macropore structure leading to the enhancement of total porosity and BET surface area via the foaming process. - Highlights: • Millimeter-sized spherical silica foams (SSFs) are successfully prepared. • SSFs exhibit high BET surface area and ordered hierarchical pore structure. • Agar addition improves BET surface area and micropore volume of SSFs. • Foaming process generates interconnected 3-D network macropore structure of SSFs.

Coherent addition of high power broad-area laser diodes with a compact VBG V-shaped external Talbot cavity

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Liu, Bo; Braiman, Yehuda

2018-05-01

We introduced a compact V-shaped external Talbot cavity for phase locking of high power broad-area laser diodes. The length of compact cavity is ∼25 mm. Near diffraction-limit coherent addition of 10 broad-area laser diodes indicated that high quality phase locking was achieved. We measured the near-field emission mode of each individual broad-area laser diode with different feedback, such as a volume Bragg grating and a high reflection mirror. We found out that the best result of phase locking broad-area laser diodes was achieved by the compact V-shaped external Talbot cavity with volume Bragg grating feedback.

Accessibility, affordability and use of health services in an urban area in South Africa

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Ethelwynn L. Stellenberg

2015-03-01

Full Text Available Background: Inequalities in healthcare between population groups of South Africa existed during the apartheid era and continue to exist both between and within many population groups. Accessibility and affordability of healthcare is a human right. Objectives: The aim of the study was to explore and describe accessibility, affordability and the use of health services by the mixed race (coloured population in the Western Cape, South Africa. Method: A cross-sectional descriptive, non-experimental study with a quantitative approach was applied. A purposive convenient sample of 353 participants (0.6% was drawn from a population of 63 004 economically-active people who lived in the residential areas as defined for the purpose of the study. All social classes were represented. The hypothesis set was that there is a positive relationship between accessibility, affordability and the use of health services. A pilot study was conducted which also supported the reliability and validity of the study. Ethics approval was obtained from the University of Stellenbosch and informed consent from respondents. A questionnaire was used to collect the data. Results: The hypothesis was accepted. The statistical association between affordability (p = < 0.01, accessibility (p = < 0.01 and the use of health services was found to be significant using the Chi-square (χ² test. Conclusion: The study has shown how affordability and accessibility may influence the use of healthcare services. Accessibility is not only the distance an individual must travel to reach the health service point but more so the utilisation of these services. Continuous Quality Management should be a priority in healthcare services, which should be user-friendly.

77 FR 27736 - Procurement List Additions

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2012-05-11

... Research Laboratory, Washington, DC. Service Type/Location: Laundry, Refurbishment, and Warehouse Services... Procurement List. SUMMARY: This action adds products and services to the Procurement List that will be... products and services and impact of the additions on the current or most recent contractors, the Committee...

Mobile information and communication in the hospital outpatient service.

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Jen, Wen-Yuan; Chao, Chia-Chen; Hung, Ming-Chien; Li, Yu-Chuan; Chi, Y P

2007-08-01

Most healthcare providers provide mobile service for their medical staff; however, few healthcare providers provide mobile service as part of their outpatient service. The mobile outpatient service system (MOSS) focuses on illness treatment, illness prevention and patient relation management for outpatient service users. Initiated in a local hospital in Taiwan, the MOSS pilot project was developed to improve outpatient service quality and pursue higher patient safety. This study focuses on the development of the MOSS. The workflow, architecture and target users of the MOSS are delineated. In addition, there were two surveys conducted as part of this study. After a focus group of medical staff identified areas in which outpatient services might be improved by the MOSS, the first survey was administered to outpatients to confirm the focus group's intuitions. The second administration of the survey explored outpatient satisfaction after they used the MOSS service. With regard to outpatient attitudes, about 93% of participants agreed that the mobile outpatient service improved outpatient service quality. In the area of outpatient satisfaction, about 89% of participants indicated they were satisfied with the mobile outpatient service. Supported by our study finding, we propose that more diverse mobile outpatient services can be provided in the future.

JACoW Versatile service for the protection of experimental areas at CERN

CERN Document Server

Valentini, Francesco; Ninin, Pierre

2018-01-01

CERN hosts a number of other experimental areas with a rich research program ranging from fundamental physics to medical applications. The risk assessments have shown a large palette of potential hazards (radiological, electrical, chemical, laser, etc.) that need to be properly mitigated in order to ensure the safety of personnel working inside these areas. A Personnel Protection System, typically, accomplishes this goal by implementing a certain number of heterogeneous functionalities as interlocks of critical elements, management of a local HMI, data monitoring and interfacing with RFID badge readers. Given those requirements, reducing system complexity and costs are key parameters to be optimized in the solution. This paper is aimed at summarizing the findings, in terms of costs, complexity and maintenance reduction, offered by a technology from National Instruments® based on cRIO controllers and a new series of SIL-3 certified safety I/O modules. A use case based on a service for the protection of Class ...

[Urban ecosystem services: A review].

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Mao, Qi-zheng; Huang, Gan-lin; Wu, Jian-guo

2015-04-01

Maintaining and improving ecosystem services in urban areas and human well-being are essential for sustainable development and therefore constitute an important topic in urban ecology. Here we reviewed studies on ecosystem services in urban areas. Based on the concept and classification of urban ecosystem services, we summarized characteristics of urban ecosystem services, including the human domination, high demand of ecosystem services in urban areas, spatial heterogeneity and temporal dynamics of ecosystem services supply and demand in urban areas, multi-services of urban green infrastructures, the socio-economic dimension of ecosystem services supply and ecosystem disservices in urban areas. Among different urban ecosystem services, the regulating service and cultural service are particularly indispensable to benefit human health. We pointed out that tradeoffs among different types of ecosystem services mostly occur between supportive service and cultural service, as well as regulating service and cultural service. In particular, we emphasized the relationship between landscape design (i.e. green infrastructure) and ecosystem services supply. Finally, we discussed current gaps to link urban ecosystem services studies to landscape design and management and pointed out several directions for future research in urban ecosystem services.

Microbial air quality and bacterial surface contamination in ambulances during patient services.

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Luksamijarulkul, Pipat; Pipitsangjan, Sirikun

2015-03-01

We sought to assess microbial air quality and bacterial surface contamination on medical instruments and the surrounding areas among 30 ambulance runs during service. We performed a cross-sectional study of 106 air samples collected from 30 ambulances before patient services and 212 air samples collected during patient services to assess the bacterial and fungal counts at the two time points. Additionally, 226 surface swab samples were collected from medical instrument surfaces and the surrounding areas before and after ambulance runs. Groups or genus of isolated bacteria and fungi were preliminarily identified by Gram's stain and lactophenol cotton blue. Data were analyzed using descriptive statistics, t-test, and Pearson's correlation coefficient with a p-value of less than 0.050 considered significant. The mean and standard deviation of bacterial and fungal counts at the start of ambulance runs were 318±485cfu/m(3) and 522±581cfu/m(3), respectively. Bacterial counts during patient services were 468±607cfu/m(3) and fungal counts were 656±612cfu/m(3). Mean bacterial and fungal counts during patient services were significantly higher than those at the start of ambulance runs, p=0.005 and p=0.030, respectively. For surface contamination, the overall bacterial counts before and after patient services were 0.8±0.7cfu/cm(2) and 1.3±1.1cfu/cm(2), respectively (pair samples and bacterial counts on medical instruments and allocated areas. This study revealed high microbial contamination (bacterial and fungal) in ambulance air during services and higher bacterial contamination on medical instrument surfaces and allocated areas after ambulance services compared to the start of ambulance runs. Additionally, bacterial and fungal counts in ambulance air showed a significantly positive correlation with the bacterial surface contamination on medical instruments and allocated areas. Further studies should be conducted to determine the optimal intervention to reduce

Building freeways: piloting communication skills in additional languages to health service personnel in Cape Town, South Africa.

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Claassen, Joel; Jama, Zukile; Manga, Nayna; Lewis, Minnie; Hellenberg, Derek

2017-06-07

This study reflects on the development and teaching of communication skills courses in additional national languages to health care staff within two primary health care facilities in Cape Town, South Africa. These courses were aimed at addressing the language disparities that recent research has identified globally between patients and health care staff. Communication skills courses were offered to staff at two Metropolitan District Health Services clinics to strengthen patient access to health care services. This study reflects on the communicative proficiency in the additional languages that were offered to health care staff. A mixed-method approach was utilised during this case study with quantitative data-gathering through surveys and qualitative analysis of assessment results. The language profiles of the respective communities were assessed through data obtained from the South African National census, while staff language profiles were obtained at the health care centres. Quantitative measuring, by means of a patient survey at the centres, occurred on a randomly chosen day to ascertain the language profile of the patient population. Participating staff performed assessments at different phases of the training courses to determine their skill levels by the end of the course. The performances of the participating staff during the Xhosa and Afrikaans language courses were assessed, and the development of the staff communicative competencies was measured. Health care staff learning the additional languages could develop Basic or Intermediate Xhosa and Afrikaans that enables communication with patients. In multilingual countries such as South Africa, language has been recognised as a health care barrier preventing patients from receiving quality care. Equipping health care staff with communication skills in the additional languages, represents an attempt to bridge a vital barrier in the South African health care system. The study proves that offering communication

Networked remote area dental services: a viable, sustainable approach to oral health care in challenging environments.

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Dyson, Kate; Kruger, Estie; Tennant, Marc

2012-12-01

This study examines the cost effectiveness of a model of remote area oral health service. Retrospective financial analysis. Rural and remote primary health services. Clinical activity data and associated cost data relating to the provision of a networked visiting oral health service by the Centre for Rural and Remote Oral Health formed the basis of the study data frameset. The cost-effectiveness of the Centre's model of service provision at five rural and remote sites in Western Australia during the calendar years 2006, 2008 and 2010 was examined in the study. Calculations of the service provision costs and value of care provided were made using data records and the Fee Schedule of Dental Services for Dentists. The ratio of service provision costs to the value of care provided was determined for each site and was benchmarked against the equivalent ratios applicable to large scale government sector models of service provision. The use of networked models have been effective in other disciplines but this study is the first to show a networked hub and spoke approach of five spokes to one hub is cost efficient in remote oral health care. By excluding special cost-saving initiatives introduced by the Centre, the study examines easily translatable direct service provision costs against direct clinical care outcomes in some of Australia's most challenging locations. This study finds that networked hub and spoke models of care can be financially efficient arrangements in remote oral health care. © 2012 The Authors. Australian Journal of Rural Health © National Rural Health Alliance Inc.

Older family carers in rural areas: experiences from using caregiver support services based on Information and Communication Technology (ICT).

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Blusi, Madeleine; Asplund, Kenneth; Jong, Mats

2013-09-01

The aim of this intervention study was to illuminate the meaning of ICT-based caregiver support as experienced by older family carers living in vast rural areas, caring for a spouse at home. In order to access, the support service participants were provided with a computer and high speed Internet in their homes. Semi structured webcam-interviews were carried out with 31 family carers. A strategy for webcam interviewing was developed to ensure quality and create a comfortable interview situation for the family carers. Interviews were analysed using content analyses, resulting in the themes: Adopting new technology with help from others and Regaining social inclusion . The results indicate that ICT-based support can be valuable for older family carers in rural areas as it contributes to improve quality in daily life in a number of ways. In order to fully experience the benefits, family carers need to be frequent users of the provided support. Adequate training and encouragement from others were essential in motivating family carers to use the support service. Access to Internet and webcamera contributed to reducing loneliness and isolation, strengthening relationships with relatives living far away and enabled access to services no longer available in the area. Use of the ICT-service had a positive influence on the relationship between the older carer and adult grandchildren. It also contributed to carer competence and promote feelings of regaining independence and a societal role.

Performance needs assessment of maternal and newborn health service delivery in urban and rural areas of Osun State, South-West, Nigeria.

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Esan, Oluwaseun T; Fatusi, Adesegun O

2014-06-01

The study aimed to determine performance and compare gaps in maternal and newborn health (MNH) services in urban and rural areas of Osun State, Nigeria, to inform decisions for improved services. This study involved 14 urban and 10 rural-based randomly selected PHC facilities. Using a Performance Needs Assessment framework, desired performances were determined by key stakeholders and actual performances measured by conducting facility survey. Questionnaire interview of 143 health workers and 153 antenatal clients were done. Performance gaps were determined for the urban and rural areas and compared using Chi-square tests with SPSS version 17. PHC facilities and health workers in Osun State, Nigeria, were found to have significant gaps in MNH service performance and this was worse in the rural areas. Root cause of most of the performance gaps was poor political will of local government authorities. Improved government commitment to MNH is needful to address most of the gaps.

76 FR 80345 - Procurement List; Additions

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2011-12-23

... ARMY, W6QL ECC MIAMI DIV, MIAMI, FL. Service Type/Location: Industrial Laundry Service, Bureau of... Procurement List. SUMMARY: This action adds services to the Procurement List that will be provided by... concerning capability of qualified nonprofit agencies to provide the services and impact of the additions on...

77 FR 4252 - Additional Spectrum for the Medical Device Radiocommunication Service

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2012-01-27

... licensed users in these frequency bands to continue providing service. Medical Micro-Power Networks (MMNs...). Under this approach, medical devices would operate in the band on a shared, non-exclusive basis with...Radio Service rules for devices operating in the 413-457 MHz band. These definitions were for a Medical...

Brokerage and SME Innovation: An Analysis of the Technology Transfer Service at Area Science Park, Italy

Science.gov (United States)

Cattapan, Paolo; Passarelli, Mariacarmela; Petrone, Michele

2012-01-01

This paper contributes to the literature on innovation brokerage by analysing the effects of brokerage activities on the innovation and growth of small and medium-sized enterprises (SMEs). The authors provide a detailed description of the Technology Transfer Service (TTS), credited as a European best-practice innovation broker, at Area Science…

Internal Audit Service | Internal Audit Service

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their internal auditing function in the areas of professional excellence, quality of service and Students and teachers Media Internal Audit Service Navbar Toggle Home About the Staff Risk Assessment and Planning Internal Audit Process Search for Search Home The mission of the Fermilab Internal Audit Service

Availability of health services vs. health condition of residents of rural areas in Poland – Analysis performed on the basis of EHIS 2009

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Iwona Laskowska

2015-12-01

Full Text Available [b]Introduction. [/b]One of the aspects considered in a debate preceding the establishment of the new retirement age in Poland, was the health condition of the Polish population. A steady increase in the average life expectancy, observed for several years, is much higher in the cities than in the country. One of the reasons for this might be a limited availability of health services in rural areas. [b]Objective[/b]. The aim of the study is to assess the scale of income-related inequalities in the access to health services in rural areas, and subsequently to assess the impact of having to give up some medical services on the subjective perception of health condition by rural inhabitants. [b]Materials and methods.[/b] Individual data derived from the European Health Interview Survey (EHIS conducted in 2009 constituted the basis for the presented analysis. The concentration index was used to measure the income-related inequalities in the use of medical services. The ordered logit model was used to verify the hypothesis that the availability of health services has an impact on the health condition. [b]Results.[/b] Significant differences in the distribution of medical services utilization with regard to income, were found only in the case of hospital services. People with low income stay in hospital more often. The obtained inequality indices show a lack of income-related inequality in the use of outpatient services. The performed analyses confirm a negative impact of giving up this type of services on the health condition of residents of rural areas. [b]Conclusions.[/b] The availability of medical services is an important determinant of the health condition. Too few medical institutions and scarce medical personnel limits the use of these services, and not only for people with low income.

Deriving soil function maps to assess related ecosystem services using imaging spectroscopy in the Lyss agricultural area, Switzerland

Science.gov (United States)

Diek, Sanne; de Jong, Rogier; Braun, Daniela; Böhler, Jonas; Schaepman, Michael

2014-05-01

Soils play an important role in the benefits offered by ecosystems services. In densely populated Switzerland soils are a scarce resource, with high pressure on services ranging from urban expansion to over-utilization. Key change drivers include erosion, soil degradation, land management change and (chemical) pollution, which should be taken into consideration. Therefore there is an emerging need for an integrated, sustainable and efficient system assessing the management of soil and land as a resource. The use of remote sensing can offer spatio-temporal and quantitative information of extended areas. In particular imaging spectroscopy has shown to perfectly complement existing sampling schemes as secondary information for digital soil mapping. Although only the upper-most layer of soil interacts with light when using reflectance spectroscopy, it still can offer valuable information that can be utilized by farmers and decision makers. Fully processed airborne imaging spectrometer data from APEX as well as land cover classification for the agricultural area in Lyss were available. Based on several spectral analysis methods we derived multiple soil properties, including soil organic matter, soil texture, and mineralogy; complemented by vegetation parameters, including leaf area index, chlorophyll content, pigment distribution, and water content. The surface variables were retrieved using a combination of index-based and physically-based retrievals. Soil properties in partly to fully vegetated areas were interpolated using regression kriging based methods. This allowed the continuous assessment of potential soil functions as well as non-contiguous maps of abundances of combined soil and vegetation parameters. Based on a simple regression model we could make a rough estimate of ecosystem services. This provided the opportunity to look at the differences between the interpolated soil function maps and the non-contiguous (but combined) vegetation and soil function maps

Provision of 3G Mobile Services in Sparsely Populated Areas Using High Altitude Platforms

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J. Holis

2008-04-01

Full Text Available This paper deals with the application of High Altitude Platforms for the provision of third generation mobile services in sparsely-populated areas or in developing countries. It focuses on the behavior of large cells provided via a multiple HAP deployment and shows the possibilities of using small cells located inside these large cells to serve hot-spot areas. The impact of the different types of HAP antenna masks and their adjustment on cell capacity and the quality of coverage is presented. The main parameter of the antenna radiation pattern under investigation is the power roll-off at the cell edge. Optimal values of this parameter are presented for different scenarios. Simulations of system level parameters were based on an iteration loops approach.

Mapping ecosystem services' values : Current practice and future prospects

NARCIS (Netherlands)

Schägner, Jan Philipp; Brander, Luke; Maes, Joachim; Hartje, Volkmar

Mapping of ecosystem services' (ESS) values means valuing ESS in monetary terms across a relatively large geographical area and assessing how values vary across space. Thereby, mapping of ESS values reveals additional information as compared to traditional site-specific ESS valuation, which is

Alternative Data Storage Solution for Mobile Messaging Services

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David C. C. Ong

2007-01-01

Full Text Available In recent years, mobile devices have become relatively more powerful with additional features which have the capability to provide multimedia streaming. Better, faster and more reliable data storage solutions in the mobile messaging platform have become more essential with these additional improvements. The existing mobile messaging infrastructure, in particular the data storage platform has become less proficient in coping with the increased demand for its services. This demand especially in the mobile messaging area (i.e. SMS – Short Messaging Service, MMS – Multimedia Messaging Service, which may well exceeded 250,000 requests per second, means that the need to evaluate competing data management systems has become not only necessary but essential. This paper presents an evaluation of SMS and MMS platforms using different database management systems – DBMS and recommends the best data management strategies for these platforms.

Odour and flavour thresholds of gasoline additives (MTBE, ETBE and TAME) and their occurrence in Dutch drinking water collection areas

NARCIS (Netherlands)

van Wezel, A.; Puijker, L.; Vink, C.; Versteegh, A.; de Voogt, P.

2009-01-01

The use of ETBE (ethyl-tert-butylether) as gasoline additive has recently grown rapidly. Contamination of aquatic systems is well documented for MTBE (methyl-tert-butylether), but less for other gasoline additives. Due to their mobility they may easily reach drinking water collection areas. Odour

Development of a participatory Management approach of the Committee for Basic Education School under the Nongbualamphu Primary Educational Service Area Office 2

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Jirayu Prommajak

2016-10-01

Full Text Available This study aimed: 1 study the present state and adverse conditions of administration with the participation of the basic education in schools. 2 Development of a participatory Management approach of the Committee for Basic Education school under the Nongbualamphu Primary Educational Service Area Office 2. Split data into 2 phases. Phase 1: The sample used for this research consisted of 128 members of the committee on basic education in school under the Nongbualamphu Primary Educational Service Area Office 2. Selected by using stratified random sampling. Instruments used included a set of rating scale questionnaires. Phase 2: Data from the interviews using a structured questionnaire and focus group discussion. The basic statistics used for analyzing the collected data were percentage, means and standard deviation. The results of this study were as follows: 1. On the present state administration with the participation of the basic education commission in schools underunder the Nongbualamphu Primary Educational Service Area Office 2 overall participation in management is moderate. Considering the individual aspects, found that the academic administration overall participation in management and budget management were moderate. The personnel management and general and administrative overall participation in management at a high level. 2. Adverse conditions of administration with the participation of the school board for basic education in schools underunder the Nongbualamphu Primary Educational Service Area Office 2 overall in a high level. Considering the individual aspects, found that the school board in basic education is desirable to participate in the management of all aspects. 3. Development of a participatory management approach of the committee for basic education school under the Nongbualamphu Primary Educational Service Area Office 2 is a developmental process management principles PDCA, 5 steps. Step 1: Creating a common understanding Step

Disparities in the use of mobile phone for seeking childbirth services among women in the urban areas: Bangladesh Urban Health Survey.

Science.gov (United States)

Bishwajit, Ghose; Hoque, Md Rakibul; Yaya, Sanni

2017-12-29

In Bangladesh, similar to its other South Asian counterparts, shortage of health workers along with inadequate infrastructure constitute some of the major obstacles for the equitable provision of reproductive healthcare services, particularly among the marginalized and underserved neighbourhoods. However, given the rapidly expanding broadband communication and mobile phone market in the country, the application of eHealth and mHealth technologies offer a window of opportunities to minimise the impact of socioeconomic barriers and promote the utilization of maternal healthcare services thereby. In the present study we aimed to investigate 1) the prevalence of usage of mobile phones for seeking childbirth services, 2) neighbourhood and socioeconomic disparities in the use, and 3) association between using mobile phones and the uptake of postnatal care among mothers and neonates. Data for the present study came from Bangladesh Urban Health Survey 2013. Study subjects were 9014 married women aged between 15 and 49 years. The overall rate of use of mobile phone was highest in City Corporation non-Slum areas (16.2%) and lowest in City Corporation Slum areas (7.4%). The odds of using mobile for seeking childbirth services were significantly higher among those who were living in non-slum areas, and lower among those who never attended school and lived in poorer households. Results also indicated that women in the slum areas who used mobile phone for childbirth service seeking, were 4.3 times [OR = 4.250;95% CI = 1.856-9.734] more likely to receive postnatal care for themselves, and those from outside the city-corporation areas were 2.7 times [OR = 2.707;95% CI = 1.712-4.279] more likely to receive postnatal care for the newborn. Neighbourhood, educational and economic factors were significantly associated with the mobile phone utilization status among urban women. Promoting access to better education and sustainable income earning should be regarded as an

Assessment of Ecosystem Services in a Semi-arid Agriculture-dominant Area: Framework and Case Study

Science.gov (United States)

Dhungel, R.; Chen, Y.; Maltos, R.; Sivakumaran, K.; Aguilar, A.; Harmon, T. C.

2015-12-01

California's Central Valley (CV) water crisis has increased in severity due to a prolonged drought. The drought is directly contributing to the overexploitation of groundwater, along with deficiency in agricultural, recreational and aesthetic water services. The population of the CV, home to about 6.5 million people, is projected to be 12 million by 2040. Balancing water demand between municipal use, agricultural supply, and other ecosystem services, will be challenging for this region in perpetuity. In the heart of CV lies the San Joaquin River (SJR) where Friant Dam is the main low-elevation reservoir regulating water release. The Friant Dam's reservoir fulfills agricultural, municipal and industrial water needs through the Friant-Kern and Madera canals, as well as through the mainstem SJR. The SJR restoration project (SJRRP) is a recent development that is imposing additional demands on water releases in order to restore sustainable aquatic habitat for Chinook salmon and other species on the mainstem below the Friant Dam. The Chinook require adequate flow to moderate river temperature, particularly during hot summer and fall months. Temperatures on CV rivers exhibit strong diurnal and seasonal patterns, and can rise to harmful levels when flows are inadequate. In this study, we developed a framework that allows for assessing the effectiveness and implied costs of ecosystem services provided by a restored SJR in a semi-arid agriculture-dominant area. This is done by explicitly linking economics-based farmers' model with a reduced-form hydrological model that is loosely coupled to a physical-based stream-temperature model, specifically CE-QUAL-W2. The farmers' model is based on positive mathematical program approach calibrated with twenty proxy crops for year 2005. The river-hydrology is simulated by a vector autoregression model that incorporates daily flow variability. We study the mandated release policies by the SJR restoration project, along with hypothetical

Health services at the Kennedy Space Center

Science.gov (United States)

Ferguson, E. B.; Humbert, P.; Long, I. D.; Tipton, D. A.

1992-01-01

Comprehensive occupational health services are provided to approximately 17,000 workers at the Kennedy Space Center and an additional 6000 on Cape Canaveral Air Force Station. These areas cover about 120,000 acres encompassing part of the Merritt Island Wild Life Refuge and wetlands which are the habitat of numerous endangered and protected species of wildlife. The services provided at the Kennedy Space Center optimally assure a safe and healthy working environment for the employees engaged in the preparation and launching of this country's Space Shuttle and other important space exploration programs.

Measurements of the Received Signal Level and Service Coverage Area at the IEEE 802.11 Access Point in the Building

Science.gov (United States)

Gunantara, N.; Sudiarta, P. K.; Prasetya, AAN A. I.; Dharma, A.; Gde Antara, I. N.

2018-04-01

Access point (AP) is part of a Wireless Local Access Network (WLAN) with its communications using WiFi. AP is used to transmit and receive data to users/clients. The ability of AP to serve users/clients depends on many factors. Moreover, if AP is applied in conditions inside the building. In this study, AP is installed at two points inside the building and then measured in the form of the received signal level (RSL) and service coverage area. One AP measured its performance by 26 measurement points and the other AP measured its performance by 20 measurement points. When AP has measured its performance then another AP position is switched off. Based on the measurement result, the received signal level value is the highest value is about -47 dBm at a distance of 3.2 m, while the lowest is about -79 dBm at a 9.21 m because it is on barrier 2 walls. While based on service coverage area, the area which is far away from the AP then the quality of service becomes bad because the transmitted signal is weakening caused by the distance and the loss of the wall.

Irreversible Wash Aid Additive for Cesium Mitigation: Phase II. Selection and/or Modification of COTS Field Portable Waste Water Systems

International Nuclear Information System (INIS)

Kaminski, Michael; Mertz, Carol; Kivenas, Nadia; Magnuson, Matthew

2015-01-01

After an accidental or malicious release of radioactivity, large urban areas may be contaminated, compromising response efforts by first responders and law enforcement officials. In addition, some public services (e.g., drinking water and wastewater treatment, electrical power distribution, etc.) may be disrupted. In such an event, it may be important to deploy mitigation efforts in certain areas to restore response activities and public services (Fig. S-1). This report explores the state-of-the-art approach for a system to rapidly return critical infrastructure components to service following a cesium-137 (Cs-137) radiological dispersal device (RDD) release while avoiding the spread of Cs-137 beyond its original deposition area and minimizing the amount of Cs-137-contaminated wastewater. Specifically, we describe a wash system consisting of chemical additives added to fire hydrant water and irreversible solid sequestering agents added as the water is collected and treated for recycle in situ. The wash system is intended to be a rapidly deployable, cost-effective means of mitigating an urban setting for the purpose of restoring critical infrastructure and operational activities after a radiological release.

7 CFR 800.72 - Explanation of additional service fees for services performed in the United States only.

Science.gov (United States)

2010-01-01

... representative to the service location (at other than a specified duty point) is more than 25 miles from an FGIS... representative will be assessed from the FGIS office to the service point and return. When commercial modes of transportation (e.g., airplanes) are required, the actual expense incurred for the round-trip travel will be...

78 FR 48656 - Procurement List; Proposed Additions

Science.gov (United States)

2013-08-09

... Oceanic and Atmospheric Administration, Boulder, CO. Service Type/Location: Laundry Service, US Coast... Additions to the Procurement List. SUMMARY: The Committee is proposing to add products and services to the... required to procure the products and services listed below from nonprofit agencies employing persons who...

Cogeneration feasibility study in the Gulf States Utilities service area

Energy Technology Data Exchange (ETDEWEB)

1979-12-01

Sites in the Gulf States Utilities service are considered for cogeneration feasibility studies. The sources of steam considered for the Orange, Texas and Geismar, Lake Charles, and North Baton Rouge, Louisiana sites include oil, coal, HTGR steamers, consolidated nuclear steam system, atmospheric fluidized-bed coal combustion, and coal gasification. Concepts concerning cogeneration fuel systems were categorized by technical applicability as: current technology (pulverized coal-fired boilers and fuel oil-fired boilers), advanced technology under development (HTGR steamers and the CNSS), and advanced technology for future development (atmospheric fluidized-bed boilers and coal gasification). In addition to providing data on cogeneration plant generally useful in the US, the study determined the technical and economic feasibility of steam and electric power cogeneration using coal and nuclear fuels for localized industrial complexes. Details on site selection, plant descriptions, cost estimates, economic analysis, and plant schedule and implementation. (MCW)

Use of demand for and spatial flow of ecosystem services to identify priority areas.

Science.gov (United States)

Verhagen, Willem; Kukkala, Aija S; Moilanen, Atte; van Teeffelen, Astrid J A; Verburg, Peter H

2017-08-01

Policies and research increasingly focus on the protection of ecosystem services (ESs) through priority-area conservation. Priority areas for ESs should be identified based on ES capacity and ES demand and account for the connections between areas of ES capacity and demand (flow) resulting in areas of unique demand-supply connections (flow zones). We tested ways to account for ES demand and flow zones to identify priority areas in the European Union. We mapped the capacity and demand of a global (carbon sequestration), a regional (flood regulation), and 3 local ESs (air quality, pollination, and urban leisure). We used Zonation software to identify priority areas for ESs based on 6 tests: with and without accounting for ES demand and 4 tests that accounted for the effect of ES flow zone. There was only 37.1% overlap between the 25% of priority areas that encompassed the most ESs with and without accounting for ES demand. The level of ESs maintained in the priority areas increased from 23.2% to 57.9% after accounting for ES demand, especially for ESs with a small flow zone. Accounting for flow zone had a small effect on the location of priority areas and level of ESs maintained but resulted in fewer flow zones without ES maintained relative to ignoring flow zones. Accounting for demand and flow zones enhanced representation and distribution of ESs with local to regional flow zones without large trade-offs relative to the global ES. We found that ignoring ES demand led to the identification of priority areas in remote regions where benefits from ES capacity to society were small. Incorporating ESs in conservation planning should therefore always account for ES demand to identify an effective priority network for ESs. © 2016 The Authors. Conservation Biology published by Wiley Periodicals, Inc. on behalf of Society for Conservation Biology.

Artificial intelligence applications in fixed area monitor for TRIGA reactor building and service building

International Nuclear Information System (INIS)

Talpalariu, C.; Talpalariu, J.; Vaja, N.; Matei, C.

2008-01-01

This system is intended for the protection of personnel working in those areas of the Reactor Building and Service Building where high gamma radiation fields are expected. A detector, sensitive to gamma radiation, is installed in each of the areas to be monitored. The detector will send a signal, proportional to the radiation level in the area, to a corresponding electronic module (Alarm Unit), where the signal will be amplified and checked against alarm set points for possible alarming conditions. In case the field exceeds the alarm set values, the Alarm Unit will produce a signal that will trigger the field alarms (Horn and Beacon) located in the area where the condition occurred. Each Alarm Unit will send a numerical input to central computer command. he system is required to accomplish the following tasks: - Monitors the level of gamma radiation in those areas of the Station where high radiation fields are expected; - Provides a continuous and centralized display of the radiation level in each of the monitored areas. The display shall be in exposure rate units (R/h); - Provides a visual and audible alarm in each monitored areas; Allows the control room operator to check at any time the radiation levels and alarm conditions in each of the monitored areas; - Control room operator shall be alerted of any alarm conditions that occurs in the Station. A typical monitoring loop is composed of the following components: Detector Assembly type: CI-MA - 522 two channels, two ranges; Horn and Beacon Assembly; Remote Indicating Meter with Warning Lights; Central computer; common equipment for all 40 loops. (authors)

76 FR 14942 - Procurement List; Additions and Deletions

Science.gov (United States)

2011-03-18

... DFAC. Service Type/Location: Laundry & Dry Cleaning Service, F.E. Warren, AFB, WY. NPA: Goodwill... Service Type/Location: Laundry Service, Atlanta VA Medical Center, Decatur, GA. NPA: GINFL Services, Inc...: Additions to and deletions from the Procurement List. SUMMARY: This action adds services to the Procurement...

78 FR 21916 - Procurement List; Addition And Deletions

Science.gov (United States)

2013-04-12

..., the following service is added to the Procurement List: Service Service Type/Location: Laundry Service...: Addition to and Deletions from the Procurement List. SUMMARY: This action adds a service to the Procurement... disabilities, and deletes products and services from the Procurement List previously furnished by such agencies...

Socioeconomic profile of Clark County, Nevada: Community services inventory

International Nuclear Information System (INIS)

1986-09-01

The Nevada Nuclear Waste Storage Investigations Project is preparing socioeconomic profiles of Clark County, Nevada, and communities in Clark County that could be affected by siting, construction, operation, and decommissioning of a high-level nuclear waste repository at Yucca Mountain, located in Nye County. These profiles serve as a data base for evaluating local community service impacts; store existing socioeconomic data in a uniform, readily accessible format; identify the need for additional data; and assist in developing a plan for monitoring and mitigating any significant adverse impacts that may be associated with site characterization and potential repository development. This element of the socioeconomic profiles contains an inventory of community services provided by local, county, and state agencies and volunteer organizations to residents of Las Vegas, North Las Vegas, Henderson, Boulder City, Indian Springs, and unincorporated areas of the county. Services inventoried include housing, growth management, general government, education, police protection, transportation networks, public clinics, private health personnel, parks and recreation, social services, libraries, ambulances, electric power, natural gas, water, sewers and wastewater treatment, solid waste, and fire protection. The report includes a summary overview of service providers in Clark County, discussions of the services provided to residents of communities in Clark County that may be affected by Project activities, and a description of service providers whose service areas are not limited to the incorporated areas of Clark County. Data presented in this profile were collected through March of 1985. Data collection efforts are ongoing and this profile will be updated periodically

Increasing Medicaid Revenue Generation for Services by School Psychologists

Science.gov (United States)

Hybza, Megan M.; Stokes, Trevor F.; Hayman, Marilee; Schatzberg, Tracy

2013-01-01

We examined a performance improvement package with components of feedback, goal setting, and prompting to generate additional revenue by improving the consistency of Medicaid billing submitted by 74 school psychologists serving 102 schools. A multiple baseline design across three service areas of a county school system demonstrated the…

Flood warnings in coastal areas: how do social and behavioural patterns influence alert services?

Science.gov (United States)

Pescaroli, G.; Magni, M.

2015-01-01

Many studies discuss the economic and technical aspects of flood warnings. Less attention has been given to the social and psychological patterns that affect alert services. In particular, the literature focuses on warnings activated in river basins or marine environments without providing clear evidence of relevance to Mediterranean coastal areas, even though these are subjected to growing flood risk related to climate change. This paper is a first attempt to bridge this gap. Our research develops an in- depth analysis of the village of Cesenatico on the Adriatic Sea coast. Here the municipality adopted two complementary warning systems: a siren and an alert via Short Message Service (SMS). The analysis focuses on a survey conducted in 2011 and 2012 with 228 participants. The relationships between social and behavioural variables and warning services are investigated, and so are flood preparedness and information dissemination. Qualitative evidence from informal interviews is used to support the understanding of key responses. The conclusions show how different social and behavioural patterns can influence the effectiveness and use of warning systems, regardless of the technology adopted and the structural mitigation measures implemented. Education, training and accountability are seen to be critical elements for improvement. Finally, the statistical output is used to suggest new questions and new directions for research.

75 FR 14576 - Procurement List Additions

Science.gov (United States)

2010-03-26

... Inspection Service, Minneapolis, MN. M.R. Laundry Products NSN: MR 1103--Heavy Duty Laundry Bag. NSN: MR 1104... procurement list. SUMMARY: This action adds to the Procurement List products and services to be furnished by... products and services and impact of the additions on the current or most recent contractors, the Committee...

Innovations shape the nuclear services of tomorrow

International Nuclear Information System (INIS)

Apel, Frank

2008-01-01

The worldwide renaissance of nuclear energy production is getting up to speed. Thus Nuclear Services has the unique chance to develop and to implement exciting innovations. The driver for future innovations is the area of new builds as new customers are demanding new service solutions. Such are e.g. high availability concepts, full scope services and fully computerized datasets. AREVA NP Services. organization is prepared best to deliver innovative solutions, learning form being the first company building a new generation nuclear power plant, the EPR in OL3. AREVA involved Services in a very early stage to the design of the EPR to optimize plants maintainability. The newly developed tools and IT-solutions for new builds will as well support existing plants in improving their maintenance activities. Additionally AREVA takes advantage of being a global player in exchanging consequently experiences between all regions. (orig.)

Measuring potential access to food stores and food-service places in rural areas in the U.S.

Science.gov (United States)

Sharkey, Joseph R

2009-04-01

Geographic access to healthy food resources remains a major focus of research that examines the contribution of the built environment to healthful eating. Methods used to define and measure spatial accessibility can significantly affect the results. Considering the implications for marketing, policy, and programs, adequate measurement of the food environment is important. Little of the published work on food access has focused on rural areas, where the burden of nutrition-related disease is greater. This article seeks to expand our understanding of the challenges to measurement of potential spatial access to food resources in rural areas in the U.S. Key challenges to the accurate measurement of the food environment in rural areas include: (1) defining the rural food environment while recognizing that market factors may be changing; (2) describing characteristics that may differentiate similar types of food stores and food-service places; and (3) determining location coordinates for food stores and food-service places. In order to enhance measurements in rural areas, "ground-truthed" methodology, which includes on-site observation and collection of GPS data, should become the standard for rural areas. Measurement must also recognize the emergence of new and changing store formats. Efforts should be made to determine accessibility, in terms of both proximity to a single location and variety of multiple locations within a specified buffer, from origins other than the home, and consider multipurpose trips and trip chaining. The measurement of food access will be critical for community-based approaches to meet dietary needs. Researchers must be willing to take the steps necessary for rigorous measurement of a dynamic food environment.

Gender differentials in readiness and use of mHealth services in a rural area of Bangladesh.

Science.gov (United States)

Khatun, Fatema; Heywood, Anita E; Hanifi, Syed Manzoor Ahmed; Rahman, M Shafiqur; Ray, Pradeep K; Liaw, Siaw-Teng; Bhuiya, Abbas

2017-08-18

Traditional gender roles result in women lagging behind men in the use of modern technologies, especially in developing countries. Although there is rapid uptake of mobile phone use in Bangladesh, investigation of gender differences in the ownership, access and use of mobile phones in general and mHealth in particular has been limited. This paper presents gender differentials in the ownership of mobile phones and knowledge of available mHealth services in a rural area of Bangladesh. We interviewed 4915 randomly selected respondents aged 18 years and above. Associations between gender and knowledge of available mHealth services, use of existing mHealth services and intentions to use mHealth services in the future were examined by multivariate logistic regression analysis, controlling for the effect of categorised covariates. Of the 4915 respondents to the survey, 61.8% of men (1213/1964) and 34.4% of women (1015/2951) owned a mobile phone. For men, mobile phone ownership was highest among those aged 18-29 years (n = 663, 76.3%), and for women among those aged 30-39 years (n = 825, 44.7%). A higher proportion of men owned phones compared to women, irrespective of socioeconomic status (SES) as indicated by asset index (p mHealth services was lower among women than men; however, intention to use mHealth services in the future was high for both genders, irrespective of age, education and socioeconomic status. Compared to men, women are less likely to own a mobile phone and less aware of available mHealth services, despite high intention to use mHealth among both genders. To optimise the use of mHealth services and to achieve equity of use, uptake strategies should target women, with a focus on the poorer and less educated groups.

75 FR 49481 - Procurement List; Additions and Deletion

Science.gov (United States)

2010-08-13

... added to the Procurement List: Services Service Type/Locations: Laundry Service, Atlanta VA Medical...: Additions to and deletion from the Procurement List. SUMMARY: This action adds services to the Procurement... disabilities and deletes a service from the Procurement List previously furnished by such agency. DATES...

15 CFR 922.164 - Additional activity regulations by Sanctuary area.

Science.gov (United States)

2010-01-01

... plants may be possessed aboard a vessel in an Ecological Reserve or Sanctuary Preservation Area, provided... Sanctuary area. 922.164 Section 922.164 Commerce and Foreign Trade Regulations Relating to Commerce and... AND COASTAL RESOURCE MANAGEMENT NATIONAL MARINE SANCTUARY PROGRAM REGULATIONS Florida Keys National...

Environmental perspective of Location Based Services and Light Goods Vehicles in urban areas

Directory of Open Access Journals (Sweden)

2010-12-01

Full Text Available The article looks at the underexplored area of light goods vehicle (LGV operation. Specifically, it is investigated to what extent various location based services (LBS can be applied in the context of LGV operation in order to improve their environmental friendliness in urban areas. In doing so, LBS applied in real time navigation, dynamic fleet management, freight tracking and monitoring, hazardous materials transport, location-specific tolls and taxes and geo-eco-driving are described in relation to their usefulness in LGV operation as well as the potential in reducing LGV-originating pollution. Where available, real world examples of such applications are given. The discussion reveals particular significance in that context of real time navigation and dynamic fleet management, which are widely applicable solutions in LGVs operation. Freight monitoring and tracking, including hazardous materials transport, have been also found to be of an importance due, yet with a more limited applicability. As regards location-specific tolls and taxes, and geo-eco-driving, significant potential of these LBS has been identified, yet due to their very limited applicability in general, no robust conclusions could be drawn. Last but not least, a significant gap in the detailed knowledge regarding the area has been revealed and directions for further research have been suggested.

Potential use of mobile phones in improving animal health service delivery in underserved rural areas: experience from Kilosa and Gairo districts in Tanzania.

Science.gov (United States)

Karimuribo, Esron D; Batamuzi, Emmanuel K; Massawe, Lucas B; Silayo, Richard S; Mgongo, Frederick O K; Kimbita, Elikira; Wambura, Raphael M

2016-10-07

Sub-optimal performance of the animal health delivery system in rural areas is common in developing countries including Tanzania. However, penetration of mobile phones and availability of good road network and public transport systems offer opportunities for improving the access of rural communities to diagnostic and advisory services from facilities and expertise located in urban areas. A questionnaire survey on possession and use of mobile phones by pastoral and agro-pastoral communities in Kilosa and Gairo districts was carried out between November and December 2015. A total number of 138 livestock keepers from three villages of Chakwale (54), Mvumi (41) and Parakuyo (43) participated in the study. An e-based system was designed and tested to link rural communities with urban diagnostic facilities. It was observed that the average number of phones possessed by individuals interviewed and household families was 1.1 ± 0.26 (1-2) and 3.5 ± 2.23 (1-10), respectively. It was further observed that out of 138 livestock keepers interviewed, 133 (96.4 %) had feature phones while 10 (7.2 %) of them possessed smartphones. Mobile phone is currently used to support livestock production by communicating on animal health in Parakuyo (18, 41.9 %), Mvumi (18, 43.9 %) and Chakwale (14, 25.9 %). Other contributions of mobile phones in livestock and crop agriculture observed in the study area include: exchange of livestock price information, crop price information, communicating on plant health/diseases, livestock extension and advisory services as well as crop farming extension and advisory services. We also designed and tested an e-based SUAVetDiag® system to support timely diagnosis of infectious disease conditions and prompt advice on case management in veterinary underserved areas. Availability of mobile phones in rural areas, in combination with supporting infrastructure and facilities in urban areas, has potential to stimulate local development and improving

77 FR 23665 - Procurement List Proposed Additions

Science.gov (United States)

2012-04-20

...: Services Service Type/Location: Mailroom Operations, Official Mail Distribution Center, 1 Rock Island Arsenal, Building 132, Rock Island, IL. NPA: The Arc of the Quad Cities Area, Rock Island, IL. Contracting Activity: Dept of the ARMY, W4MM USA Joint Munitions CMD, Rock Island, IL. Service Type/Location: Custodial...

The internal audit of clinical areas: a pilot of the internal audit methodology in a health service emergency department.

Science.gov (United States)

Brown, Alison; Santilli, Mario; Scott, Belinda

2015-12-01

Governing bodies of health services need assurance that major risks to achieving the health service objectives are being controlled. Currently, the main assurance mechanisms generated within the organization are through the review of implementation of policies and procedures and review of clinical audits and quality data. The governing bodies of health services need more robust, objective data to inform their understanding of the control of clinical risks. Internal audit provides a methodological framework that provides independent and objective assurance to the governing body on the control of significant risks. The article describes the pilot of the internal audit methodology in an emergency unit in a health service. An internal auditor was partnered with a clinical expert to assess the application of clinical criteria based on best practice guidelines. The pilot of the internal audit of a clinical area was successful in identifying significant clinical risks that required further management. The application of an internal audit methodology to a clinical area is a promising mechanism to gain robust assurance at the governance level regarding the management of significant clinical risks. This approach needs further exploration and trial in a range of health care settings. © The Author 2015. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved.

[Analysis of activities of the preventive dentistry service in the Health Area 8 of the Valencia Autonomous Region].

Science.gov (United States)

Llena Puy, M C; Ausina Márquez, V

1996-02-29

We describe and analize the activities we carried out in a surgery from a preventive dentistry unit. Longitudinal descriptive study from 1993 since 1994. Health Area 8 from the Valencian Autonomous Region. Children from 3 to 14 year-old attendant to the preventive dentistry unit's surgery (2.497). We visited 5.012 children. The highest percentage of population corresponded to the zona 4, where began at first the preventive service. The activities distribution was as follow: oral explorations and plaque control (100%), fluoride topic aplication (90.38%), diet control (36.81%), pit and fisure sealants (6.46%), profilaxis (8.71%), radiological diagnosis (6.46%), dental emergencies (2.17%). The users origin was: 38.88% school oral explorations made over 6- and 10-year-old children; 63.71% from self-request; and 16.45% sent by other health professionals. 41.42% were continuated visits. Demand of preventive dental services is very high in our health area, although incorporation of therapeutic techniques is wished by the population. This demand increase as well as the surgery is closer to the user. People from big cities are stubborn using these services from smallest villages, even having transport facilities. Children start coming to the consults between 5-6 year-old, keeping an acceptable control until 12 approximately.

A feasibility study for the provision of electronic healthcare tools and services in areas of Greece, Cyprus and Italy

Science.gov (United States)

2011-01-01

Background Through this paper, we present the initial steps for the creation of an integrated platform for the provision of a series of eHealth tools and services to both citizens and travelers in isolated areas of thesoutheast Mediterranean, and on board ships travelling across it. The platform was created through an INTERREG IIIB ARCHIMED project called INTERMED. Methods The support of primary healthcare, home care and the continuous education of physicians are the three major issues that the proposed platform is trying to facilitate. The proposed system is based on state-of-the-art telemedicine systems and is able to provide the following healthcare services: i) Telecollaboration and teleconsultation services between remotely located healthcare providers, ii) telemedicine services in emergencies, iii) home telecare services for "at risk" citizens such as the elderly and patients with chronic diseases, and iv) eLearning services for the continuous training through seminars of both healthcare personnel (physicians, nurses etc) and persons supporting "at risk" citizens. These systems support data transmission over simple phone lines, internet connections, integrated services digital network/digital subscriber lines, satellite links, mobile networks (GPRS/3G), and wireless local area networks. The data corresponds, among others, to voice, vital biosignals, still medical images, video, and data used by eLearning applications. The proposed platform comprises several systems, each supporting different services. These were integrated using a common data storage and exchange scheme in order to achieve system interoperability in terms of software, language and national characteristics. Results The platform has been installed and evaluated in different rural and urban sites in Greece, Cyprus and Italy. The evaluation was mainly related to technical issues and user satisfaction. The selected sites are, among others, rural health centers, ambulances, homes of "at

A feasibility study for the provision of electronic healthcare tools and services in areas of Greece, Cyprus and Italy

Directory of Open Access Journals (Sweden)

Konnis Georgios

2011-06-01

Full Text Available Abstract Background Through this paper, we present the initial steps for the creation of an integrated platform for the provision of a series of eHealth tools and services to both citizens and travelers in isolated areas of thesoutheast Mediterranean, and on board ships travelling across it. The platform was created through an INTERREG IIIB ARCHIMED project called INTERMED. Methods The support of primary healthcare, home care and the continuous education of physicians are the three major issues that the proposed platform is trying to facilitate. The proposed system is based on state-of-the-art telemedicine systems and is able to provide the following healthcare services: i Telecollaboration and teleconsultation services between remotely located healthcare providers, ii telemedicine services in emergencies, iii home telecare services for "at risk" citizens such as the elderly and patients with chronic diseases, and iv eLearning services for the continuous training through seminars of both healthcare personnel (physicians, nurses etc and persons supporting "at risk" citizens. These systems support data transmission over simple phone lines, internet connections, integrated services digital network/digital subscriber lines, satellite links, mobile networks (GPRS/3G, and wireless local area networks. The data corresponds, among others, to voice, vital biosignals, still medical images, video, and data used by eLearning applications. The proposed platform comprises several systems, each supporting different services. These were integrated using a common data storage and exchange scheme in order to achieve system interoperability in terms of software, language and national characteristics. Results The platform has been installed and evaluated in different rural and urban sites in Greece, Cyprus and Italy. The evaluation was mainly related to technical issues and user satisfaction. The selected sites are, among others, rural health centers, ambulances

Implementation of a new 'community' laboratory CD4 service in a rural health district in South Africa extends laboratory services and substantially improves local reporting turnaround time.

Science.gov (United States)

Coetzee, L M; Cassim, N; Glencross, D K

2015-12-16

The CD4 integrated service delivery model (ITSDM) provides for reasonable access to pathology services across South Africa (SA) by offering three new service tiers that extend services into remote, under-serviced areas. ITSDM identified Pixley ka Seme as such an under-serviced district. To address the poor service delivery in this area, a new ITSDM community (tier 3) laboratory was established in De Aar, SA. Laboratory performance and turnaround time (TAT) were monitored post implementation to assess the impact on local service delivery. Using the National Health Laboratory Service Corporate Data Warehouse, CD4 data were extracted for the period April 2012-July 2013 (n=11,964). Total mean TAT (in hours) was calculated and pre-analytical and analytical components assessed. Ongoing testing volumes, as well as external quality assessment performance across ten trials, were used to indicate post-implementation success. Data were analysed using Stata 12. Prior to the implementation of CD4 testing at De Aar, the total mean TAT was 20.5 hours. This fell to 8.2 hours post implementation, predominantly as a result of a lower pre-analytical mean TAT reducing from a mean of 18.9 to 1.8 hours. The analytical testing TAT remained unchanged after implementation and monthly test volumes increased by up to 20%. External quality assessment indicated adequate performance. Although subjective, questionnaires sent to facilities reported improved service delivery. Establishing CD4 testing in a remote community laboratory substantially reduces overall TAT. Additional community CD4 laboratories should be established in under-serviced areas, especially where laboratory infrastructure is already in place.

The experience of web technologies’ implementation into cartography of the protected areas

Directory of Open Access Journals (Sweden)

Іван Олійников

2017-09-01

Full Text Available Geoportals and web services containing information about protected territories of different countries of the world are considered, in particular, the analysis of their content, purpose, features of operation, data formats and information that can be obtained with their facilitation. Active development of web technologies contributes to the fact that cartographic web services can be divided into several types: statistical layered maps; Web-maps with the ability to generate queries; Web-maps of collective filling; map-services; cartographic software shells. In the world, when mapping the objects of the nature reserve fund, the first 3 types of cartographic web services are used most often. Statistical map layers are most characteristic of the United States, as they are the first country to integrate web technologies and approaches into classical cartography for mapping of protected areas. For Canada, the experience of regional mapping of protected areas is more widespread than national and local levels. In Australia, particular attention is paid to the mapping of protected areas located on the shores of the oceans and islands. The second category - “Web-maps with the ability to create queries” is the most widespread not only in the field of web mapping of protected areas, but also in general for this area. The development of the volunteer movement contributes to the significant dissemination of services whose thematic content is filled with ordinary people - “Web-maps of collective filling”. The Royal Society for the Protection of Birds (UK project, global mapping rojects that are not specific to a particular country or macro region (a series of interactive maps for the dissemination of information on rare species of animals, the Global Forest Watch geoportal designed to track the dynamics of changes in forest areas are among these mapping services. Web mapping in Ukraine is on the stage of becoming. In addition to the Atlas of the Natural

AN EXPLORATORY ANALYSIS OF FAMILIARITY AND WILLINGNESS TO USE ONLINE FOOD SHOPPING SERVICES IN A LOCAL AREA OF TEXAS

OpenAIRE

Hiser, Jennifer; Nayga, Rodolfo M., Jr.; Capps, Oral, Jr.

1999-01-01

Online food shopping is not only one of the newest innovations in grocery shopping but also one of the many services integrating the changing needs of consumers and the increasing use of modern technology. A survey was conducted in the Bryan/College Station area of Texas to determine a quantitative profile of consumers, via logit analysis, who are familiar with the concept of online food shopping and who are willing to use an online food shopping service. Older people, females, major shoppers...

76 FR 41687 - Food Additives Permitted for Direct Addition to Food for Human Consumption; Hydroxypropyl Cellulose

Science.gov (United States)

2011-07-15

... Organization and the World Health Organization (FAO/WHO) Expert Committee for Food Additives (JECFA) has... DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration 21 CFR Part 172 [Docket No. FDA-2010-F-0103] Food Additives Permitted for Direct Addition to Food for Human Consumption...

Source Distribution Method for Unsteady One-Dimensional Flows With Small Mass, Momentum, and Heat Addition and Small Area Variation

Science.gov (United States)

Mirels, Harold

1959-01-01

A source distribution method is presented for obtaining flow perturbations due to small unsteady area variations, mass, momentum, and heat additions in a basic uniform (or piecewise uniform) one-dimensional flow. First, the perturbations due to an elemental area variation, mass, momentum, and heat addition are found. The general solution is then represented by a spatial and temporal distribution of these elemental (source) solutions. Emphasis is placed on discussing the physical nature of the flow phenomena. The method is illustrated by several examples. These include the determination of perturbations in basic flows consisting of (1) a shock propagating through a nonuniform tube, (2) a constant-velocity piston driving a shock, (3) ideal shock-tube flows, and (4) deflagrations initiated at a closed end. The method is particularly applicable for finding the perturbations due to relatively thin wall boundary layers.

5 CFR 591.207 - Which areas are COLA areas?

Science.gov (United States)

2010-01-01

... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Which areas are COLA areas? 591.207 Section 591.207 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS ALLOWANCES AND DIFFERENTIALS Cost-of-Living Allowance and Post Differential-Nonforeign Areas Cost-Of-Living...

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

Energy Technology Data Exchange (ETDEWEB)

Jantzen, G.

1981-12-01

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

Additive Manufacturing in Finland: Recommendations for a Renewed Innovation Policy

Science.gov (United States)

Ituarte, Iñigo Flores; Salmi, Mika; Ballardini, Rosa Maria; Tuomi, Jukka; Partanen, Jouni

The objective of this research is to define an optimal innovation policy and funding strategy to improve Additive Manufacturing (AM) capabilities in Finnish companies. To do so, we present an international review of innovation programs in the area of AM. In addition, the study replied upon a survey prepared to evaluate factors for AM implementation. The ultimate goal is to help in the definition of a national policy strategy in the area of AM based on the characteristics of the Finnish industrial ecosystem. The methodology and data collection method involved defining the taxonomy of Finnish AM industry. The target group of the survey was a population of AM experts, and individuals with knowledge on AM and industrial processes. Overall, the survey revealed that research and innovation activities are well positioned in Finland. In order for future innovation policies to further support developments in the field, we estimated that policy strategies need to generate about 6-8 M€/year in national and EU- funding instruments for AM technology transfer, development, and innovation activities. Efforts should be targeted towards strengthening uses of AM in final production. In fact, only 36% of Finnish respondents declared to use AM for final production, while leading countries in AM use it in average more than 50%. Another area in need of development in Finland is the use of AM high performance materials. Moreover, outsourcing of AM services in Finland is 23 percentage point higher in national and 13 percentage point higher in international outsourcing to service bureaus and suppliers. In this regard, future policies and funding strategies should maintain the created momentum. However, there is a need to acquire high-end research and industrial equipment to stimulate AM integration to the existing production systems. This in the end can trigger the creation of new products, processes and intellectual property, enabling innovation and competitive advantage.

MX/G/1 unreliable retrial queue with option of additional service and Bernoulli vacation

Directory of Open Access Journals (Sweden)

Charan Jeet Singh

2016-03-01

Full Text Available In this paper, retrial queue with unreliable server and bulk arrivals is investigated. The server is capable of providing m-optional services and any one of these available services, may be rendered to the customer after the first essential service if the customer opts for the same. It is assumed that the server may fail while rendering any phase of service and undergoes for the immediate repair. After the completion of the service of a customer, the server may either take a vacation for a random period or may continue to provide the service to the other customers waiting in the queue. The supplementary variables corresponding to service time, repair time and retrial time are incorporated to determine the queue size distribution. To examine the effect of different parameters on the performance measures of the system, the numerical illustration is given which is supported by numerical simulation and sensitivity analysis.

Triple Play Service and IPTV Services Offered within it

Directory of Open Access Journals (Sweden)

Dagmar Pajdusakova

2008-01-01

Full Text Available This paper deals with Triple Play multimedia service and figures its architecture. Triple Play offers voice, video and data services together in one customer connection. There is offered IPTV (Internet Protocol Television service within this service, where we can include also Video on Demand service and other different additional services. In the paper is described classification of Video on Demand services.

75 FR 41449 - Procurement List Additions and Deletion

Science.gov (United States)

2010-07-16

... Customs and Border Protection, Office of Procurement, Washington, DC Service Type/Locations: Laundry.../Locations: Laundry Service, Naval Hospital System, 2800 Child Street, Jacksonville, FL NPA: GINFL Services...: Additions to and deletion from the Procurement List. SUMMARY: This action adds products and services to the...

Consumption of Advanced Internet Services in the Enterprises Sector: the Spread of Telework in the Metropolitan Area of Madrid

Directory of Open Access Journals (Sweden)

José Carlos MACÍA ARCE

2012-06-01

Full Text Available One of the pillars of the technological revolution that began in the seventies was the development of the Internet. This network has evolved in such a way that it now forms a complex structure that radically changed the social and economic dynamics at the end of century XX. Nowadays, new technologies allow anything from communication and information exchange to the realization of complex financial transactions, all from anywhere in the world and almost instantaneously. In spite of the widespread use of the Internet, there are still territories and inhabitants, mostly emplaced in remote rural areas, who live outside of this technological revolution. By contrast, urban areas enjoy a privileged position in the dissemination of the information society by concentrating most of the telecommunications infrastructure and monopolize the most qualified people. But there are many disparities in terms of diffusion of new technologies and these will transfer, in turn, to the enterprise sector which is the subject of this research. The differences in the use of new technologies and more specifically the use of advanced services on the Internet are related to the sector where the population is employed and its level of training. One of the advanced services offered by the Network is teleworking. Nowadays there are companies that offer their employees the opportunity to develop their professional activities outside their headquarters, using their homes as an alternative or call centers enabled with computers and Internet access. The purpose of this research is the study of the consumption of Internet advanced services by companies in the metropolitan area of Madrid, analyzing the spread of telework in more detail,a potential offered by new technologies and which may modify the current pattern of mobility in the main urban areas because it is from here where big companies are guiding the global economy.

AgSat Areas of Interest

Data.gov (United States)

Farm Service Agency, Department of Agriculture — The AgSat Areas of Interest map contains area polygons where satellite imagery will be collected for the Farm Service Agency (FSA) to provide imagery coverage for...

77 FR 37658 - Procurement List; Additions

Science.gov (United States)

2012-06-22

..., Warren, MI. Service Type/Location: Mailroom Operations, Official Mail Distribution Center, 1 Rock Island Arsenal, Building 132, Rock Island, IL. NPA: The Arc of the Quad Cities Area, Rock Island, IL. Contracting Activity: Dept of the Army, W4MM USA Joint Munitions CMD, Rock Island, IL. Service Type/Location: Custodial...

Mapping Ecological Processes and Ecosystem Services for Prioritizing Restoration Efforts in a Semi-arid Mediterranean River Basin

Science.gov (United States)

Trabucchi, Mattia; O'Farrell, Patrick J.; Notivol, Eduardo; Comín, Francisco A.

2014-06-01

Semi-arid Mediterranean regions are highly susceptible to desertification processes which can reduce the benefits that people obtain from healthy ecosystems and thus threaten human wellbeing. The European Union Biodiversity Strategy to 2020 recognizes the need to incorporate ecosystem services into land-use management, conservation, and restoration actions. The inclusion of ecosystem services into restoration actions and plans is an emerging area of research, and there are few documented approaches and guidelines on how to undertake such an exercise. This paper responds to this need, and we demonstrate an approach for identifying both key ecosystem services provisioning areas and the spatial relationship between ecological processes and services. A degraded semi-arid Mediterranean river basin in north east Spain was used as a case study area. We show that the quantification and mapping of services are the first step required for both optimizing and targeting of specific local areas for restoration. Additionally, we provide guidelines for restoration planning at a watershed scale; establishing priorities for improving the delivery of ecosystem services at this scale; and prioritizing the sub-watersheds for restoration based on their potential for delivering a combination of key ecosystem services for the entire basin.

Mapping ecological processes and ecosystem services for prioritizing restoration efforts in a semi-arid Mediterranean river basin.

Science.gov (United States)

Trabucchi, Mattia; O'Farrell, Patrick J; Notivol, Eduardo; Comín, Francisco A

2014-06-01

Semi-arid Mediterranean regions are highly susceptible to desertification processes which can reduce the benefits that people obtain from healthy ecosystems and thus threaten human wellbeing. The European Union Biodiversity Strategy to 2020 recognizes the need to incorporate ecosystem services into land-use management, conservation, and restoration actions. The inclusion of ecosystem services into restoration actions and plans is an emerging area of research, and there are few documented approaches and guidelines on how to undertake such an exercise. This paper responds to this need, and we demonstrate an approach for identifying both key ecosystem services provisioning areas and the spatial relationship between ecological processes and services. A degraded semi-arid Mediterranean river basin in north east Spain was used as a case study area. We show that the quantification and mapping of services are the first step required for both optimizing and targeting of specific local areas for restoration. Additionally, we provide guidelines for restoration planning at a watershed scale; establishing priorities for improving the delivery of ecosystem services at this scale; and prioritizing the sub-watersheds for restoration based on their potential for delivering a combination of key ecosystem services for the entire basin.

Pork carcass injury in slaughterhouse waiting area and nutrient addition in pre-slaughter fasting

Directory of Open Access Journals (Sweden)

Tiago G Petrolli

2017-01-01

Full Text Available Objective. Two experiments were conducted on a slaughterhouse located in Brazil, which the first aimed at evaluating the injuries on pig skin and carcass resulting from slaughterhouse waiting area management and the second aimed at assessing how glucose (G, sodium bicarbonate (SB and vitamin E (VE added to water during pre-slaughter fasting may affect carcass yield, organ relative weight and pork meat quality characteristics. Materials and methods. First trial included 1000 pigs, which were observed in the slaughterhouse resting area until the moment they entered the stunning process area. In the second trial were used 500 animals distributed on the last pre-slaughter day in a completely randomized design, including ten treatments and ten replicates. The treatments were: water; 50 g/L G; 50 g/L G + 200 mg/L of VE; 75 g/L of G; 75 g/L of G + 200 mg VE; 0.45% SB; 0.45% SB + 200 mg/L of VE; 0.55% SB; 0.55% SB + 200 mg/L of VE; 200 mg/L of VE. Results. Carcass yield and relative organ weight were not affected by treatments. The addition of 0.55% SB + 200 mg VE reduced the final pH of meat, and of 0.45% SB reduced the red pigment intensity. Conclusions. The main occurrences of injuries to the skin and carcass of pigs are due to fights. Also, adding glucose, sodium bicarbonate, and vitamin E to diet did not affect the carcass and viscera yield and meat quality.

77 FR 29596 - Procurement List Proposed Additions

Science.gov (United States)

2012-05-18

.../Location: Laundry Service, Veterans Administration Medical Center (VAMC), (offsite: 1809 W 2nd Avenue... Additions to the Procurement List. SUMMARY: The Committee is proposing to add products and services to the... identified in this notice will be required to procure the products and services listed below from nonprofit...

76 FR 78248 - Procurement List; Addition and Deletions

Science.gov (United States)

2011-12-16

.... Service Type/Location: Laundry Service, Stratton Medical Center, 113 Holland Ave, Albany, NY. [[Page 78249...: Addition to and Deletions from the Procurement List. SUMMARY: This action adds a service to the Procurement... disabilities, and deletes products and services from the Procurement List previously furnished by such agencies...

Catch tanks inhibitor addition 200-East and 200-West Areas

International Nuclear Information System (INIS)

Palit, A.N.

1996-01-01

Reported is the study of 11 catch tanks in the 200-East Area and the 7 catch tanks in the 200-West Area listed as active. The location, capacity, material of construction, annual total accumulation, annual rain intrusion, waste transfer rate, and access for chemical injection in these tanks are documented. The present and future utilization and isolation plans for the catch tanks are established

Empowerment Zones and Enterprise Districts, Municipal Service Area - area defined by Ordinance that provides for the City jurisdiction related to development and future growth, Published in 2009, 1:24000 (1in=2000ft) scale, City of Topeka Government.

Data.gov (United States)

NSGIC Local Govt | GIS Inventory — Empowerment Zones and Enterprise Districts dataset current as of 2009. Municipal Service Area - area defined by Ordinance that provides for the City jurisdiction...

Urban-rural demarcation within a metropolitan area: a methodology for using small area disaggregation

CSIR Research Space (South Africa)

Green, Cheri A

2008-04-01

Full Text Available There is ongoing debate with regard to the levels of service provision in urban and rural areas. However, progress with respect to the delivery of planned services can only be efficiently and equitably measured once benchmarks for different areas...

77 FR 60969 - Procurement List; Additions

Science.gov (United States)

2012-10-05

... Are Blind or Severely Disabled published a notice for additions to the Procurement List with the... Committee for Purchase From People Who Are Blind or Severely Disabled published notices of proposed..., Phoenix, AZ. Service Type/Location: Custodial and Grounds Maintenance Services, Austin Courthouse, 501...

Developing Guidelines to Enhance Students Desirable Characteristics for Schools under the Office of Udornthani Primary Education Service Area 1

Directory of Open Access Journals (Sweden)

Aroonsiri Janlon

2017-09-01

Full Text Available The purposes of this research were 1 to study the elements and indicators students desirable characteristics for schools ; 2 to study the present condition and the desirable of students desirable characteristics for schools ; and 3 to develop guidelines to enhance students desirable characteristics for schools under the office of Udornthani primary education service area 1. Research and development. Method was divided into three phases for the purposes of research. The samples were 296 teachers and school administrators, using stratified random sampling. Instruments used were questionnaire, assessment elements and indicators, interview form and assessment guidelines. Data were analyzed using mean, standard devitation and modified priority needs index. Research findings were as follows: 1. There were 3 elements of students desirable characteristics for schools consisted of discipline, learning and commitment to work. Discipline consisted of four indicators, learning consisted of indicators and commitment to work consisted of two indicators. 2. The current situation of students desirable characteristics for schools under the office of Udornthani primary education service area 1, overall at a high level, considering each element, discipline was the highest, followed by learning and the lowest was commitment to work as well. In desirable situation the same relults on the current situation. 3. Guidelines to enhance students desirable characteristics for schools under the office of Udornthani primary education service area 1 consisted of 7 guidelines: 1 the policy clearly ; 2 providing specialized committees ; 3 creating a common understanding ; 4 targeting clearly ; 5 the environmental moral ; 6 supervision, monitoring and evaluation ; and 7 creating a network of parents and the community.

76 FR 47210 - Notices of Filing of Petitions for Food Additives and Color Additives; Relocation in the Federal...

Science.gov (United States)

2011-08-04

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA-2011-N-0518] Notices of Filing of Petitions for Food Additives and Color Additives; Relocation in the Federal Register...) is notifying the public that notices of filing of petitions for food additives and color additives...

Flood warnings in coastal areas: how do experience and information influence responses to alert services?

Science.gov (United States)

Pescaroli, G.; Magni, M.

2015-04-01

Many studies discuss the economic and technical aspects of flood warnings. Less attention has been given to the social and behavioural patterns that affect alert services. In particular, the literature focuses on warnings activated in river basins or marine environments without providing clear evidence on Mediterranean coastal areas, even though these are subjected to growing flood risk related to climate change. This paper is a first attempt to bridge this gap. Our research develops an in-depth analysis of the village of Cesenatico on the Adriatic Sea coast. Here the municipality adopted two complementary warning systems: a siren and an alert via short message service (SMS). The analysis focuses on a survey conducted in 2011 and 2012 with 228 participants. The relationships between social and behavioural variables and warning services are investigated as well as flood preparedness and information dissemination. Qualitative evidence from informal interviews is used to support the understanding of key responses. The conclusions show how different social and behavioural patterns can influence the effectiveness and use of warning systems, regardless of the technology adopted and the structural mitigation measures implemented. Education, training and accountability are seen to be critical elements for implementation. Finally, the statistical output is used to suggest new questions and new directions for research.

Creating a Liveable City - Eco-services, Systems and Place

Science.gov (United States)

Hamilton, R. J.; Dean, M.; Birtles, P. J.; Hore, J.; Dahlenburg, J.

2014-12-01

The use of an ecosystem service framework for natural resource management has gained increasing traction in the public sector. This is of especial interest in cities as residual ecosystems - typically located along creeks and estuaries, or remaining in scattered pockets throughout the urban area - offer some of the highest value social and economic returns per capita for the land area they occupy, yet are often impractical to manage from more traditional approaches to conservation. We posit that the well-being of humans and other species is the outcome of healthy, functioning ecosystems, and that, from a policy perspective, it is essential to consider services in this context. We arrange ecosystem services into three categories: life-enabling, life-sustaining and life-fulfilling, in a modification to the categories of the Millennium Ecosystem Assessment, and identify additional eco-services unique to urban areas. At local scale, these contribute to the well-being of city residents and positively affect quality of life, forming essential elements of urban liveability. However, dynamics of co-located built and natural environments challenge the capacity of ecosystems to function and provide their full suite of services. Using Sydney as an example, we outline a modular framework of socio-ecological systems and places to show how eco-services supporting liveability can be considered in conceptual and physical space. At a policy level, framing systems-based management objectives that protect, improve and re-discover desirable ecosystem services within the city (as opposed to further increasing the environmental footprint outside), will allow for unique, positive, socially-enabling outcomes for urban centres, in Australia, and globally.

42 CFR 22.1 - Duty at a station of the Service devoted to the care of Hansen's disease patients; additional pay.

Science.gov (United States)

2010-10-01

... care of Hansen's disease patients and who continues to be assigned to such duty, shall receive special... 42 Public Health 1 2010-10-01 2010-10-01 false Duty at a station of the Service devoted to the care of Hansen's disease patients; additional pay. 22.1 Section 22.1 Public Health PUBLIC HEALTH...

Workshop Report on Additive Manufacturing for Large-Scale Metal Components - Development and Deployment of Metal Big-Area-Additive-Manufacturing (Large-Scale Metals AM) System

Energy Technology Data Exchange (ETDEWEB)

Babu, Sudarsanam Suresh [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States). Manufacturing Demonstration Facility; Love, Lonnie J. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States). Manufacturing Demonstration Facility; Peter, William H. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States). Manufacturing Demonstration Facility; Dehoff, Ryan [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States). Manufacturing Demonstration Facility

2016-05-01

Additive manufacturing (AM) is considered an emerging technology that is expected to transform the way industry can make low-volume, high value complex structures. This disruptive technology promises to replace legacy manufacturing methods for the fabrication of existing components in addition to bringing new innovation for new components with increased functional and mechanical properties. This report outlines the outcome of a workshop on large-scale metal additive manufacturing held at Oak Ridge National Laboratory (ORNL) on March 11, 2016. The charter for the workshop was outlined by the Department of Energy (DOE) Advanced Manufacturing Office program manager. The status and impact of the Big Area Additive Manufacturing (BAAM) for polymer matrix composites was presented as the background motivation for the workshop. Following, the extension of underlying technology to low-cost metals was proposed with the following goals: (i) High deposition rates (approaching 100 lbs/h); (ii) Low cost (<$10/lbs) for steel, iron, aluminum, nickel, as well as, higher cost titanium, (iii) large components (major axis greater than 6 ft) and (iv) compliance of property requirements. The above concept was discussed in depth by representatives from different industrial sectors including welding, metal fabrication machinery, energy, construction, aerospace and heavy manufacturing. In addition, DOE’s newly launched High Performance Computing for Manufacturing (HPC4MFG) program was reviewed. This program will apply thermo-mechanical models to elucidate deeper understanding of the interactions between design, process, and materials during additive manufacturing. Following these presentations, all the attendees took part in a brainstorming session where everyone identified the top 10 challenges in large-scale metal AM from their own perspective. The feedback was analyzed and grouped in different categories including, (i) CAD to PART software, (ii) selection of energy source, (iii

Looking up to the sky! An exploration of new graduate nurses' perceptions of remote area nursing.

Science.gov (United States)

Hart, Bethne; Black, James; Hillery, Jayde; Smith, Sophie

2014-01-01

Remote area nursing is characterised by two known realities: health inequalities and nursing challenges. The health inequalities are complex consequences of social determinants and health care access. Remote area nurses must negotiate these realities that powerfully interact. Yet we, as new graduate nurses, contemplate a remote area nursing career pathway with additional points of view, including a strong attraction to the long-lasting image of the 'Flying Nurse' within aero medical remote health services. This image holds for us the possibilities of excitement, drama, vital service, and intensive care. This paper explores the realities of this career attraction, and consequently explores the aspirations of contemplative new graduate nurses, as they assimilate their knowledge of remote area nursing with their plans for their future transitions into nursing practice.

75 FR 27785 - Final Effect of Designation of a Class of Employees for Addition to the Special Exposure Cohort

Science.gov (United States)

2010-05-18

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Final Effect of Designation of a Class of Employees for Addition to the Special Exposure Cohort AGENCY: National Institute for Occupational Safety and Health... concerning the final effect of the decision to designate a class of employees from Area IV of the Santa...

42 CFR 412.87 - Additional payment for new medical services and technologies: General provisions.

Science.gov (United States)

2010-10-01

... payment for new medical services and technologies: General provisions. (a) Basis. Sections 412.87 and 412... establish a mechanism to recognize the costs of new medical services and technologies under the hospital... that are new medical services and technologies, if the following conditions are met: (1) A new medical...

The Development of the Academic Administration Model of Basic Primary Educational Institutions under the Office of Sakon Nakhon Educational Service Area Office 3

Directory of Open Access Journals (Sweden)

Kamonlrat Kaenchan

2017-09-01

Full Text Available The research aimed to 1 examine the current conditions, problems and academic administration of basic education schools under the office of Sakon Nakhon educational service area office 3, 2 develop the academic administration model of basic educational schools under the office of Sakon Nakhon educational service area office 3. The study was divided into 2 phases. Phase 1: Study the researches and literatures concerning the framework, the current conditions and the problems of academic administration to gain the concept for constructing a set of questionnaire. The questionnaire was then used to collect data from 50 administrators, 83 heads of academic sections and 198 heads of learning areas ; and interviewed the administrators of 5 schools that ranked top-five of the national education test scores (O-NET and were certified by the office of educational standard assurance and quality assessment in the third-round inspection. Phase 2: Construct the model of educational administration of basic education schools under the office of Sakon Nakhon educational service area office 3, held a focus group discussion of which the participants were 2 educational administrators and 5 school directors on the constructed model, evaluated the educational administration models of the schools under the office of Sakon Nakhon educational service area office 3 by 30 school administrators and teachers. The instruments used to collect data were a set of questionnaire, interviewing forms, recording forms and evaluating forms. The data were analyzed by a computer application. The statistics used to analyze the data were percentage, mean and standard deviation. The results were as follows: 1 The current conditions of academic administration of basic education schools under the office of Sakon Nakhon educational service area office 3, overall, were at a high level. The highest mean was the development of the learning process. The problems of academic administration, overall

Service Modeling for Service Engineering

Science.gov (United States)

Shimomura, Yoshiki; Tomiyama, Tetsuo

Intensification of service and knowledge contents within product life cycles is considered crucial for dematerialization, in particular, to design optimal product-service systems from the viewpoint of environmentally conscious design and manufacturing in advanced post industrial societies. In addition to the environmental limitations, we are facing social limitations which include limitations of markets to accept increasing numbers of mass-produced artifacts and such environmental and social limitations are restraining economic growth. To attack and remove these problems, we need to reconsider the current mass production paradigm and to make products have more added values largely from knowledge and service contents to compensate volume reduction under the concept of dematerialization. Namely, dematerialization of products needs to enrich service contents. However, service was mainly discussed within marketing and has been mostly neglected within traditional engineering. Therefore, we need new engineering methods to look at services, rather than just functions, called "Service Engineering." To establish service engineering, this paper proposes a modeling technique of service.

The effect of industrial vehicles on the road’s level of service of industrial area in Malang City

Science.gov (United States)

Agustin, I. W.; Sumantri, Y.

2017-06-01

Malang was a great city that has the characteristics of diverse industries and it was spread in each district. Industry was one of the activities that have the characteristics of the movement with the goal of shipping and distribution. The vehicles used are large vehicles such as trucks and trailers. Problems related to the road’s performance that is the emergence of several points of delay and congestion due to the movement and the volume of vehicles as well as the limited capacity of existing roads. It encourages researchers to do research related to the effect of the industrial vehicle movements on the performance of existing roads in the city of Malang. The main purpose of the research is to analyze the effect of industrial vehicles movement on the road’s level of service of industrial area and to find out alternative solutions to improve the road’s level of service of industrial area. The research used multiple linear regression and do something analysis. The results showed that the types of industry in the city of Malang are ILMETTA, IATT, Agrokim, Sentra and Large Industries. Determining the location of the main observation based on the distribution of industry, have a major impact directly on the street, and the class of the national road are located in Sunandar Priyo Sudarmo Street. Existing land use in Sunandar Priyo Sudarmo Street are industrial, healthcare, office and it dominated by trade and services. Related to the variables that affect the movement of industrial vehicles are the number of employees (X3) and the delivery frequency (X6). The road’s level of service of Sunandar Priyo Sudarmo Street are D and E. While the effect of industrial vehicles movement on the road’s level of service which ranged from 13.77 per cent to 22.13 per cent of the total volume of vehicles on the road. Some referrals will be used to handle the problems that the road widening and the selection of alternative routes for the industrial vehicles.

Using small-area variations to inform health care service planning: what do we 'need' to know?

Science.gov (United States)

Mercuri, Mathew; Birch, Stephen; Gafni, Amiram

2013-12-01

Allocating resources on the basis of population need is a health care policy goal in many countries. Thus, resources must be allocated in accordance with need if stakeholders are to achieve policy goals. Small area methods have been presented as a means for revealing important information that can assist stakeholders in meeting policy goals. The purpose of this review is to examine the extent to which small area methods provide information relevant to meeting the goals of a needs-based health care policy. We present a conceptual framework explaining the terms 'demand', 'need', 'use' and 'supply', as commonly used in the literature. We critically review the literature on small area methods through the lens of this framework. 'Use' cannot be used as a proxy or surrogate of 'need'. Thus, if the goal of health care policy is to provide equal access for equal need, then traditional small area methods are inadequate because they measure small area variations in use of services in different populations, independent of the levels of need in those populations. Small area methods can be modified by incorporating direct measures of relative population need from population health surveys or by adjusting population size for levels of health risks in populations such as the prevalence of smoking and low birth weight. This might improve what can be learned from studies employing small area methods if they are to inform needs-based health care policies. © 2013 John Wiley & Sons Ltd.

Assessing missed opportunities for the prevention of mother-to-child HIV transmission in an Eastern Cape local service area.

Science.gov (United States)

Rispel, L C; Peltzer, K; Phaswana-Mafuya, N; Metcalf, C A; Treger, L

2009-03-01

Prevention of new HIV infections is a critical imperative for South Africa; the prevention of mother-to-child transmission (PMTCT) is one of the most efficacious HIV prevention interventions. Assessment of a PMTCT programme to determine missed opportunities. The Kouga local service area (LSA), bordering Nelson Mandela Bay Municipality (Port Elizabeth) in the Eastern Cape. An assessment was conducted in 2007 before implementing technical support for strengthening the PMTCT programme, including: interviews with 20 PMTCT managers, 4 maternity staff and 27 other health workers on service provision, management, infrastructure, human resources and the health information system; 296 antenatal clinic users on their service perceptions; 70 HIV-positive women on HIV knowledge, infant feeding, coping, support and service perceptions; 8 representatives from community organisations and 101 traditional health practitioners (THPs). Observations were conducted during site visits to health facilities, and the District Health Information System (DHIS) data were reviewed. Staff had high levels of awareness of HIV policies and most had received some relevant training. Nevirapine uptake varied by clinic, with an average of 56%. There were many missed opportunities for PMTCT, with 67% of pregnant women tested for HIV and only 43% of antenatal care attendees tested during a previous pregnancy. Only 6% of HIV-positive women reported support group participation. Reducing missed opportunities for PMTCT requires strengthening of the formal health sector, intersectoral liaison, and greater community support. Priority areas that require strengthening in the formal health sector include HIV counselling and testing; family planning and nutrition counselling; infant follow-up; human resources; and monitoring and evaluation.

Additive manufacturing techniques and their biomedical applications

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Yujing Liu

2017-12-01

Full Text Available Additive manufacturing (AM, also known as three-dimensional (3D printing, is gaining increasing attention in medical fields, especially in dental and implant areas. Because AM technologies have many advantages in comparison with traditional technologies, such as the ability to manufacture patient-specific complex components, high material utilization, support of tissue growth, and a unique customized service for individual patients, AM is considered to have a large potential market in medical fields. This brief review presents the recent progress of 3D-printed biomedical materials for bone applications, mainly for metallic materials, including multifunctional alloys with high strength and low Young’s modulus, shape memory alloys, and their 3D fabrication by AM technologies. It describes the potential of 3D printing techniques in precision medicine and community health.

INVESTMENTS AND SERVICES ON THE RURAL DEVELOPMENT IN ROMANIA

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Popa Ana

2013-04-01

Full Text Available The article started with the modern connection observed between sectors in EU -primary, secondary and tertiary- on rural areas, where agriculture becomes essential. First, this connection is manifested in Romania under the impact of the main directions of the Common Agricultural Policy (CAP during 2014-2020, namely: a more market-oriented production, but also related to the public, promoting food security, while considering environmental issues and, in addition, achieve cooperation and alignment to the European Economic Area, including equality in European funding. Secondly, there is a dedicated rural development policy, which is supported by a series of investments, but imposed a number of directions that will lead to the expansion of tertiary sector measures, marketing, tourism, ecology, and promoting social inclusion, poverty reduction and economic development in rural areas. Other influences are generated by foreign direct investments-FDI in rural areas. The conclusion is based on the fragility of the rural sector in Romania, compared to other European countries and highlights specific areas of interest of stakeholders for the following issues: improving policies and decisions, access to markets, infrastructure development, access to financial services, access to knowledge, services innovation and risk reduction.

7 CFR 766.112 - Additional security for restructured loans.

Science.gov (United States)

2010-01-01

... 7 Agriculture 7 2010-01-01 2010-01-01 false Additional security for restructured loans. 766.112..., DEPARTMENT OF AGRICULTURE SPECIAL PROGRAMS DIRECT LOAN SERVICING-SPECIAL Loan Servicing Programs § 766.112 Additional security for restructured loans. (a) If the borrower is delinquent prior to restructuring, the...

Medicare Data to Calculate Your Primary Service Areas

Data.gov (United States)

U.S. Department of Health & Human Services — The following data is being made available to applicants to the Medicare Shared Savings Program (Shared Savings Program), in order to allow them to calculate their...

Evaluation of mangrove ecosystem service functions of Ximen Island Marine Specially Protected Areas in Yueqing Bay, China

Science.gov (United States)

Wang, D. G.; Sun, L.; Tan, Y. H.; Shi, A. Q.; Cheng, J.

2017-08-01

Taking the mangrove ecosystem of Ximen Island National Marine Specially Protected Areas as the research object, the ecological service value of the mangrove forest was evaluated and analyzed using a market value method, an ecological value method and a carbon tax method. The results showed that the ecosystem service value of the mangrove forest on Ximen Island is worth a total of 16,104,000 CNY/a. Among the value of individual ecosystem services, the direct value of material production function and leisure function reached 1,385,000 CNY/a, with a ratio of 8.6%. The indirect value of disturbance regulation, gas regulation, water purification, habitat function and culture research reached 14,719,000 CNY/a, with a ratio of 91.4%. Among the above sub-items, the proportion of disturbance regulation value, habitat function value and cultural research function value reached 78.8%, which reflects the important scientific value and ecological value of the Ximen Island mangrove ecosystem, especially its vital importance in providing a habitat for birds and playing a role in disaster prevention and mitigation.

Consultations of health service providers amongst patients of pulmonary tuberculosis from an urban area

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Geeta S. Pardeshi

2008-11-01

Full Text Available Aims: To describe the number, types and reasons of consultations amongst patients of pulmonary tuberculosis from an urban area. Settings and Design Cross sectional study was conducted amongst new patients of pulmonary tuberculosis initiated on DOTS at District Tuberculosis Centre (DTC, Yavatmal from January to June 2006. Material and Methods: The data regarding consultations were collected along a time line. The reasons for consultations were studied by in-depth interviews. Statistical analysis: Logistic regression analysis and transcripts of interviews. Results and Conclusions A total of 55 patients were studied in whom median duration between first consultation to treatment initiation was 15 days. A majority of cases (87.27% had first consulted a private practitioner. A total of 32 patients reported more than two consultations and 19 had consulted more than two private health service providers. Amongst the movements between consultations, a majority were from private to government. Only four patients had come to DTC without any prior consultation. Many patients came to government health service provider on their own when the symptomatic treatment prescribed by the private practitioners did not relieve their symptoms.

Views of West Valley area residents concerning the Nuclear Fuel Services facility at West Valley, New York

International Nuclear Information System (INIS)

Kamieniecki, S.; Milbrath, L.W.

1978-06-01

A number of major findings have emerged from this analysis. Although most people have heard or read about the Nuclear Fuel Services plant at West Valley, few exhibit a high level of knowledge about the issue area. A clear majority of residents living in the region are concerned about the presence of the facility. Many are particularly concerned about the health dangers that can result from radioactive contamination of the environment. People want to see something done about the facility, but do not know exactly what. When forced to choose one out of three possible alternatives, twice as many people preferred to ''completely remove the plant and restore the area'' than either of the two remaining alternatives. People who are concerned about the facility tend to favor removal of the plant and restoration of the area. Nearly three-fourths of West Valley area residents who believe that the plant did not employ enough people to significantly help the economy of the region favor removal of the facility and restoration of the area. The results of this study may help policymakers choose the most acceptable course of action

78 FR 53733 - Procurement List Additions and Deletions

Science.gov (United States)

2013-08-30

.../Location: Industrial Laundry Service, Bureau of Engraving and Printing, 9000 Blue Mound Road, Fort Worth...: Additions to and Deletions from the Procurement List. SUMMARY: This action adds products and services to the... severe disabilities, and deletes services from the Procurement List previously provided by such agencies...

EVALUATION OF USAGE AND APPLICATION AREAS OF QR CODES IN SERVICE INDUSTRY

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Aysel SANAL

2018-01-01

Full Text Available The use of QR codes accelerates the sharing of information and provides more practical access to information. In today's information age, in the limited area unlimited information, data and contents can be transferred with using QR code. This study examines how consumers use QR code technology using by the service sector and aim of inform consumers about their perception and usage levels. In the application part of the study, 180 consumers responded the survey questions. The t-test, ANOVA, variance analysis and regression analysis method were used to test hypotheses established in the research. Thus, factors affecting the perceptions of consumers on QR code technology have been identified. The finance and banking sectors have been identified as the sectors in which consumers use the QR code most frequently, and the speed and availability factors for this sector have been analyzed separately.

[A study of infant mortality rate in Korean rural areas].

Science.gov (United States)

Cho, Y H

1981-10-31

This study was undertaken in an attempt to identify the level of birth and infant death in the KHDI demonstration areas. The objectives of this study were to collect available information on birth and infant death in the KHDI demonstration areas, and estimate actual levels of birth and infant mortality in these areas. Within these areas, events of birth and death are continuously recorded by the field health workers, such as the Family Folder, maternal health service card, and the infant-child health service card. Study areas included all the KHDI demonstration areas (Hongchon, Okgu, Gunee). However, 2 myons in the Okgu area were excluded from the study areas since there was no community health practitioner assigned there. The data were collected by 24 community health practitioners and 80 community health aides in the 3 demonstration areas, according to the survey format. These health workers examined and searched existing records. After filling out the survey questionnaires, these health workers made contact with village health workers, "Li" chiefs, mother's club chiefs, or Saemaul leaders at the village level in order that they might gather additional information on possible items which were omitted. Afterwards, health workers made home visits to selected households which were known to have had births or deaths during the 1 year period between January-December 1979. A review of the activities of the health workers during this study indicated that professional survey workers were needed. In addition, 8 surveyors were employed and trained by KHDI to strengthen field survey efforts; they were dispatched to Hongchon and Okgu for 17 days. A total number of 3302 live births and 120 infant deaths were recorded during 1979. All data collected were tabulated by manual counting in the KHDI office. Infant mortality was estimated to be 36.34/1000 births in the demonstration areas during 1979 (rate in Hongchon Gun was 34.5, 31.0 in Okgu Gun, and 46.2 in Gunee Gun). (author's)

Regions for Servicing Old People: Case study of Slovenia

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Drobne Samo

2014-09-01

Full Text Available Background: Aging is one of the most serious problems that most developed countries are facing in the 21st century. In the European Union, Member States are responsible for the planning, funding and administration of health care and social protection systems. Local authorities and state governments should undertake research toward developing an appropriate array of community-based care services for old people. Objectives: This study analyses the regions of Slovenia for servicing old people in the 2000-2010 time horizon. Methods/Approach: Sets of functional regions were modelled for each year in the analysed period using the Intramax method. Functional regions were evaluated based on the attractiveness of central places for labour commuters and the propensity to commute between regions. Results: The results show that in addition to the nominally declared regional centres of Slovenia, there are also some other local centres that should be potentially included in the functional areas for servicing old people. Conclusions: The results suggest that the regionalization into seven functional regions is the most convenient for servicing old people in the region. Furthermore, some additional functional regions at a lower level are suggested.

Metaheuristics in the service industry

CERN Document Server

Geiger, Martin Josef; Sevaux, Marc; Sörensen, Kenneth

2009-01-01

This book presents novel methodological approaches and improved results of metaheuristics for modern services. It examines applications in the area of transportation and logistics, while other areas include production and financial services.

Service mining framework and application

CERN Document Server

Chang, Wei-Lun

2014-01-01

The shifting focus of service from the 1980s to 2000s has proved that IT not only lowers the cost of service but creates avenues to enhance and increase revenue through service. The new type of service, e-service, is mobile, flexible, interactive, and interchangeable. While service science provides an avenue for future service researches, the specific research areas from the IT perspective still need to be elaborated. This book introduces a novel concept-service mining-to address several research areas from technology, model, management, and application perspectives. Service mining is defined as "a systematical process including service discovery, service experience, service recovery, and service retention to discover unique patterns and exceptional values within the existing services." The goal of service mining is similar to data mining, text mining, or web mining, and aims to "detect something new" from the service pool. The major difference is the feature of service is quite distinct from the mining targe...

Cultural Ecosystem Services of Urban Green Spaces-Supply and Demand in The Densely Built-Up Areas. Poznan Old Town Case Study

Science.gov (United States)

Ponizy, Lidia; Majchrzak, Weronika; Zwierzchowska, Iwona

2017-12-01

The quality of life of big city dwellers depends on the use of green infrastructure. The idea of a compact city, opposed to urban sprawl, can lead to reduced access to green areas and increased demand for cultural services provided through urban green infrastructure. Considering the above, the aim of the paper was to identify the supply of and demand for cultural ecosystem services related to the urban green spaces in densely built-up urban areas. To find out how important the ability to use green areas for dwellers of the densely built-up areas is, the questionnaire interviews with the residents of the area of the Old Town of Poznan were conducted. Questions in the survey concerned the amount of green spaces and their availability, the way of use, types of activity, factors limiting the use and factors encouraging to visit green spaces and the motives for using green areas away from inhabitants’ place of residence. Respondents claim that there is not enough greenery, especially associated with housing and street side greenery; the amount of parks (which they use most) is slightly higher, in their opinion. Limitations that influence utilising green spaces concern both greenery itself (e.g. insufficient recreational infrastructure, neglected green areas) as well as respondent’s issues (e.g. lack of free time). Improvements to recreational infrastructure and more well-kept green spaces would encourage respondents to utilise it more often. Active participation of inhabitants in developing and maintaining their closest neighbourhood would allow to enlarge green spaces in housing areas and make them more customized to the residents’ needs and requirements in terms of functionality and aesthetic.

42 CFR 86.20 - Additional conditions.

Science.gov (United States)

2010-10-01

... 42 Public Health 1 2010-10-01 2010-10-01 false Additional conditions. 86.20 Section 86.20 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES OCCUPATIONAL SAFETY AND HEALTH RESEARCH AND RELATED ACTIVITIES GRANTS FOR EDUCATION PROGRAMS IN OCCUPATIONAL SAFETY AND HEALTH Occupational Safety and Health Training Grants § 86.2...

IMPROVING PUBLIC SERVICES THROUGH A ORGANIZATIONAL PERFORMANCE MANAGEMENT

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IOANA STĂNCESCU

2010-01-01

Full Text Available Organizational management, systemic approach, is known more as a system Management, that set of factors such as organizational, methodological information, decisions and relationships between them, as outlined, that will achieve objectives. Fundamental objective of management in public organizations involved in the holders of public office positions and leadership and execution in this area an additional responsibility to manage all types of resources available to the public sector, namely human resources, information, material and financial.Summary of process management is focusing on human coordination of joint work. An important role in this process is modernizing organizational management and quality delivery of public services or the institution's activities, public services more efficient by implementing innovative tools, leading to a government driven process to a results-oriented public service.

39 CFR 223.1 - Headquarters and areas.

Science.gov (United States)

2010-07-01

... 39 Postal Service 1 2010-07-01 2010-07-01 false Headquarters and areas. 223.1 Section 223.1 Postal Service UNITED STATES POSTAL SERVICE ORGANIZATION AND ADMINISTRATION RELATIONSHIPS AND COMMUNICATION CHANNELS § 223.1 Headquarters and areas. Headquarters provides policy guidance, procedures, and...

7 CFR 1962.8 - Liens on real estate for additional security.

Science.gov (United States)

2010-01-01

... 7 Agriculture 14 2010-01-01 2009-01-01 true Liens on real estate for additional security. 1962.8..., RURAL BUSINESS-COOPERATIVE SERVICE, RURAL UTILITIES SERVICE, AND FARM SERVICE AGENCY, DEPARTMENT OF... Security § 1962.8 Liens on real estate for additional security. The County Supervisor may take the best...

Access all areas? An area-level analysis of accessibility to general practice and community pharmacy services in England by urbanity and social deprivation.

Science.gov (United States)

Todd, Adam; Copeland, Alison; Husband, Andy; Kasim, Adetayo; Bambra, Clare

2015-05-08

(1) To determine the percentage of the population in England that has access to a general practitioner (GP) premises within a 20 min walk (the accessibility); (2) explore the relationship between the walking distance to a GP premises and urbanity and social deprivation and (3) compare accessibility of a GP premises to that of a community pharmacy--and how this may vary by urbanity and social deprivation. This area-level analysis spatial study used postcodes for all GP premises and community pharmacies in England. Each postcode was assigned to a population lookup table and Lower Super Output Area (LSOA). The LSOA was then matched to urbanity (urban, town and fringe, or village, hamlet and isolated dwellings) and deprivation decile (using the Index of Multiple Deprivation score 2010). Living within a 20 min walk of a GP premises. Overall, 84.8% of the population is estimated to live within a 20 min walk of a GP premises: 81.2% in the most affluent areas, 98.2% in the most deprived areas, 94.2% in urban and 19.4% in rural areas. This is consistently lower when compared with the population living within a 20 min walk of a community pharmacy. Our study shows that the vast majority of the population live within a 20 min walk of a GP premises, with higher proportions in the most deprived areas--a positive primary care law. However, more people live within a 20 min walk of a community pharmacy compared with a GP premises, and this potentially has implications for the commissioning of future services from these healthcare providers in England. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

7 CFR 1951.240 - State Director's additional authorizations and guidance.

Science.gov (United States)

2010-01-01

... the recipient's legal organizational structure must be approved by OGC. (2) Consent to requests by the...) RURAL HOUSING SERVICE, RURAL BUSINESS-COOPERATIVE SERVICE, RURAL UTILITIES SERVICE, AND FARM SERVICE... Servicing of Community and Direct Business Programs Loans and Grants § 1951.240 State Director's additional...

Mapping ecosystem services provided by benthic habitats in the European North Atlantic Ocean

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Ibon eGalparsoro

2014-07-01

Full Text Available Mapping and assessing the ecosystem services provided by benthic habitats are a highly valuable source of information for understanding their current and potential benefits to society. The main objective of this investigation is to assess and map the ecosystem services provided by benthic habitats of the European North Atlantic Ocean, in the context of Mapping and Assessment of Ecosystems and their Services (MAES programme, the European Biodiversity Strategy and the implementation of the Marine Strategy Framework Directive. In total, 62 habitats have been analysed in relation to 12 ecosystem services over 1.7 million km2. Results indicated that more than 90% of the mapped area provides biodiversity maintenance and food provision services; meanwhile grounds providing reproduction and nursery services are limited to half of the mapped area. Benthic habitats generally provide more services closer to shore than offshore and in shallower waters. This gradient is likely to be explained by difficult access (i.e. distance and depth and lack of scientific knowledge for most of the services provided by distant benthic habitats. This research has provided a first assessment of the benthic ecosystem services at Atlantic European scale, with the provision of ecosystem services maps and their general spatial distribution patterns. Related to the objectives of this research, the conclusions are: (i benthic habitats provide a diverse set of ecosystem services, being the food provision and biodiversity maintenance services the ones that are more extensively represented. In addition, other regulating and cultural services are provided in a more limited area; and (ii the ecosystem services assessment categories are significantly related to the distance to the coast and with depth (higher near the coast and in shallow waters.

Telecommunications Relay Services

Science.gov (United States)

... Home » Health Info » Hearing, Ear Infections, and Deafness Telecommunications Relay Services On this page: What are telecommunication ... additional information about telecommunication relay services? What are telecommunication relay services? Title IV of the Americans with ...

Multimedia services in intelligent environments recommendation services

CERN Document Server

Virvou, Maria; Jain, Lakhmi

2013-01-01

Multimedia services are now commonly used in various activities in the daily lives of humans. Related application areas include services that allow access to large depositories of information, digital libraries, e-learning and e-education, e-government and e-governance, e-commerce and e-auctions, e-entertainment, e-health and e-medicine, and e-legal services, as well as their mobile counterparts (i.e., m-services). Despite the tremendous growth of multimedia services over the recent years, there is an increasing demand for their further development. This demand is driven by the ever-increasing desire of society for easy accessibility to information in friendly, personalized and adaptive environments. In this book at hand, we examine recent Recommendation Services. Recommendation services appear in the mobile environment, medicine/biology, tourism, education, and so on. The book includes ten chapters, which present various recently developed recommendation services. This research book is directed to professors...

Marketing of Healthcare Services with reference to Laboratory services

OpenAIRE

Ajotikar, Vaishali M.; Ali, Dr.M. M

2015-01-01

The paper attempts to study empirically dealers point of view on the 7ps i.e. marketing mix for laboratory services. The primary data was collected from dealers by administering interview schedules on 7ps of laboratory service marketing. This data collected was tabulated, analyzed and intepretated so as to suitably arrive at findings. High score for statements: laboratory services are prompt, services are rendered on cash basis to patients, laboratory has collection centers in different area...

Service Learning for Improvement of Customer Service Education in LIS

Science.gov (United States)

Colón-Aguirre, Mónica

2017-01-01

This work explores the ways in which academic librarians specializing in areas related to user services consider the courses they took as part of obtaining their library and information science (LIS) degree prepared them to deal with issues of customer service in their current work. Effective customer service is a central aspect of accomplishing…

Measuring the Quality of Service in the Financial Area of a Public University: Development and Validation of the Instrument

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Víctor Manuel Alcantar Enríquez

2014-12-01

Full Text Available This research, consisting of a descriptive study with a non-experimental design, involved an analysis to determine the validity and reliability of an instrument composed of seventeen items aimed at assessing the quality of service in the financial area of a public university by means of four variables: tangibility, reliability, responsiveness and empathy. The methodological strategy included the design of the measuring instrument; verification of the validity of content and construct; and analysis of internal consistency by means of Cronbach’s alpha. The instrument was applied to 152 users of the service, attaining a reliability coefficient of 0.943. The results show that with respect to specific concepts, the questions were clear; nevertheless we found it necessary to relocate items and rename variables, which resulted in a valid and reliable instrument for measuring the quality of service in the context under study.

CUSTOMERS’ PERCEPTIONS OF SERVICE QUALITY DIMENSIONS IN THE INDONESIAN BANKING INDUSTRY: AN EMPIRICAL STUDY

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Ananda Sabil Hussein

2015-01-01

Full Text Available This study aims to investigate the dimensions of hierarchical service quality in the area of the banking sector as well as to determine its relationships with other constructs, namely corpo-rate image and customer loyalty. One hundred and eleven respondents participated in this study. Partial Least Squares were employed to analyse the data. The inner and outer model evaluations showed that the proposed model was robust. This study found that the interaction quality, outcome quality and physical quality were the dimensions of service quality which were formed in the hierarchical model. In addition, this study indicated that service quality was a robust determinant of corporate image and customer loyalty in the banking sector. Similar to service quality, corporate image was also found to be an essential predictor of customer loyalty as well as the mediator between service quality and customer loyalty. To enhance the under-standing of service quality in the banking sector, further studies might add additional constructs such as brand engagement, perceived value, and customer experience.

Measuring quality in services for children with an intellectual disability.

Science.gov (United States)

Koornneef, Erik

2006-01-01

To evaluate the application of one particular quality measurement tool, the SERVQUAL instrument, as a potential mechanism to measure quality in services for children with disabilities Staff and family of children with an intellectual disability in two organisations providing specialist therapy and day completed an adapted SERVQUAL questionnaire. A total of 81 SERVQUAL questionnaires were distributed and 59 questionnaires were returned (response rate of 73 per cent). The SERVQUAL instrument can be considered as a useful diagnostic tool to identify particular strengths and areas for improvement in services for people with disabilities as the instrument lends itself for the monitoring of the effectiveness of quality improvement initiatives over time. The findings also showed relatively high customer expectations and the organisations involved in this research are currently not meeting all of these high expectations as significant quality gaps were found in the areas of reliability and responsiveness. The sample size was relatively small and the measurement of quality using the SERVQUAL instrument remains a challenge, due to the conceptual and empirical difficulties. The SERVQUAL instrument is probably most be attractive to service managers and funding organisations because of its ability to identify gaps in the quality of the service. The tool had been used to measure quality in services for people with disabilities and the research has shown that this tool might be an important additional quality measurement tool for services.

Mapping potential freshwater services, and their representation within Protected Areas (PAs, under conditions of sparse data. Pilot implementation for Cambodia

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Leonardo Sáenz

2016-07-01

Full Text Available Freshwater is arguably one of Earth’s most threatened natural resources, on which more than 7 billion people depend. Pressures on freshwater resources from infrastructure, resource development, agricultural pollution and deforestation are mounting, particularly in developing countries. To date, conservation responses such as Protected Areas (PAs have not typically targeted freshwater ecosystems and their services, and thus little is known about the effectiveness of these efforts in protecting them. This paper proposes and pilots an innovative freshwater services metrics framework to quantify the representation of potential freshwater services in PAs under conditions of scarce data, with a pilot application for Cambodia. Our results indicate that conservation actions have more effectively represented potential freshwater regulation services than potential freshwater provisioning services, with major rivers remaining generally unprotected. Results from the framework are then used to propose a series of context and region specific management options to improve the conservation of freshwater services in Cambodia. There is an acute need for such management options, as the country’s food security depends largely on important freshwater ecosystems such as the Tonle Sap Lake and the deep water pools systems of the Mekong River. The framework proposed can be applied in other countries or large river basins to explore the degree of representation of freshwater services within PAs systems, under conditions of sparse data.

Perceived Quality of Service and Behavioral Intentions of First-Time Students Enrolled at The University of North Carolina Asheville

Science.gov (United States)

Mitchell, Patrice Black

2011-01-01

The purpose of this study was to use the SERVQUAL (Service Quality Instrument) to examine the perceptions of first-time enrolled students at University of North Carolina Asheville regarding the services they receive from a selected group of departments in the university's One Stop area. In addition, the study examined whether a relationship…

Delinquent Medical Service Accounts at Landstuhl Regional Medical Center Need Additional Management Oversight

Science.gov (United States)

2016-04-28

Treasury for collection when the debts are delinquent more than 120 days.9 Further, UBOs can transfer debt to the Defense Finance and Accounting ...Comptroller); • Defense Finance and Accounting Service; • MEDCOM; • RHCE; and • LRMC. During the site visits to LRMC and MEDCOM, we observed daily...Uniform Business Office Manual,” November 2006; and • MEDCOM Finance and Accounting Division Standard Operating Procedures Medical Services Account

Wide and High Additive Manufacturing

Energy Technology Data Exchange (ETDEWEB)

Post, Brian K. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Roschli, Alex C. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

2017-03-01

The goal of this project is to develop and demonstrate the enabling technologies for Wide and High Additive Manufacturing (WHAM). WHAM will open up new areas of U.S. manufacturing for very large tooling in support of the transportation and energy industries, significantly reducing cost and lead time. As with Big Area Additive Manufacturing (BAAM), the initial focus is on the deposition of composite materials.

Measuring the Quality of Ecotourism Services

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Nor’Aini Yusof

2014-06-01

Full Text Available Ecotourism forms the pillar of the country’s tourism industry. Ecotourists make up more than 10% of international tourists in Malaysia. When service quality is thought of as an important factor to the success of tourism service providers, the importance of estimating service quality provided to tourists becomes apparent. Estimating service quality provides tourism service providers with the necessary information needed to manage their marketing operations appropriately. Therefore, this estimation should be performed with the right measurement scales. Despite the high volume of research on service quality (SERVQUAL models in recent years, limited effort has been directed toward improving the tool for measuring service quality, particularly to apply to the ecotourism sector in developing countries. This article aims to improve a SERVQUAL model that is suitable for ecotourism areas in developing countries using five dimensions of the original model and one additional sustainability dimension. Based on a survey of 127 tourists in Tasik Kenyir, an exploratory factor analysis (EFA was conducted to discover the underlying dimension of ecotourism services and test for reliability and validity. Using EFA resulted in seven factors totaling 27 items. These factors are labeled as follows: tangible sustainability, sustainable practices, tangibility, reliability, responsiveness, assurance, and empathy. The results reveal that when SERVQUAL is applied within the ecotourism context, new dimensions of tangible sustainability and sustainable practices may emerge. The result implies the need to refine the SERVQUAL model when used in different contexts.

The acoustic climate at the rest and service areas – parking lots by the Silesian section of A4 motorway

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Robert WIESZAŁA

2012-01-01

Full Text Available The aim of this article is to describe the state of the acoustic climate at the rest and service areas (MOPs situated by A4 motorway in Silesia The analysis includes the research results conducted at these parking lots from May till August 2010. The research was conducted with the digital noise meter, which was connected with the computer during measurement. The research results indicate the essential differences in the noise intensity between the particular rest and service area reaching up to 12 dB(A, in spite of the similar value of the traffic noise in all of the places where the research was conducted. It was assumed that the level of noise on each of the parking lots should be similar to standing norms for the recreation areas i.e. below 55 dB(A. The research conducted at 4 MOPs indicated that only at two of them, MOP Halemba and Wirek, these norms are fulfilled. The lack of the proper anti-noise protection in the form of the sound absorbing screens at the parking lots situated by the motorway causes the situation in which the level of noise at the places devoted to rest highly decreases the possibility to relax before the next stage of a journey.

Unchallenged, Professed Core Values: Do Undergraduate Fraternity/Sorority Members Actually Benefit in the Areas of Scholarship, Leadership, Service, and Friendship?

Science.gov (United States)

Long, Larry D.

2012-01-01

Fraternities and sororities promote the ideals of scholarship, leadership, service, and friendship. Little or no research, however, has demonstrated that college students who join fraternal organizations actually grow in these areas as a result of their fraternal experience. The purpose of this descriptive study was to assess the extent to which…

Public Library Extension Service for Rural Areas Kırsal Kesimlerde Halk Kütüphanesi Hizmetlerinin Yaygınlaştırılması

Directory of Open Access Journals (Sweden)

Peter Oldroyd

1994-03-01

Full Text Available This speech, given in Istanbul on 3 December 1993 during a visit to Turkey, starts with an overview of public library services in Britain Following information on services offered to rural areas; the author refers a report published in 1993. This report highlights the main topics under discussion in Britain currently: (1 it is recognized that a modern public library is a very complicated organization serving a large clientele aiming to meet their very many requirements; (2 volunteers, new technologies and modern management and marketing techniques should be utilized to improve the services to rural areas; (3 although services to rural areas pose specific problems, people who live in these areas have the right to demand equal services; (4 although only some services can be offered directly, in rural areas, everyone should have equal opportunities in reaching all library and information services; (5 cooperation with local people by library authorities can be a solution to some of the problems. Bu konferans, genel anlamda kütüphanelerin ve kütüphanecilerin karşı karşıya bulunduğu sorunlar üzerinde yoğunlaşmakla birlikte, ele alınan konular Büyük Britanya 'daki kütüphanelerle özellikle de halk kütüphaneleri ile sınırlı kalmaktadır. Ancak kütüphanecilik, evrensel bir kavram olduğundan Britanya'daki kütüphanelerin sorunları, az ya da çok tüm ülke kütüphaneleri tarafından paylaşılmaktadır. Göz önünde bulundurulması gereken en önemli konu, genel kütüphanecilik hizmetlerinin, küçük yerleşim birimleri itibariyle de yaygınlaştırılmasının gerektiğidir. Ve bu konuyla ilgili olarak, çağdaş iletişim araçlarının inkar edilemez bir rolü sözkonusu olmaktadır. Kütüphanecilik hizmetlerinden herkesin eşit oranda yararlanabilme hakkı vardır. Bu hizmetlerden yararlanabildiği ve kültür seviyesinin daha yüksek olduğu

Resource management for multimedia services in high data rate wireless networks

CERN Document Server

Zhang, Ruonan; Pan, Jianping

2017-01-01

This brief offers a valuable resource on principles of quality-of-service (QoS) provisioning and the related link-layer resource management techniques for high data-rate wireless networks. The primary emphasis is on protocol modeling and analysis. It introduces media access control (MAC) protocols, standards of wireless local area networks (WLANs), wireless personal area networks (WPANs), and wireless body area networks (WBANs), discussing their key technologies, applications, and deployment scenarios. The main analytical approaches and models for performance analysis of the fundamental resource scheduling mechanisms, including the contention-based, reservation-based, and hybrid MAC, are presented. To help readers understand and evaluate system performance, the brief contains a range of simulation results. In addition, a thorough bibliography provides an additional tool. This brief is an essential resource for engineers, researchers, students, and users of wireless networks.

A Comparative Analysis of the Environmental Benefits of Drone-Based Delivery Services in Urban and Rural Areas

OpenAIRE

Jiyoon Park; Solhee Kim; Kyo Suh

2018-01-01

Unmanned aerial vehicles (UAV, drones) used as delivery vehicles have received increasing attention due to their mobility and accessibility to remote areas. The purpose of this study is to evaluate the environmental impacts of drone versus motorcycle delivery and to compare the expected environmental improvements due to drone delivery in urban and rural areas. In addition, the potential environmental contributions of electric motorcycles were assessed to determine the effects of introducing t...

Framing design research for service orientation through PSS approaches

DEFF Research Database (Denmark)

Sakao, Tomohiko; Sandström, Gunilla Ölundh; Matzen, Detlef

2009-01-01

on the literature analysis, the authors present three crucial dimensions for service oriented design research, i.e. an offer dimension representing products and services, a provider dimension, and a customer/user dimension. In addition, three research targets are proposed; PSS-offer modelling, PSS development......, and PSS potential. Furthermore, several promising future research directions are identified. These include evaluating economic consequences or environmental benefits, establishing terminology, organizational issues, and developing methods and tools to support designers. The boundaries to other research...... fields are getting blurry and many aspects of other professionalisms must be taken into account. Thus, there is especially need in future research to open towards other research areas....

5 CFR 3101.106 - Additional rules for Internal Revenue Service employees.

Science.gov (United States)

2010-01-01

..., accountant, or firm of attorneys or accountants to any person in connection with any official business which... legal services involving Federal, State or local tax matters; (2) Appearing on behalf of any taxpayer as a representative before any Federal, State, or local government agency, in an action involving a tax...

5 CFR 179.309 - Additional administrative procedures.

Science.gov (United States)

2010-01-01

... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Additional administrative procedures. 179.309 Section 179.309 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS CLAIMS COLLECTION STANDARDS Administrative Offset § 179.309 Additional administrative procedures. Nothing...

An analysis of current and desirable situation of electronic government service provision in rural areas of the Hamedan province

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Mousa Aazami

2017-04-01

Full Text Available The informative society is seen as the central element of rural development at the beginning of the third millennium and the development of information technology and communication in villages has always been considered in current summits across the world. Nowadays, information and communication technology service offices are the basis of electronic government. Therefore, recognition of these offices is necessary for sustainable rural development. The purpose of this research was a comparative analysis between the current situation and the desirable situation of e-government services in the rural districts of the Hamedan province as perceived by their directors (Hamedan, Bahar and Famenin Counties. The study population consists of 91 respondents who were chosen and studied through the census method. The findings of this research study consist of two sections. The items related to satisfaction with the activities in information and communication technology service offices were prioritized in the first section. Moreover, the current and the desirable conditions for electronic service provision were identified. The gap between these two were analyzed in the second section. The results indicate that there is a significant difference between these two conditions of electronic service provisions in rural areas. This significant difference was recognized through the paired T test at the 0.05 level with 6.33 value that illustrates the existence of a gap between these two situations. Electronic government, information technology and communication, information and communication technology service offices

39 CFR 3050.40 - Additional financial reporting.

Science.gov (United States)

2010-07-01

... 39 Postal Service 1 2010-07-01 2010-07-01 false Additional financial reporting. 3050.40 Section... financial reporting. (a) In general. The Postal Service shall file with the Commission: (1) Within 40 days...), beginning with the annual report for fiscal year 2010. (c) Financial reporting. The reports required by...

Guidelines of the Development and the Supporting Learning Resources by the Community Participatory of Case Study for the Schools Under Secondary Education Service Area Office 24

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Wisan Payungwong

2017-06-01

, wisdom villagers and religious leaders. The data collected by using the group discussion form. The research presented as the following: 1. Components of guidelines of the development and the supporting learning resources by the community participatory of case study for the schools under Secondary Education Service Area Office 24 consisted of cooperative process into 6 components including ; participation of consultation, participation of planning, participation of decision, participation of operations, participation of monitoring and evaluation and participation of improvement and development.. 2. Guidelines of the development and the supporting learning resources by the community participatory of case study for the schools under Secondary Education Service Area Office 24 was found that the academic administration by the community participatory had 6 components including ; participation of consultation, participation of planning, participation of decision, participation of operations, participation of monitoring and evaluation and participation of improvement and development. This research also found that had 20 methods for the development and the supporting learning resources by the community participatory and the effective implementation of development with community participation were the total to 20. The evaluations of propriety, feasibility and utility of guideline of the development and the supporting learning resources by the community participatory from7 professionals were at high levels. The small group assessment found that applications that can be applied. In addition, the guidelines of the development and the supporting learning resources by the community participatory have led to a trial by the schools. After that, the schools will report the results of the guidelines of the development and the supporting learning resources by the community participatory to guide practical.

Area-Level Socioeconomic Gradients in Overweight and Obesity in a Community-Derived Cohort of Health Service Users - A Cross-Sectional Study.

Science.gov (United States)

Bonney, Andrew; Mayne, Darren J; Jones, Bryan D; Bott, Lawrence; Andersen, Stephen E J; Caputi, Peter; Weston, Kathryn M; Iverson, Don C

2015-01-01

Overweight and obesity lead to higher probability of individuals accessing primary care but adiposity estimates are rarely available at regional levels to inform health service planning. This paper analyses a large, community-derived clinical database of objectively measured body mass index (BMI) to explore relationships with area-level socioeconomic disadvantage for informing regional level planning activities. The study included 91776 adults who had BMI objectively measured between 1 July 2009 and 30 June 2011 by a single pathology provider. Demographic data and BMI were extracted and matched to 2006 national census socioeconomic data using geocoding. Adjusted odds-ratios for overweight and obesity were calculated using sex-stratified logistic regression models with socioeconomic disadvantage of census collection district of residence as the independent variable. The prevalence of overweight or obesity was 79.2% (males) and 65.8% (females); increased with age to 74 years; and was higher in rural (74%) versus urban areas (71.4%) (pdisadvantage was associated with increasing prevalence of overweight (pdisadvantage was unrelated to overweight (p = 0.2024) and overweight or obesity (p = 0.4896) in males. It is feasible to link routinely-collected clinical data, representative of a discrete population, with geographic distribution of disadvantage, and to obtain meaningful area-level information useful for targeting interventions to improve population health. Our results demonstrate novel area-level socioeconomic gradients in overweight and obesity relevant to regional health service planning.

Web services foundations

CERN Document Server

Bouguettaya, Athman; Daniel, Florian

2013-01-01

Web services and Service-Oriented Computing (SOC) have become thriving areas of academic research, joint university/industry research projects, and novel IT products on the market. SOC is the computing paradigm that uses Web services as building blocks for the engineering of composite, distributed applications out of the reusable application logic encapsulated by Web services. Web services could be considered the best-known and most standardized technology in use today for distributed computing over the Internet.Web Services Foundations is the first installment of a two-book collection coverin

Improving the interface between informal carers and formal health and social services: a qualitative study.

Science.gov (United States)

McPherson, K M; Kayes, N K; Moloczij, N; Cummins, C

2014-03-01

Reports about the impact of caring vary widely, but a consistent finding is that the role is influenced (for better or worse) by how formal services respond to, and work with informal carers and of course the cared for person. We aimed to explore the connection between informal and formal cares and identify how a positive connection or interface might be developed and maintained. We undertook a qualitative descriptive study with focus groups and individual interviews with informal carers, formal care service providers and representatives from carer advocacy groups. Content analysis was used to identify key factors impacting on the interface between informal and formal carers and propose specific recommendations for service development. Community setting including urban and rural areas of New Zealand. Seventy participants (the majority informal carers) took part in 13 focus groups and 22 individual interviews. Four key themes were derived: Quality of care for the care recipient; Knowledge exchange (valuing carer perspectives); One size does not fit all (creating flexible services); and A constant struggle (reducing the burden services add). An optimum interface to address these key areas was proposed. In addition to ensuring quality care for the care recipient, specific structures and processes to support a more positive interface appear warranted if informal carers and services are to work well together. An approach recognising the caring context and carer expertise may decrease the additional burden services contribute, and reduce conflicting information and resultant confusion and/or frustration many carers experience. Copyright © 2013 Elsevier Ltd. All rights reserved.

Basic research on lattice structures focused on the reliance of the cross sectional area and additional coatings

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Kessler Julia

2017-01-01

Full Text Available This scientific survey is about periodic lattice structures which are made by Selective Laser Melting (SLM. Selective laser melting is based on Additive Manufacturing. The increased use and increasing demand of lattice structures in different fields of applications forms the necessity of a closer look on complex structures. Lattice structures can be found in different fields of applications for example in lightweight applications, filters and heat exchangers. Because of the expanding of application areas and thus arising requirements, the quality improvement is indispensable. Additive manufacturing and especially the SLM process enable the manufacturing of highly complex shapes and structures. Further it allows the integration of lightweight structures within to be manufactured applications. These high performance structures and applications need specific boundary and process conditions [1-3]. The main aim of this survey is an extraction of important parameters concerning the shape of lattices. A first focus will be on mechanical properties and the therefore necessary tensile tests.

Effect of reducing cost sharing for outpatient care on children's inpatient services in Japan.

Science.gov (United States)

Kato, Hirotaka; Goto, Rei

2017-08-15

Assessing the impact of cost sharing on healthcare utilization is a critical issue in health economics and health policy. It may affect the utilization of different services, but is yet to be well understood. This paper investigates the effects of reducing cost sharing for outpatient services on hospital admissions by exploring a subsidy policy for children's outpatient services in Japan. Data were extracted from the Japanese Diagnosis Procedure Combination database for 2012 and 2013. A total of 366,566 inpatients from 1390 municipalities were identified. The impact of expanding outpatient care subsidy on the volume of inpatient care for 1390 Japanese municipalities was investigated using the generalized linear model with fixed effects. A decrease in cost sharing for outpatient care has no significant effect on overall hospital admissions, although this effect varies by region. The subsidy reduces the number of overall admissions in low-income areas, but increases it in high-income areas. In addition, the results for admissions by type show that admissions for diagnosis increase particularly in high-income areas, but emergency admissions and ambulatory-care-sensitive-condition admissions decrease in low-income areas. These results suggest that outpatient and inpatient services are substitutes in low-income areas but complements in high-income ones. Although the subsidy for children's healthcare would increase medical costs, it would not improve the health status in high-income areas. Nevertheless, it could lead to some health improvements in low-income areas and, to some extent, offset costs by reducing admissions in these regions.

32 CFR 1602.4 - Area office.

Science.gov (United States)

2010-07-01

... 32 National Defense 6 2010-07-01 2010-07-01 false Area office. 1602.4 Section 1602.4 National Defense Other Regulations Relating to National Defense SELECTIVE SERVICE SYSTEM DEFINITIONS § 1602.4 Area office. The Selective Service Office which is responsible for all administrative and operational support...

The relationship between local area labor market conditions and the use of Veterans Affairs health services.

Science.gov (United States)

Wong, Edwin S; Liu, Chuan-Fen

2013-03-13

In the U.S., economic conditions are intertwined with labor market decisions, access to health care, health care utilization and health outcomes. The Veterans Affairs (VA) health care system has served as a safety net provider by supplying free or reduced cost care to qualifying veterans. This study examines whether local area labor market conditions, measured using county-level unemployment rates, influence whether veterans obtain health care from the VA. We used survey data from the Behavioral Risk Factor Surveillance System in years 2000, 2003 and 2004 to construct a random sample of 73,964 respondents self-identified as veterans. VA health service utilization was defined as whether veterans received all, some or no care from the VA. Hierarchical ordered logistic regression was used to address unobserved state and county random effects while adjusting for individual characteristics. Local area labor market conditions were defined as the average 12-month unemployment rate in veterans' county of residence. The mean unemployment rate for veterans receiving all, some and no care was 5.56%, 5.37% and 5.24%, respectively. After covariate adjustment, a one percentage point increase in the unemployment rate in a veteran's county of residence was associated with an increase in the probability of receiving all care (0.34%, p-value = 0.056) or some care (0.29%, p-value = 0.023) from the VA. Our findings suggest that the important role of the VA in providing health care services to veterans is magnified in locations with high unemployment.

12 CFR 228.24 - Service test.

Science.gov (United States)

2010-01-01

... 12 Banks and Banking 3 2010-01-01 2010-01-01 false Service test. 228.24 Section 228.24 Banks and... REINVESTMENT (REGULATION BB) Standards for Assessing Performance § 228.24 Service test. (a) Scope of test. The service test evaluates a bank's record of helping to meet the credit needs of its assessment area(s) by...

Utilization of maternal health care services in slum areas of Dhaka city, Bangladesh

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Housne Ara Begum

2010-07-01

Full Text Available Bangladesh has one of the highest maternal mortality rates (MMR in the world. The estimated lifetime risk of dying from pregnancy and childbirth related causes in Bangladesh is about 100 times higher compare to developed countries. However, utilization of maternal health care services (MHCS is notably low. This study examines the socio-economic determinants of utilization of MHCS in some slum areas of Dhaka city. The overall utilization was 86.3% of women; however, utilization of different sorts of MHCS was very low, i.e., the mean utilization was found to be 2.25 out of 5 MHCS. Indicator wise, ANC, TT, institutional delivery, delivery assistance by health professional and PNC were received by 61.3%, 80.4%, 12.6%, 33.2% and 55.4% of women respectively. Variation was observed with different socio-economic variables. Multiple regression model could explain 38% of variance (P<0.001. Among the significant determinants, order of last birth negatively explained the most variance (15.2%. Similarly, distance between home and clinic was found to affect the utilization negatively. Besides, some respondents’ socio economic variables had a significant positive effect on MHCS utilization. To reduce maternal mortality in disadvantaged women in slum areas, this study might suggest a few pointers while considering formulation of policies and planning. Ibrahim Med. Coll. J. 2010; 4(2: 44-48

The perceptions of teachers and principals toward providing additional compensation to teachers in high-need subject areas

Science.gov (United States)

Longing, Jeffrey Lucian

The purpose of this study was to determine possible differences in the perceptions of teachers teaching in high-need areas (i.e., math, science, special education, etc.) and teachers not teaching in high-need areas, (i.e., business education, physical education, etc.) as defined by the states of Arkansas and Louisiana, regarding higher compensation for high-need teachers. In addition, possible perception differences among principals and teachers were determined. The independent variables consisted of gender, position held, years of certified experience, and certification areas. The dependent variable was the perceptions of the participants on providing higher compensation for high-need teachers in order to attract and retain them. The data for all variables were collected using the Teacher Compensation Survey. The sample for this study was limited to teachers, grades 9 through 12, and principals of public high schools in south Arkansas and north Louisiana. Forty-four school districts in south Arkansas (Arkansas Department of Education, 2008a) and north Louisiana (Louisiana Department of Education, 2008a) met the criteria for this study. Twenty-two superintendents gave permission for their districts to participate in the research. A sample of 849 teachers and 38 principals were identified in these districts. Surveys were returned from 350 teachers, creating a 41% response rate. When the 31 principals that returned surveys were added to the total population, the response rate increased to 43% with 381 of the 887 surveyed responding. However, 42 of the teachers and two of the principals skipped some of the questions on the survey and were not included in the study. The researcher used a One-Way ANOVA and independent t-tests to determine the presence of statistical differences at the .05 level. The data showed that most math and science teachers agreed that high-need teachers should be compensated at a higher rate than teachers not teaching in high-need areas. The data

Models of Public Service Provision

DEFF Research Database (Denmark)

Andersen, Lotte Bøgh; Kristensen, Nicolai; Pedersen, Lene Holm

2013-01-01

This article extends the framework of Le Grand (2003, 2010) to encompass responsiveness, and the main argument is that the combination of employee motivation, user capacity, and models of public service provision potentially has serious implications for responsiveness across service areas. Although...... research on employee motivation thrives, especially in the public service motivation (PSM) literature, few studies have investigated user capacity empirically, and we know little about the combination of PSM, user capacity and models of service provision. Analyzing four central service areas (day care......, schools, hospitals, and universities), we find variations in both user capacity and PSM. Taking this variation as a point of departure we discuss what implications different combinations of employee motivation, user capacity, and models of public service provision may have for responsiveness....

77 FR 62219 - Procurement List; Proposed Additions and Deletions

Science.gov (United States)

2012-10-12

... addition to the Procurement List for production by the nonprofit agencies listed: Services Service Type... Maritime, Columbus, OH. SKILCRAFT-Spartan Chemical Cleaners NSN: 7930-00-NIB-0597--Tb-Cide Quat RTU...

Health equity issues at the local level: Socio-geography, access, and health outcomes in the service area of the Hôpital Albert Schweitzer-Haiti

Directory of Open Access Journals (Sweden)

Aftab Asma S

2007-08-01

Full Text Available Abstract Background Although health equity issues at regional, national and international levels are receiving increasing attention, health equity issues at the local level have been virtually overlooked. Here, we describe here a comprehensive equity assessment carried out by the Hôpital Albert Schweitzer-Haiti (HAS in 2003. HAS has been operating health and development programs in the Artibonite Valley of Haiti for 50 years. Methods We reviewed all available information arising from a comprehensive evaluation of the programs of HAS carried out in 1999 and 2000. As part of this evaluation, two demographic and health surveys were carried out. We carried out exit interviews with clients receiving primary health care, observations within health facilities, interviews with households related to quality of care, and focus group discussions with community-based health workers. A special study was carried out in 2003 to assess factors determining the use of prenatal care services. Finally, selected findings were obtained from the HAS information system. Results We found markedly reduced access to health services in the peripheral mountainous areas compared to the central plains. The quality of services was more deficient and the coverage of key services was lower in the mountains. Finally, health status, as measured by under-five mortality rates and levels of childhood malnutrition, was also worse in the mountains. Conclusion These findings indicate that local health programs need to give attention to monitoring the health status as well as the quality and coverage of basic services among marginalized groups within the program service area. Health inequities will not be overcome until such monitoring occurs and leaders of health programs ensure that inequities identified are addressed in the local programming of activities. It is quite likely that, within relatively small geographic areas in resource-poor settings around the world, similar, if not

Health equity issues at the local level: socio-geography, access, and health outcomes in the service area of the Hôpital Albert Schweitzer-Haiti.

Science.gov (United States)

Perry, Henry B; King-Schultz, Leslie W; Aftab, Asma S; Bryant, John H

2007-08-01

Although health equity issues at regional, national and international levels are receiving increasing attention, health equity issues at the local level have been virtually overlooked. Here, we describe here a comprehensive equity assessment carried out by the Hôpital Albert Schweitzer-Haiti (HAS) in 2003. HAS has been operating health and development programs in the Artibonite Valley of Haiti for 50 years. We reviewed all available information arising from a comprehensive evaluation of the programs of HAS carried out in 1999 and 2000. As part of this evaluation, two demographic and health surveys were carried out. We carried out exit interviews with clients receiving primary health care, observations within health facilities, interviews with households related to quality of care, and focus group discussions with community-based health workers. A special study was carried out in 2003 to assess factors determining the use of prenatal care services. Finally, selected findings were obtained from the HAS information system. We found markedly reduced access to health services in the peripheral mountainous areas compared to the central plains. The quality of services was more deficient and the coverage of key services was lower in the mountains. Finally, health status, as measured by under-five mortality rates and levels of childhood malnutrition, was also worse in the mountains. These findings indicate that local health programs need to give attention to monitoring the health status as well as the quality and coverage of basic services among marginalized groups within the program service area. Health inequities will not be overcome until such monitoring occurs and leaders of health programs ensure that inequities identified are addressed in the local programming of activities. It is quite likely that, within relatively small geographic areas in resource-poor settings around the world, similar, if not even greater, levels of health inequities exist. These inequities

Water Services in the Buenos Aires Metropolitan Area: How Does State Regulation Work?

Directory of Open Access Journals (Sweden)

Mariela Verónica Rocca

2014-08-01

Full Text Available This article deals with the State regulation of drinking water and sanitation services in the Metropolitan Area of Buenos Aires. Its main objective is to identify the continuities and ruptures in State regulation during the transition from private management (1993-2006 to renationalisation and State management (2006 onwards. The concept of “State capacities” (both administrative and relational is used to assess regulatory performance. For the administrative capacities, the correspondence between the design and resources of the agencies, as well as the differences between their formal functions and actual practices, is examined. For the relational capacities, the policies of the National Government and its interaction with both the water and sanitation companies and the regulatory and control agencies are considered. The analysis is based on official documents, legislation and statistics, company balance sheets and reports, newspaper articles and semi-structured interviews.

Protected Natural Areas of Puerto Rico

Science.gov (United States)

William A. Gould; Maya Quinones; Mariano Solorzano; Waldemar Alcobas; Caryl Alarcon

2011-01-01

Protection of natural areas is essential to conserving biodiversity and maintaining ecosystem services. Benefits and services provided by natural areas are complex, interwoven, life-sustaining, and necessary for a healthy environment and a sustainable future (Daily et al. 1997). They include clean water and air, sustainable wildlife populations and habitats, stable...

Solar lighting system delivery models for rural areas in developing countries

Energy Technology Data Exchange (ETDEWEB)

Koirala, Binod Prasad; Ortiz, Brisa [Freiburg Univ. (DE). Center for Renewable Energy (ZEE); Fraunhofer-Institut fuer Solare Energiesysteme (ISE), Freiburg im Breisgau (Germany); Modi, Anish [KTH Royal Inst. of Technology, Stockholm (Sweden); Mathur, Jyotirmay [Malaviya National Institute of Technology, Jaipur (India); Kafle, Nashib [Alternative Energy Promotion Center (AEPC), Kathmandu (Nepal)

2011-07-01

Many rural areas in developing countries will not have electricity access from the central grid for several years to come. Autonomous Solar Lighting Systems (SLS) are attractive and enviromentally friendly options for replacing kerosene lamps and providing basic lighting services to such areas. In order to highlight the benefits of these technologies, analysis of reduction in indoor air pollution due to replacement of kerosene lamp by SLS has been carried out. Use of SLS in place of kerosene lamps saves an equivalent of 1341 kg CO{sub 2} emissions per annum from each household. If a suitable mechanism is created, this amount of GHG emissions saving could alone be sufficient to finance solar lighting system for rural households. However, these technologies have not reached most of the poor population. In order to guarantee the access of solar lighting to the people at the Base of the Pyramid (BOP), strengths of different organizations working in the rural areas should be combined together to form successful business models. This paper will discuss business models to disseminate such services to needy people. A comparative study of SLS delivery models based on cash, credit, leasing, subsidy and service is performed. In addition, SWOT analysis for each model is employed. Further, Case studies of few projects to elaborate different models are also presented. If suitable business models for its delivery to rural people are considered, solar lighting systems are viable for providing basic lighting needs of rural areas in developing countries. (orig.)

77 FR 55195 - Procurement List; Additions

Science.gov (United States)

2012-09-07

... Purchase From People Who Are Blind or Severely Disabled published notice of proposed additions to the... Harmon Avenue, Fort Stewart, GA. NPA: Professional Contract Services, Inc., Austin, TX. Contracting...

VT ZIP Code Areas

Data.gov (United States)

Vermont Center for Geographic Information — (Link to Metadata) A ZIP Code Tabulation Area (ZCTA) is a statistical geographic entity that approximates the delivery area for a U.S. Postal Service five-digit...

Exploring spatial change and gravity center movement for ecosystem services value using a spatially explicit ecosystem services value index and gravity model.

Science.gov (United States)

He, Yingbin; Chen, Youqi; Tang, Huajun; Yao, Yanmin; Yang, Peng; Chen, Zhongxin

2011-04-01

Spatially explicit ecosystem services valuation and change is a newly developing area of research in the field of ecology. Using the Beijing region as a study area, the authors have developed a spatially explicit ecosystem services value index and implemented this to quantify and spatially differentiate ecosystem services value at 1-km grid resolution. A gravity model was developed to trace spatial change in the total ecosystem services value of the Beijing study area from a holistic point of view. Study results show that the total value of ecosystem services for the study area decreased by 19.75% during the period 1996-2006 (3,226.2739 US$×10(6) in 1996, 2,589.0321 US$×10(6) in 2006). However, 27.63% of the total area of the Beijing study area increased in ecosystem services value. Spatial differences in ecosystem services values for both 1996 and 2006 are very clear. The center of gravity of total ecosystem services value for the study area moved 32.28 km northwestward over the 10 years due to intensive human intervention taking place in southeast Beijing. The authors suggest that policy-makers should pay greater attention to ecological protection under conditions of rapid socio-economic development and increase the area of green belt in the southeastern part of Beijing.

Strategies for Improving the Quality of Polling Service in Wireless Metropolitan Area Network

Directory of Open Access Journals (Sweden)

Yang Zhi-Jun

2017-01-01

Full Text Available Four kinds of service types are defined in IEEE 802.16. In order to provide the Quality of Service (Qos for different services, the system must use a reasonable resource allocation method and scheduling algorithm to efficiently and fairly allocate bandwidth resources. Although in the IEEE 802.16 MAC, for the uplink real-time polling service (rtPS and non-real-time polling service (nrtPS business type of data transmission are used to polling, but do not provide business-based services. In this paper, the distinction between priority service of rtPS and nrtPS is carried out, and the simulation experiment is used to analyze the performance characteristics of the protocol under the distinction of high and low priority. Wherein the theoretical values of the average delay and the information packets are compared with the experimental values. The average query cycle and throughput are also evaluated. Which proves the validity of the improved service strategy and improves the service characteristics of the system.

Underserved Areas and Pediatric Resident Characteristics: Is There Reason for Optimism?

Science.gov (United States)

Laraque-Arena, Danielle; Frintner, Mary Pat; Cull, William L

2016-01-01

To examine whether resident characteristics and experiences are related to practice in underserved areas. Cross-sectional survey of a national random sample of pediatric residents (n = 1000) and additional sample of minority residents (n = 223) who were graduating in 2009 was conducted. Using weighted logistic regression, we examined relationships between resident characteristics (background, values, residency experiences, and practice goals) and reported 1) expectation to practice in underserved area and 2) postresidency position in underserved area. Response rate was 57%. Forty-one percent of the residents reported that they had an expectation of practicing in an underserved area. Of those who had already accepted postresidency positions, 38% reported positions in underserved areas. Service obligation in exchange for loans/scholarships and primary care/academic pediatrics practice goals were the strongest predictors of expectation of practicing in underserved areas (respectively, adjusted odds ratio 4.74, 95% confidence interval 1.87-12.01; adjusted odds ratio 3.48, 95% confidence interval 1.99-6.10). Other significant predictors include hospitalist practice goals, primary care practice goals, importance of racial/ethnic diversity of patient population in residency selection, early plan (before medical school) to care for underserved families, mother with a graduate or medical degree, and higher score on the Universalism value scale. Service obligation and primary care/academic pediatrics practice goal were also the strongest predictors for taking a postresidency job in underserved area. Trainee characteristics such as service obligations, values of humanism, and desire to serve underserved populations offer the hope that policies and public funding can be directed to support physicians with these characteristics to redress the maldistribution of physicians caring for children. Copyright © 2016 Academic Pediatric Association. Published by Elsevier Inc. All

78 FR 29119 - Procurement List; Additions and Deletion

Science.gov (United States)

2013-05-17

... and Deletion AGENCY: Committee for Purchase From People Who Are Blind or Severely Disabled. ACTION: Additions to and Deletion from the Procurement List. SUMMARY: This action adds products and services to the... Activity: Washington Headquarters Services (WHS), Acquisition Directorate, Washington, DC. Deletion On 4/5...

Patient’s expectation on communication performances community of Dental Health Services providers located in urban and rural area

Directory of Open Access Journals (Sweden)

Taufan Bramantoro

2013-03-01

Full Text Available Background: The quality of dentist’s communication skills is considered as one of important aspects on the quality of dental health services assessment. During the initial interview conducted at Ketabang, Dupak, and Kepadangan community dental health services at Surabaya and Sidoarjo, Indonesia, it appeared that eighty percent of initial respondents were not satisfied with the communication aspect. Community Dental Health Services (CDHS need to assess the communication performances based on community characteristics in effort to promote the quality and effectiveness of the denta health services. Purpose: The objective of this study was to analyze patient’s expectation values priorities on dentists' communication performances in CDHS that located in urban and rural area. Methods: The study was conducted in Ketabang Surabaya, Dupak Surabaya and Kepadangan Sidoarjo CDHSs. The participants were 400 patients above 18 years old. Participants were assessed their expectation value using the communication performances of dental health services questionnaire. Results: Patients in urban CDHS appeared that there were two priority aspects which had high values, namely the clarity of instructions and the dentist’s ability of active listening to the patient, while patients in rural CDHS revealed that the clarity of instructions and dentist-patient relationship were the aspects with high values. Conclusion: Patients in CDHS that located in rural area expect more dentist-patient interpersonal relationship performance than patients in CDHS located in urban area. This finding becomes a valuable information for CDHS to develop communication strategies based on community characteristics.Latar belakang: Kualitas komunikasi dari dokter gigi merupakan salah satu aspek penting dalam penilaian kualitas layanan suatu sarana pelayanan kesehatan. Pada wawancara pendahuluan yang dilaksanakan di puskesmas Ketabang, Dupak dan Kepadangan di Surabaya dan Sidoarjo

Safety analysis--200 Area Savannah River Site: Separations Area operations Building 211-H Outside Facilities. Supplement 11, Revision 1

Energy Technology Data Exchange (ETDEWEB)

1993-01-01

The H-Area Outside Facilities are located in the 200-H Separations Area and are comprised of a number of processes, utilities, and services that support the separations function. Included are enriched uranium loadout, bulk chemical storage, water handling, acid recovery, general purpose evaporation, and segregated solvent facilities. In addition, services for water, electricity, and steam are provided. This Safety Analysis Report (SAR) documents an analysis of the H-Area Outside Facilities and is one of a series of documents for the Separations Area as specified in the SR Implementation Plan for DOE order 5481.1A. The primary purpose of the analysis was to demonstrate that the facility can be operated without undue risk to onsite or offsite populations, to the environment, and to operating personnel. In this report, risks are defined as the expected frequencies of accidents, multiplied by the resulting radiological consequences in person-rem. Following the summary description of facility and operations is the site evaluation including the unique features of the H-Area Outside Facilities. The facility and process design are described in Chapter 3.0 and a description of operations and their impact is given in Chapter 4.0. The accident analysis in Chapter 5.0 is followed by a list of safety related structures and systems (Chapter 6.0) and a description of the Quality Assurance program (Chapter 7.0). The accident analysis in this report focuses on estimating the risk from accidents as a result of operation of the facilities. The operations were evaluated on the basis of three considerations: potential radiological hazards, potential chemical toxicity hazards, and potential conditions uniquely different from normal industrial practice.

Safety analysis--200 Area Savannah River Site: Separations Area operations Building 211-H Outside Facilities. Supplement 11, Revision 1

International Nuclear Information System (INIS)

1993-01-01

The H-Area Outside Facilities are located in the 200-H Separations Area and are comprised of a number of processes, utilities, and services that support the separations function. Included are enriched uranium loadout, bulk chemical storage, water handling, acid recovery, general purpose evaporation, and segregated solvent facilities. In addition, services for water, electricity, and steam are provided. This Safety Analysis Report (SAR) documents an analysis of the H-Area Outside Facilities and is one of a series of documents for the Separations Area as specified in the SR Implementation Plan for DOE order 5481.1A. The primary purpose of the analysis was to demonstrate that the facility can be operated without undue risk to onsite or offsite populations, to the environment, and to operating personnel. In this report, risks are defined as the expected frequencies of accidents, multiplied by the resulting radiological consequences in person-rem. Following the summary description of facility and operations is the site evaluation including the unique features of the H-Area Outside Facilities. The facility and process design are described in Chapter 3.0 and a description of operations and their impact is given in Chapter 4.0. The accident analysis in Chapter 5.0 is followed by a list of safety related structures and systems (Chapter 6.0) and a description of the Quality Assurance program (Chapter 7.0). The accident analysis in this report focuses on estimating the risk from accidents as a result of operation of the facilities. The operations were evaluated on the basis of three considerations: potential radiological hazards, potential chemical toxicity hazards, and potential conditions uniquely different from normal industrial practice

Management services

International Nuclear Information System (INIS)

Adkins, S.K.; Alford, D.R.; Barnette, A.B.

1979-01-01

The Management Services Section provides coordinated professional administrative services to the Fusion Energy Division (FED), allowing the work of technical professionals to be more fully concentrated in their areas of specialty. Services are provided in general administration, personnel, financial management, communications (including text and graphics generation), management information, library, safety, quality assurance, and nonprogrammatic engineering services. Highlights of the past year included adoption of the Procurement Module in the FED Management Information System (MIS) for use by the entire Laboratory, completion of the Personnel Module of the MIS, greatly increased personnel recruiting activity, and increased industrial subcontracting activity

Cloud-Based Automated Design and Additive Manufacturing: A Usage Data-Enabled Paradigm Shift.

Science.gov (United States)

Lehmhus, Dirk; Wuest, Thorsten; Wellsandt, Stefan; Bosse, Stefan; Kaihara, Toshiya; Thoben, Klaus-Dieter; Busse, Matthias

2015-12-19

Integration of sensors into various kinds of products and machines provides access to in-depth usage information as basis for product optimization. Presently, this large potential for more user-friendly and efficient products is not being realized because (a) sensor integration and thus usage information is not available on a large scale and (b) product optimization requires considerable efforts in terms of manpower and adaptation of production equipment. However, with the advent of cloud-based services and highly flexible additive manufacturing techniques, these obstacles are currently crumbling away at rapid pace. The present study explores the state of the art in gathering and evaluating product usage and life cycle data, additive manufacturing and sensor integration, automated design and cloud-based services in manufacturing. By joining and extrapolating development trends in these areas, it delimits the foundations of a manufacturing concept that will allow continuous and economically viable product optimization on a general, user group or individual user level. This projection is checked against three different application scenarios, each of which stresses different aspects of the underlying holistic concept. The following discussion identifies critical issues and research needs by adopting the relevant stakeholder perspectives.

Cloud-Based Automated Design and Additive Manufacturing: A Usage Data-Enabled Paradigm Shift

Science.gov (United States)

Lehmhus, Dirk; Wuest, Thorsten; Wellsandt, Stefan; Bosse, Stefan; Kaihara, Toshiya; Thoben, Klaus-Dieter; Busse, Matthias

2015-01-01

Integration of sensors into various kinds of products and machines provides access to in-depth usage information as basis for product optimization. Presently, this large potential for more user-friendly and efficient products is not being realized because (a) sensor integration and thus usage information is not available on a large scale and (b) product optimization requires considerable efforts in terms of manpower and adaptation of production equipment. However, with the advent of cloud-based services and highly flexible additive manufacturing techniques, these obstacles are currently crumbling away at rapid pace. The present study explores the state of the art in gathering and evaluating product usage and life cycle data, additive manufacturing and sensor integration, automated design and cloud-based services in manufacturing. By joining and extrapolating development trends in these areas, it delimits the foundations of a manufacturing concept that will allow continuous and economically viable product optimization on a general, user group or individual user level. This projection is checked against three different application scenarios, each of which stresses different aspects of the underlying holistic concept. The following discussion identifies critical issues and research needs by adopting the relevant stakeholder perspectives. PMID:26703606

Patient Views on Three Key Service Areas within Hospital COPD Care

Science.gov (United States)

Roberts, C. Michael; Seiger, Anil; Ingham, Jane

2009-01-01

Objective: The views of patients with Chronic Obstructive Pulmonary Disease (COPD) about three key services (non-invasive ventilation [NIV], early discharge schemes and rehabilitation) were sought in order to inform recommendations for the delivery of optimum care within a national programme of hospital COPD service development. Design: Four focus…

Advanced web services

CERN Document Server

Bouguettaya, Athman; Daniel, Florian

2013-01-01

Web services and Service-Oriented Computing (SOC) have become thriving areas of academic research, joint university/industry research projects, and novel IT products on the market. SOC is the computing paradigm that uses Web services as building blocks for the engineering of composite, distributed applications out of the reusable application logic encapsulated by Web services. Web services could be considered the best-known and most standardized technology in use today for distributed computing over the Internet. This book is the second installment of a two-book collection covering the state-o

76 FR 37059 - Siuslaw National Forest; Oregon; Oregon Dunes NRA Management Area 10 (C) Route and Area Designation

Science.gov (United States)

2011-06-24

... DEPARTMENT OF AGRICULTURE Forest Service Siuslaw National Forest; Oregon; Oregon Dunes NRA Management Area 10 (C) Route and Area Designation AGENCY: Forest Service, USDA. ACTION: Notice of intent to... (C) today are not designated routes. This has in turn led to greater and unnecessary impacts to...

Service Redesign Using Factor Analysis, TRIZ, and Service Blueprint (Case study on Garuda Indonesia’s sales and service office at Senayan City

Directory of Open Access Journals (Sweden)

Suzianti Amalia

2017-01-01

Full Text Available Indonesia is a country that has potential to be the one of the biggest airline industry. This potential leads the competition in airline industrymore aggressive. Garuda Indonesia as the leading airline must maintains its position as a leader in Indonesian airline industry. To maintain its position, Garuda Indonesia has repaired all of its aspects, one of them is service. The most important service area that give the most complete facilities to customers and contributions to Garuda Indonesia, is sales and service office (SSO. This research is trying to suggest recommendations of service redesign on Garuda Indonesia’s SSO in order to create better customer satisfaction. This research uses factor analysis to analyze the factors that contribute to the customer preferences. The result shows the duration of service delivery, facilities in waiting area and frontliner’s competencies are the major factors that contribute to the failure points in sales and service office. In the next stage, the TRIZ contradiction analysis is used resulting twelve inventive principles. Furthermore, new service design of Indonesia airline’s sales and service office is proposed following the principles generated in TRIZ through service blueprint.

Strategic responses to fiscal constraints: a health policy analysis of hospital-based ambulatory physical therapy services in the Greater Toronto Area (GTA).

Science.gov (United States)

Landry, Michel D; Verrier, Molly C; Williams, A Paul; Zakus, David; Deber, Raisa B

2009-01-01

Ambulatory physical therapy (PT) services in Canada are required to be insured under the Canada Health Act, but only if delivered within hospitals. The present study analyzed strategic responses used by hospitals in the Greater Toronto Area (GTA) to deliver PT services in an environment of fiscal constraint. Key informant interviews (n = 47) were conducted with participants from all hospitals located within the GTA. Two primary strategic responses were identified: (1) "load shedding" through the elimination or reduction of services, and (2) "privatization" through contracting out or creating internal for-profit subsidiary clinics. All hospitals reported reductions in service delivery between 1996 and 2003, and 15.0% (7/47 hospitals) fully eliminated ambulatory services. Although only one of 47 hospitals contracted out services, another 15.0% (7/47) reported that for-profit subsidiary clinics were created within the hospital in order to access other more profitable forms of quasi-public and private funding. Strategic restructuring of services, aimed primarily at cost containment, may have yielded short-term financial savings but has also created a ripple effect across the continuum of care. Moreover, the rise of for-profit subsidiary clinics operating within not-for-profit hospitals has emerged without much public debate and with little research to evaluate its impact.

77 FR 41899 - Indirect Food Additives: Polymers

Science.gov (United States)

2012-07-17

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration 21 CFR Part 177 [Docket No. FDA-2012-F-0031] Indirect Food Additives: Polymers AGENCY: Food and Drug Administration, HHS. ACTION... CFR part 177 is amended as follows: PART 177--INDIRECT FOOD ADDITIVES: POLYMERS 0 1. The authority...

Ring-Shaped Seismicity Structures in the Areas of Sarez and Nurek Water Reservoirs (Tajikistan): Lithosphere Adaptation to Additional Loading

Science.gov (United States)

Kopnichev, Yu. F.; Sokolova, I. N.

2017-12-01

Seismicity characteristics in the areas of Sarez Lake and the Nurek water reservoir are studied. Ring-shaped seismicity structures in two depth ranges (0-33 and 34-70 km) formed prior to the Pamir earthquake of December 7, 2015 ( M w = 7.2). Seismicity rings cross each other near the Usoi Dam, which formed after the strong earthquake in 1911 and led to the formation of Sarez Lake, and near the epicenter of the Pamir earthquake. In addition, three out of the four strongest events ( M ≥ 6.0) recorded in the Pamir region at depths of more than 70 km since 1950 have occurred near Sarez Lake. An aggregate of the data allows us to conclude that the Pamir earthquake, despite its very large energy, refers to events related to induced seismicity. Ring-shaped seismicity structures in two depth ranges also formed in the Nurek water reservoir area. It is supposed that the formation of ring-shaped structures is related to the self-organization processes of a geological system, which result in the ascent of deep-seated fluids. In this respect, the lithosphere is gradually adapting to the additional load related to the filling of the water reservoir. The difference between Nurek Dam (and many other hydroelectric power stations as well) and Usoi Dam is the permanent vibration in the former case due to water falling from a height of more than 200 m. Such an effect can lead to gradual stress dissipation, resulting in the occurrence of much weaker events when compared to the Pamir earthquake of December 7, 2015, in the areas of artificial water reservoirs.

Offer patterns of nationally placed livers by donation service area.

Science.gov (United States)

Lai, Jennifer C; Feng, Sandy; Vittinghoff, Eric; Roberts, John P

2013-04-01

We previously reported that national liver distribution is highly concentrated in 6 US centers, and this raises the possibility of expedited placement. Therefore, we evaluated all national offers of nationally placed livers (n=1625) to adult wait-list candidates from February 2005 to January 2010. We developed a model to predict national utilization pathways; pathways exceeding the best-fit linear unbiased predictions by ≥3 standard errors were defined as preferred. All 51 donation service areas (DSAs) placed 1 or more livers nationally, but the percentage per DSA ranged from 1% to 36%. Of 2830 possible national DSA-center pathways, 87% were used. Five hundred eighty livers (36%) were accepted on the first national offer. Four DSAs accounted for 47% of first-national-offer livers, and 44% of these were accepted by a single center. In comparison with first-offer livers using nonpreferred pathways, first offers along a preferred pathway were offered to fewer status 1 candidates (19% versus 61%) and had lower median model for end-stage liver disease (MELD) scores (22 versus 36, Poffer to non-status 1 candidates with MELD scores less than their local transplant MELD scores. Although this practice may facilitate liver placement, it raises the possibility of expedience trumping patient need. Here we propose changes to the national liver distribution system that will help to balance equity, efficiency, and transparency. Copyright © 2013 American Association for the Study of Liver Diseases.

Assessment of Customer Service in Academic Health Care Libraries (ACSAHL): an instrument for measuring customer service.

Science.gov (United States)

Crossno, J E; Berkins, B; Gotcher, N; Hill, J L; McConoughey, M; Walters, M

2001-04-01

In a pilot study, the library had good results using SERVQUAL, a respected and often-used instrument for measuring customer satisfaction. The SERVQUAL instrument itself, however, received some serious and well-founded criticism from the respondents to our survey. The purpose of this study was to test the comparability of the results of SERVQUAL with a revised and shortened instrument modeled on SERVQUAL. The revised instrument, the Assessment of Customer Service in Academic Health Care Libraries (ACSAHL), was designed to better assess customer service in academic health care libraries. Surveys were sent to clients who had used the document delivery services at three academic medical libraries in Texas over the previous twelve to eighteen months. ACSAHL surveys were sent exclusively to clients at University of Texas (UT) Southwestern, while the client pools at the two other institutions were randomly divided and provided either SERVQUAL or ACSAHL surveys. Results indicated that more respondents preferred the shorter ACSAHL instrument to the longer and more complex SERVQUAL instrument. Also, comparing the scores from both surveys indicated that ACSAHL elicited comparable results. ACSAHL appears to measure the same type of data in similar settings, but additional testing is recommended both to confirm the survey's results through data replication and to investigate whether the instrument applies to different service areas.

78 FR 9386 - Procurement List; Addition

Science.gov (United States)

2013-02-08

... Purchase From People Who Are Blind or Severely Disabled published notice of proposed addition to the...: Enterprise Professional Services, Inc., Austin, TX Contracting Activity: Dept of the Army, W40M USA MEDCOM...

Global Patterns in the Implementation of Payments for Environmental Services.

Directory of Open Access Journals (Sweden)

Driss Ezzine-de-Blas

Full Text Available Assessing global tendencies and impacts of conditional payments for environmental services (PES programs is challenging because of their heterogeneity, and scarcity of comparative studies. This meta-study systematizes 55 PES schemes worldwide in a quantitative database. Using categorical principal component analysis to highlight clustering patterns, we reconfirm frequently hypothesized differences between public and private PES schemes, but also identify diverging patterns between commercial and non-commercial private PES vis-à-vis their service focus, area size, and market orientation. When do these PES schemes likely achieve significant environmental additionality? Using binary logistical regression, we find additionality to be positively influenced by three theoretically recommended PES 'best design' features: spatial targeting, payment differentiation, and strong conditionality, alongside some contextual controls (activity paid for and implementation time elapsed. Our results thus stress the preeminence of customized design over operational characteristics when assessing what determines the outcomes of PES implementation.

78 FR 75912 - Procurement List; Addition and Deletion

Science.gov (United States)

2013-12-13

... and Deletion AGENCY: Committee for Purchase From People Who Are Blind or Severely Disabled. ACTION: Addition to and deletion from the Procurement List. SUMMARY: This action adds a service to the Procurement...: General Services Administration, Fort Worth, TX Deletion On 11/1/2013 (78 FR 65618), the Committee for...

The Effects of Organizational Culture on Mental Health Service Engagement of Transition Age Youth.

Science.gov (United States)

Kim, HyunSoo; Tracy, Elizabeth M; Biegel, David E; Min, Meeyoung O; Munson, Michelle R

2015-10-01

Nationwide, there is a growing concern in understanding mental health service engagement among transition age youth. The ecological perspective suggests that there are multiple barriers to service engagement which exist on varying levels of the ecosystem. Based on the socio-technical theory and organizational culture theory, this study examined the impact of organization-level characteristics on perceived service engagement and the moderating role of organizational culture on practitioner-level characteristics affecting youth service engagement. A cross-sectional survey research design was used to address the research questions. The data were collected from 279 practitioners from 27 mental health service organizations representing three major metropolitan areas in Ohio. Hierarchical linear modeling was used to address a nested structure. Findings revealed that location of organization, service setting, and organizational culture had significant effects on the continuation of services. In addition, the relationship between service coordination and resource knowledge and service engagement was moderated by organizational culture.

Partitioning Stakeholders for the Economic Valuation of Ecosystem Services: Examples of a Mangrove System

Energy Technology Data Exchange (ETDEWEB)

Micheletti, Tatiane, E-mail: micheletti@forst.tu-dresden.de [Institute of Forest Botany and Forest Zoology (Germany); Jost, François [Institute for International Forestry and Wood Industry (Germany); Berger, Uta [Institute of Forest Growth and Forest Computer Sciences (Germany)

2016-09-15

Although the importance of ecosystem services provided by natural forests, especially mangroves, is well known, the destruction of these environments is still ubiquitous and therefore protection measures are urgently needed. The present study compares the current approach of economic valuation of ecosystem services to a proposed one, using a study case of a mangrove system as an example. We suggest that a cost-benefit analysis for economically valuing environmental services should be performed with three additional modifications consisting of (i) a categorization of local stakeholders as demanders of particular ecosystem services, (ii) acknowledgement of the government as one of these demander groups, and (iii) the inclusion of opportunity costs in the valuation. The application of this approach to the mangrove area in the east portion of Great Abaco Island, the Bahamas, reveals that not only the ecosystem services received differ between demander groups, but the monetary benefits and costs are also specific to each of these groups. We show that the economic valuation of the ecosystem should be differentiated for each category, instead of being calculated as a net ‘societal value’ as it is currently. Applying this categorization of demanders enables a better understanding of the cost and benefit structure of the protection of a natural area. The present paper aims to facilitate discussions regarding benefit and cost sharing related to the protection of natural areas.

Partitioning Stakeholders for the Economic Valuation of Ecosystem Services: Examples of a Mangrove System

International Nuclear Information System (INIS)

Micheletti, Tatiane; Jost, François; Berger, Uta

2016-01-01

Although the importance of ecosystem services provided by natural forests, especially mangroves, is well known, the destruction of these environments is still ubiquitous and therefore protection measures are urgently needed. The present study compares the current approach of economic valuation of ecosystem services to a proposed one, using a study case of a mangrove system as an example. We suggest that a cost-benefit analysis for economically valuing environmental services should be performed with three additional modifications consisting of (i) a categorization of local stakeholders as demanders of particular ecosystem services, (ii) acknowledgement of the government as one of these demander groups, and (iii) the inclusion of opportunity costs in the valuation. The application of this approach to the mangrove area in the east portion of Great Abaco Island, the Bahamas, reveals that not only the ecosystem services received differ between demander groups, but the monetary benefits and costs are also specific to each of these groups. We show that the economic valuation of the ecosystem should be differentiated for each category, instead of being calculated as a net ‘societal value’ as it is currently. Applying this categorization of demanders enables a better understanding of the cost and benefit structure of the protection of a natural area. The present paper aims to facilitate discussions regarding benefit and cost sharing related to the protection of natural areas.

78 FR 44523 - Burned Area Emergency Response, Forest Service

Science.gov (United States)

2013-07-24

...-1121. If comments are sent by electronic means, please do not send duplicate comments via regular mail... Information Relay Service (FIRS) at 1-800-877-8339 between 8:00 a.m. and 8:00 p.m., Eastern Standard Time...

Take Five for Customer Service

Directory of Open Access Journals (Sweden)

Laura J. Ax-Fultz

2016-05-01

Full Text Available Businesses leverage excellent customer service to improve profitability. Although not profit-driven, libraries should leverage excellent customer service to achieve their unique missions. Evaluating and improving customer service practices will help a library determine if it is successfully serving its customers. The library should review three areas to improve customer service: the physical space of the library, how library employees work with library policies, and the communication skills of the library staff. By using the Take Five model, the library can make immediate, no-cost changes or plan for future improvements by taking just five minutes, every day, to assess specific areas. Over a few weeks or months, these small changes will result in better customer service.

Identifying mental health services in clinical genetic settings.

Science.gov (United States)

Cappelli, M; Esplen, M J; Wilson, B J; Dorval, M; Bottorff, J L; Ly, M; Carroll, J C; Allanson, J; Humphreys, E; Rayson, D

2009-10-01

The purpose of this study was to examine the mental health needs of individuals at risk for adult onset hereditary disorder (AOHD) from the perspective of their genetic service providers, as it is unknown to what extent psychosocial services are required and being met. A mail-out survey was sent to 281 providers on the membership lists of the Canadian Association of Genetic Counsellors and the Canadian College of Medical Geneticists. The survey assessed psychosocial issues that were most commonly observed by geneticists, genetic counsellors (GCs), and nurses as well as availability and types of psychosocial services offered. Of the 129 respondents, half of genetic service providers reported observing signs of depression and anxiety, while 44% noted patients' concerns regarding relationships with family and friends. In terms of providing counselling to patients, as the level of psychological risk increased, confidence in dealing with these issues decreased. In addition, significantly more GCs reported that further training in psychosocial issues would be most beneficial to them if resources were available. As a feature of patient care, it is recommended that gene-based predictive testing include an integrative model of psychosocial services as well as training for genetic service providers in specific areas of AOHD mental health.

Willingness to pay for public services and quality of supply in the electricity area

International Nuclear Information System (INIS)

Leukert, K.; Telser, H.; Vaterlaus, S.; Mahler, P.

2008-01-01

This report for the Swiss Federal Office of Energy (SFOE) takes a look at the results of a study made on the willingness to pay for public services and quality of supply in the electricity area. First, the starting point of the study and definitions of quality of supply and security of supply are noted. The methods used in the study are presented and macro-economic aspects are reviewed. The costs of black-outs are examined and the carrying out of surveys in the electricity market is discussed. The results of surveys made in households and commercial enterprises concerning the willingness to pay for security of supply and the costs incurred when supplies fail are presented and discussed. The report is completed with a comprehensive list of references and an appendix containing the results of the various tests and surveys made.

Service Industries. Trends and Prospects.

Science.gov (United States)

Bureau of Domestic Business Development (DOC), Washington, DC.

This publication is designed to provide the business community with information on growing markets for many business and consumer services. Divided into two parts, the document overview in part I identifies two service area problems: lagging productivity gains and rapidly rising prices of services. The overview states, however, that service sector…

Dosimetry Service

CERN Multimedia

2006-01-01

Cern Staff and Users can now consult their dose records for an individual or an organizational unit with HRT. Please see more information on our web page: http://cern.ch/rp-dosimetry Dosimetry Service is open every morning from 8.30 - 12.00. Closed in the afternoons. We would like to remind you that dosimeters cannot be sent to customers by internal mail. Short-term dosimeters (VCT's) must always be returned to the Service after the use and must not be left on the racks in the experimental areas or in the secretariats. Dosimetry Service Tel. 7 2155 Dosimetry.service@cern.ch http://cern.ch/rp-dosimetry

Supporting product-servicing networks

NARCIS (Netherlands)

Camarihna-Matos, L.M.; Ferrada, F.; Oliveira, A.I.; Afsarmanesh, H.; Aboutajdine, D.; Skalli, A.; Benchekroun, B.; Artiba, A.

2013-01-01

Service-based enhancement of products represents a growing trend, particularly in the context of complex products. A service-enhanced product can be seen as a market proposition that extends the traditional functionality of a product by incorporating additional business services, which not only

78 FR 34031 - Burned Area Emergency Response, Forest Service

Science.gov (United States)

2013-06-06

...;and investigations, committee meetings, agency decisions and rulings, #0;delegations of authority...-wildfire threats to human safety, property and critical natural or cultural resources on National Forest... efforts to improve cost efficiencies. These cost issues affect the Forest Service BAER program since...

Using Technology of .Net Web Services in the Area of Automation

Directory of Open Access Journals (Sweden)

Martin Hnik

2009-12-01

Full Text Available This work deals with a technology for data exchange XML Web Services and its application to specific tasks. One of the applications created allows you to monitor and control the real thermal process through a number of client devices, independent of the operating system, the type or their location. The thermal process can be controlled, for example, by another process, a website or a mobile phone. The system is designed from its base and contains three main parts. The hardware part consists from a measuring card, actuators and temperature sensors. The core application is a server that is running the XML Web Service, Windows Service and SQL Server. Client software for mobile phones and web sites was also created.

An integrated village maternity service to improve referral patterns in a rural area in West-Java.

Science.gov (United States)

Alisjahbana, A; Williams, C; Dharmayanti, R; Hermawan, D; Kwast, B E; Koblinsky, M

1995-06-01

The Regionalization of Perinatal Care, an intervention study carried out in Tanjungsari, a subdistrict in rural West Java, aimed to develop a comprehensive maternal health program to improve maternal and perinatal health outcomes. The main inputs included training at all levels of the health care system (informal and formal) and the establishment of birthing homes in villages to make services more accessible. Special attention was given to referral, transportation, communication and appropriate case management, A social marketing program was conducted to inform people of the accessible birthing homes for clean delivery, located near the women, and with better transportation and communications to referral facilities should complications arise. The study design was longitudinal, following all pregnant women from early pregnancy until 42 days postpartum in an intervention and a comparison area. The population was +/- 90,000 in the intervention area and 40,000 in the comparison area. Inclusion criteria were all mother and infant units delivered between June 1st, 1992 and May 31st, 1993. Analysis showed the following results: Most women sought antenatal care (> 95%). In Tanjungsari, nearly 90% sought such care from professional providers as versus 75% in the control area of Cisalak. Most women with bleeding or bleeding and edema during pregnancy sought professional assistance in both the study and control areas. However, fever for more than 3 days received more attention in the study area versus control area (93 vs. 69%). Greater than 85% of deliveries in both areas were conducted by TBAs. However, in the study area, nearly one-third of those with intrapartum complications (17%) delivered in a health facility compared to one-tenth in the control area. This meant a hospital delivery, primarily with assistance of a doctor or doctor/midwife combination. Overall referral rates by TBAs were low -13% of women with complications in Tanjungsari and 6% in Cisalak. More women

ITER diagnostics ex-vessel engineering services

Energy Technology Data Exchange (ETDEWEB)

Arumugam, A.P., E-mail: arun.prakash@iter.org; Walker, C.I.; Andrew, P.; Barnsley, R.; Beltran, D.; Bertalot, L.; Dammann, A.; Direz, M.F.; Drevon, J.M.; Encheva, A.; Giacomin, T.; Hourtoule, J.; Kuehn, I.; Lanza, R.; Levesy, B.; Maquet, P.; Patel, K.M.; Patisson, L.; Pitcher, C.S.; Portales, M.; and others

2013-10-15

Highlights: • This paper describes about the ITER diagnostics ex-vessel engineering services. • It describes various diagnostics systems, its location and its environment. • Diagnostics interfaces with other services such as the buildings, HVAC, electrical services, cooling water, vacuum, liquid and gas distribution. • All the interfaces with these services are identified and defined. • Buildings services for diagnostics, such as penetrations, local shielding, embedment and temperature control are discussed. -- Abstract: Extensive diagnostics systems will be installed on the ITER machine to provide the measurements necessary to control, evaluate and optimize plasma performance in ITER and to further the understanding of plasma physics. These include measurements of temperature, density, impurity concentration, and particle and energy confinement times. ITER diagnostic systems extend from the center of the Tokamak to the various diagnostic areas, where they are controlled and acquired data is processed. This mainly includes the areas such as ports, port cells, gallery, diagnostics enclosures and cubicle areas. The diagnostics port plugs encloses the front end of the diagnostic systems and the diagnostics building houses the diagnostics equipment, instrumentation and control cubicles. There are several systems providing services to diagnostics. These mainly include ITER buildings, electrical power services, cooling water services, Heating Ventilation and Air Conditioning (HVAC), vacuum services, liquid and gas distribution services, cable engineering, de-tritiation systems, control cubicles, etc. Requirements of these service systems have to be defined, even though many of the diagnostics are at an early stage of development. It is a real challenge to define and to design diagnostics systems considering the constraints imposed by these service systems. This paper summarizes the provision of these services to the individual diagnostics and diagnostics areas

ITER diagnostics ex-vessel engineering services

International Nuclear Information System (INIS)

Arumugam, A.P.; Walker, C.I.; Andrew, P.; Barnsley, R.; Beltran, D.; Bertalot, L.; Dammann, A.; Direz, M.F.; Drevon, J.M.; Encheva, A.; Giacomin, T.; Hourtoule, J.; Kuehn, I.; Lanza, R.; Levesy, B.; Maquet, P.; Patel, K.M.; Patisson, L.; Pitcher, C.S.; Portales, M.

2013-01-01

Highlights: • This paper describes about the ITER diagnostics ex-vessel engineering services. • It describes various diagnostics systems, its location and its environment. • Diagnostics interfaces with other services such as the buildings, HVAC, electrical services, cooling water, vacuum, liquid and gas distribution. • All the interfaces with these services are identified and defined. • Buildings services for diagnostics, such as penetrations, local shielding, embedment and temperature control are discussed. -- Abstract: Extensive diagnostics systems will be installed on the ITER machine to provide the measurements necessary to control, evaluate and optimize plasma performance in ITER and to further the understanding of plasma physics. These include measurements of temperature, density, impurity concentration, and particle and energy confinement times. ITER diagnostic systems extend from the center of the Tokamak to the various diagnostic areas, where they are controlled and acquired data is processed. This mainly includes the areas such as ports, port cells, gallery, diagnostics enclosures and cubicle areas. The diagnostics port plugs encloses the front end of the diagnostic systems and the diagnostics building houses the diagnostics equipment, instrumentation and control cubicles. There are several systems providing services to diagnostics. These mainly include ITER buildings, electrical power services, cooling water services, Heating Ventilation and Air Conditioning (HVAC), vacuum services, liquid and gas distribution services, cable engineering, de-tritiation systems, control cubicles, etc. Requirements of these service systems have to be defined, even though many of the diagnostics are at an early stage of development. It is a real challenge to define and to design diagnostics systems considering the constraints imposed by these service systems. This paper summarizes the provision of these services to the individual diagnostics and diagnostics areas

Joint analysis of stressors and ecosystem services to enhance restoration effectiveness.

Science.gov (United States)

Allan, J David; McIntyre, Peter B; Smith, Sigrid D P; Halpern, Benjamin S; Boyer, Gregory L; Buchsbaum, Andy; Burton, G A; Campbell, Linda M; Chadderton, W Lindsay; Ciborowski, Jan J H; Doran, Patrick J; Eder, Tim; Infante, Dana M; Johnson, Lucinda B; Joseph, Christine A; Marino, Adrienne L; Prusevich, Alexander; Read, Jennifer G; Rose, Joan B; Rutherford, Edward S; Sowa, Scott P; Steinman, Alan D

2013-01-02

With increasing pressure placed on natural systems by growing human populations, both scientists and resource managers need a better understanding of the relationships between cumulative stress from human activities and valued ecosystem services. Societies often seek to mitigate threats to these services through large-scale, costly restoration projects, such as the over one billion dollar Great Lakes Restoration Initiative currently underway. To help inform these efforts, we merged high-resolution spatial analyses of environmental stressors with mapping of ecosystem services for all five Great Lakes. Cumulative ecosystem stress is highest in near-shore habitats, but also extends offshore in Lakes Erie, Ontario, and Michigan. Variation in cumulative stress is driven largely by spatial concordance among multiple stressors, indicating the importance of considering all stressors when planning restoration activities. In addition, highly stressed areas reflect numerous different combinations of stressors rather than a single suite of problems, suggesting that a detailed understanding of the stressors needing alleviation could improve restoration planning. We also find that many important areas for fisheries and recreation are subject to high stress, indicating that ecosystem degradation could be threatening key services. Current restoration efforts have targeted high-stress sites almost exclusively, but generally without knowledge of the full range of stressors affecting these locations or differences among sites in service provisioning. Our results demonstrate that joint spatial analysis of stressors and ecosystem services can provide a critical foundation for maximizing social and ecological benefits from restoration investments.

The service of public services performance management

DEFF Research Database (Denmark)

Lystbæk, Christian Tang

perspectives on the potential impact of public service performance measurement offer a range of contradictory propositions. Its alleged benefits include public assurance, better functioning of supply markets for public services, and direct improvements of public services. But the literature also demonstrates...... the existence of significant concern about the actual impact, the costs and unintended consequences associated with performance measurement.  Performance measurement and management have been part of the political agenda within the public sphere since their adoption in the post-Second World War period...... of political masters and their mistresses rather than public service. Another area of concern is the cost of performance measurement. Hood & Peters (2004:278) note that performance measurement is likely to “distract middle- and upper-level officials, create massive paperwork, and produce major unintended...

The service of public services performance measurement

DEFF Research Database (Denmark)

Lystbæk, Christian Tang

2014-01-01

that performance measurement serves as “rituals of verification” which promotes the interests of political masters and their mistresses rather than public service. Another area of concern is the cost of performance measurement. Hood & Peters (2004:278) note that performance measurement is likely to “distract...... measurement suggests a range of contested and contradictory propositions. Its alleged benefits include public assurance, better functioning of supply markets for public services, and direct improvements of public services. But the literature also demonstrates the existence of significant concern about...... the actual impact, the costs and unintended consequences associated with performance measurement. This paper identifies the main rationales and rationalities in the scholarly discourse on public services performance measurement. It concludes with some suggestions on how to deal with the many rationales...

Area-Level Socioeconomic Gradients in Overweight and Obesity in a Community-Derived Cohort of Health Service Users - A Cross-Sectional Study.

Directory of Open Access Journals (Sweden)

Andrew Bonney

Full Text Available Overweight and obesity lead to higher probability of individuals accessing primary care but adiposity estimates are rarely available at regional levels to inform health service planning. This paper analyses a large, community-derived clinical database of objectively measured body mass index (BMI to explore relationships with area-level socioeconomic disadvantage for informing regional level planning activities.The study included 91776 adults who had BMI objectively measured between 1 July 2009 and 30 June 2011 by a single pathology provider. Demographic data and BMI were extracted and matched to 2006 national census socioeconomic data using geocoding. Adjusted odds-ratios for overweight and obesity were calculated using sex-stratified logistic regression models with socioeconomic disadvantage of census collection district of residence as the independent variable.The prevalence of overweight or obesity was 79.2% (males and 65.8% (females; increased with age to 74 years; and was higher in rural (74% versus urban areas (71.4% (p<0.001. Increasing socioeconomic disadvantage was associated with increasing prevalence of overweight (p<0.0001, obesity (p<0.0001 and overweight or obesity (p<0.0001 in women and obesity (p<0.0001 in men. Socioeconomic disadvantage was unrelated to overweight (p = 0.2024 and overweight or obesity (p = 0.4896 in males.It is feasible to link routinely-collected clinical data, representative of a discrete population, with geographic distribution of disadvantage, and to obtain meaningful area-level information useful for targeting interventions to improve population health. Our results demonstrate novel area-level socioeconomic gradients in overweight and obesity relevant to regional health service planning.

Willingness to pay for public services and quality of supply in the electricity area; Zahlungsbereitschaft fuer Service public und Versorgungsqualitaet im Strombereich

Energy Technology Data Exchange (ETDEWEB)

Leukert, K.; Telser, H.; Vaterlaus, S.; Mahler, P.

2008-07-01

This report for the Swiss Federal Office of Energy (SFOE) takes a look at the results of a study made on the willingness to pay for public services and quality of supply in the electricity area. First, the starting point of the study and definitions of quality of supply and security of supply are noted. The methods used in the study are presented and macro-economic aspects are reviewed. The costs of black-outs are examined and the carrying out of surveys in the electricity market is discussed. The results of surveys made in households and commercial enterprises concerning the willingness to pay for security of supply and the costs incurred when supplies fail are presented and discussed. The report is completed with a comprehensive list of references and an appendix containing the results of the various tests and surveys made.

Ecosystem services capacity across heterogeneous forest types: understanding the interactions and suggesting pathways for sustaining multiple ecosystem services.

Science.gov (United States)

Alamgir, Mohammed; Turton, Stephen M; Macgregor, Colin J; Pert, Petina L

2016-10-01

As ecosystem services supply from tropical forests is declining due to deforestation and forest degradation, much effort is essential to sustain ecosystem services supply from tropical forested landscapes, because tropical forests provide the largest flow of multiple ecosystem services among the terrestrial ecosystems. In order to sustain multiple ecosystem services, understanding ecosystem services capacity across heterogeneous forest types and identifying certain ecosystem services that could be managed to leverage positive effects across the wider bundle of ecosystem services are required. We sampled three forest types, tropical rainforests, sclerophyll forests, and rehabilitated plantation forests, over an area of 32,000m(2) from Wet Tropics bioregion, Australia, aiming to compare supply and evaluate interactions and patterns of eight ecosystem services (global climate regulation, air quality regulation, erosion regulation, nutrient regulation, cyclone protection, habitat provision, energy provision, and timber provision). On average, multiple ecosystem services were highest in the rainforests, lowest in sclerophyll forests, and intermediate in rehabilitated plantation forests. However, a wide variation was apparent among the plots across the three forest types. Global climate regulation service had a synergistic impact on the supply of multiple ecosystem services, while nutrient regulation service was found to have a trade-off impact. Considering multiple ecosystem services, most of the rehabilitated plantation forest plots shared the same ordination space with rainforest plots in the ordination analysis, indicating that rehabilitated plantation forests may supply certain ecosystem services nearly equivalent to rainforests. Two synergy groups and one trade-off group were identified. Apart from conserving rainforests and sclerophyll forests, our findings suggest two additional integrated pathways to sustain the supply of multiple ecosystem services from a

Recommendations for Additional Design Development of Components for the SpinTek Rotary Microfilter Prior to Radioactive Service

International Nuclear Information System (INIS)

Herman, D.T.

2004-01-01

The SpinTek rotary microfilter is being considered as an alternative to crossflow filtration. Prior testing evaluated the vendor's standard design for a 1-disk and 3-disk design. We noted several areas of improvement during the testing of the two filter systems that can be included in the 25-disk plant size unit.This report outlines several potential enhancements and improvements to the vendor's standard design which would extend the lifetime of the unit and increase the ability to perform maintenance for units deployed in radioactive service. The enhancements proposed in this report can be implemented to the current design with minimal impact to the cost and schedule of the purchase of the standard unit. An example of this is the replacement of the current mechanical seal with a bellows seal. The improvements proposed will require an extensive redesign of components found in the current system such as the filter chamber

Protected area certificates: gaining ground for better ecosystem protection?

Science.gov (United States)

Segerstedt, Anna; Grote, Ulrike

2015-06-01

Protected areas are vital to sustain a number of ecosystem services. Yet, many protected areas are underfinanced and lack management effectiveness. Protected area certificates have been suggested as a way to resolve these problems. This instrument would allow land managers to certify an area if it meets certain conservation criteria. The certificates could then be sold on an international market, for example to companies and any consumers that are interested in environmental protection. Some pilot initiatives have been launched, yet little is known about future demand and features of protected area certificates. To fill this knowledge gap, we conduct a choice experiment with close to 400 long-distance tourists from Germany as a potential group of buyers. Our results indicate that the respondents have the highest willingness to pay for certificates that conserve sensitive ecosystems and in addition to this lead to poverty reduction and safeguard water resources. For other attributes such as a greenhouse gas reduction, the preferences are less significant. Overall, the results are rather homogenous irrespective of where the protected areas are located. These insights are important for the future design and marketing of protected area certificates.